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IL HB4789

Bill

Status

Introduced

2/10/2020

Primary Sponsor

Daniel Swanson

Click for details

Origin

House of Representatives

101st General Assembly

AI Summary

  • Prohibits state employee health benefit programs, self-insuring counties, and self-insuring municipalities from denying claims from Veterans Health Administration (VA) medical facilities solely because the facility is out-of-network

  • Bars the application of higher out-of-network cost-sharing (deductibles, coinsurance, copayments) to VA facility claims unless the same cost-sharing applies to in-network providers

  • Requires private insurers offering network plans to treat VA medical facilities as in-network for claim denial purposes, preventing rejection based on non-preferred provider status

  • Applies to all network plans including health maintenance organizations, preferred provider organizations, and exclusive provider organizations

  • Amends the State Employees Group Insurance Act of 1971, Counties Code, Illinois Municipal Code, and Network Adequacy and Transparency Act

Legislative Description

INS-HEALTH CARE FOR VETERANS

Last Action

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

6/23/2020

Committee Referrals

Rules6/23/2020
Health Insurance3/12/2020
Insurance2/25/2020
Rules2/18/2020

Full Bill Text

No bill text available