Senate Sponsors: WALSH,T. House Sponsors: FLOWERS-FRANKS-MAY-HOFFMAN-CROTTY Short description: INS UTIL REVIEW ALL INSURERS Synopsis of Bill as introduced: Amends the Illinois Insurance Code. Provides that all insurance companies that conduct health care services utilization review must comply with the utilization review requirements of the Managed Care Reform and Patient Rights Act. SENATE AMENDMENT NO. 1. Replaces everything after the enacting clause. Amends the Illinois Insurance Code. Makes a technical change in a Section concerning the applicability of Managed Care Reform and Patient Rights Act. SENATE AMENDMENT NO. 2. Deletes reference to: 215 ILCS 5/155.36 Adds reference to: 215 ILCS 134/97 new Replaces everything after the enacting clause. Amends the Managed Care Reform and Patient Rights Act. Provides that a health maintenance organization is liable for damages for harm to enrollees proximately caused by the failure to exercise ordinary care in health care treatment decisions. Provides that health maintenance organizations are not required to provide treatment that is not covered by the health care plan. Does not apply to workers' compensation coverage. Effective immediately. SENATE AMENDMENT NO. 4. Provides that the term "health care provider" as used in the bill has the meaning given that term in the Managed Care Reform and Patient Rights Act rather than in the Code of Civil Procedure. Provides that a "health care treatment decision" is a determination made by the health care plan that affects the quality of treatment or care rather than directly determines the diagnosis, treatment, or care. Provides that the bill does not affect the confidentiality of peer review and utilization review records. Removes a prohibition on including certain hold harmless clauses in contracts between health maintenance organizations and physicians and hospitals. Last action on Bill: SESSION SINE DIE Last action date: JAN-07-2003 Location: Senate Amendments to Bill: AMENDMENTS ADOPTED: HOUSE - 0 SENATE - 3 END OF INQUIRY Full Text Bill Status