Synopsis As Introduced Amends the Illinois Insurance Code. Provides that accident and health insurance policies shall provide coverage for maternity care. Provides that an insurer providing coverage shall ensure that the financial requirements and treatment limitations applicable to maternity benefits are no more restrictive than the predominant requirements and limitations applied to substantially all hospital and medical benefits covered by the policy. Provides that an insurer shall not refuse or limit coverage or charge a different rate for the same coverage solely on the basis that an individual is pregnant or had a previous cesarean delivery. Provides that no company may determine the premium or underwriting through a method that is in any way based upon the gender of any person. Amends the Health Maintenance Organization Act. Provides that every contract or evidence of coverage shall provide coverage for maternity care. Provides that no health maintenance organization shall refuse or limit coverage or charge a different rate for the same coverage solely on the basis that an individual is pregnant or had a previous cesarean delivery. Provides that health maintenance organizations shall be subject to the provisions of the Illinois Insurance Code prohibiting gender rating. Contains a nonacceleration clause. Effective July 1, 2010.
Fiscal Note (Dept. of Public Health)
The State of Illinois Central Management Group Insurance does not consider maternity a pre-existing condition. The Illinois Department of Public Health employees would not be impacted by HB 6061.
Fiscal Note (Dept of Insurance)
HB 6061 has no projected fiscal impact to the Illinois Department of Insurance.
Fiscal Note (Dept. of Healthcare & Family Services)
HB 6061 has no impact on the Department of Healthcare and Family Services.
State Mandates Fiscal Note (Dept. of Commerce & Economic Opportunity)