Illinois General Assembly - Bill Status for SB2165
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 Bill Status of SB2165  97th General Assembly


Short Description:  INS CD-FACILITY BASED PROVIDER

Senate Sponsors
Sen. Dave Syverson

Last Action
DateChamber Action
  1/8/2013SenateSession Sine Die

Statutes Amended In Order of Appearance
5 ILCS 375/6.11
55 ILCS 5/5-1069.3
65 ILCS 5/10-4-2.3
105 ILCS 5/10-22.3f
215 ILCS 5/356z.3a
215 ILCS 125/5-3from Ch. 111 1/2, par. 1411.2
215 ILCS 165/10from Ch. 32, par. 604


Synopsis As Introduced
If House Bill 5085 of the 96th General Assembly becomes law, amends the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Illinois Insurance Code, the Health Maintenance Organization Act, and the Voluntary Health Services Plans Act to provide that a nonparticipating facility-based physician or provider may bill the beneficiary, insured, or enrollee for services determined by the insurer or health plan to be a noncovered service if the basis for denial is other than lack of medical necessity. Provides that a nonparticipating facility-based physician's or provider's acceptance of payment from an insurer or health plan regarding a claim in dispute prior to the initiation of arbitration shall not bar the initiation of arbitration by the nonparticipating facility-based physician or provider. Provides that nothing in the provision concerning nonparticipating facility-based physicians and providers shall be interpreted to change the prudent layperson provisions with respect to emergency services under the Managed Care Reform and Patient Rights Act. Sets forth provisions concerning arbitration. Effective upon becoming law or on the effective date of House Bill 5085 of the 96th General Assembly, whichever is later.

Actions 
DateChamber Action
  2/10/2011SenateFiled with Secretary by Sen. Dave Syverson
  2/10/2011SenateFirst Reading
  2/10/2011SenateReferred to Assignments
  3/2/2011SenateAssigned to Insurance
  3/10/2011SenatePostponed - Insurance
  3/17/2011SenatePostponed - Insurance
  3/18/2011SenateRule 3-9(a) / Re-referred to Assignments
  1/8/2013SenateSession Sine Die

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