The Illinois General Assembly offers the Google Translate™ service for visitor convenience. In no way should it be considered accurate as to the translation of any content herein.
Visitors of the Illinois General Assembly website are encouraged to use other translation services available on the internet.
The English language version is always the official and authoritative version of this website.
NOTE: To return to the original English language version, select the "Show Original" button on the Google Translate™ menu bar at the top of the window.
Synopsis As Introduced Amends the Network Adequacy and Transparency Act. Provides that the Department of Insurance shall determine whether the network plan at each in-network hospital and facility has a sufficient number of hospital-based medical specialists to ensure that covered persons have reasonable and timely access to such in-network physicians and the services they direct or supervise. Defines "hospital-based medical specialists".
Senate Floor Amendment No. 1 Replaces everything after the enacting clause. Amends the Network Adequacy and Transparency Act. Provides that an insurer providing a network plan must file with the Director of Insurance a description of the process for monitoring health plan beneficiaries' timely in-network access to physician specialist services. Provides that an insurer providing a network plan shall file an insurer's monitoring report for each network hospital and facility, which shall include, but is not limited to, the number and percentage of physician providers under contract in each of the specialties of emergency medicine, anesthesiology, radiology, and pathology practicing in the in-network hospital or facility when such providers are not employees of the hospital or facility. Requires every insurer to demonstrate to the Director that each in-network hospital and facility has a sufficient number of hospital-based medical specialists to ensure that covered persons have reasonable and timely access to such in-network physicians and the services they direct or supervise. Defines "hospital-based medical specialists".
This site is maintained for the Illinois General Assembly
by the Legislative Information System, 705 Stratton Building, Springfield, Illinois 62706
Contact ILGA Webmaster