Sen. Dan Kotowski

Filed: 5/16/2014

 

 


 

 


 
09800HB3638sam003LRB098 12067 AMC 59711 a

1
AMENDMENT TO HOUSE BILL 3638

2    AMENDMENT NO. ______. Amend House Bill 3638, AS AMENDED,
3with reference to page and line numbers of Senate Amendment No.
42, on page 2, by replacing lines 2 through 4 with the
5following:
6"for policies or qualified health plans offered for sale
7directly to consumers through the Health Insurance Marketplace
8in Illinois."; and
 
9on page 2, by replacing line 6 with the following:
10"changing Sections 155.36 and 355a as follows:
 
11    (215 ILCS 5/155.36)
12    Sec. 155.36. Managed Care Reform and Patient Rights Act.
13Insurance companies that transact the kinds of insurance
14authorized under Class 1(b) or Class 2(a) of Section 4 of this
15Code shall comply with Sections 45, 45.1, 45.2, and 85 and the
16definition of the term "emergency medical condition" in Section

 

 

09800HB3638sam003- 2 -LRB098 12067 AMC 59711 a

110 of the Managed Care Reform and Patient Rights Act.
2(Source: P.A. 96-857, eff. 7-1-10.)"; and
 
3by replacing line 24 on page 6 through line 5 on page 7 with the
4following:
5"this subsection (5), no qualified health plans shall be
6offered for sale directly to consumers through the health
7insurance marketplace operating in the State in accordance with
8Sections 1311 and 1321 of the federal Patient Protection and
9Affordable Care Act of 2010 (Public Law 111-148), as amended by
10the federal Health Care and Education Reconciliation Act of
112010 (Public Law 111-152), and any amendments thereto, or
12regulations or guidance issued thereunder (collectively, "the
13Federal Act"), unless the following information is made"; and
 
14on page 7, lines 8 and 9, by replacing "an up-to-date
15formulary" with "the most recently published formulary"; and
 
16on page 7, line 15, by replacing "The formulary" with "This
17information"; and
 
18on page 7, line 21, after "group,", by inserting "if any,"; and
 
19on page 7, line 25, by replacing "a qualified health plan" with
20"qualified health plans for sale directly to consumers through
21the health insurance marketplace operating in the State"; and
 

 

 

09800HB3638sam003- 3 -LRB098 12067 AMC 59711 a

1on page 8, lines 13 and 14, by replacing "qualified health
2plans offered for sale to consumers" with "qualified health
3plans offered for sale directly to consumers through the health
4insurance marketplace operating in this State"; and
 
5on page 11, by replacing lines 1 through 8 with the following:
6"this Section, no qualified health plans shall be offered for
7sale directly to consumers through the health insurance
8marketplace operating in the State in accordance with Sections
91311 and 1321 of the federal Patient Protection and Affordable
10Care Act of 2010 (Public Law 111-148), as amended by the
11federal Health Care and Education Reconciliation Act of 2010
12(Public Law 111-152), and any amendments thereto, or
13regulations or guidance issued thereunder (collectively, "the
14Federal Act"), unless, in addition to the information"; and
 
15on page 11, lines 12 and 13, by replacing "an up-to-date
16formulary" with "the most recently published formulary"; and
 
17on page 11, line 19, by replacing "The formulary" with "This
18information"; and
 
19on page 11, line 25, after "group,", by inserting "if any,";
20and
 

 

 

09800HB3638sam003- 4 -LRB098 12067 AMC 59711 a

1on page 13, lines 13 and 14, by replacing "a qualified health
2plan offered for sale to consumers in this State" with
3"qualified health plans for sale directly to consumers through
4the health insurance marketplace operating in the State"; and
 
5on page 14, lines 2 and 3, by replacing "qualified health plans
6offered for sale to consumers" with "qualified health plans
7offered for sale directly to consumers through the health
8insurance marketplace operating in this State"; and
 
9on page 14, line 21, by replacing "because" with "other than
10because".