92nd General Assembly
Status of HB1040
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BRUNSVOLD-KLINGLER-PARKE-MCGUIRE.

(JACOBS-MADIGAN,R)

   215 ILCS 125/2-3          from Ch. 111 1/2, par. 1405                       
   215 ILCS 125/2-4          from Ch. 111 1/2, par. 1406                       
   215 ILCS 125/5-3.7 new                                                      

        Amends the Health Maintenance Organization Act. Authorizes health      
   maintenance  organizations   to   offer   point-of-service   benefits.      
   Establishes  reinsurance  and  capital requirements. Authorizes health      
   maintenance  organizations  to  establish   annual   maximum   benefit      
   allowances for point-of-service products.                                   
        HOUSE AMENDMENT NO. 1.                                                 
          Deletes reference to:                                                
          215 ILCS 125/5-3.7 new                                               
          Adds reference to:                                                   
          215 ILCS 125/2-6                from Ch. 111 1/2, par. 1406.2        
          215 ILCS 125/Art. 4.5, heading new                                   
          215 ILCS 125/4.5-1 new                                               
        Replaces everything after the enacting clause. Amends the  Health      
   Maintenance    Organization   Act.   Authorizes   health   maintenance      
   organizations to offer point-of-service benefits.  Provides  that  net      
   worth  must  be  at  least  300%  of the "authorized control level" as      
   determined in the manner provided under Article IIA  of  the  Illinois      
   Insurance  Code or a specified greater amount based upon the projected      
   out-of-plan claims. Requires  health  maintenance  organizations  that      
   offer  point-of-service  products  to  file quarterly reports with the      
   Department of Insurance and to maintain reinsurance  for  catastrophic      
   losses.  Limits  expenditures  for out-of-plan services. Restricts the      
   offer  of  point-of-service  products  when  expenditures  exceed  the      
   statutory limit. Allows a health maintenance organization to treat  as      
   out-of-plan  services  those  services  an  enrollee  obtains  from  a      
   participating  provider,  but  for  which proper authorization was not      
   given by the organization.                                                  
          FISCAL NOTE (Department of Insurance)                                
          HB 1040 would have no fiscal impact on the Department.               
        HOUSE AMENDMENT NO. 2.                                                 
        Makes a technical correction.                                          
   FEB-14-2001  H  FILED WITH CLERK                                               
   FEB-14-2001  H  FIRST READING                                                  
   FEB-14-2001  H  REFERRED TO HOUSE RULES COMMITTEE        RULES                 
   FEB-16-2001  H       ASSIGNED TO COMMITTEE               HEALTH CARE           
   MAR-07-2001  H                             AMENDMENT NO. 01-HEALTH CARE   H    
   MAR-07-2001  H                                   ADOPTED                       
   MAR-07-2001  H  DO PASS AMENDED/SHORT DEBATE             011-000-000   HHCA    
   MAR-07-2001  H  PLACED CALENDAR 2ND READING-SHORT DEBATE                       
   MAR-08-2001  H                         FISCAL NOTE FILED                       
   MAR-08-2001  H  SECOND READING-SHORT DEBATE                                    
   MAR-08-2001  H  PLCD CAL ORDER 3RD READING-SHORT DEBATE                        
   MAR-09-2001  H  ADDED AS A JOINT SPONSOR                 KLINGLER              
   MAR-13-2001  H  ADDED AS A JOINT SPONSOR                 PARKE                 
   MAR-14-2001  H  RECALLED TO SECOND READING-SHORT DEBATE                        
   MAR-14-2001  H                             AMENDMENT NO. 02-BRUNSVOLD          
   MAR-14-2001  H                     AMENDMENT REFERRED TO HRUL                  
   MAR-14-2001  H  HELD ON CAL ORDER 2ND RDG - SHORT DEBATE                       
   MAR-20-2001  H                             AMENDMENT NO. 02-BRUNSVOLD          
   MAR-20-2001  H  RECOMMENDS BE ADOPTED                    HRUL/005-000-000      
   MAR-20-2001  H  HELD ON CAL ORDER 2ND RDG - SHORT DEBATE                       
   MAR-20-2001  H  ADDED AS A JOINT SPONSOR                 MCGUIRE               
   MAR-21-2001  H                             AMENDMENT NO. 02-BRUNSVOLD          
   MAR-21-2001  H                                   ADOPTED                       
   MAR-21-2001  H  PLCD CAL ORDER 3RD READING-SHORT DEBATE                        
   MAR-27-2001  H  THIRD READING/SHORT DEBATE/PASSED        117-000-000           
   MAR-28-2001  S  ARRIVE IN SENATE                                               
   MAR-28-2001  S  PLACED CALENDAR ORDER OF FIRST READING   01-03-29              
   MAR-29-2001  S  CHIEF SPONSOR                            JACOBS                
   MAR-30-2001  S  FIRST READING                                                  
   MAR-30-2001  S  REFERRED TO SENATE RULES COMMITTEE       RULES                 
   APR-19-2001  S  ADDED AS A CHIEF CO-SPONSOR              MADIGAN,R             
   APR-25-2001  S       ASSIGNED TO COMMITTEE               INS & PENS.           
   MAY-01-2001  S       DO PASS                             007-000-000   SINS    
   MAY-01-2001  S  PLACED ON CALENDAR ORDER OF 2ND READING  01-05-02              
   MAY-02-2001  S  SECOND READING                                                 
   MAY-02-2001  S  PLACED ON CALENDAR ORDER OF 3RD READING  01-05-03              
   MAY-03-2001  S  THIRD READING - PASSED                   055-001-000           
   MAY-03-2001  H  PASSED BOTH HOUSES                                             
   JUN-01-2001  H  SENT TO THE GOVERNOR                                           
   JUL-24-2001  H  GOVERNOR APPROVED                                              
   JUL-24-2001  H                            EFFECTIVE DATE 02-01-01              
   JUL-24-2001  H  PUBLIC ACT.............................. 92-0135               

   END OF INQUIRY 



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