SB1875 102ND GENERAL ASSEMBLY

LRB102 15808 BMS 21175 b

102ND GENERAL ASSEMBLY
State of Illinois
2021 and 2022
SB1875

Introduced 2/26/2021, by Sen. Dave Syverson

SYNOPSIS AS INTRODUCED:

5 ILCS 375/6.17 new
20 ILCS 1405/1405-40 new
215 ILCS 5/356z.43 new

Amends the State Employees Group Insurance Act of 1971. Provides that on or after January 1, 2022, any new mandated health insurance coverage of services or payment for specified providers enacted by the General Assembly shall apply only to the benefits provided under the Act. Provides that on or before March 1 of each year, after a one-year period for which the new mandate has been applied, the Department of Central Management Services shall submit a cost-benefit analysis report to the General Assembly. Provides that the report shall include the impact the mandated coverage has had on the state employee group health insurance program, data on costs of such mandated coverage and utilization, and a recommendation as to whether the mandated coverage should continue for the state employee group health insurance program or whether additional utilization and cost data is required. Amends the Department of Insurance Law of the Civil Administrative Code of Illinois. Provides that the Director of Insurance shall not take action or enforce compliance with an act of the General Assembly mandating health insurance coverage for services or payment for specified providers that applies the mandate to any individual or group policy of accident and health insurance unless specified conditions are met. Amends the Illinois Insurance Code to make conforming changes.

FISCAL NOTE ACT MAY APPLY

A BILL FOR

AN ACT concerning regulation.

Be it enacted by the People of the State of Illinois, represented in the General Assembly:

Section 5. The State Employees Group Insurance Act of 1971 is amended by adding Section 6.17 as follows:

(5 ILCS 375/6.17 new)

Sec. 6.17. Mandated health benefits; cost-benefit analysis. Notwithstanding any other provision of law, on or after January 1, 2022, any new mandated health insurance coverage of services or payment for specified providers enacted by the General Assembly shall apply only to the benefits provided under this Act. On or before March 1 of each year, after a one-year period for which the new mandate has been applied under this Act, the Department of Central Management Services shall submit to the General Assembly a cost-benefit analysis report indicating the impact the mandated coverage has had on the program of health benefits under this Act, including data on the costs of such mandated coverage and utilization. The report shall also include a recommendation as to whether the mandated coverage should continue for the program of health benefits under this Act and whether additional utilization and cost data is required.

Section 10. The Department of Insurance Law of the Civil Administrative Code of Illinois is amended by adding Section 1405-40 as follows:

(20 ILCS 1405/1405-40 new)

Sec. 1405-40. Mandated health benefits; limitation on enforcement. The Director of Insurance shall not take action or enforce compliance with an act of the General Assembly mandating health insurance coverage for services or payment for specified providers that applies the mandate to any individual or group policy of accident and health insurance in accordance with the Illinois Insurance Code unless the following conditions are met:

(1) the Department of Central Management Services has recommended continuation of the mandated coverage for the program of health benefits under the State Employees Group Insurance Act of 1971;

(2) a cost-benefit analysis report for the mandate has been prepared by the Department of Central Management Services; and

(3) the mandate has been introduced as a new bill or amendment subject to the necessary approval by the General Assembly.

Section 15. The Illinois Insurance Code is amended by adding Section 356z.43 as follows:

(215 ILCS 5/356z.43 new)

Sec. 356z.43. Mandated health benefits. Notwithstanding any other provision of law, on or after January 1, 2022, any new mandated health insurance coverage of services or payments for specified providers enacted by the General Assembly shall not apply to any individual or group policy of accident and health insurance, except for those available under the State Employees Group Insurance Act of 1971, unless the conditions specified in Section 1405-40 of the Department of Insurance Law of the Civil Administrative Code of Illinois have been met.