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IL SB2596

Bill

Status

Engrossed

5/12/2016

Primary Sponsor

Terry Link

Click for details

Origin

Senate

99th General Assembly

AI Summary

  • Requires state employee health insurance to cover medically necessary physical therapy and occupational therapy for treatment of autoimmune diseases when ordered or referred by a physician, physician's assistant, or advanced practice nurse.

  • Defines "medically necessary" as care that prevents illness, reduces effects of conditions, or helps maintain maximum functional activity in daily living.

  • Specifies that physical therapy benefits for multiple sclerosis patients are governed by the Illinois Essential Health Benefits plan.

  • Requires insurers to apply the same deductibles, coinsurance, waiting periods, and other cost-sharing limitations to this coverage as apply to other physical or occupational therapy benefits.

  • Mandates that medical necessity appeals must be reviewed by a licensed health care professional with the same license category as the professional who ordered the service and with expertise in current treatment methods.

Legislative Description

INS CD-MULTIPLE SCLEROSIS

Last Action

Rule 19(a) / Re-referred to Rules Committee

6/30/2016

Committee Referrals

Rules6/30/2016
Executive5/17/2016
Rules5/16/2016
Insurance2/24/2016
Assignments2/16/2016

Full Bill Text

No bill text available