Rep. Jack D. Franks

Filed: 3/31/2009

 

 


 

 


 
09600HB3861ham001 LRB096 06606 RPM 24758 a

1
AMENDMENT TO HOUSE BILL 3861

2     AMENDMENT NO. ______. Amend House Bill 3861 by replacing
3 everything after the enacting clause with the following:
 
4     "Section 5. The Illinois Insurance Code is amended by
5 adding Section 370u as follows:
 
6     (215 ILCS 5/370u new)
7     Sec. 370u. Non-contracted health care providers. A group or
8 individual policy of accident and health insurance amended,
9 delivered, issued, or renewed in this State after the effective
10 date of this amendatory Act of the 96th General Assembly that
11 provides incentives for insureds, enrollees, or beneficiaries
12 to seek services from contracted providers must ensure that
13 when an insured, enrollee, or beneficiary has received insurer
14 approval to utilize a contracted provider for covered services
15 and, due to a lack of reasonable and equitable access to
16 contracted providers, the services are provided by a

 

 

09600HB3861ham001 - 2 - LRB096 06606 RPM 24758 a

1 non-contracted provider, the covered service is provided at no
2 greater cost to the insured, enrollee, or beneficiary than had
3 the service been provided by a contracted provider.".