95TH GENERAL ASSEMBLY
State of Illinois
2007 and 2008
SB2173

 

Introduced 2/14/2008, by Sen. William Delgado

 

SYNOPSIS AS INTRODUCED:
 
215 ILCS 106/65 new
215 ILCS 170/52.5 new
305 ILCS 5/5-5.05 new
330 ILCS 125/37 new

    Amends the Children's Health Insurance Program Act, the Covering ALL KIDS Insurance Act, the Illinois Public Aid Code, and the Veterans' Health Insurance Program Act. Provides that the fee schedule for each of these programs must be competitive with those of non-governmental, third-party health insurance programs. Provides that (i) reimbursement for any service must not be lower than Medicare reimbursement in effect on December 31, 2007; (ii) the fee schedule must be decreased or increased every January 1 corresponding to the decrease or increase in the Consumer Price Index for medical care published by the U.S. Bureau of Labor Statistics, but in no case more than 4% per year; and (iii) payment for services must be made within 30 days after receipt of a bill or claim for payment. Effective July 1, 2008.


LRB095 15141 KBJ 41106 b

FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

SB2173 LRB095 15141 KBJ 41106 b

1     AN ACT concerning insurance.
 
2     Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
 
4     Section 5. The Children's Health Insurance Program Act is
5 amended by adding Section 65 as follows:
 
6     (215 ILCS 106/65 new)
7     Sec. 65. Competitive fee schedule. The fee schedule for the
8 Plan must be competitive with those of non-governmental,
9 third-party health insurance programs. Reimbursement for any
10 service must not be lower than Medicare reimbursement in effect
11 on December 31, 2007. The fee schedule must be decreased or
12 increased every January 1 corresponding to the decrease or
13 increase in the Consumer Price Index for medical care published
14 by the U.S. Bureau of Labor Statistics, but in no case more
15 than 4% per year. Payment for services must be made within 30
16 days after receipt of a bill or claim for payment in accordance
17 with Section 386a of the Illinois Insurance Code.
 
18     Section 10. The Covering ALL KIDS Health Insurance Act is
19 amended by adding Section 52.5 as follows:
 
20     (215 ILCS 170/52.5 new)
21     Sec. 52.5. Fee Schedule. The fee schedule for the Covering

 

 

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1 ALL KIDS Insurance Program must be competitive with those of
2 non-governmental, third-party health insurance programs.
3 Reimbursement for any service must not be lower than Medicare
4 reimbursement in effect on December 31, 2007. The fee schedule
5 must be decreased or increased every January 1 corresponding to
6 the decrease or increase in the Consumer Price Index for
7 medical care published by the U.S. Bureau of Labor Statistics,
8 but in no case more than 4% per year. Payment for services must
9 be made within 30 days after receipt of a bill or claim for
10 payment in accordance with Section 368a of the Illinois
11 Insurance Code.
 
12     Section 15. The Illinois Public Aid Code is amended by
13 adding Section 5-5.05 as follows:
 
14     (305 ILCS 5/5-5.05 new)
15     Sec. 5-5.05. Competitive fee schedule. Notwithstanding any
16 other provision of this Article, the fee schedule for the
17 program must be competitive with those of non-governmental,
18 third-party health insurance programs. Reimbursement for any
19 service must not be lower than Medicare reimbursement in effect
20 on December 31, 2007. The fee schedule must be decreased or
21 increased every January 1 corresponding to the decrease or
22 increase in the Consumer Price Index for medical care published
23 by the U.S. Bureau of Labor Statistics, but in no case more
24 than 4% per year. Payment for services must be made within 30

 

 

SB2173 - 3 - LRB095 15141 KBJ 41106 b

1 days after receipt of a bill or claim for payment in accordance
2 with Section 368a of the Illinois Insurance Code.
 
3     Section 20. The Veterans' Health Insurance Program Act is
4 amended by adding Section 37 as follows:
 
5     (330 ILCS 125/37 new)
6     Sec. 37. Competitive fee schedule. The fee schedule for the
7 Program must be competitive with those of non-governmental,
8 third-party health insurance programs. Reimbursement for any
9 service must not be lower than Medicare reimbursement in effect
10 on December 31, 2007. The fee schedule must be decreased or
11 increased every January 1 corresponding to the decrease or
12 increase in the Consumer Price Index for medical care published
13 by the U.S. Bureau of Labor Statistics, but in no case more
14 than 4% per year. Payment for services must be made within 30
15 days after receipt of a bill or claim for payment in accordance
16 with Section 386a of the Illinois Insurance Code.
 
17     Section 99. Effective date. This Act takes effect July 1,
18 2008.