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| | 99TH GENERAL ASSEMBLY
State of Illinois
2015 and 2016 SB2596 Introduced 2/16/2016, by Sen. Terry Link SYNOPSIS AS INTRODUCED: |
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Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or managed care plan amended, delivered, issued, or renewed after the effective date of the amendatory Act must provide coverage for medically necessary preventative physical or rehabilitative therapy for insureds diagnosed with multiple sclerosis without any treatment limitation or calendar year maximum as determined by the patient's treating physician. Makes changes to the provision's definition of "preventative physical therapy" to include physical and other rehabilitative therapy. Removes requirements that coverage under this provision be subject to the same coinsurance, waiting period, cost sharing limitation, treatment limitation, calendar year maximum, or other limitation as provided for other physical or rehabilitative therapy benefits.
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| | A BILL FOR |
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| | SB2596 | | LRB099 19662 EGJ 44059 b |
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1 | | AN ACT concerning regulation.
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2 | | Be it enacted by the People of the State of Illinois,
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3 | | represented in the General Assembly:
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4 | | Section 5. The Illinois Insurance Code is amended by |
5 | | changing Section 356z.8 as follows: |
6 | | (215 ILCS 5/356z.8)
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7 | | Sec. 356z.8. Multiple sclerosis preventative physical or |
8 | | rehabilitative therapy. A group or individual policy of |
9 | | accident and health insurance or managed care plan amended, |
10 | | delivered, issued, or renewed after the effective date of this |
11 | | amendatory Act of the 99th General Assembly this amendatory Act |
12 | | of the 94th General Assembly must provide coverage for |
13 | | medically necessary preventative physical or rehabilitative |
14 | | therapy without any treatment limitation or calendar year |
15 | | maximum as determined necessary by the patient's treating |
16 | | physician, for insureds diagnosed with multiple sclerosis. For |
17 | | the purposes of this Section, "preventative physical or |
18 | | rehabilitative therapy" means physical and other |
19 | | rehabilitative therapy that is prescribed by a physician |
20 | | licensed to practice medicine in all of its branches for the |
21 | | purpose of treating parts of the body affected by multiple |
22 | | sclerosis, but only where the physical or rehabilitative |
23 | | therapy includes reasonably defined goals, including, but not |