HB5317ham002 103RD GENERAL ASSEMBLY

Rep. Robert "Bob" Rita

Filed: 4/19/2024

10300HB5317ham002 LRB103 38524 RPS 71343 a

AMENDMENT TO HOUSE BILL 5317

AMENDMENT NO. ______. Amend House Bill 5317, AS AMENDED, by replacing everything after the enacting clause with the following:

"Section 5. The Uniform Electronic Transactions in Dental Care Billing Act is amended by changing Section 20 as follows:

(215 ILCS 111/20)

Sec. 20. Uniform electronic claims and eligibility transactions required.

(a) Beginning January 1, 2026 2025, no dental plan carrier is required to accept from a dental care provider eligibility for a dental plan transaction or dental care claims or equivalent encounter information transaction except as provided in this Act.

(b) All dental plan carriers and dental care providers must exchange claims and eligibility information electronically using the standard electronic data interchange transactions for claims submissions, payments, and verification of benefits required under the Health Insurance Portability and Accountability Act in order to be compensable by the dental plan carrier.

(Source: P.A. 102-146, eff. 7-23-21.)

Section 99. Effective date. This Act takes effect upon becoming law.".