093_HB2773
LRB093 07786 JLS 07975 b
1 AN ACT concerning health maintenance organizations.
2 Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
4 Section 5. The Health Maintenance Organization Act is
5 amended by adding Section 4-19 as follows:
6 (215 ILCS 125/4-19 new)
7 Sec. 4-19. HMO responsible for payment. An organization
8 that contracts or otherwise agrees with or through an
9 intermediary such as an independent practice association or a
10 physician-hospital organization for the provision of health
11 care professional or provider services shall be responsible
12 for payment to the health care professionals or providers.
13 If payments are made to an intermediary, then the
14 intermediary is the agent of the organization. Failure of
15 the intermediary to make a payment to a health care
16 professional or provider does not affect the duty of the
17 health maintenance organization to make payments to health
18 care professionals or providers.
19 Section 99. Effective date. This Act takes effect
20 December 1, 2003.