Full Text of SB2748 093rd General Assembly
SB2748 93RD GENERAL ASSEMBLY
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93RD GENERAL ASSEMBLY
State of Illinois
2003 and 2004 SB2748
Introduced 2/5/2004, by Mattie Hunter SYNOPSIS AS INTRODUCED: |
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5 ILCS 375/6.16 new |
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55 ILCS 5/5-1069.9 new |
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65 ILCS 5/10-4-2.6 new |
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30 ILCS 805/8.28 new |
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Amends the State Employees Group Insurance Act of 1971, the Counties Code,
and the Illinois Municipal Code. Provides that health benefits provided to
employees
under those Acts must include coverage for surgical treatment for morbid
obesity. Amends the State Mandates Act to require
implementation without reimbursement.
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FISCAL NOTE ACT MAY APPLY |
HOME RULE NOTE ACT MAY APPLY |
STATE MANDATES ACT MAY REQUIRE REIMBURSEMENT |
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A BILL FOR
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SB2748 |
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LRB093 20228 RAS 45986 b |
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| AN ACT concerning public employee health benefits.
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| Be it enacted by the People of the State of Illinois, | 3 |
| represented in the General Assembly:
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| Section 5. The State Employees Group Insurance Act of 1971 | 5 |
| is
amended by adding Section 6.16 as follows:
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| (5 ILCS 375/6.16 new)
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| Sec. 6.16. Morbid obesity.
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| (a) Beginning on January 1, 2005, the program of health | 9 |
| benefits must
provide
benefits for the expenses of the surgical | 10 |
| treatment of morbid obesity for the
following
individuals:
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| (1) individuals with a body-mass index equal to or | 12 |
| greater than 40
kilograms per meter squared;
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| (2) individuals with a body-mass index equal to or | 14 |
| greater than 35
kilograms per meter squared, with | 15 |
| comorbidities or coexisting medical
conditions,
such as | 16 |
| hypertension, cardiopulmonary conditions, sleep apnea, or | 17 |
| diabetes;
and
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| (3) individuals who meet the guidelines for the | 19 |
| surgical treatment of
morbid obesity as set forth by the | 20 |
| national institutes of health.
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| (b) The benefits provided under subsection (a) shall | 22 |
| include benefits for
examinations and laboratory tests | 23 |
| performed in accordance with the guidelines
of the
national | 24 |
| institutes of health for the surgical treatment of morbid | 25 |
| obesity.
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| (c) The benefits provided under subsection (a) shall be no | 27 |
| less extensive
than
those provided for any other medically | 28 |
| necessary surgical procedure under the
program
of health | 29 |
| benefits and shall be subject to the same terms and conditions,
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| including
copayment charges.
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| Section 10. The Counties Code is amended by adding Section |
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SB2748 |
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LRB093 20228 RAS 45986 b |
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| 5-1069.9 as
follows:
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| (55 ILCS 5/5-1069.9 new)
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| Sec. 5-1069.9. Morbid obesity.
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| (a) If a county, including a home rule county, is a | 5 |
| self-insurer for
purposes
of
providing health insurance | 6 |
| coverage for its employees, the coverage must
provide
benefits | 7 |
| for the expenses of the surgical treatment of morbid obesity | 8 |
| for the
following
individuals:
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| (1) individuals with a body-mass index equal to or | 10 |
| greater than 40
kilograms per meter squared;
| 11 |
| (2) individuals with a body-mass index equal to or | 12 |
| greater than 35
kilograms per meter squared, with | 13 |
| comorbidities or coexisting medical
conditions,
such as | 14 |
| hypertension, cardiopulmonary conditions, sleep apnea, or | 15 |
| diabetes;
and
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| (3) individuals who meet the guidelines for the | 17 |
| surgical treatment of
morbid obesity as set forth by the | 18 |
| national institutes of health.
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| (b) The benefits provided under subsection (a) shall | 20 |
| include benefits for
examinations and laboratory tests | 21 |
| performed in accordance with the guidelines
of the
national | 22 |
| institutes of health for the surgical treatment of morbid | 23 |
| obesity.
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| (c) The benefits provided under subsection (a) shall be no | 25 |
| less extensive
than
those provided for any other medically | 26 |
| necessary surgical procedure under the
coverage
and shall be | 27 |
| subject to the same terms and conditions, including copayment
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| charges.
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| (d) The requirement that health benefits be covered as | 30 |
| provided in this
Section is
an exclusive power and function of | 31 |
| the State and is a denial and limitation
under Article
VII, | 32 |
| Section 6, subsection (h) of the Illinois Constitution. A home | 33 |
| rule county
to which
this Section applies must comply with | 34 |
| every provision of this Section.
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SB2748 |
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LRB093 20228 RAS 45986 b |
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| Section 15. The Illinois Municipal Code is amended by | 2 |
| adding Section 10-4-2.6
as
follows:
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| (65 ILCS 5/10-4-2.6 new)
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| Sec. 10-4-2.6. Morbid obesity.
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| (a) If a municipality, including a home rule municipality, | 6 |
| is a self-insurer
for
purposes of providing health insurance | 7 |
| coverage for its employees, the coverage
must
provide benefits | 8 |
| for the expenses of the surgical treatment of morbid obesity
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| for the
following individuals:
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| (1) individuals with a body-mass index equal to or | 11 |
| greater than 40
kilograms per meter squared;
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| (2) individuals with a body-mass index equal to or | 13 |
| greater than 35
kilograms per meter squared, with | 14 |
| comorbidities or coexisting medical
conditions,
such as | 15 |
| hypertension, cardiopulmonary conditions, sleep apnea, or | 16 |
| diabetes; and
| 17 |
| (3) individuals who meet the guidelines for the | 18 |
| surgical treatment of
morbid obesity as set forth by the | 19 |
| national institutes of health.
| 20 |
| (b) The benefits provided under subsection (a) shall | 21 |
| include benefits for
examinations and laboratory tests | 22 |
| performed in accordance with the guidelines
of the
national | 23 |
| institutes of health for the surgical treatment of morbid | 24 |
| obesity.
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| (c) The benefits provided under subsection (a) shall be no | 26 |
| less extensive
than
those provided for any other medically | 27 |
| necessary surgical procedure under the
coverage
and shall be | 28 |
| subject to the same terms and conditions, including copayment
| 29 |
| charges.
| 30 |
| (d) The requirement that health benefits be covered as | 31 |
| provided in this
Section is
an exclusive power and function of | 32 |
| the State and is a denial and limitation
under Article
VII, | 33 |
| Section 6, subsection (h) of the Illinois Constitution. A home | 34 |
| rule
municipality to
which this Section applies must comply | 35 |
| with every provision of this Section.
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SB2748 |
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LRB093 20228 RAS 45986 b |
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| Section 90. The State Mandates Act is amended by adding | 2 |
| Section 8.28 as
follows:
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| (30 ILCS 805/8.28 new)
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| Sec. 8.28. Exempt mandate. Notwithstanding Sections 6 and 8 | 5 |
| of this
Act, no reimbursement by the State is required for the | 6 |
| implementation of
any mandate created by this amendatory Act of | 7 |
| the 93rd General Assembly.
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