MOORE,ANDREA-FLOWERS-KRAUSE-DART-SAVIANO. (WALSH,T-GARCIA-LINK-KLEMM) 215 ILCS 125/4-6.5 new Amends the Health Maintenance Organization Act to require coverage for developmental therapy for children not more than 3 years old who have developmental disabilities. FISCAL NOTE (Dpt. of Insurance) HB974 will have no fiscal impact on the Department. STATE MANDATES FISCAL NOTE HB 974 fails to meet the definition of a State mandate. HOME RULE NOTE HB 974 does not preempt home rule authority. HOUSE AMENDMENT NO. 1. Adds reference to: 5 ILCS 375/6.9 new 30 ILCS 805/8.21 new 55 ILCS 5/5-1069.3 new 65 ILCS 5/10-4-2.3 new 105 ILCS 5/10-22.3f new 215 ILCS 5/356t new 215 ILCS 105/8.7 new 215 ILCS 165/10 from Ch. 32, par. 604 Replaces the title and everything after the enacting clause. Amends the State Employees Group Insurance Law of 1971, Counties Code, Illinois Municipal Code, School Code, Illinois Insurance Code, Comprehensive Health Insurance Plan Act, Health Maintenance Organization Act, and Voluntary Health Services Plans Act. Provides that health care benefits under those Acts and under managed care plans must provide coverage for developmental therapies for children who are under the age of 4 years and have developmental disabilities. Amends the State Mandates Act to provide that reimbursement for developmental therapy benefits is not required under that Act. FISCAL NOTE, H-AM 1 (Dept. of Insurance) No change from previous fiscal note. STATE MANDATES ACT FISCAL NOTE, H-AM 1 HB 974, with H-am 1, creates a "personnel mandate" for which a 100% reimbursement by the State would normally be required; however, the State Mandates Act is amended to relieve the State of reimbursement liability. HOME RULE NOTE, H-AM 1 No change from previous home rule note. HOUSE AMENDMENT NO. 2. Deletes reference to: 5 ILCS 375/6.9 new 30 ILCS 805/8.21 new 55 ILCS 5/5-1069.3 new 65 ILCS 5/10-4-2.3 new 105 ILCS 5/10-22.3f new 215 ILCS 5/356t new 215 ILCS 105/8.7 new 215 ILCS 125/4-6.5 new 215 ILCS 165/10 from Ch. 32, par. 604 Adds reference to: 105 ILCS 110/3 from Ch. 122, par. 863 Replaces everything. Amends the Critical Health Problems and Comprehensive Health Education Act. Requires the comprehensive health education program in grades K through 8 to include training in basic first aid and cardiopulmonary resuscitation. Requires the State Board of Education to make materials and guidelines available. Allows school districts to arrange training through local police and fire departments, emergency medical services agencies, and related service organizations. Effective immediately. HOME RULE NOTE, H-AM 2 No change from previous home rule note. SENATE AMENDMENT NO. 1. Deletes reference to: 105 ILCS 110/3 Adds reference to: New Act 5 ILCS 375/6.12 new 30 ILCS 805/8.22 new 55 ILCS 5/5-1069.8 new 65 ILCS 5/10-4-2.8 new 215 ILCS 5/155.36 new 215 ILCS 5/370g from Ch. 73, par. 982g 215 ILCS 5/370s new 215 ILCS 5/511.118 new 215 ILCS 105/8.6 new 215 ILCS 123/15 215 ILCS 123/20 215 ILCS 125/2-2 from Ch. 111 1/2, par. 1404 215 ILCS 125/5-3.6 new 215 ILCS 125/6-7 from Ch. 111 1/2, par. 1418.7 215 ILCS 130/4002.6 new 215 ILCS 165/15.30 new 305 ILCS 5/5-16.12 new Replaces the title and everything after the enacting clause. Creates the Managed Care Patient Rights Act. Enumerates certain information and quality of care standards to which a patient is entitled. Requires health care plans to disclose to enrollees and prospective enrollees specific information concerning benefits and coverages, emergency services, out-of-area coverages, service area covered, access to specialists, and grievance procedures. Sets forth requirements for continuity of care. Prohibits restraints on communications between health care providers and enrollees and others regarding care alternatives, quality, and utilization review issues. Establishes requirements for access to specialists and the mechanisms for second opinions. Requires health care plans to have a consumer advisory committee made up of enrollees and to establish a quality assessment program. Provides for the registration of utilization review programs. Amends the Health Care Purchasing Group Act to provide that the purchasing group may be formed by 2 or more employers having no more than 500 covered employees each rather than having an aggregate limit of 2,500 covered individuals. Authorizes the sponsorship of health care purchasing groups with up to 100,000 rather than 10,000 covered individuals. Amends the State Employees Group Insurance Plan of 1971, the Counties Code, the Illinois Municipal Code, the Comprehensive Health Insurance Plan Act, the Health Maintenance Organization Act, the Limited Health Service Organization Act, the Voluntary Health Services Plans Act, and the Illinois Public Aid Code to require that health care coverage under those Acts comply with Managed Care Patient Rights Act. Amends the Illinois Insurance Code to require compliance with provisions of the Managed Care Patient Rights Act concerning utilization review and complaint procedures. Amends the State Mandates Act to provide reimbursement by the State is not required. Effective January 1, 1999. 97-02-26 H FIRST READING 97-02-26 H ADDED AS A JOINT SPONSOR KRAUSE 97-02-26 H ADDED AS A CO-SPONSOR DART 97-02-26 H REFERRED TO HOUSE RULES COMMITTEE RULES 97-02-27 H ASSIGNED TO COMMITTEE HEALTH CARE 97-03-06 H FISCAL NOTE FILED 97-03-06 H COMMITTEE HEALTH CARE 97-03-12 H STATE MANDATES FISCAL NOTE FILED 97-03-12 H COMMITTEE HEALTH CARE 97-03-21 H DO PASS/SHORT DEBATE 023-000-006 HCAA 97-03-21 H PLACED CALENDAR 2ND READING-SHORT DEBATE 97-03-21 H HOME RULE NOTE REQUESTED KRAUSE 97-03-21 H CALENDAR ORDER 2ND READING-SHORT DEBATE 97-04-10 H AMENDMENT NO. 01-FLOWERS 97-04-10 H AMENDMENT REFERRED TO HRUL 97-04-10 H CALENDAR ORDER 2ND READING-SHORT DEBATE 97-04-11 H AMENDMENT NO. 01-FLOWERS 97-04-11 H BE ADOPTED HRUL/003-002-000 97-04-11 H CALENDAR ORDER 2ND READING-SHORT DEBATE 97-04-12 H HOME RULE NOTE FILED 97-04-12 H CALENDAR ORDER 2ND READING-SHORT DEBATE 97-04-15 H SECOND READING-SHORT DEBATE 97-04-15 H AMENDMENT NO. 01-FLOWERS 97-04-15 H ADOPTED 97-04-15 H FISCAL NOTE REQUESTED AS AMENDED/BLACK 97-04-15 H STATE MANDATES FISCAL NOTE REQUESTED AS AMENDED/BLACK 97-04-15 H HELD ON CAL ORDER 2ND RDG - SHORT DEBATE 97-04-16 H AMENDMENT NO. 02-BURKE 97-04-16 H AMENDMENT REFERRED TO HRUL 97-04-16 H HELD ON CAL ORDER 2ND RDG - SHORT DEBATE 97-04-16 H PRIMARY SPONSOR CHANGED TO BURKE 97-04-16 H JOINT-SPONSOR CHANGED TO FLOWERS 97-04-17 H FISCAL NOTE FILED AS AMENDED 97-04-17 H STATE MANDATES FISCAL NOTE FILED AS AMENDED 97-04-17 H HOME RULE NOTE FILED AS AMENDED 97-04-17 H AMENDMENT NO. 02-BURKE 97-04-17 H RULES REFERS TO HCAA 97-04-17 H HELD ON CAL ORDER 2ND RDG - SHORT DEBATE 97-04-18 H AMENDMENT NO. 02-BURKE 97-04-18 H BE ADOPTED HCAA/023-000-000 97-04-18 H HELD ON CAL ORDER 2ND RDG - SHORT DEBATE 97-04-18 H PRIMARY SPONSOR CHANGED TO MOORE,ANDREA 97-04-19 H AMENDMENT NO. 02-BURKE 97-04-19 H ADOPTED 97-04-19 H PLCD CAL ORDER 3RD READING-SHORT DEBATE 97-04-23 H THIRD READING/SHORT DEBATE/PASSED 095-020-000 97-04-24 S ARRIVE IN SENATE 97-04-24 S HOME RULE NOTE FILED AS AMENDED HA 02 97-04-24 S PLACED CALENDAR ORDER OF FIRST READING 97-04-25 97-04-28 S CHIEF SPONSOR O'MALLEY 97-04-29 S FIRST READING 97-04-29 S REFERRED TO SENATE RULES COMMITTEE RULES 97-04-29 S ADDED AS A CHIEF CO-SPONSOR GARCIA 97-04-29 S ADDED AS A CHIEF CO-SPONSOR LINK 97-04-30 S ASSIGNED TO COMMITTEE INS & PENS. 97-04-30 S ADDED AS A CHIEF CO-SPONSOR KLEMM 97-05-09 S DO PASS 010-000-000 SINS 97-05-09 S PLACED ON CALENDAR ORDER OF 2ND READING 97-05-12 97-05-12 S SECOND READING 97-05-12 S PLACED ON CALENDAR ORDER OF 3RD READING 97-05-13 97-07-02 S REFER TO RULES/PURSUANT SEN RULE 3-9 (B) RULES SRUL 98-05-05 S SPONSOR REMOVED O'MALLEY 98-05-05 S ALTERNATE CHIEF SPONSOR CHANGED TO WALSH,T 98-05-14 S APPROVED FOR CONSIDERATION SRUL SRUL 98-05-14 S PLACED ON CALENDAR ORDER OF 3RD READING 98-05-14 98-05-15 S 3RD READING AND PASSAGE DEADLINE EXTEND JANUARY 1,1999 98-05-22 S FILED WITH SECRETARY 98-05-22 S AMENDMENT NO. 01-WALSH,T 98-05-22 S AMENDMENT REFERRED TO SRUL 98-05-22 S AMENDMENT NO. 01-WALSH,T 98-05-22 S RULES REFERS TO SEXC 98-05-22 S AMENDMENT NO. 01-WALSH,T 98-05-22 S BE ADOPTED SEXC/010-002-001 98-05-22 S ADDED AS A CO-SPONSOR GEO-KARIS 98-05-22 S RECALLED TO SECOND READING 98-05-22 S AMENDMENT NO. 01-WALSH,T 98-05-22 S ADOPTED 98-05-22 S PLACED ON CALENDAR ORDER OF 3RD READING 98-05-22 S THIRD READING - PASSED 050-004-003 98-05-22 H ARRIVE IN HOUSE 98-05-22 H PLACED ON CALENDAR ORDER OF CONCURRENCE 01 98-05-22 H MOTION FILED CONCUR 01/MOORE,ANDREA 98-05-22 H MOTION REFERRED TO HRUL 98-05-22 H CALENDAR ORDER OF CONCURRENCE 01 98-05-22 H ADDED AS A CO-SPONSOR SAVIANO 98-06-23 H RE-REFERRED TO RULES COMM/RULE 19(B) RULES HRUL 98-12-03 H MOTION DISCHARGE RULES 98-12-03 H FROM FURTHER 98-12-03 H CONSIDERATION 98-12-03 H PLACE ON CALENDAR 98-12-03 H ORDER OF CONCUR 98-12-03 H -CHURCHILL 98-12-03 H MOTION LOST 002-003-000 98-12-03 H FLOOR MOTION PURSUANT TO RULE 98-12-03 H 18(G), I MOVE TO 98-12-03 H DISCHARGE RULES 98-12-03 H FROM FURTHER 98-12-03 H CONSIDERATION AND 98-12-03 H PLACE ON CALENDAR 98-12-03 H FOR IMMEDIATE 98-12-03 H CONSIDER-MOORE,A. 98-12-03 H CHAIR RULES MOTIN OUT OF ORDER 98-12-03 H APPEAL RULING OF CHAIR MOORE,ANDREA 98-12-03 H SHALL THE CHAIR BE SUSTAINED 98-12-03 H MOTION PREVAILED/CHAIR SUSTAINED 056-058-000 98-12-03 H COMMITTEE RULES 99-01-12 H SESSION SINE DIE END OF INQUIRY Full Text Bill Summary