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215 ILCS 124/30 (215 ILCS 124/30) (Text of Section before amendment by P.A. 103-650)
Sec. 30. Administration and enforcement.
(a) Insurers, as defined in this Act, have a continuing obligation to comply with the requirements of this Act. Other than the duties specifically created in this Act, nothing in this Act is intended to preclude, prevent, or require the adoption, modification, or termination of any utilization management, quality management, or claims processing methodologies of an insurer. (b) Nothing in this Act precludes, prevents, or requires the adoption, modification, or termination of any network plan term, benefit, coverage or eligibility provision, or payment methodology. (c) The Director shall enforce the provisions of this Act pursuant to the enforcement powers granted to it by law. (d) The Department shall adopt rules to enforce compliance with this Act to the extent necessary.
(Source: P.A. 100-502, eff. 9-15-17.) (Text of Section after amendment by P.A. 103-650) Sec. 30. Administration and enforcement. (a) Issuers, as defined in this Act, have a continuing obligation to comply with the requirements of this Act. Other than the duties specifically created in this Act, nothing in this Act is intended to preclude, prevent, or require the adoption, modification, or termination of any utilization management, quality management, or claims processing methodologies of an issuer. (b) Nothing in this Act precludes, prevents, or requires the adoption, modification, or termination of any network plan term, benefit, coverage or eligibility provision, or payment methodology. (c) The Director shall enforce the provisions of this Act pursuant to the enforcement powers granted to it by law. (d) The Department shall adopt rules to enforce compliance with this Act to the extent necessary. (e) In accordance with Section 5-45 of the Illinois Administrative Procedure Act, the Department may adopt emergency rules to implement federal standards for provider ratios, travel time and distance, and appointment wait times if such standards apply to health insurance coverage regulated by the Department and are more stringent than the State standards extant at the time the final federal standards are published. (Source: P.A. 103-650, eff. 1-1-25.) |
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