HB5019 95TH GENERAL ASSEMBLY

LRB095 15142 KBJ 41107 b

95TH GENERAL ASSEMBLY
State of Illinois
2007 and 2008
HB5019

Introduced , by Rep. Esther Golar

SYNOPSIS AS INTRODUCED:

215 ILCS 106/65 new
215 ILCS 170/52.5 new
305 ILCS 5/5-5.05 new
330 ILCS 125/37 new

Amends the Children's Health Insurance Program Act, the Covering ALL KIDS Insurance Act, the Illinois Public Aid Code, and the Veterans' Health Insurance Program Act. Provides that the fee schedule for each of these programs must be competitive with those of non-governmental, third-party health insurance programs. Provides that (i) reimbursement for any service must not be lower than Medicare reimbursement in effect on December 31, 2007; (ii) the fee schedule must be decreased or increased every January 1 corresponding to the decrease or increase in the Consumer Price Index for medical care published by the U.S. Bureau of Labor Statistics, but in no case more than 4% per year; and (iii) payment for services must be made within 30 days after receipt of a bill or claim for payment. Effective July 1, 2008.

FISCAL NOTE ACT MAY APPLY

A BILL FOR

AN ACT concerning insurance.

Be it enacted by the People of the State of Illinois, represented in the General Assembly:

Section 5. The Children's Health Insurance Program Act is amended by adding Section 65 as follows:

(215 ILCS 106/65 new)

Sec. 65. Competitive fee schedule. The fee schedule for the Plan must be competitive with those of non-governmental, third-party health insurance programs. Reimbursement for any service must not be lower than Medicare reimbursement in effect on December 31, 2007. The fee schedule must be decreased or increased every January 1 corresponding to the decrease or increase in the Consumer Price Index for medical care published by the U.S. Bureau of Labor Statistics, but in no case more than 4% per year. Payment for services must be made within 30 days after receipt of a bill or claim for payment in accordance with Section 386a of the Illinois Insurance Code.

Section 10. The Covering ALL KIDS Health Insurance Act is amended by adding Section 52.5 as follows:

(215 ILCS 170/52.5 new)

Sec. 52.5. Fee Schedule. The fee schedule for the Covering ALL KIDS Insurance Program must be competitive with those of non-governmental, third-party health insurance programs. Reimbursement for any service must not be lower than Medicare reimbursement in effect on December 31, 2007. The fee schedule must be decreased or increased every January 1 corresponding to the decrease or increase in the Consumer Price Index for medical care published by the U.S. Bureau of Labor Statistics, but in no case more than 4% per year. Payment for services must be made within 30 days after receipt of a bill or claim for payment in accordance with Section 368a of the Illinois Insurance Code.

Section 15. The Illinois Public Aid Code is amended by adding Section 5-5.05 as follows:

(305 ILCS 5/5-5.05 new)

Sec. 5-5.05. Competitive fee schedule. Notwithstanding any other provision of this Article, the fee schedule for the program must be competitive with those of non-governmental, third-party health insurance programs. Reimbursement for any service must not be lower than Medicare reimbursement in effect on December 31, 2007. The fee schedule must be decreased or increased every January 1 corresponding to the decrease or increase in the Consumer Price Index for medical care published by the U.S. Bureau of Labor Statistics, but in no case more than 4% per year. Payment for services must be made within 30 days after receipt of a bill or claim for payment in accordance with Section 368a of the Illinois Insurance Code.

Section 20. The Veterans' Health Insurance Program Act is amended by adding Section 37 as follows:

(330 ILCS 125/37 new)

Sec. 37. Competitive fee schedule. The fee schedule for the Program must be competitive with those of non-governmental, third-party health insurance programs. Reimbursement for any service must not be lower than Medicare reimbursement in effect on December 31, 2007. The fee schedule must be decreased or increased every January 1 corresponding to the decrease or increase in the Consumer Price Index for medical care published by the U.S. Bureau of Labor Statistics, but in no case more than 4% per year. Payment for services must be made within 30 days after receipt of a bill or claim for payment in accordance with Section 386a of the Illinois Insurance Code.

Section 99. Effective date. This Act takes effect July 1, 2008.