SB2178 98TH GENERAL ASSEMBLY

  
  

 


 
98TH GENERAL ASSEMBLY
State of Illinois
2013 and 2014
SB2178

 

Introduced 2/15/2013, by Sen. Napoleon Harris, III

 

SYNOPSIS AS INTRODUCED:
 
105 ILCS 5/22-15  from Ch. 122, par. 22-15

    Amends the School Code. Provides that a public school district maintaining grades kindergarten through 8 may (instead of the school board of any school district may, in its discretion) provide medical or hospital service or both through accident and health insurance or through non-profit hospital service corporations or medical service plan corporations or both for pupils of the district in grades kindergarten through 8 (instead of for all pupils of the district) injured while participating in an athletic activity. Provides that a public school district maintaining grades 9 through 12 shall provide catastrophic accident insurance coverage, with specified benefit limits, for eligible students in grades 9 through 12 who sustain an accidental injury while participating in school-sponsored or school-supervised interscholastic athletic events sanctioned by the Illinois High School Association ("IHSA") that results in medical expenses in excess of $50,000. Sets forth similar provisions for non-public schools for school-sponsored or school-supervised interscholastic athletic tournaments sanctioned by the IHSA. Provides that the IHSA has the exclusive authority to promulgate a plan of coverage necessary to ensure compliance with these provisions. Requires the IHSA to provide a group policy. Allows public school districts and non-public schools to purchase the coverage necessary by participating in the group policy, obtain the coverage necessary from other coverage providers, or, in the case of the Chicago school district, provide the catastrophic accident insurance coverage through a program of self-insurance. Sets forth provisions concerning the charges for procedures, treatments, services, or prescription pharmaceuticals covered. Effective July 1, 2013.


LRB098 09554 NHT 39698 b

FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

SB2178LRB098 09554 NHT 39698 b

1    AN ACT concerning education.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The School Code is amended by changing Section
522-15 as follows:
 
6    (105 ILCS 5/22-15)  (from Ch. 122, par. 22-15)
7    Sec. 22-15. Insurance on athletes.
8    (a) In this Section, "IHSA" means the Illinois High School
9Association.
10    (b) A public school district maintaining grades 9 through
1112 shall provide catastrophic accident insurance coverage,
12with aggregate benefit limits of $7.5 million or 15 years,
13whichever occurs first, for eligible students in grades 9
14through 12 who sustain an accidental injury while participating
15in school-sponsored or school-supervised interscholastic
16athletic events sanctioned by the IHSA (including direct and
17uninterrupted travel to and from the athletic event as well as
18during a temporary stay at the location of an athletic event
19held away from the student's school) that results in medical
20expenses in excess of $50,000. These benefit limits are subject
21to subsection (d) of this Section and are to be in excess of
22any and all other insurance, coverage or benefit, in whatever
23form or designation.

 

 

SB2178- 2 -LRB098 09554 NHT 39698 b

1    Non-public schools maintaining grades 9 through 12 shall
2provide catastrophic accident insurance coverage, with
3aggregate benefit limits of $7.5 million or 15 years, whichever
4occurs first, for eligible students in grades 9 through 12 who
5sustain an accidental injury while participating in
6school-sponsored or school-supervised interscholastic athletic
7tournaments sanctioned by the IHSA (including direct and
8uninterrupted travel to and from the athletic tournament as
9well as during a temporary stay at the location of an athletic
10tournament held away from the student's school) that results in
11medical expenses in excess of $50,000. These benefit limits are
12subject to subsection (d) of this Section and are to be in
13excess of any and all other insurance, coverage or benefit, in
14whatever form or designation.
15    (c) The IHSA has the exclusive authority to promulgate a
16plan of coverage necessary to ensure compliance with this
17Section. The IHSA shall provide a group policy providing the
18coverage necessary to comply with this Section. Public school
19districts and non-public schools may purchase the coverage
20necessary to comply with this Section by participating in the
21group policy.
22    Alternatively, public school districts or non-public
23schools that do not participate in the group policy may obtain
24the coverage necessary to comply with this Section from other
25coverage providers, but must submit to the IHSA, 60 days before
26the coverage inception, a certificate of insurance from the

 

 

SB2178- 3 -LRB098 09554 NHT 39698 b

1coverage provider stating that the insurance provided by the
2coverage provider is in compliance with the plan of coverage
3approved by the IHSA. A public school district that manages
4schools located within a city of over 500,000 inhabitants may
5provide the catastrophic accident insurance coverage required
6by this Section through a program of self-insurance, and the
7public school district must submit to the IHSA, 60 days before
8coverage inception, proof that the program is in compliance
9with the plan of coverage.
10    (d) The charges for procedures, treatments, services, or
11prescription pharmaceuticals covered under this Section must
12not exceed the charges permissible under the workers'
13compensation fee schedule under Section 8.2 of Workers'
14Compensation Act. With regard to charges for procedures,
15treatments, services, or prescription pharmaceuticals covered
16under this Section for which no fee is set by the workers'
17compensation fee schedule under Section 8.2 of Workers'
18Compensation Act, the coverage provider may negotiate charges
19for the procedures, treatments, services, or prescription
20pharmaceuticals at a discount.
21    (e) A public school district maintaining grades
22kindergarten through 8 may The school board of any school
23district may, in its discretion, provide medical or hospital
24service, or both, through accident and health insurance on a
25group or individual basis, or through non-profit hospital
26service corporations or medical service plan corporations or

 

 

SB2178- 4 -LRB098 09554 NHT 39698 b

1both, for pupils of the district in grades kindergarten through
28 injured while participating in any athletic activity under
3the jurisdiction of or sponsored or controlled by the district
4or the authorities of any school thereof. The cost of such
5insurance or of subscriptions to such non-profit corporations,
6when paid from the funds of the district, shall, to the extent
7such moneys are sufficient, be paid from moneys derived from
8athletic activities. To the extent that moneys derived from
9athletic activities are insufficient, such cost may be paid
10from the educational fund of the district. Such insurance may
11be purchased from or such subscriptions may be taken in only
12such companies or corporations as are authorized to do business
13in Illinois.
14(Source: P.A. 77-1554.)
 
15    Section 99. Effective date. This Act takes effect July 1,
162013.