Bill Amendment: IL SB2697 | 2023-2024 | 103rd General Assembly
NOTE: For additional amemendments please see the Bill Drafting List
Bill Title: INS CD-CANCER-GENETIC TESTING
Status: 2024-05-22 - Added Alternate Chief Co-Sponsor Rep. Marcus C. Evans, Jr. [SB2697 Detail]
Download: Illinois-2023-SB2697-Senate_Amendment_001.html
Bill Title: INS CD-CANCER-GENETIC TESTING
Status: 2024-05-22 - Added Alternate Chief Co-Sponsor Rep. Marcus C. Evans, Jr. [SB2697 Detail]
Download: Illinois-2023-SB2697-Senate_Amendment_001.html
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1 | AMENDMENT TO SENATE BILL 2697 | ||||||
2 | AMENDMENT NO. ______. Amend Senate Bill 2697 by replacing | ||||||
3 | everything after the enacting clause with the following:
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4 | "Section 5. The State Employees Group Insurance Act of | ||||||
5 | 1971 is amended by changing Section 6.11 as follows:
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6 | (5 ILCS 375/6.11) | ||||||
7 | Sec. 6.11. Required health benefits; Illinois Insurance | ||||||
8 | Code requirements. The program of health benefits shall | ||||||
9 | provide the post-mastectomy care benefits required to be | ||||||
10 | covered by a policy of accident and health insurance under | ||||||
11 | Section 356t of the Illinois Insurance Code. The program of | ||||||
12 | health benefits shall provide the coverage required under | ||||||
13 | Sections 356g, 356g.5, 356g.5-1, 356m, 356q, 356u, 356u.10, | ||||||
14 | 356w, 356x, 356z.2, 356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, | ||||||
15 | 356z.10, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.17, | ||||||
16 | 356z.22, 356z.25, 356z.26, 356z.29, 356z.30a, 356z.32, |
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1 | 356z.33, 356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47, | ||||||
2 | 356z.51, 356z.53, 356z.54, 356z.55, 356z.56, 356z.57, 356z.59, | ||||||
3 | 356z.60, and 356z.61, and 356z.62 , 356z.64, 356z.67, 356z.68, | ||||||
4 | and 356z.70 of the Illinois Insurance Code. The program of | ||||||
5 | health benefits must comply with Sections 155.22a, 155.37, | ||||||
6 | 355b, 356z.19, 370c, and 370c.1 and Article XXXIIB of the | ||||||
7 | Illinois Insurance Code. The program of health benefits shall | ||||||
8 | provide the coverage required under Section 356m of the | ||||||
9 | Illinois Insurance Code and, for the employees of the State | ||||||
10 | Employee Group Insurance Program only, the coverage as also | ||||||
11 | provided in Section 6.11B of this Act. The Department of | ||||||
12 | Insurance shall enforce the requirements of this Section with | ||||||
13 | respect to Sections 370c and 370c.1 of the Illinois Insurance | ||||||
14 | Code; all other requirements of this Section shall be enforced | ||||||
15 | by the Department of Central Management Services. | ||||||
16 | Rulemaking authority to implement Public Act 95-1045, if | ||||||
17 | any, is conditioned on the rules being adopted in accordance | ||||||
18 | with all provisions of the Illinois Administrative Procedure | ||||||
19 | Act and all rules and procedures of the Joint Committee on | ||||||
20 | Administrative Rules; any purported rule not so adopted, for | ||||||
21 | whatever reason, is unauthorized. | ||||||
22 | (Source: P.A. 102-30, eff. 1-1-22; 102-103, eff. 1-1-22; | ||||||
23 | 102-203, eff. 1-1-22; 102-306, eff. 1-1-22; 102-642, eff. | ||||||
24 | 1-1-22; 102-665, eff. 10-8-21; 102-731, eff. 1-1-23; 102-768, | ||||||
25 | eff. 1-1-24; 102-804, eff. 1-1-23; 102-813, eff. 5-13-22; | ||||||
26 | 102-816, eff. 1-1-23; 102-860, eff. 1-1-23; 102-1093, eff. |
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1 | 1-1-23; 102-1117, eff. 1-13-23; 103-8, eff. 1-1-24; 103-84, | ||||||
2 | eff. 1-1-24; 103-91, eff. 1-1-24; 103-420, eff. 1-1-24; | ||||||
3 | 103-445, eff. 1-1-24; 103-535, eff. 8-11-23; 103-551, eff. | ||||||
4 | 8-11-23; revised 8-29-23.)
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5 | Section 10. The Counties Code is amended by changing | ||||||
6 | Section 5-1069.3 as follows:
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7 | (55 ILCS 5/5-1069.3) | ||||||
8 | Sec. 5-1069.3. Required health benefits. If a county, | ||||||
9 | including a home rule county, is a self-insurer for purposes | ||||||
10 | of providing health insurance coverage for its employees, the | ||||||
11 | coverage shall include coverage for the post-mastectomy care | ||||||
12 | benefits required to be covered by a policy of accident and | ||||||
13 | health insurance under Section 356t and the coverage required | ||||||
14 | under Sections 356g, 356g.5, 356g.5-1, 356q, 356u, 356u.10, | ||||||
15 | 356w, 356x, 356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 356z.10, | ||||||
16 | 356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.22, 356z.25, | ||||||
17 | 356z.26, 356z.29, 356z.30a, 356z.32, 356z.33, 356z.36, | ||||||
18 | 356z.40, 356z.41, 356z.45, 356z.46, 356z.47, 356z.48, 356z.51, | ||||||
19 | 356z.53, 356z.54, 356z.56, 356z.57, 356z.59, 356z.60, and | ||||||
20 | 356z.61, and 356z.62 , 356z.64, 356z.67, 356z.68, and 356z.70 | ||||||
21 | of the Illinois Insurance Code. The coverage shall comply with | ||||||
22 | Sections 155.22a, 355b, 356z.19, and 370c of the Illinois | ||||||
23 | Insurance Code. The Department of Insurance shall enforce the | ||||||
24 | requirements of this Section. The requirement that health |
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1 | benefits be covered as provided in this Section is an | ||||||
2 | exclusive power and function of the State and is a denial and | ||||||
3 | limitation under Article VII, Section 6, subsection (h) of the | ||||||
4 | Illinois Constitution. A home rule county to which this | ||||||
5 | Section applies must comply with every provision of this | ||||||
6 | Section. | ||||||
7 | Rulemaking authority to implement Public Act 95-1045, if | ||||||
8 | any, is conditioned on the rules being adopted in accordance | ||||||
9 | with all provisions of the Illinois Administrative Procedure | ||||||
10 | Act and all rules and procedures of the Joint Committee on | ||||||
11 | Administrative Rules; any purported rule not so adopted, for | ||||||
12 | whatever reason, is unauthorized. | ||||||
13 | (Source: P.A. 102-30, eff. 1-1-22; 102-103, eff. 1-1-22; | ||||||
14 | 102-203, eff. 1-1-22; 102-306, eff. 1-1-22; 102-443, eff. | ||||||
15 | 1-1-22; 102-642, eff. 1-1-22; 102-665, eff. 10-8-21; 102-731, | ||||||
16 | eff. 1-1-23; 102-804, eff. 1-1-23; 102-813, eff. 5-13-22; | ||||||
17 | 102-816, eff. 1-1-23; 102-860, eff. 1-1-23; 102-1093, eff. | ||||||
18 | 1-1-23; 102-1117, eff. 1-13-23; 103-84, eff. 1-1-24; 103-91, | ||||||
19 | eff. 1-1-24; 103-420, eff. 1-1-24; 103-445, eff. 1-1-24; | ||||||
20 | 103-535, eff. 8-11-23; 103-551, eff. 8-11-23; revised | ||||||
21 | 8-29-23.)
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22 | Section 15. The Illinois Municipal Code is amended by | ||||||
23 | changing Section 10-4-2.3 as follows:
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24 | (65 ILCS 5/10-4-2.3) |
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1 | Sec. 10-4-2.3. Required health benefits. If a | ||||||
2 | municipality, including a home rule municipality, is a | ||||||
3 | self-insurer for purposes of providing health insurance | ||||||
4 | coverage for its employees, the coverage shall include | ||||||
5 | coverage for the post-mastectomy care benefits required to be | ||||||
6 | covered by a policy of accident and health insurance under | ||||||
7 | Section 356t and the coverage required under Sections 356g, | ||||||
8 | 356g.5, 356g.5-1, 356q, 356u, 356u.10, 356w, 356x, 356z.4, | ||||||
9 | 356z.4a, 356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, | ||||||
10 | 356z.13, 356z.14, 356z.15, 356z.22, 356z.25, 356z.26, 356z.29, | ||||||
11 | 356z.30a, 356z.32, 356z.33, 356z.36, 356z.40, 356z.41, | ||||||
12 | 356z.45, 356z.46, 356z.47, 356z.48, 356z.51, 356z.53, 356z.54, | ||||||
13 | 356z.56, 356z.57, 356z.59, 356z.60, and 356z.61, and 356z.62 , | ||||||
14 | 356z.64, 356z.67, 356z.68, and 356z.70 of the Illinois | ||||||
15 | Insurance Code. The coverage shall comply with Sections | ||||||
16 | 155.22a, 355b, 356z.19, and 370c of the Illinois Insurance | ||||||
17 | Code. The Department of Insurance shall enforce the | ||||||
18 | requirements of this Section. The requirement that health | ||||||
19 | benefits be covered as provided in this is an exclusive power | ||||||
20 | and function of the State and is a denial and limitation under | ||||||
21 | Article VII, Section 6, subsection (h) of the Illinois | ||||||
22 | Constitution. A home rule municipality to which this Section | ||||||
23 | applies must comply with every provision of this Section. | ||||||
24 | Rulemaking authority to implement Public Act 95-1045, if | ||||||
25 | any, is conditioned on the rules being adopted in accordance | ||||||
26 | with all provisions of the Illinois Administrative Procedure |
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1 | Act and all rules and procedures of the Joint Committee on | ||||||
2 | Administrative Rules; any purported rule not so adopted, for | ||||||
3 | whatever reason, is unauthorized. | ||||||
4 | (Source: P.A. 102-30, eff. 1-1-22; 102-103, eff. 1-1-22; | ||||||
5 | 102-203, eff. 1-1-22; 102-306, eff. 1-1-22; 102-443, eff. | ||||||
6 | 1-1-22; 102-642, eff. 1-1-22; 102-665, eff. 10-8-21; 102-731, | ||||||
7 | eff. 1-1-23; 102-804, eff. 1-1-23; 102-813, eff. 5-13-22; | ||||||
8 | 102-816, eff. 1-1-23; 102-860, eff. 1-1-23; 102-1093, eff. | ||||||
9 | 1-1-23; 102-1117, eff. 1-13-23; 103-84, eff. 1-1-24; 103-91, | ||||||
10 | eff. 1-1-24; 103-420, eff. 1-1-24; 103-445, eff. 1-1-24; | ||||||
11 | 103-535, eff. 8-11-23; 103-551, eff. 8-11-23; revised | ||||||
12 | 8-29-23.)
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13 | Section 20. The School Code is amended by changing Section | ||||||
14 | 10-22.3f as follows:
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15 | (105 ILCS 5/10-22.3f) | ||||||
16 | Sec. 10-22.3f. Required health benefits. Insurance | ||||||
17 | protection and benefits for employees shall provide the | ||||||
18 | post-mastectomy care benefits required to be covered by a | ||||||
19 | policy of accident and health insurance under Section 356t and | ||||||
20 | the coverage required under Sections 356g, 356g.5, 356g.5-1, | ||||||
21 | 356q, 356u, 356u.10, 356w, 356x, 356z.4, 356z.4a, 356z.6, | ||||||
22 | 356z.8, 356z.9, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15, | ||||||
23 | 356z.22, 356z.25, 356z.26, 356z.29, 356z.30a, 356z.32, | ||||||
24 | 356z.33, 356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47, |
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1 | 356z.51, 356z.53, 356z.54, 356z.56, 356z.57, 356z.59, 356z.60, | ||||||
2 | and 356z.61, and 356z.62 , 356z.64, 356z.67, 356z.68, and | ||||||
3 | 356z.70 of the Illinois Insurance Code. Insurance policies | ||||||
4 | shall comply with Section 356z.19 of the Illinois Insurance | ||||||
5 | Code. The coverage shall comply with Sections 155.22a, 355b, | ||||||
6 | and 370c of the Illinois Insurance Code. The Department of | ||||||
7 | Insurance shall enforce the requirements of this Section. | ||||||
8 | Rulemaking authority to implement Public Act 95-1045, if | ||||||
9 | any, is conditioned on the rules being adopted in accordance | ||||||
10 | with all provisions of the Illinois Administrative Procedure | ||||||
11 | Act and all rules and procedures of the Joint Committee on | ||||||
12 | Administrative Rules; any purported rule not so adopted, for | ||||||
13 | whatever reason, is unauthorized. | ||||||
14 | (Source: P.A. 102-30, eff. 1-1-22; 102-103, eff. 1-1-22; | ||||||
15 | 102-203, eff. 1-1-22; 102-306, eff. 1-1-22; 102-642, eff. | ||||||
16 | 1-1-22; 102-665, eff. 10-8-21; 102-731, eff. 1-1-23; 102-804, | ||||||
17 | eff. 1-1-23; 102-813, eff. 5-13-22; 102-816, eff. 1-1-23; | ||||||
18 | 102-860, eff. 1-1-23; 102-1093, eff. 1-1-23; 102-1117, eff. | ||||||
19 | 1-13-23; 103-84, eff. 1-1-24; 103-91, eff. 1-1-24; 103-420, | ||||||
20 | eff. 1-1-24; 103-445, eff. 1-1-24; 103-535, eff. 8-11-23; | ||||||
21 | 103-551, eff. 8-11-23; revised 8-29-23.)
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22 | Section 25. The Illinois Insurance Code is amended by | ||||||
23 | adding Section 356u.10 as follows:
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24 | (215 ILCS 5/356u.10 new) |
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1 | Sec. 356u.10. Genetic testing and cancer risk management | ||||||
2 | for an inherited gene mutation. | ||||||
3 | (a) In this Section, "genetic testing for an inherited | ||||||
4 | mutation" means germline multi-gene testing for an inherited | ||||||
5 | mutation associated with an increased risk of cancer in | ||||||
6 | accordance with evidence-based, clinical practice guidelines. | ||||||
7 | (b) A group policy of accident and health insurance or | ||||||
8 | managed care plan that is amended, delivered, issued, or | ||||||
9 | renewed after January 1, 2026 shall provide coverage for | ||||||
10 | clinical genetic testing for an inherited gene mutation for | ||||||
11 | individuals with a personal or family history of cancer as | ||||||
12 | recommended by a health care professional in accordance with | ||||||
13 | current evidence-based clinical practice guidelines, | ||||||
14 | including, but not limited to, the most recent version of the | ||||||
15 | National Comprehensive Cancer Network clinical practice | ||||||
16 | guidelines. The coverage shall limit the total amount that a | ||||||
17 | covered person is required to pay for a clinical genetic test | ||||||
18 | under this subsection to an amount not to exceed $50. This | ||||||
19 | subsection (b) shall not apply to coverage of genetic testing | ||||||
20 | to the extent such coverage would disqualify a high-deductible | ||||||
21 | health plan from eligibility for a health savings account | ||||||
22 | pursuant to Section 223 of the Internal Revenue Code. | ||||||
23 | (c) For individuals with a genetic test that is positive | ||||||
24 | for an inherited mutation associated with an increased risk of | ||||||
25 | cancer, coverage required under this Section shall include any | ||||||
26 | cancer risk management strategy as recommended by a health |
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1 | care professional in accordance with current evidence-based | ||||||
2 | clinical practice guidelines to the extent that the management | ||||||
3 | recommendation is not already covered by the policy, except | ||||||
4 | that coverage for risk management under this subsection (c) | ||||||
5 | may be subject to a deductible, coinsurance, or other | ||||||
6 | cost-sharing limitation so long as such limitation is not | ||||||
7 | greater than that required for other related cancer risk | ||||||
8 | management benefits covered under the policy.
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9 | Section 30. The Health Maintenance Organization Act is | ||||||
10 | amended by changing Section 5-3 as follows:
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11 | (215 ILCS 125/5-3) (from Ch. 111 1/2, par. 1411.2) | ||||||
12 | Sec. 5-3. Insurance Code provisions. | ||||||
13 | (a) Health Maintenance Organizations shall be subject to | ||||||
14 | the provisions of Sections 133, 134, 136, 137, 139, 140, | ||||||
15 | 141.1, 141.2, 141.3, 143, 143c, 147, 148, 149, 151, 152, 153, | ||||||
16 | 154, 154.5, 154.6, 154.7, 154.8, 155.04, 155.22a, 155.49, | ||||||
17 | 355.2, 355.3, 355b, 355c, 356f, 356g.5-1, 356m, 356q, 356u.10, | ||||||
18 | 356v, 356w, 356x, 356z.2, 356z.3a, 356z.4, 356z.4a, 356z.5, | ||||||
19 | 356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13, | ||||||
20 | 356z.14, 356z.15, 356z.17, 356z.18, 356z.19, 356z.20, 356z.21, | ||||||
21 | 356z.22, 356z.23, 356z.24, 356z.25, 356z.26, 356z.28, 356z.29, | ||||||
22 | 356z.30, 356z.30a, 356z.31, 356z.32, 356z.33, 356z.34, | ||||||
23 | 356z.35, 356z.36, 356z.37, 356z.38, 356z.39, 356z.40, 356z.41, | ||||||
24 | 356z.44, 356z.45, 356z.46, 356z.47, 356z.48, 356z.49, 356z.50, |
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1 | 356z.51, 356z.53, 356z.54, 356z.55, 356z.56, 356z.57, 356z.58, | ||||||
2 | 356z.59, 356z.60, 356z.61, 356z.62, 356z.64, 356z.65, 356z.67, | ||||||
3 | 356z.68, 364, 364.01, 364.3, 367.2, 367.2-5, 367i, 368a, 368b, | ||||||
4 | 368c, 368d, 368e, 370c, 370c.1, 401, 401.1, 402, 403, 403A, | ||||||
5 | 408, 408.2, 409, 412, 444, and 444.1, paragraph (c) of | ||||||
6 | subsection (2) of Section 367, and Articles IIA, VIII 1/2, | ||||||
7 | XII, XII 1/2, XIII, XIII 1/2, XXV, XXVI, and XXXIIB of the | ||||||
8 | Illinois Insurance Code. | ||||||
9 | (b) For purposes of the Illinois Insurance Code, except | ||||||
10 | for Sections 444 and 444.1 and Articles XIII and XIII 1/2, | ||||||
11 | Health Maintenance Organizations in the following categories | ||||||
12 | are deemed to be "domestic companies": | ||||||
13 | (1) a corporation authorized under the Dental Service | ||||||
14 | Plan Act or the Voluntary Health Services Plans Act; | ||||||
15 | (2) a corporation organized under the laws of this | ||||||
16 | State; or | ||||||
17 | (3) a corporation organized under the laws of another | ||||||
18 | state, 30% or more of the enrollees of which are residents | ||||||
19 | of this State, except a corporation subject to | ||||||
20 | substantially the same requirements in its state of | ||||||
21 | organization as is a "domestic company" under Article VIII | ||||||
22 | 1/2 of the Illinois Insurance Code. | ||||||
23 | (c) In considering the merger, consolidation, or other | ||||||
24 | acquisition of control of a Health Maintenance Organization | ||||||
25 | pursuant to Article VIII 1/2 of the Illinois Insurance Code, | ||||||
26 | (1) the Director shall give primary consideration to |
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1 | the continuation of benefits to enrollees and the | ||||||
2 | financial conditions of the acquired Health Maintenance | ||||||
3 | Organization after the merger, consolidation, or other | ||||||
4 | acquisition of control takes effect; | ||||||
5 | (2)(i) the criteria specified in subsection (1)(b) of | ||||||
6 | Section 131.8 of the Illinois Insurance Code shall not | ||||||
7 | apply and (ii) the Director, in making his determination | ||||||
8 | with respect to the merger, consolidation, or other | ||||||
9 | acquisition of control, need not take into account the | ||||||
10 | effect on competition of the merger, consolidation, or | ||||||
11 | other acquisition of control; | ||||||
12 | (3) the Director shall have the power to require the | ||||||
13 | following information: | ||||||
14 | (A) certification by an independent actuary of the | ||||||
15 | adequacy of the reserves of the Health Maintenance | ||||||
16 | Organization sought to be acquired; | ||||||
17 | (B) pro forma financial statements reflecting the | ||||||
18 | combined balance sheets of the acquiring company and | ||||||
19 | the Health Maintenance Organization sought to be | ||||||
20 | acquired as of the end of the preceding year and as of | ||||||
21 | a date 90 days prior to the acquisition, as well as pro | ||||||
22 | forma financial statements reflecting projected | ||||||
23 | combined operation for a period of 2 years; | ||||||
24 | (C) a pro forma business plan detailing an | ||||||
25 | acquiring party's plans with respect to the operation | ||||||
26 | of the Health Maintenance Organization sought to be |
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1 | acquired for a period of not less than 3 years; and | ||||||
2 | (D) such other information as the Director shall | ||||||
3 | require. | ||||||
4 | (d) The provisions of Article VIII 1/2 of the Illinois | ||||||
5 | Insurance Code and this Section 5-3 shall apply to the sale by | ||||||
6 | any health maintenance organization of greater than 10% of its | ||||||
7 | enrollee population (including , without limitation , the health | ||||||
8 | maintenance organization's right, title, and interest in and | ||||||
9 | to its health care certificates). | ||||||
10 | (e) In considering any management contract or service | ||||||
11 | agreement subject to Section 141.1 of the Illinois Insurance | ||||||
12 | Code, the Director (i) shall, in addition to the criteria | ||||||
13 | specified in Section 141.2 of the Illinois Insurance Code, | ||||||
14 | take into account the effect of the management contract or | ||||||
15 | service agreement on the continuation of benefits to enrollees | ||||||
16 | and the financial condition of the health maintenance | ||||||
17 | organization to be managed or serviced, and (ii) need not take | ||||||
18 | into account the effect of the management contract or service | ||||||
19 | agreement on competition. | ||||||
20 | (f) Except for small employer groups as defined in the | ||||||
21 | Small Employer Rating, Renewability and Portability Health | ||||||
22 | Insurance Act and except for medicare supplement policies as | ||||||
23 | defined in Section 363 of the Illinois Insurance Code, a | ||||||
24 | Health Maintenance Organization may by contract agree with a | ||||||
25 | group or other enrollment unit to effect refunds or charge | ||||||
26 | additional premiums under the following terms and conditions: |
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1 | (i) the amount of, and other terms and conditions with | ||||||
2 | respect to, the refund or additional premium are set forth | ||||||
3 | in the group or enrollment unit contract agreed in advance | ||||||
4 | of the period for which a refund is to be paid or | ||||||
5 | additional premium is to be charged (which period shall | ||||||
6 | not be less than one year); and | ||||||
7 | (ii) the amount of the refund or additional premium | ||||||
8 | shall not exceed 20% of the Health Maintenance | ||||||
9 | Organization's profitable or unprofitable experience with | ||||||
10 | respect to the group or other enrollment unit for the | ||||||
11 | period (and, for purposes of a refund or additional | ||||||
12 | premium, the profitable or unprofitable experience shall | ||||||
13 | be calculated taking into account a pro rata share of the | ||||||
14 | Health Maintenance Organization's administrative and | ||||||
15 | marketing expenses, but shall not include any refund to be | ||||||
16 | made or additional premium to be paid pursuant to this | ||||||
17 | subsection (f)). The Health Maintenance Organization and | ||||||
18 | the group or enrollment unit may agree that the profitable | ||||||
19 | or unprofitable experience may be calculated taking into | ||||||
20 | account the refund period and the immediately preceding 2 | ||||||
21 | plan years. | ||||||
22 | The Health Maintenance Organization shall include a | ||||||
23 | statement in the evidence of coverage issued to each enrollee | ||||||
24 | describing the possibility of a refund or additional premium, | ||||||
25 | and upon request of any group or enrollment unit, provide to | ||||||
26 | the group or enrollment unit a description of the method used |
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1 | to calculate (1) the Health Maintenance Organization's | ||||||
2 | profitable experience with respect to the group or enrollment | ||||||
3 | unit and the resulting refund to the group or enrollment unit | ||||||
4 | or (2) the Health Maintenance Organization's unprofitable | ||||||
5 | experience with respect to the group or enrollment unit and | ||||||
6 | the resulting additional premium to be paid by the group or | ||||||
7 | enrollment unit. | ||||||
8 | In no event shall the Illinois Health Maintenance | ||||||
9 | Organization Guaranty Association be liable to pay any | ||||||
10 | contractual obligation of an insolvent organization to pay any | ||||||
11 | refund authorized under this Section. | ||||||
12 | (g) Rulemaking authority to implement Public Act 95-1045, | ||||||
13 | if any, is conditioned on the rules being adopted in | ||||||
14 | accordance with all provisions of the Illinois Administrative | ||||||
15 | Procedure Act and all rules and procedures of the Joint | ||||||
16 | Committee on Administrative Rules; any purported rule not so | ||||||
17 | adopted, for whatever reason, is unauthorized. | ||||||
18 | (Source: P.A. 102-30, eff. 1-1-22; 102-34, eff. 6-25-21; | ||||||
19 | 102-203, eff. 1-1-22; 102-306, eff. 1-1-22; 102-443, eff. | ||||||
20 | 1-1-22; 102-589, eff. 1-1-22; 102-642, eff. 1-1-22; 102-665, | ||||||
21 | eff. 10-8-21; 102-731, eff. 1-1-23; 102-775, eff. 5-13-22; | ||||||
22 | 102-804, eff. 1-1-23; 102-813, eff. 5-13-22; 102-816, eff. | ||||||
23 | 1-1-23; 102-860, eff. 1-1-23; 102-901, eff. 7-1-22; 102-1093, | ||||||
24 | eff. 1-1-23; 102-1117, eff. 1-13-23; 103-84, eff. 1-1-24; | ||||||
25 | 103-91, eff. 1-1-24; 103-123, eff. 1-1-24; 103-154, eff. | ||||||
26 | 6-30-23; 103-420, eff. 1-1-24; 103-426, eff. 8-4-23; 103-445, |
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1 | eff. 1-1-24; 103-551, eff. 8-11-23; revised 8-29-23.)
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2 | Section 35. The Voluntary Health Services Plans Act is | ||||||
3 | amended by changing Section 10 as follows:
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4 | (215 ILCS 165/10) (from Ch. 32, par. 604) | ||||||
5 | Sec. 10. Application of Insurance Code provisions. Health | ||||||
6 | services plan corporations and all persons interested therein | ||||||
7 | or dealing therewith shall be subject to the provisions of | ||||||
8 | Articles IIA and XII 1/2 and Sections 3.1, 133, 136, 139, 140, | ||||||
9 | 143, 143c, 149, 155.22a, 155.37, 354, 355.2, 355.3, 355b, | ||||||
10 | 356g, 356g.5, 356g.5-1, 356q, 356r, 356t, 356u, 356u.10, 356v, | ||||||
11 | 356w, 356x, 356y, 356z.1, 356z.2, 356z.3a, 356z.4, 356z.4a, | ||||||
12 | 356z.5, 356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, | ||||||
13 | 356z.13, 356z.14, 356z.15, 356z.18, 356z.19, 356z.21, 356z.22, | ||||||
14 | 356z.25, 356z.26, 356z.29, 356z.30, 356z.30a, 356z.32, | ||||||
15 | 356z.33, 356z.40, 356z.41, 356z.46, 356z.47, 356z.51, 356z.53, | ||||||
16 | 356z.54, 356z.56, 356z.57, 356z.59, 356z.60, 356z.61, 356z.62, | ||||||
17 | 356z.64, 356z.67, 356z.68, 364.01, 364.3, 367.2, 368a, 401, | ||||||
18 | 401.1, 402, 403, 403A, 408, 408.2, and 412, and paragraphs (7) | ||||||
19 | and (15) of Section 367 of the Illinois Insurance Code. | ||||||
20 | Rulemaking authority to implement Public Act 95-1045, if | ||||||
21 | any, is conditioned on the rules being adopted in accordance | ||||||
22 | with all provisions of the Illinois Administrative Procedure | ||||||
23 | Act and all rules and procedures of the Joint Committee on | ||||||
24 | Administrative Rules; any purported rule not so adopted, for |
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