Synopsis As Introduced Amends the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Illinois Insurance Code, the Health Maintenance Organization Act, and the Voluntary Health Services Plans Act to provide coverage for habilitative services, including, but not limited to occupational therapy, physical therapy, and speech therapy for children under the age of 19 with congenital or genetic defects existing at or from birth or with a defect acquired at a young age. Amends the State Mandates Act to require implementation without reimbursement.
Senate Floor Amendment No. 1 Replaces everything after the enacting clause. Reinserts the contents of the introduced bill with the following changes: provides for coverage for habilitative services for children under 19 years of age with a congenital, genetic, or early acquired disorder (was congenital or genetic defect existing at or from birth or a defect acquired at a young age); provides conditions for the coverage; makes changes in the definition of "habilitative services"; sets forth general exclusions and limitations of the coverage; and provides that upon request of the reimbursing insurer, the provider under whose supervision the habilitative services are being provided shall furnish medical records, clinical notes, or other necessary data to allow the insurer to substantiate that initial or continued medical treatment is medically necessary and that the patient's condition is clinically improving.