KLINGLER-LYONS,JOSEPH-RONEN-WOOD-CURRIE, FRITCHEY, ERWIN, FLOWERS, JONES,LOU AND SCHAKOWSKY. 215 ILCS 5/356g from Ch. 73, par. 968g 215 ILCS 5/356w new 215 ILCS 125/4-6.1 from Ch. 111 1/2, par. 1408.7 215 ILCS 125/5-3 from Ch. 111 1/2, par. 1411.2 215 ILCS 130/4003 from Ch. 73, par. 1504-3 215 ILCS 165/10 from Ch. 32, par. 604 Amends the Illinois Insurance Code, the Health Maintenance Organization Act, the Limited Health Service Organization Act, and the Voluntary Health Services Plans Act. Requires coverage for reconstructive surgery and prosthetic devices for the purpose of achieving or restoring symmetry after a mastectomy. Requires coverage for reconstructive surgery for childrens' deformities when the procedure is medically necessary to return the patient to a more normal appearance. HOUSE AMENDMENT NO. 1. Deletes reference to: 215 ILCS 130/4003 Adds reference to: 5 ILCS 375/6.11 55 ILCS 5/5-1069.3 65 ILCS 5/10-4-2.3 105 ILCS 5/10-22.3f 215 ILCS 5/356t 215 ILCS 130/3009 from Ch. 73, par. 1503-9 Replaces everything after the enacting clause. Amends the Illinois Insurance Code to provide that insurance coverage includes benefits for reconstructive breast surgery performed after a mastectomy. Requires coverage for a second opinion and prohibits retaliatory actions by insurers. Provides that care after lymph node dissections and lumpectomies must be provided in the same manner as care after a mastectomy. Amends the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, the Limited Health Service Organization Act, and the Voluntary Health Services Plans Act to require that health coverage provided under those Acts provide the same benefits for reconstructive surgery and post-surgical care as required under the Illinois Insurance Code. Effective immediately. HOUSE AMENDMENT NO. 3. Provides that in determining the appropriateness of reconstructive surgery performed on a nondiseased breast to achieve symmetry, the physician and patient must make the determination in accordance with utilization review guidelines. Provides that with respect to reconstructive surgery for children's deformities, cosmetic surgery to reshape a normal body part is not covered. 98-01-29 H FILED WITH CLERK 98-02-03 H FIRST READING 98-02-03 H REFERRED TO HOUSE RULES COMMITTEE RULES 98-02-19 H ASSIGNED TO COMMITTEE HEALTH CARE 98-02-25 H ADDED AS A CO-SPONSOR RONEN 98-03-18 H ADDED AS A JOINT SPONSOR RONEN 98-03-18 H ADDED AS A CO-SPONSOR LYONS,JOSEPH 98-03-19 H AMENDMENT NO. 01-HTHCR-AVB-ACS H 98-03-19 H ADOPTED 98-03-19 H DO PASS AMENDED/SHORT DEBATE 023-002-002 HCAA 98-03-19 H PLACED CALENDAR 2ND READING-SHORT DEBATE 98-03-23 H ADDED AS A CO-SPONSOR WOOD 98-03-23 H ADDED AS A CO-SPONSOR CURRIE 98-03-23 H ADDED AS A CO-SPONSOR FRITCHEY 98-03-23 H ADDED AS A CO-SPONSOR SILVA 98-03-24 H ADDED AS A CO-SPONSOR ERWIN 98-03-24 H ADDED AS A CO-SPONSOR FLOWERS 98-03-25 H SECOND READING-SHORT DEBATE 98-03-25 H HELD ON CAL ORDER 2ND RDG - SHORT DEBATE 98-03-26 H ADDED AS A CO-SPONSOR JONES,LOU 98-03-26 H AMENDMENT NO. 02-KLINGLER 98-03-26 H AMENDMENT REFERRED TO HRUL 98-03-26 H HELD ON CAL ORDER 2ND RDG - SHORT DEBATE 98-03-30 H AMENDMENT NO. 02-KLINGLER 98-03-30 H BE APPROVED FOR CONSIDERATION HRUL 98-03-30 H AMENDMENT NO. 03-KLINGLER 98-03-30 H AMENDMENT REFERRED TO HRUL 98-03-30 H HELD ON CAL ORDER 2ND RDG - SHORT DEBATE 98-03-31 H AMENDMENT NO. 03-KLINGLER 98-03-31 H BE APPROVED FOR CONSIDERATION HRUL 98-03-31 H HELD ON CAL ORDER 2ND RDG - SHORT DEBATE 98-04-01 H AMENDMENT NO. 02-KLINGLER 98-04-01 H WITHDRAWN 98-04-01 H AMENDMENT NO. 03-KLINGLER 98-04-01 H ADOPTED 98-04-01 H PLCD CAL ORDER 3RD READING-SHORT DEBATE 98-04-01 H ADDED AS A CO-SPONSOR SCHAKOWSKY 98-04-02 H RE-REFERRED TO RULES COMM/RULE 19(A) RULES HRUL 99-01-12 H SESSION SINE DIE END OF INQUIRY Full Text Bill Summary