HB1601 103RD GENERAL ASSEMBLY

LRB103 05165 BMS 50180 b

103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024
HB1601

Introduced 1/31/2023, by Rep. Jay Hoffman

SYNOPSIS AS INTRODUCED:

215 ILCS 5/370b.2 new

Amends the Illinois Insurance Code. Provides that a group health plan or an accident and health insurer offering group or individual health insurance coverage shall not discriminate with respect to participation under the plan or coverage against any health care provider who is acting within the scope of that provider's license or certification under applicable State law. Provides that nothing in the provisions shall be construed as preventing a group health plan, an accident and health insurer, or the Director of Insurance from establishing varying reimbursement rates based on quality or performance measures.

A BILL FOR

AN ACT concerning regulation.

Be it enacted by the People of the State of Illinois, represented in the General Assembly:

Section 5. The Illinois Insurance Code is amended by adding Section 370b.2 as follows:

(215 ILCS 5/370b.2 new)

Sec. 370b.2. Health care provider nondiscrimination. A group health plan or an accident and health insurer offering group or individual health insurance coverage shall not discriminate with respect to participation under the plan or coverage, including reimbursement, against any health care provider who is acting within the scope of that provider's license or certification under applicable State law. Nothing in this Section shall be construed as preventing a group health plan, an accident and health insurer, or the Director from establishing varying reimbursement rates based on quality or performance measures.