Health Care Availability and Access Committee
Filed: 5/13/2008
 
 

 




 

 		












09500SB2486ham001

LRB095 17334 RPM 50691 a






1

AMENDMENT TO SENATE BILL 2486




2
    AMENDMENT NO. ______. Amend Senate Bill 2486 as follows:


 
3
on page 2, by replacing lines 15 through 18 with the following:
4
"participation in a program, or demonstrative compliance with 
5
treatment recommendations as determined by the health insurer 
6
or managed care plan."; and
 
7
on page 3, line 3,  by replacing "shall" with "must"; and
 
8
on page 3, immediately below line 8,  by inserting the 
9
following:
10
    "(e) A plan offering wellness coverage must do the 
11
following:
12
        (i) give participants the opportunity to qualify for 
13
    offered incentives at least once a year;
14
        (ii) allow a reasonable alternative to any individual 
15
    for whom it is unreasonably difficult, due to a medical 
 


 






09500SB2486ham001
- 2 -
LRB095 17334 RPM 50691 a




1
    condition, to satisfy otherwise applicable wellness 
2
    program standards. Plans may seek physician verification 
3
    that health factors make it unreasonably difficult or 
4
    medically inadvisable for the participant to satisfy the 
5
    standards; and
6
        (iii) not provide a total incentive that exceeds 20% of 
7
    the cost of employee-only coverage. The cost of 
8
    employee-only coverage includes both employer and employee 
9
    contributions. For plans offering family coverage, the 20% 
10
    limitation applies to cost of family coverage and applies 
11
    to the entire family."; and
 
12
on page 3, line 9,  by replacing "(e)" with "(f)"; and
 
13
on page 3, immediately below line 11, by inserting the 
14
following:
15
    "(g) Notwithstanding any other rulemaking authority that 
16
may exist, neither the Governor nor any agency or agency head 
17
under the jurisdiction of the Governor has any authority to 
18
make or promulgate rules to implement or enforce the provisions 
19
of this amendatory Act of the 95th General Assembly.  If, 
20
however, the Governor believes that rules are necessary to 
21
implement or enforce the provisions of this amendatory Act of 
22
the 95th General Assembly, the Governor may suggest rules to 
23
the General Assembly by filing them with the Clerk of the House 
24
and the Secretary of the Senate and by requesting that the 
 


 






09500SB2486ham001
- 3 -
LRB095 17334 RPM 50691 a




1
General Assembly authorize such rulemaking by law, enact those 
2
suggested rules into law, or take any other appropriate action 
3
in the General Assembly's discretion.   Nothing contained in this 
4
amendatory Act of the 95th General Assembly shall be 
5
interpreted to grant rulemaking authority under any other 
6
Illinois statute where such authority is not otherwise 
7
explicitly given.  For the purposes of this amendatory Act of 
8
the 95th General Assembly, "rules" is given the meaning 
9
contained in Section 1-70 of the Illinois Administrative 
10
Procedure Act, and "agency" and "agency head" are given the 
11
meanings contained in Sections 1-20 and 1-25 of the Illinois 
12
Administrative Procedure Act to the extent that such 
13
definitions apply to agencies or agency heads under the 
14
jurisdiction of the Governor.".