Bill Text: IL SB2470 | 2019-2020 | 101st General Assembly | Introduced

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Bill Title: Amends the Illinois Insurance Code. Provides that no individual or group policy of accident and health insurance or managed care organization shall change an insured's eligibility or coverage during a contract period. Provides that during a contract period, insureds shall have the protection and continuity of their providers, medication, covered benefits, and formulary during the contract period. Amends the Illinois Public Aid Code making conforming changes.

Spectrum: Partisan Bill (Democrat 5-0)

Status: (Failed) 2021-01-13 - Session Sine Die [SB2470 Detail]

Download: Illinois-2019-SB2470-Introduced.html

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101ST GENERAL ASSEMBLY State of Illinois 2019 and 2020 SB2470 Introduced 1/19/2020, by Sen. Laura M. Murphy SYNOPSIS AS INTRODUCED:
215 ILCS 5/356z.41 new
305 ILCS 5/5-16.8
Amends the Illinois Insurance Code. Provides that no individual or group policy of accident and health insurance or managed care organization shall change an insured's eligibility or coverage during a contract period. Provides that during a contract period, insureds shall have the protection and continuity of their providers, medication, covered benefits, and formulary during the contract period. Amends the Illinois Public Aid Code making conforming changes.
LRB101 17158 BMS 66559 b
A BILL FOR
SB2470 LRB101 17158 BMS 66559 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.41 as follows:
(215 ILCS 5/356z.41 new)
Sec. 356z.41. Contract terms; coverage. No individual or
group policy of accident and health insurance or managed care
organization shall amend, deliver, issue, or renew a policy in
a way that changes an insured's eligibility or coverage during
a contract period. During a contract period, an insured shall
have the protection and continuity of his or her providers, his
or her medication, his or her covered benefits, and the
formulary during the contract period.
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

SB2470 - 2 - LRB101 17158 BMS 66559 b
under Sections 356g.5, 356u, 356w, 356x, 356z.6, 356z.26,
356z.29, and 356z.32, and 356z.33, 356z.34, 356z.35, 356z.39,
and 356z.41 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. 100-138, eff. 8-18-17; 100-863, eff. 8-14-18;
100-1057, eff. 1-1-19; 100-1102, eff. 1-1-19; 101-81, eff.
7-12-19; 101-218, eff. 1-1-20; 101-281, eff. 1-1-20; 101-371,
eff. 1-1-20; 101-574, eff. 1-1-20; revised 10-16-19.)