Senate Sponsors: WALSH,T-DONAHUE-DEMUZIO-MADIGAN,R-BERMAN, SIEBEN, NOLAND, SULLIVAN, BOMKE, MYERS,J, GEO-KARIS, SHAW AND SILVERSTEIN. House Sponsors: MAUTINO-FLOWERS-MITCHELL,BILL-KRAUSE-JOHNSON,TIM Short description: MANAGED CARE & PATIENTS RIGHTS Synopsis of Bill as introduced: Amends the State Employees Group Insurance Act of 1971. Provides that the cost of participation in the basic program of group health benefits for the dependent or survivor of a living or deceased retired employee who was formerly employed by the University of Illinois in the Cooperative Extension Service and would be an annuitant but for the fact that he or she was made ineligible to participate in the State Universities Retirement System by clause (4) of subsection (a) of Section 15-107 of the Illinois Pension Code shall not be greater than the cost of participation that would otherwise apply to that dependent or survivor if he or she were the dependent or survivor of an annuitant under the State Universities Retirement System. Provides that the State will pay the difference. Effective immediately. PENSION NOTE (Pension Laws Commission) SB251 would not affect the accrued liabilities or annual cost of SURS. Certain health insurance premiums would increase for the UofI Cooperative Extension Service by an unknown amount. STATE MANDATES NOTE, AMENDED (Dept. of Commerce and Community Affairs) This legislation creates a personnel mandate for which reim- bursement of the increased costs to units of local government would be required. However, an estimate of the costs to units of local government is unavailable at this time. HOME RULE NOTE, AMENDED (Dept. of Commerce and Community Affairs) This legislation pre-empts home rule authority. HOUSE AMENDMENT NO. 2. Adds reference to: 5 ILCS 375/3 from Ch. 127, par. 523 5 ILCS 375/10 from Ch. 127, par. 530 5 ILCS 375/6.12 new 30 ILCS 805/8.23 new 55 ILCS 5/5-1069.8 new 65 ILCS 5/10-4-2.8 new 215 ILCS 5/155.36 new 215 ILCS 5/370g from Ch. 73, par. 982g 215 ILCS 5/370s new 215 ILCS 5/511.118 new 215 ILCS 105/8.6 new 215 ILCS 123/15 215 ILCS 123/20 215 ILCS 125/2-2 from Ch. 111 1/2, par. 1404 215 ILCS 125/5-3.6 new 215 ILCS 125/6-7 from Ch. 111 1/2, par. 1418.7 215 ILCS 130/4002.6 new 215 ILCS 165/15.30 new 305 ILCS 5/5-16.12 new Replaces the title and everything after the enacting clause. Creates the Managed Care Reform and Patient Rights Act. Enumerates certain information and quality of care standards to which a patient is entitled. Requires health care plans to disclose to enrollees and prospective enrollees specific information concerning benefits and coverages, emergency services, out-of-area coverages, service area covered, access to specialists, and grievance procedures. Sets forth requirements for continuity of care. Prohibits restraints on communications between health care providers and enrollees and others regarding care alternatives, quality, and utilization review issues. Establishes requirements for access to specialists and the mechanisms for second opinions. Requires health care plans to have a consumer advisory committee made up of enrollees and to establish a quality assessment program. Provides for the registration of utilization review programs. Amends the Health Care Purchasing Group Act to provide that the purchasing group may be formed by 2 or more employers having no more than 500 covered employees each rather than having an aggregate limit of 2,500 covered individuals. Authorizes the sponsorship of health care purchasing groups with up to 100,000 rather than 10,000 covered individuals. Amends the State Employees Group Insurance Plan of 1971, the Counties Code, the Illinois Municipal Code, the Comprehensive Health Insurance Plan Act, the Health Maintenance Organization Act, the Limited Health Service Organization Act, the Voluntary Health Services Plans Act, and the Illinois Public Aid Code to require that health care coverage under those Acts comply with Managed Care Reform and Patient Rights Act. Amends the Illinois Insurance Code to require compliance with provisions of the Managed Care Reform and Patient Rights Act concerning utilization review and complaint procedures. Amends the State Mandates Act to provide reimbursement by the State is not required. Amends the State Employees Group Insurance Act of 1971. Provides that the cost of participation in the basic program of group health benefits for the dependent or survivor of a living or deceased retired employee who was formerly employed by the University of Illinois in the Cooperative Extension Service and would be an annuitant but for the fact that he or she was made ineligible to participate in the State Universities Retirement System by clause (4) of subsection (a) of Section 15-107 of the Illinois Pension Code shall not be greater than the cost of participation that would otherwise apply to that dependent or survivor if he or she were the dependent or survivor of an annuitant under the State Universities Retirement System. Provides that the State will pay the difference. Adds the Southern Illinois Collegiate Common Market to the definition of "unit of local government". Generally effective January 1, 2000. Certain provisions of the State Employees Group Insurance Act of 1971 take effect upon becoming law. Last action on Bill: PUBLIC ACT.............................. 91-0617 Last action date: 99-08-19 Location: Senate Amendments to Bill: AMENDMENTS ADOPTED: HOUSE - 1 SENATE - 0 END OF INQUIRY Full Text Bill Status