99TH GENERAL ASSEMBLY
State of Illinois
2015 and 2016
SB1331

 

Introduced 2/18/2015, by Sen. Martin A. Sandoval

 

SYNOPSIS AS INTRODUCED:
 
215 ILCS 5/356z.3b new

    Amends the Illinois Insurance Code. Provides that a health benefit plan or health carrier, including, but not limited to, a preferred provider organization, an independent physician association, a third-party administrator, or any entity that contracts with licensed health care providers shall not impose any fixed co-payment that exceeds 50% of the total billed charges for health care services provided to an insured or enrolled during a visit to a health care provider.


LRB099 09512 MLM 29720 b

 

 

A BILL FOR

 

SB1331LRB099 09512 MLM 29720 b

1    AN ACT concerning insurance.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Illinois Insurance Code is amended by adding
5Section 356z.3b as follows:
 
6    (215 ILCS 5/356z.3b new)
7    Sec. 356z.3b. Health care services copayments. A health
8benefit plan or health carrier, including, but not limited to,
9a preferred provider organization, an independent physician
10association, a third-party administrator, or any entity that
11contracts with licensed health care providers shall not impose
12any fixed co-payment that exceeds 50% of the total billed
13charges for health care services provided to an insured or
14enrolled during a visit to a health care provider.