102ND GENERAL ASSEMBLY
State of Illinois
2021 and 2022
HB4483

 

Introduced 1/21/2022, by Rep. Stephanie A. Kifowit

 

SYNOPSIS AS INTRODUCED:
 
215 ILCS 5/356z.53 new

    Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance that is amended, delivered, issued, or renewed on or after January 1, 2023 shall for each plan year provide coverage for and shall not impose any cost-sharing requirements for 3 primary care visits and 3 behavioral health care visits. Provides that a health insurer shall ensure that the treatment limitations applicable to the health care visits are no more restrictive than the treatment limitations applied to any other primary care visit or behavioral health care visit covered by the plan or coverage and that there are no separate treatment limitations that are applicable only with respect to the covered visits, and that the reimbursement rates under the plan or coverage for the covered visits are the same as the rates for any other primary care visit or behavioral health care visit covered by the plan or coverage.


LRB102 22103 BMS 31231 b

 

 

A BILL FOR

 

HB4483LRB102 22103 BMS 31231 b

1    AN ACT concerning regulation.
 
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
5adding Section 356z.53 as follows:
 
6    (215 ILCS 5/356z.53 new)
7    Sec. 356z.53. Health care visits; cost sharing.
8    (a) A group or individual policy of accident and health
9insurance that is amended, delivered, issued, or renewed on or
10after January 1, 2023 shall for each plan year provide
11coverage for and shall not impose any cost-sharing
12requirements for:
13        (1) 3 primary care visits; and
14        (2) 3 behavioral health care visits.
15    (b) A health insurer shall ensure that:
16        (1) the treatment limitations applicable to the health
17    care visits described in subsection (a) are no more
18    restrictive than the treatment limitations applied to any
19    other primary care visit or behavioral health care visit
20    covered by the plan or coverage and that there are no
21    separate treatment limitations that are applicable only
22    with respect to the health care visits described in
23    subsection (a); and

 

 

HB4483- 2 -LRB102 22103 BMS 31231 b

1        (2) the reimbursement rates under the plan or the
2    coverage for the health care visits described in
3    subsection (a) are the same as the rates for any other
4    primary care visit or behavioral health care visit covered
5    by the plan or coverage.