Bill Text: IL HB2846 | 2019-2020 | 101st General Assembly | Enrolled


Bill Title: Amends the Illinois Insurance Code. In provisions concerning treatment for pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome, provides that treatment administered or prescribed after July 18, 2017 shall be covered. Provides that for billing and diagnosis purposes, pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome shall be coded as autoimmune encephalitis until a code is assigned. Provides that coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome may not be denied due to a diagnosis of autoimmune encephalopathy or autoimmune encephalitis. Effective immediately.

Spectrum: Moderate Partisan Bill (Democrat 23-6)

Status: (Enrolled) 2019-06-28 - Sent to the Governor [HB2846 Detail]

Download: Illinois-2019-HB2846-Enrolled.html



HB2846 EnrolledLRB101 09717 RAB 54817 b
1 AN ACT concerning regulation.
2 Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
4 Section 5. The Illinois Insurance Code is amended by
5changing Section 356z.25 as follows:
6 (215 ILCS 5/356z.25)
7 Sec. 356z.25. Coverage for treatment of pediatric
8autoimmune neuropsychiatric disorders associated with
9streptococcal infections and pediatric acute onset
10neuropsychiatric syndrome. A group or individual policy of
11accident and health insurance or managed care plan that is
12amended, delivered, issued, or renewed after July 18, 2017 (the
13effective date of Public Act 100-24) shall provide coverage for
14treatment of pediatric autoimmune neuropsychiatric disorders
15associated with streptococcal infections and pediatric
16acute-onset neuropsychiatric syndrome, including, but not
17limited to, the use of intravenous immunoglobulin therapy.
18 For billing and diagnosis purposes, pediatric autoimmune
19neuropsychiatric disorders associated with streptococcal
20infections and pediatric acute onset neuropsychiatric syndrome
21shall be coded as autoimmune encephalitis until the American
22Medical Association and the Centers for Medicare and Medicaid
23Services create and assign a specific code for pediatric

HB2846 Enrolled- 2 -LRB101 09717 RAB 54817 b
1autoimmune neuropsychiatric disorders associated with
2streptococcal infections and pediatric acute onset
3neuropsychiatric syndrome. Thereafter, pediatric autoimmune
4neuropsychiatric disorders associated with streptococcal
5infections and pediatric acute onset neuropsychiatric syndrome
6may be coded as autoimmune encephalitis, pediatric autoimmune
7neuropsychiatric disorders associated with streptococcal
8infections, or pediatric acute onset neuropsychiatric
9syndrome.
10 If, at any time, the Secretary of the United States
11Department of Health and Human Services, or its successor
12agency, promulgates rules or regulations to be published in the
13Federal Register or publishes a comment in the Federal Register
14or issues an opinion, guidance, or other action that would
15require the State, pursuant to any provision of the Patient
16Protection and Affordable Care Act (Public Law 111-148),
17including, but not limited to, 42 U.S.C. 18031(d)(3)(B) or any
18successor provision, to defray the cost of any coverage for
19pediatric autoimmune neuropsychiatric disorders associated
20with streptococcal infections and pediatric acute onset
21neuropsychiatric syndrome outlined in this Section, then the
22requirement that an insurer cover pediatric autoimmune
23neuropsychiatric disorders associated with streptococcal
24infections and pediatric acute onset neuropsychiatric syndrome
25is inoperative other than any such coverage authorized under
26Section 1902 of the Social Security Act, 42 U.S.C. 1396a, and

HB2846 Enrolled- 3 -LRB101 09717 RAB 54817 b
1the State shall not assume any obligation for the cost of
2coverage for pediatric autoimmune neuropsychiatric disorders
3associated with streptococcal infections and pediatric acute
4onset neuropsychiatric syndrome.
5(Source: P.A. 100-24, eff. 7-18-17; 100-863, eff. 8-14-18.)
6 Section 99. Effective date. This Act takes effect upon
7becoming law.
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