Sen. Scott M. Bennett

Filed: 4/24/2017

 

 


 

 


 
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1
AMENDMENT TO SENATE BILL 634

2    AMENDMENT NO. ______. Amend Senate Bill 634 by replacing
3everything after the enacting clause with the following:
 
4    "Section 5. The State Employees Group Insurance Act of 1971
5is amended by adding Section 6.12a as follows:
 
6    (5 ILCS 375/6.12a new)
7    Sec. 6.12a. Modification of in-network dental provider
8contracts. The failure of the State of Illinois to adequately
9reimburse a dental provider for a period of 6 months from the
10date a claim was submitted may be considered by the provider to
11be a material breach of any associated participating provider
12contract utilized by the State for its employees.
13Notwithstanding the provisions of Section 6.12, a dental
14provider who has an existing contract that provides services to
15State employees under this Act and who has not received timely
16reimbursement for services for a period of 6 months may

 

 

10000SB0634sam001- 2 -LRB100 05383 RJF 25356 a

1consider the associated provider contract temporarily
2suspended for the State of Illinois, and shall be allowed to
3bill patients covered under that contract the agreed preferred
4provider organization discounted fee for services covered
5without penalty by the State administrator of the dental plan
6until such time as a State budget is enacted that provides full
7funding for the State of Illinois employee dental benefits
8plan.
 
9    Section 99. Effective date. This Act takes effect upon
10becoming law.".