Full Text of HB2930 102nd General Assembly
HB2930 102ND GENERAL ASSEMBLY |
| | 102ND GENERAL ASSEMBLY
State of Illinois
2021 and 2022 HB2930 Introduced 2/19/2021, by Rep. Deanne M. Mazzochi SYNOPSIS AS INTRODUCED: |
| |
Amends the Illinois Insurance Code. In provisions concerning coverage for treatment of pediatric autoimmune neuropsychiatric disorders, provides that on and after the effective date of the amendatory Act, an insured shall have a cause of action for liquidated damages in the amount of $1,000 or actual damages, whichever is greater, against any entity issuing a group or individual policy of accident and health insurance or managed care plan that fails to provide the coverage required for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome.
|
| |
| | A BILL FOR |
|
| | | HB2930 | | LRB102 15254 BMS 20609 b |
|
| 1 | | AN ACT concerning regulation.
| 2 | | Be it enacted by the People of the State of Illinois,
| 3 | | represented in the General Assembly:
| 4 | | Section 5. The Illinois Insurance Code is amended by | 5 | | changing Section 356z.25 as follows: | 6 | | (215 ILCS 5/356z.25) | 7 | | Sec. 356z.25. Coverage for treatment of pediatric | 8 | | autoimmune neuropsychiatric disorders associated with | 9 | | streptococcal infections and pediatric acute onset | 10 | | neuropsychiatric syndrome. A group or individual policy of | 11 | | accident and health insurance or managed care plan that is | 12 | | amended, delivered, issued, or renewed after July 18, 2017 | 13 | | (the effective date of Public Act 100-24) shall provide | 14 | | coverage for treatment of pediatric autoimmune | 15 | | neuropsychiatric disorders associated with streptococcal | 16 | | infections and pediatric acute-onset neuropsychiatric | 17 | | syndrome, including, but not limited to, the use of | 18 | | intravenous immunoglobulin therapy. | 19 | | For billing and diagnosis purposes, pediatric autoimmune | 20 | | neuropsychiatric disorders associated with streptococcal | 21 | | infections and pediatric acute onset neuropsychiatric syndrome | 22 | | shall be coded as autoimmune encephalitis until the American | 23 | | Medical Association and the Centers for Medicare and Medicaid |
| | | HB2930 | - 2 - | LRB102 15254 BMS 20609 b |
|
| 1 | | Services create and assign a specific code for pediatric | 2 | | autoimmune neuropsychiatric disorders associated with | 3 | | streptococcal infections and pediatric acute onset | 4 | | neuropsychiatric syndrome. Thereafter, pediatric autoimmune | 5 | | neuropsychiatric disorders associated with streptococcal | 6 | | infections and pediatric acute onset neuropsychiatric syndrome | 7 | | may be coded as autoimmune encephalitis, pediatric autoimmune | 8 | | neuropsychiatric disorders associated with streptococcal | 9 | | infections, or pediatric acute onset neuropsychiatric | 10 | | syndrome. | 11 | | If, at any time, the Secretary of the United States | 12 | | Department of Health and Human Services, or its successor | 13 | | agency, promulgates rules or regulations to be published in | 14 | | the Federal Register or publishes a comment in the Federal | 15 | | Register or issues an opinion, guidance, or other action that | 16 | | would require the State, pursuant to any provision of the | 17 | | Patient Protection and Affordable Care Act (Public Law | 18 | | 111-148), including, but not limited to, 42 U.S.C. | 19 | | 18031(d)(3)(B) or any successor provision, to defray the cost | 20 | | of any coverage for pediatric autoimmune neuropsychiatric | 21 | | disorders associated with streptococcal infections and | 22 | | pediatric acute onset neuropsychiatric syndrome outlined in | 23 | | this Section, then the requirement that an insurer cover | 24 | | pediatric autoimmune neuropsychiatric disorders associated | 25 | | with streptococcal infections and pediatric acute onset | 26 | | neuropsychiatric syndrome is inoperative other than any such |
| | | HB2930 | - 3 - | LRB102 15254 BMS 20609 b |
|
| 1 | | coverage authorized under Section 1902 of the Social Security | 2 | | Act, 42 U.S.C. 1396a, and the State shall not assume any | 3 | | obligation for the cost of coverage for pediatric autoimmune | 4 | | neuropsychiatric disorders associated with streptococcal | 5 | | infections and pediatric acute onset neuropsychiatric | 6 | | syndrome.
| 7 | | On and after the effective date of this amendatory Act of | 8 | | the 102nd General Assembly, an insured shall have a cause of | 9 | | action for liquidated damages in the amount of $1,000 or | 10 | | actual damages, whichever is greater, against any entity | 11 | | issuing a group or individual policy of accident and health | 12 | | insurance or managed care plan that fails to provide the | 13 | | coverage required under this Section. | 14 | | (Source: P.A. 100-24, eff. 7-18-17; 100-863, eff. 8-14-18; | 15 | | 101-488, eff. 8-23-19.)
|
|