Public Act 101-0218
 
HB3471 EnrolledLRB101 10551 SMS 55657 b


  
    AN ACT concerning regulation.
  
 
    Be it enacted by the People of the State of Illinois,
 
represented in the General Assembly:
  
 
 
    Section 5. The Illinois Insurance Code is amended  by adding 
Section 356z.33 as follows:
 
    (215 ILCS 5/356z.33 new)
    Sec. 356z.33. Coverage for cardiopulmonary monitors. A 
group or individual policy of accident and health insurance 
amended, delivered, issued, or renewed after the effective date 
of this amendatory Act of the 101st General Assembly shall 
provide coverage for cardiopulmonary monitors determined to be 
medically necessary for a person 18 years old or younger who 
has had a cardiopulmonary event.
 
    Section 10. The Illinois Public Aid Code is amended  by 
changing Section 5-16.8 as follows:
 


    (305 ILCS 5/5-16.8)



    Sec. 5-16.8. Required health benefits. The medical 
assistance program
shall
(i) provide the post-mastectomy care 
benefits required to be covered by a policy of
accident and 
health insurance under Section 356t and the coverage required

under Sections 356g.5, 356u, 356w, 356x, 356z.6, 356z.26, and 
356z.29, 356z.32, and 356z.33 of the Illinois
Insurance Code 
and (ii) be subject to the provisions of Sections 356z.19, 
364.01, 370c, and 370c.1 of the Illinois
Insurance Code.

    On and after July 1, 2012, the Department shall reduce any 
rate of reimbursement for services or other payments or alter 
any methodologies authorized by this Code to reduce any rate of 
reimbursement for services or other payments in accordance with 
Section 5-5e. 
    To ensure full access to the benefits set forth in this 
Section, on and after January 1, 2016, the Department shall 
ensure that provider and hospital reimbursement  for 
post-mastectomy care benefits required under this Section are 
no lower than the Medicare reimbursement rate. 
(Source: P.A. 99-433, eff. 8-21-15; 99-480, eff. 9-9-15; 
99-642, eff. 7-28-16; 100-138, eff. 8-18-17; 100-863, eff. 
8-14-18; 100-1057, eff. 1-1-19; 100-1102, eff. 1-1-19; revised 
10-4-18.)


 
 
    Section 99. Effective date. This Act takes effect January 
1, 2020. 
  


Effective Date:  1/1/2020