Rep. Jack D. Franks
Filed: 4/1/2009
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1 | AMENDMENT TO HOUSE BILL 3861
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2 | AMENDMENT NO. ______. Amend House Bill 3861 by replacing | ||||||
3 | everything after the enacting clause with the following:
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4 | "Section 5. The Illinois Insurance Code is amended by | ||||||
5 | adding Section 370u as follows: | ||||||
6 | (215 ILCS 5/370u new) | ||||||
7 | Sec. 370u. Non-contracted physicians. A group or | ||||||
8 | individual policy of accident and health insurance amended, | ||||||
9 | delivered, issued, or renewed in this State after the effective | ||||||
10 | date of this amendatory Act of the 96th General Assembly that | ||||||
11 | provides incentives for insureds, enrollees, or beneficiaries | ||||||
12 | to seek services from contracted providers must ensure that | ||||||
13 | when an insured, enrollee, or beneficiary has received insurer | ||||||
14 | approval to utilize a contracted hospital for covered services | ||||||
15 | and, due to a lack of reasonable and equitable access to | ||||||
16 | contracted physicians, the services are provided by a |
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1 | non-contracted physician, the covered service is covered at no | ||||||
2 | greater cost to the insured, enrollee, or beneficiary than had | ||||||
3 | the service been provided by a contracted physician. ".
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