Bill Status of HB 5250   96th General Assembly

Short Description:  INS CD-ACCESS TO CONTRACTS

House Sponsors
Rep. Linda Chapa LaVia

Last Action  View All Actions

DateChamber Action
  1/11/2011HouseSession Sine Die

Statutes Amended In Order of Appearance
215 ILCS 5/368g new

Synopsis As Introduced
Amends the Illinois Insurance Code. Sets forth provisions concerning restrictions on payment and reimbursement. Provides that a contracting entity, insurer, or third-party administrator may not grant access to a provider's health care services and contractual discounts pursuant to a provider network contract or reimburse a physician or other provider on a discounted fee basis for covered services that are provided to an insured unless certain conditions are met. Provides that a party to a preferred provider contract may not sell, lease, or otherwise transfer information regarding the payment or reimbursement terms of the contract without notification to and the authority of the other contracting parties. Sets forth requirements for a contracting entity, insurer, or third-party administrator that grants access to a provider's health care services and contractual discounts pursuant to a provider network contract. Provides that the Department of Insurance shall enforce the provisions concerning restrictions on payment and reimbursement. Sets forth penalties for violations of the Act.

House Committee Amendment No. 1
Deletes everything after the enacting clause. Amends the Illinois Insurance Code to provide that a contracting entity, insurer, or third-party administrator who grants access to a provider's health care services and contractual discounts pursuant to a provider network contract shall identify and provide to the provider, at the time a provider network contract is entered into with a provider, a written or electronic list of all third parties to whom the contracting entity has or will grant access to the provider's health care services and contractual discounts pursuant to a provider network contract.

Actions 
DateChamber Action
  2/3/2010HouseFiled with the Clerk by Rep. Linda Chapa LaVia
  2/3/2010HouseFirst Reading
  2/3/2010HouseReferred to Rules Committee
  2/16/2010HouseAssigned to Insurance Committee
  3/9/2010HouseHouse Committee Amendment No. 1 Filed with Clerk by Insurance Committee
  3/9/2010HouseHouse Committee Amendment No. 1 Adopted in Insurance Committee; by Voice Vote
  3/9/2010HouseMotion Do Pass as Amended - Lost Insurance Committee; 009-011-000
  3/9/2010HouseRemains in Insurance Committee
  3/15/2010HouseRule 19(a) / Re-referred to Rules Committee
  1/11/2011HouseSession Sine Die

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