92nd General Assembly
Summary of HB6032
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House Sponsors:
KRAUSE-SAVIANO.

Senate Sponsors:
WALSH,T

Short description: 
HLTH CARE SERV FAIR CONTRACT                                               

Synopsis of Bill as introduced:
        Amends the Illinois Insurance  Code.   Creates  the  Fairness  in      
   Health  Services Contracting Law. Applies to contracts for medical and      
   dental services. Prohibits companies  from  requiring  a  health  care      
   professional  or  provider  to  participate  in  all  of the company's      
   networks as a condition for participating in any  particular  network.      
   Restricts  companies  from  changing  service  codes.  Provides that a      
   health care professional or health care provider may submit an initial      
   claim for payment up to 6 months after the service is rendered and may      
   submit a final claim for payment up to one year after the  service  is      
   rendered.  Authorizes  companies  to  lease  or assign their networks.      
   Amends the Health Maintenance Organization Act  to  provide  that  the      
   Fairness   in  Health  Services  Contracting  Law  applies  to  health      
   maintenance organizations.  Provides for enforcement by the Department      
   of Insurance.  Effective 180 days after becoming law.                       
        HOUSE AMENDMENT NO. 1.                                                 
          Deletes reference to:                                                
          215 ILCS 5/351E-5 new                                                
          215 ILCS 5/351E-10 new                                               
          215 ILCS 5/351E-15 new                                               
          215 ILCS 5/351E-20 new                                               
          215 ILCS 5/351E-25 new                                               
          215 ILCS 5/351E-30 new                                               
          215 ILCS 5/351E-35 new                                               
          215 ILCS 5/351E-40 new                                               
          215 ILCS 5/351E-45 new                                               
          215 ILCS 5/351E-50 new                                               
          215 ILCS 5/351E-55 new                                               
          215 ILCS 5/351E-60 new                                               
          215 ILCS 5/351E-65 new                                               
          215 ILCS 5/351E-70 new                                               
          215 ILCS 5/351E-75 new                                               
          215 ILCS 5/351E-80 new                                               
          215 ILCS 5/351E-85 new                                               
          215 ILCS 5/351E-90 new                                               
          215 ILCS 5/351E-95 new                                               
          215 ILCS 125/4-6.5                                                   
        Replaces the title and  everything  after  the  enacting  clause.      
   Amends  the  Illinois  Insurance Code.  Creates the Fairness in Health      
   Services Contracting Law.  Provides only a short title.                     
 
Last action on Bill: SESSION SINE DIE

   Last action date: JAN-07-2003

           Location: House

 Amendments to Bill: AMENDMENTS ADOPTED: HOUSE -   1     SENATE -   0


   END OF INQUIRY 



 Full Text  Bill Status