HB3784 97TH GENERAL ASSEMBLY

LRB097 12105 JDS 56040 b

97TH GENERAL ASSEMBLY
State of Illinois
2011 and 2012
HB3784

Introduced 5/23/2011, by Rep. David R. Leitch

SYNOPSIS AS INTRODUCED:

5 ILCS 375/6.1

from Ch. 127, par. 526.1

Amends the State Employees Group Insurance Act of 1971. Provides that if health benefits coverage is offered under the Act through a health maintenance organization, then (i) at least one participating health maintenance organization must be accessible in each county with 50,000 or fewer inhabitants and (ii) at least 2 participating health maintenance organizations must be accessible in every county with more than 50,000 inhabitants. Specifies that access to an open access plan is not considered access to a health maintenance organization. Effective immediately.

FISCAL NOTE ACT MAY APPLY

A BILL FOR

AN ACT concerning State government.

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

Section 5. The State Employees Group Insurance Act of 1971 is amended by changing Section 6.1 as follows:

(5 ILCS 375/6.1) (from Ch. 127, par. 526.1)

Sec. 6.1. Health maintenance organizations. The program of health benefits may offer as an alternative, available on an optional basis, coverage through health maintenance organizations. That part of the premium for such coverage which is in excess of the amount which would otherwise be paid by the State for the program of health benefits shall be paid by the member who elects such alternative coverage and shall be collected as provided for premiums for other optional coverages.

If a county has 50,000 or fewer inhabitants, then health benefits coverage offered under this Section must provide access to at least one participating health maintenance organization in that county. If a county has more than 50,000 inhabitants, then health benefits coverage offered under this Section must provide access to at least 2 participating health maintenance organizations in that county. For the purposes of this Section, access to an open access plan is not considered access to a health maintenance organization.

However, nothing in this Act shall be construed to permit, after the effective date of this amendatory Act of 1983, the noncontributory portion of any such program to include the expenses of obtaining an abortion, induced miscarriage or induced premature birth unless, in the opinion of a physician, such procedures are necessary for the preservation of the life of the woman seeking such treatment, or except an induced premature birth intended to produce a live viable child and such procedure is necessary for the health of the mother or her unborn child.

(Source: P.A. 85-848.)

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