Full Text of HB2846 101st General Assembly
HB2846sam002 101ST GENERAL ASSEMBLY | Sen. Laura Fine Filed: 5/17/2019
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| 1 | | AMENDMENT TO HOUSE BILL 2846
| 2 | | AMENDMENT NO. ______. Amend House Bill 2846 by replacing | 3 | | everything after the enacting clause with the following:
| 4 | | "Section 5. The Illinois Insurance Code is amended by | 5 | | changing Section 356z.25 as follows: | 6 | | (215 ILCS 5/356z.25) | 7 | | Sec. 356z.25. Coverage for treatment of pediatric | 8 | | autoimmune neuropsychiatric disorders associated with | 9 | | streptococcal infections and pediatric acute onset | 10 | | neuropsychiatric syndrome. A group or individual policy of | 11 | | accident and health insurance or managed care plan that is | 12 | | amended, delivered, issued, or renewed after July 18, 2017 (the | 13 | | effective date of Public Act 100-24) shall provide coverage for | 14 | | treatment of pediatric autoimmune neuropsychiatric disorders | 15 | | associated with streptococcal infections and pediatric | 16 | | acute-onset neuropsychiatric syndrome, including, but not |
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| 1 | | limited to, the use of intravenous immunoglobulin therapy. | 2 | | For billing and diagnosis purposes, pediatric autoimmune | 3 | | neuropsychiatric disorders associated with streptococcal | 4 | | infections and pediatric acute onset neuropsychiatric syndrome | 5 | | shall be coded as autoimmune encephalitis until the American | 6 | | Medical Association and the Centers for Medicare and Medicaid | 7 | | Services create and assign a specific code for pediatric | 8 | | autoimmune neuropsychiatric disorders associated with | 9 | | streptococcal infections and pediatric acute onset | 10 | | neuropsychiatric syndrome. Thereafter, pediatric autoimmune | 11 | | neuropsychiatric disorders associated with streptococcal | 12 | | infections and pediatric acute onset neuropsychiatric syndrome | 13 | | may be coded as autoimmune encephalitis, pediatric autoimmune | 14 | | neuropsychiatric disorders associated with streptococcal | 15 | | infections, or pediatric acute onset neuropsychiatric | 16 | | syndrome. | 17 | | If, at any time, the Secretary of the United States | 18 | | Department of Health and Human Services, or its successor | 19 | | agency, promulgates rules or regulations to be published in the | 20 | | Federal Register or publishes a comment in the Federal Register | 21 | | or issues an opinion, guidance, or other action that would | 22 | | require the State, pursuant to any provision of the Patient | 23 | | Protection and Affordable Care Act (Public Law 111-148), | 24 | | including, but not limited to, 42 U.S.C. 18031(d)(3)(B) or any | 25 | | successor provision, to defray the cost of any coverage for | 26 | | pediatric autoimmune neuropsychiatric disorders associated |
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| 1 | | with streptococcal infections and pediatric acute onset | 2 | | neuropsychiatric syndrome outlined in this Section, then the | 3 | | requirement that an insurer cover pediatric autoimmune | 4 | | neuropsychiatric disorders associated with streptococcal | 5 | | infections and pediatric acute onset neuropsychiatric syndrome | 6 | | is inoperative other than any such coverage authorized under | 7 | | Section 1902 of the Social Security Act, 42 U.S.C. 1396a, and | 8 | | the State shall not assume any obligation for the cost of | 9 | | coverage for pediatric autoimmune neuropsychiatric disorders | 10 | | associated with streptococcal infections and pediatric acute | 11 | | onset neuropsychiatric syndrome.
| 12 | | (Source: P.A. 100-24, eff. 7-18-17; 100-863, eff. 8-14-18.)
| 13 | | Section 99. Effective date. This Act takes effect upon | 14 | | becoming law.".
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