HB3638sam003 98TH GENERAL ASSEMBLY

Sen. Dan Kotowski

Filed: 5/16/2014

09800HB3638sam003 LRB098 12067 AMC 59711 a

AMENDMENT TO HOUSE BILL 3638

AMENDMENT NO. ______. Amend House Bill 3638, AS AMENDED, with reference to page and line numbers of Senate Amendment No. 2, on page 2, by replacing lines 2 through 4 with the following: "for policies or qualified health plans offered for sale directly to consumers through the Health Insurance Marketplace in Illinois."; and

on page 2, by replacing line 6 with the following: "changing Sections 155.36 and 355a as follows:

(215 ILCS 5/155.36)

Sec. 155.36. Managed Care Reform and Patient Rights Act. Insurance companies that transact the kinds of insurance authorized under Class 1(b) or Class 2(a) of Section 4 of this Code shall comply with Sections 45, 45.1, 45.2, and 85 and the definition of the term "emergency medical condition" in Section 10 of the Managed Care Reform and Patient Rights Act.

(Source: P.A. 96-857, eff. 7-1-10.)"; and

by replacing line 24 on page 6 through line 5 on page 7 with the following: "this subsection (5), no qualified health plans shall be offered for sale directly to consumers through the health insurance marketplace operating in the State in accordance with Sections 1311 and 1321 of the federal Patient Protection and Affordable Care Act of 2010 (Public Law 111-148), as amended by the federal Health Care and Education Reconciliation Act of 2010 (Public Law 111-152), and any amendments thereto, or regulations or guidance issued thereunder (collectively, "the Federal Act"), unless the following information is made"; and

on page 7, lines 8 and 9, by replacing "an up-to-date formulary" with "the most recently published formulary"; and

on page 7, line 15, by replacing "The formulary" with "This information"; and

on page 7, line 21, after "group,", by inserting "if any,"; and

on page 7, line 25, by replacing "a qualified health plan" with "qualified health plans for sale directly to consumers through the health insurance marketplace operating in the State"; and

on page 8, lines 13 and 14, by replacing "qualified health plans offered for sale to consumers" with "qualified health plans offered for sale directly to consumers through the health insurance marketplace operating in this State"; and

on page 11, by replacing lines 1 through 8 with the following: "this Section, no qualified health plans shall be offered for sale directly to consumers through the health insurance marketplace operating in the State in accordance with Sections 1311 and 1321 of the federal Patient Protection and Affordable Care Act of 2010 (Public Law 111-148), as amended by the federal Health Care and Education Reconciliation Act of 2010 (Public Law 111-152), and any amendments thereto, or regulations or guidance issued thereunder (collectively, "the Federal Act"), unless, in addition to the information"; and

on page 11, lines 12 and 13, by replacing "an up-to-date formulary" with "the most recently published formulary"; and

on page 11, line 19, by replacing "The formulary" with "This information"; and

on page 11, line 25, after "group,", by inserting "if any,"; and

on page 13, lines 13 and 14, by replacing "a qualified health plan offered for sale to consumers in this State" with "qualified health plans for sale directly to consumers through the health insurance marketplace operating in the State"; and

on page 14, lines 2 and 3, by replacing "qualified health plans offered for sale to consumers" with "qualified health plans offered for sale directly to consumers through the health insurance marketplace operating in this State"; and

on page 14, line 21, by replacing "because" with "other than because".