Date	Chamber	Action
10/21/2009	House	Bill Dead - No Positive Action Taken - Amendatory Veto

Statutes Amended In Order of Appearance

5 ILCS 375/6.11

215 ILCS 5/356z.15 new

215 ILCS 125/5-3

from Ch. 111 1/2, par. 1411.2

Synopsis As Introduced
Amends the State Employees Group Insurance Act of 1971, the Illinois Insurance Code, and the Health Maintenance Organization Act. Provides that a policy or plan that provides coverage for hospital or medical treatment on an expense-incurred basis, may offer wellness coverage that allows for a reward, a health spending account contribution, a reduction in premiums or reduced medical, prescription drug or equipment copayments, coinsurance, or deductibles, or a combination of these incentives. Provides that "wellness coverage" means health care coverage with the primary purpose to engage and motivate the insured or enrollee through: incentives; provision of health education, counseling, and self-management skills; identification of modifiable health risks; and other activities to influence health behavior changes. Provides that the insured or enrollee may be required to provide evidence of participation in a program, or demonstrative compliance with treatment recommendations as determined by the health insurer or managed care plan. Sets forth requirements concerning (1) opportunities for participants to qualify for incentives, (2) alternatives for participants to satisfy applicable wellness program standards where it is unreasonably difficult due to the participant's medical condition, and (3) the ratio of the total incentive monetary amount to the cost of employee-only coverage. Imposes conditions on any rulemaking authority. Makes other changes. Effective January 1, 2010.

Fiscal Note (Dept. of Healthcare & Family Services)

Costs in implementing wellness programs through the various health plans under SEGIA could vary widely. Any direct costs would be a function of what incentives, if any, the State elected to offer (i.e., reduced copays or deductibles). These costs, in turn, would be offset by savings resulting from reduced utilization and liabilities. Savings would be dependent on what wellness programs are offered, the participation level, and whether participation would be voluntary or mandatory. Generally speaking however, wellness programs often require an investment in programs at the beginning of implementation. Savings from the programs are not often realized immediately. The savings are generally based upon the overall health of the group and usually take some time to accrue. Thus, depending on the structure of a wellness program, a short term negative impact to programmatic cash flows would occur.

	Fiscal Note (Financial & Professional Regulation)
	HB 927 has no projected fiscal impact to the Illinois Department of Financial and Professional Regulation.

Senate Committee Amendment No. 1
Provides that individuals who are unable to participate in incentives due to an adverse health factor shall not be penalized based upon an adverse health status. Sets forth a definition of "reasonably designed program". Deletes a provision concerning rulemaking authority.

Senate Floor Amendment No. 2
Deletes references to health spending accounts. Deletes language that provides that the insured or enrollee may be required to provide evidence of demonstrative compliance with treatment recommendations as determined by the health insurer or managed care plan.

Governor Amendatory Veto Message
Recommends adding language amending the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois by creating the Office of the Public Health Advocate, to be headed by a Public Health Advocate appointed by the Governor, within the Department of Public Health to provide specified information and assistance to consumers.

Actions 

Date	Chamber	Action
2/10/2009	House	Filed with the Clerk by Rep. Frank J. Mautino
2/10/2009	House	First Reading
2/10/2009	House	Referred to Rules Committee
2/18/2009	House	Assigned to Insurance Committee
2/24/2009	House	Added Chief Co-Sponsor Rep. Sidney H. Mathias
2/24/2009	House	Do Pass / Short Debate Insurance Committee; 017-000-000
2/25/2009	House	Placed on Calendar 2nd Reading - Short Debate
2/25/2009	House	Added Chief Co-Sponsor Rep. LaShawn K. Ford
3/11/2009	House	Added Chief Co-Sponsor Rep. Elizabeth Coulson
3/23/2009	House	Second Reading - Short Debate
3/23/2009	House	Held on Calendar Order of Second Reading - Short Debate
3/24/2009	House	Fiscal Note Filed
3/24/2009	House	Placed on Calendar Order of 3rd Reading - Short Debate
3/24/2009	House	Third Reading - Short Debate - Passed 114-000-000
3/25/2009	Senate	Arrive in Senate
3/25/2009	Senate	Placed on Calendar Order of First Reading March 26, 2009
3/25/2009	Senate	Chief Senate Sponsor Sen. Dan Kotowski
3/26/2009	Senate	First Reading
3/26/2009	Senate	Referred to Assignments
3/26/2009	Senate	Fiscal Note Filed from the Illinois Department of Financial and Professional Regulation.
4/15/2009	Senate	Assigned to Insurance
4/22/2009	Senate	Added as Alternate Chief Co-Sponsor Sen. Tim Bivins
4/28/2009	Senate	Senate Committee Amendment No. 1 Filed with Secretary by Sen. Dan Kotowski
4/28/2009	Senate	Senate Committee Amendment No. 1 Referred to Assignments
4/29/2009	Senate	Senate Committee Amendment No. 1 Assignments Refers to Insurance
4/30/2009	Senate	Senate Committee Amendment No. 1 Postponed - Insurance
4/30/2009	Senate	Postponed - Insurance
5/6/2009	Senate	Senate Committee Amendment No. 1 Adopted
5/7/2009	Senate	Do Pass as Amended Insurance; 009-000-000
5/7/2009	Senate	Placed on Calendar Order of 2nd Reading May 12, 2009
5/12/2009	Senate	Second Reading
5/12/2009	Senate	Placed on Calendar Order of 3rd Reading May 13, 2009
5/12/2009	Senate	Senate Floor Amendment No. 2 Filed with Secretary by Sen. Dan Kotowski
5/12/2009	Senate	Senate Floor Amendment No. 2 Referred to Assignments
5/13/2009	Senate	Senate Floor Amendment No. 2 Assignments Refers to Insurance
5/13/2009	Senate	Senate Floor Amendment No. 2 Recommend Do Adopt Insurance; 009-000-000
5/13/2009	Senate	Recalled to Second Reading
5/13/2009	Senate	Senate Floor Amendment No. 2 Adopted; Kotowski
5/13/2009	Senate	Placed on Calendar Order of 3rd Reading May 14, 2009
5/15/2009	Senate	Added as Alternate Chief Co-Sponsor Sen. Dale A. Righter
5/15/2009	Senate	Third Reading - Passed; 051-000-000
5/15/2009	House	Arrived in House
5/15/2009	House	Placed on Calendar Order of Concurrence Senate Amendment(s) 1, 2
5/18/2009	House	Senate Committee Amendment No. 1 Motion Filed Concur Rep. Frank J. Mautino
5/18/2009	House	Senate Floor Amendment No. 2 Motion Filed Concur Rep. Frank J. Mautino
5/18/2009	House	Senate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee
5/18/2009	House	Senate Floor Amendment No. 2 Motion to Concur Referred to Rules Committee
5/26/2009	House	Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Rules Committee; 004-000-000
5/26/2009	House	Senate Floor Amendment No. 2 Motion to Concur Recommends Be Adopted Rules Committee; 004-000-000
5/28/2009	House	Senate Committee Amendment No. 1 House Concurs 117-000-000
5/28/2009	House	Senate Floor Amendment No. 2 House Concurs 117-000-000
5/28/2009	House	Passed Both Houses
6/26/2009	House	Sent to the Governor
8/25/2009	House	Governor Amendatory Veto
10/5/2009	House	Placed on Calendar Amendatory Veto October 14, 2009
10/21/2009	House	Bill Dead - No Positive Action Taken - Amendatory Veto

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