Illinois General Assembly

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 Bill Status of HB1193  97th General Assembly


Short Description:  INS CD - RECOUPMENT TIME LIMIT

House Sponsors
Rep. Greg Harris - Monique D. Davis - Sara Feigenholtz - Mary E. Flowers - Daniel J. Burke, Robyn Gabel, Robert Rita and Deborah Mell

Senate Sponsors
(Sen. Heather A. Steans )

Last Action
DateChamber Action
  8/25/2011HousePublic Act . . . . . . . . . 97-0556

Statutes Amended In Order of Appearance
215 ILCS 5/368d


Synopsis As Introduced
Amends the Illinois Insurance Code. In the provision concerning recoupment, provides that no recoupment or offset may be requested or withheld from future payments 366 or more days after the original payment. Provides for exceptions for cases in which there has been a formal adjudication of fraud or the provider has already been paid in full. Provides that nothing in the provision concerning recoupments shall be construed to preclude insurers or certain organizations from resolving coordination of benefits between or among each other without recouping payment from the provider beyond the 366-day time limit.

House Floor Amendment No. 1
Replaces everything after the enacting clause with the bill as introduced and the following changes. Makes changes concerning the information that shall be displayed on the remittance advice or written document containing the insurer's demand for recoupment or offset. Provides that any appeal of a recoupment or offset by a health care professional or health care provider must be made within 60 days after receipt of the remittance advice. Provides that no recoupment or offset may be requested or withheld from future payments 18 months or more (instead of 366 or more days) after the original payment is made, except in certain cases. Makes other changes.

Senate Floor Amendment No. 1
Provides that no recoupment or offset may be requested or withheld from future payments 18 months or more after the original payment is made, except in cases in which a court, government administrative agency, other tribunal, or independent third-party arbitrator (instead of a court, government administrative agency, or other tribunal) makes or has made a formal finding (instead of an adjudication) of fraud or material misrepresentation (instead of misrepresentation).

Actions 
DateChamber Action
  2/8/2011HouseFiled with the Clerk by Rep. Greg Harris
  2/8/2011HouseFirst Reading
  2/8/2011HouseReferred to Rules Committee
  2/9/2011HouseAdded Chief Co-Sponsor Rep. Sara Feigenholtz
  2/14/2011HouseAssigned to Insurance Committee
  2/22/2011HouseAdded Chief Co-Sponsor Rep. Mary E. Flowers
  2/23/2011HouseAdded Chief Co-Sponsor Rep. Monique D. Davis
  3/1/2011HouseDo Pass / Short Debate Insurance Committee; 011-006-000
  3/2/2011HousePlaced on Calendar 2nd Reading - Short Debate
  3/24/2011HouseAdded Chief Co-Sponsor Rep. Daniel J. Burke
  4/7/2011HouseHouse Floor Amendment No. 1 Filed with Clerk by Rep. Greg Harris
  4/7/2011HouseHouse Floor Amendment No. 1 Referred to Rules Committee
  4/11/2011HouseHouse Floor Amendment No. 1 Rules Refers to Insurance Committee
  4/11/2011HouseHouse Floor Amendment No. 1 Recommends Be Adopted Insurance Committee; 017-000-000
  4/13/2011HouseAdded Co-Sponsor Rep. Robyn Gabel
  4/13/2011HouseAdded Co-Sponsor Rep. Robert Rita
  4/13/2011HouseAdded Co-Sponsor Rep. Deborah Mell
  4/14/2011HouseSecond Reading - Short Debate
  4/14/2011HouseHouse Floor Amendment No. 1 Adopted by Voice Vote
  4/14/2011HousePlaced on Calendar Order of 3rd Reading - Short Debate
  4/15/2011HouseThird Reading - Short Debate - Passed 082-028-000
  4/22/2011SenateArrive in Senate
  4/22/2011SenatePlaced on Calendar Order of First Reading
  4/22/2011SenateChief Senate Sponsor Sen. Heather A. Steans
  4/22/2011SenateFirst Reading
  4/22/2011SenateReferred to Assignments
  4/27/2011SenateAssigned to Executive
  5/11/2011SenateDo Pass Executive; 012-000-000
  5/11/2011SenatePlaced on Calendar Order of 2nd Reading May 12, 2011
  5/12/2011SenateSecond Reading
  5/12/2011SenatePlaced on Calendar Order of 3rd Reading May 13, 2011
  5/16/2011SenateSenate Floor Amendment No. 1 Filed with Secretary by Sen. Heather A. Steans
  5/16/2011SenateSenate Floor Amendment No. 1 Referred to Assignments
  5/17/2011SenateSenate Floor Amendment No. 1 Assignments Refers to Executive
  5/19/2011SenateSenate Floor Amendment No. 1 Recommend Do Adopt Executive; 014-000-000
  5/19/2011SenateRecalled to Second Reading
  5/19/2011SenateSenate Floor Amendment No. 1 Adopted; Steans
  5/19/2011SenatePlaced on Calendar Order of 3rd Reading May 20, 2011
  5/20/2011SenateThird Reading - Passed; 046-000-000
  5/20/2011HouseArrived in House
  5/20/2011HousePlaced on Calendar Order of Concurrence Senate Amendment(s) 1
  5/20/2011HouseSenate Floor Amendment No. 1 Motion Filed Concur Rep. Greg Harris
  5/20/2011HouseSenate Floor Amendment No. 1 Motion to Concur Referred to Rules Committee
  5/27/2011HouseSenate Floor Amendment No. 1 Motion to Concur Rules Referred to Insurance Committee
  5/29/2011HouseSenate Floor Amendment No. 1 Motion to Concur Recommends Be Adopted Insurance Committee; 016-000-000
  5/31/2011HouseSenate Floor Amendment No. 1 House Concurs 116-000-000
  5/31/2011HousePassed Both Houses
  6/9/2011HouseSent to the Governor
  8/25/2011HouseGovernor Approved
  8/25/2011HouseEffective Date January 1, 2012
  8/25/2011HousePublic Act . . . . . . . . . 97-0556

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