Bill Status of HB 1284   98th General Assembly

Short Description:  EXCLUSIVE PROVIDER BNFT PLANS

House Sponsors
Rep. Lou Lang

Last Action  View All Actions

DateChamber Action
  12/3/2014HouseSession Sine Die

Statutes Amended In Order of Appearance
New Act
5 ILCS 140/7.5

Synopsis As Introduced
Creates the Exclusive Provider Benefit Plan Act. Provides that an exclusive provider benefit plan that meets the requirements of the Act shall be permitted. Provides that to the extent of any conflict between the provision permitting exclusive provider benefit plans and any other statutory provision, the provision permitting exclusive provider benefit plans prevails over the conflicting provision. Provides that an insurer duly licensed under the laws of this State may offer exclusive provider benefit plans to individuals and group health plans in conformity with the terms set forth in the provision concerning the applicability of the Act. Provides that an insurer shall not be required to be licensed as an HMO under the Health Maintenance Organization Act in order to offer exclusive provider benefit plans under the provision concerning the applicability of the Act. Sets forth provisions concerning the applicability of the Health Carrier External Review Act; the construction of the Exclusive Provider Benefit Plan Act; providing information to enrollees and prospective enrollees; the availability of exclusive providers; notice of nonrenewal or termination; transitions of service and continuity of care; prohibitions; exclusive provider benefit plan's access to specialists; health care services appeals, complaints, and external independent reviews; emergency services prior to stabilization; post-stabilization medical services; quality assessment programs; utilization review; and qualifying examinations of insurers and fees. Amends the Freedom of Information Act to establish an exemption for all identified or deidentified health information due to the Department's administration of the Exclusive Provider Benefit Plan Act. Effective immediately.

Actions 
DateChamber Action
  2/5/2013HouseFiled with the Clerk by Rep. Lou Lang
  2/5/2013HouseFirst Reading
  2/5/2013HouseReferred to Rules Committee
  2/13/2013HouseAssigned to Insurance Committee
  3/19/2013HouseDo Pass / Short Debate Insurance Committee; 026-000-000
  3/20/2013HousePlaced on Calendar 2nd Reading - Short Debate
  4/18/2013HouseSecond Reading - Short Debate
  4/18/2013HouseHeld on Calendar Order of Second Reading - Short Debate
  4/19/2013HouseRule 19(a) / Re-referred to Rules Committee
  12/3/2014HouseSession Sine Die

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