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IL HB4789
Bill
Status
2/10/2020
Primary Sponsor
Daniel Swanson
Click for details
AI Summary
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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
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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
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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
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Applies to all network plans including health maintenance organizations, preferred provider organizations, and exclusive provider organizations
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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