IL SB1506 | 2009-2010 | 96th General Assembly
Status
Spectrum: Partisan Bill (Democrat 1-0)
Status: Engrossed on April 2 2009 - 50% progression, died in committee
Action: 2009-05-08 - Rule 19(a) / Re-referred to Rules Committee
Pending: House Rules Committee
Text: Latest bill text (Engrossed) [HTML]
Status: Engrossed on April 2 2009 - 50% progression, died in committee
Action: 2009-05-08 - Rule 19(a) / Re-referred to Rules Committee
Pending: House Rules Committee
Text: Latest bill text (Engrossed) [HTML]
Summary
Creates the Health Carrier External Review Act. Sets forth standards for independent external review procedures for adverse determinations by a health carrier against a covered person. Provides that the Act applies to an entity subject to the insurance laws and regulations of this State or subject to the jurisdiction of the Director and that contracts or offers to contract concerning any costs of health care. Requires health carriers to notify covered persons and their health care providers in writing of the covered person's right to request an external review as provided by the Act. Sets forth notice requirements. Provides that a request for an external review shall not be made until the covered person has exhausted the health carrier's internal grievance process. Sets forth requirements for standard external reviews and expedited external reviews. Provides that an external review decision is binding on the health carrier and binding on the covered person except to the extent the covered person has other remedies available. Sets forth minimum qualifications for independent review organizations and provides that the Director shall approve independent review organizations eligible to be assigned to conduct external reviews. Provides that each health carrier shall maintain written records of external review requests for each calendar year and submit a report to the Director by March 1 of each year. Provides that the health carrier shall be solely responsible for paying the cost of external reviews. Sets forth disclosure requirements. Amends the Managed Care Reform and Patient Rights Act to provide that an enrollee may appeal adverse decisions in accordance with the Health Carrier External Review Act. Deletes a provision concerning external independent review. Makes other changes. Contains a severability clause. Effective January 1, 2010.
Title
INS-HLTH CARRIER EXTERNAL REV
Sponsors
Roll Calls
2009-04-02 - Senate - Third Reading in Senate (Y: 54 N: 0 NV: 0 Abs: 0) [PASS]
History
| Date | Chamber | Action |
|---|---|---|
| 2009-05-08 | Rule 19(a) / Re-referred to Rules Committee | |
| 2009-04-30 | Added Alternate Chief Co-Sponsor Rep. JoAnn D. Osmond | |
| 2009-04-30 | Added Alternate Chief Co-Sponsor Rep. Dan Brady | |
| 2009-04-30 | Alternate Chief Sponsor Changed to Rep. Frank J. Mautino | |
| 2009-04-28 | Re-assigned to Health Care Availability and Accessibility Committee | |
| 2009-04-22 | Added Alternate Chief Co-Sponsor Rep. Greg Harris | |
| 2009-04-20 | Assigned to Insurance Committee | |
| 2009-04-06 | Referred to Rules Committee | |
| 2009-04-06 | First Reading | |
| 2009-04-03 | Chief House Sponsor Rep. Dan Brady | |
| 2009-04-03 | Placed on Calendar Order of First Reading | |
| 2009-04-03 | Arrived in House | |
| 2009-04-02 | Third Reading - Passed; 058-000-000 | |
| 2009-03-31 | Placed on Calendar Order of 3rd Reading April 1, 2009 | |
| 2009-03-31 | Senate Floor Amendment No. 2 Adopted; Collins | |
| 2009-03-31 | Second Reading | |
| 2009-03-31 | Senate Floor Amendment No. 2 Recommend Do Adopt Insurance; 010-000-000 | |
| 2009-03-30 | Senate Floor Amendment No. 2 Assignments Refers to Insurance | |
| 2009-03-25 | Senate Floor Amendment No. 2 Referred to Assignments | |
| 2009-03-25 | Senate Floor Amendment No. 2 Filed with Secretary by Sen. Jacqueline Y. Collins | |
| 2009-03-12 | Placed on Calendar Order of 2nd Reading March 17, 2009 | |
| 2009-03-12 | Do Pass as Amended Insurance; 007-005-000 | |
| 2009-03-11 | Senate Committee Amendment No. 1 Adopted | |
| 2009-03-11 | Senate Committee Amendment No. 1 Assignments Refers to Insurance | |
| 2009-03-10 | Senate Committee Amendment No. 1 Referred to Assignments | |
| 2009-03-10 | Senate Committee Amendment No. 1 Filed with Secretary by Sen. Jacqueline Y. Collins | |
| 2009-02-25 | Assigned to Insurance | |
| 2009-02-18 | Referred to Assignments | |
| 2009-02-18 | First Reading | |
| 2009-02-18 | Filed with Secretary by Sen. Jacqueline Y. Collins |
