99TH GENERAL ASSEMBLY
State of Illinois
2015 and 2016
SB1425

 

Introduced 2/20/2015, by Sen. Martin A. Sandoval

 

SYNOPSIS AS INTRODUCED:
 
215 ILCS 5/368g new

    Amends the Illinois Insurance Code. Provides that no insurer that issues an accident and health insurance policy in this State may impose greater fees for copayments, coinsurance, or office visit deductibles for covered services provided by a licensed physical therapist than the fees charged for copayments, coinsurance, and office visit deductibles for the same covered services provided by a licensed primary care physician. Provides that every insurer that issues an accident and health insurance policy in this State that provides coverage for physical therapy shall clearly state in its policies the availability of coverage for physical therapy and all related limitations, conditions, and exclusions.


LRB099 09090 MLM 29280 b

 

 

A BILL FOR

 

SB1425LRB099 09090 MLM 29280 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 368g as follows:
 
6    (215 ILCS 5/368g new)
7    Sec. 368g. Coverage for physical therapy. On and after
8effective date of this amendatory Act of the 99th General
9Assembly, no insurer that amends, delivers, issues, or renews a
10policy of accident and health insurance in this State may
11impose greater fees for copayments, coinsurance, or office
12visit deductibles for covered services provided by a licensed
13physical therapist than the fees charged for copayments,
14coinsurance, and office visit deductibles for the same covered
15services provided by a licensed primary care physician. Every
16insurer that amends, delivers, issues, or renews a policy of
17accident and health insurance in this State that provides
18coverage for physical therapy shall clearly state in its
19policies the availability of coverage for physical therapy and
20all related limitations, conditions, and exclusions.