Rep. Jack D. Franks
Filed: 4/1/2009
 
 

 




 

 		












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AMENDMENT TO HOUSE BILL 3861




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    AMENDMENT NO. ______. Amend House Bill 3861 by replacing 
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everything after the enacting clause with the following:


 
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    "Section 5. The Illinois Insurance Code is amended  by 
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adding Section 370u as follows:
 
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    (215 ILCS 5/370u  new)
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    Sec. 370u. Non-contracted physicians. A group or 
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individual policy of accident and health insurance amended, 
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delivered, issued, or renewed in this State after the effective 
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date of this amendatory Act of the 96th General Assembly  that 
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provides incentives for insureds, enrollees, or beneficiaries 
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to seek services from contracted providers must ensure that 
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when an insured, enrollee, or beneficiary has received insurer 
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approval to utilize a contracted hospital for covered services 
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and, due to a lack of reasonable and equitable access to 
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contracted physicians, the services are provided by a 
 


 






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