Full Text of SB0530 95th General Assembly
SB0530 95TH GENERAL ASSEMBLY
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95TH GENERAL ASSEMBLY
State of Illinois
2007 and 2008 SB0530
Introduced 2/8/2007, by Sen. Kwame Raoul SYNOPSIS AS INTRODUCED: |
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215 ILCS 105/14.10 new |
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215 ILCS 106/65 new |
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215 ILCS 170/52.5 new |
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305 ILCS 5/5-5.05 new |
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330 ILCS 125/37 new |
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Amends the Comprehensive Health Insurance Plan Act, 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 January 1, 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, 2007.
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| FISCAL NOTE ACT MAY APPLY | |
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A BILL FOR
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SB0530 |
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LRB095 04855 KBJ 24917 b |
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| AN ACT concerning insurance.
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| Be it enacted by the People of the State of Illinois,
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| represented in the General Assembly:
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| Section 5. The Comprehensive Health Insurance Plan Act is | 5 |
| amended by adding Section 14.10 as follows: | 6 |
| (215 ILCS 105/14.10 new) | 7 |
| Sec. 14.10. Competitive fee schedule. The fee schedule for | 8 |
| the Plan must be competitive with those of non-governmental, | 9 |
| third-party health insurance programs. Reimbursement for any | 10 |
| service must not be lower than Medicare reimbursement in effect | 11 |
| on January 1, 2007. The fee schedule must be decreased or | 12 |
| increased every January 1 corresponding to the decrease or | 13 |
| increase in the Consumer Price Index for medical care published | 14 |
| by the U.S. Bureau of Labor Statistics, but in no case more | 15 |
| than 4% per year. Payment for services must be made within 30 | 16 |
| days after receipt of a bill or claim for payment in accordance | 17 |
| with Section 368a of the Illinois Insurance Code. | 18 |
| Section 10. The Children's Health Insurance Program Act is | 19 |
| amended by adding Section 65 as follows: | 20 |
| (215 ILCS 106/65 new) | 21 |
| Sec. 65. Competitive fee schedule. The fee schedule for the |
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SB0530 |
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LRB095 04855 KBJ 24917 b |
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| 1 |
| Plan must be competitive with those of non-governmental, | 2 |
| third-party health insurance programs. Reimbursement for any | 3 |
| service must not be lower than Medicare reimbursement in effect | 4 |
| on January 1, 2007. The fee schedule must be decreased or | 5 |
| increased every January 1 corresponding to the decrease or | 6 |
| increase in the Consumer Price Index for medical care published | 7 |
| by the U.S. Bureau of Labor Statistics, but in no case more | 8 |
| than 4% per year. Payment for services must be made within 30 | 9 |
| days after receipt of a bill or claim for payment in accordance | 10 |
| with Section 386a of the Illinois Insurance Code. | 11 |
| Section 15. The Covering ALL KIDS Health Insurance Act is | 12 |
| amended by adding Section 52.5 as follows: | 13 |
| (215 ILCS 170/52.5 new) | 14 |
| Sec. 52.5. Fee Schedule. The fee schedule for the Covering | 15 |
| ALL KIDS Insurance Program must be competitive with those of | 16 |
| non-governmental, third-party health insurance programs. | 17 |
| Reimbursement for any service must not be lower than Medicare | 18 |
| reimbursement in effect on January 1, 2007. The fee schedule | 19 |
| must be decreased or increased every January 1 corresponding to | 20 |
| the decrease or increase in the Consumer Price Index for | 21 |
| medical care published by the U.S. Bureau of Labor Statistics, | 22 |
| but in no case more than 4% per year. Payment for services must | 23 |
| be made within 30 days after receipt of a bill or claim for | 24 |
| payment in accordance with Section 368a of the Illinois |
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SB0530 |
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LRB095 04855 KBJ 24917 b |
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| Insurance Code. | 2 |
| Section 20. The Illinois Public Aid Code is amended by | 3 |
| adding Section 5-5.05 as follows: | 4 |
| (305 ILCS 5/5-5.05 new) | 5 |
| Sec. 5-5.05. Competitive fee schedule. Notwithstanding any | 6 |
| other provision of this Article, the fee schedule for the | 7 |
| program must be competitive with those of non-governmental, | 8 |
| third-party health insurance programs. Reimbursement for any | 9 |
| service must not be lower than Medicare reimbursement in effect | 10 |
| on January 1, 2007. The fee schedule must be decreased or | 11 |
| increased every January 1 corresponding to the decrease or | 12 |
| increase in the Consumer Price Index for medical care published | 13 |
| by the U.S. Bureau of Labor Statistics, but in no case more | 14 |
| than 4% per year. Payment for services must be made within 30 | 15 |
| days after receipt of a bill or claim for payment in accordance | 16 |
| with Section 368a of the Illinois Insurance Code.
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| Section 25. The Veterans' Health Insurance Program Act is | 18 |
| amended by adding Section 37 as follows: | 19 |
| (330 ILCS 125/37 new)
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| Sec. 37. Competitive fee schedule. The fee schedule for the | 21 |
| Program must be competitive with those of non-governmental, | 22 |
| third-party health insurance programs. Reimbursement for any |
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SB0530 |
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LRB095 04855 KBJ 24917 b |
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| 1 |
| service must not be lower than Medicare reimbursement in effect | 2 |
| on January 1, 2007. The fee schedule must be decreased or | 3 |
| increased every January 1 corresponding to the decrease or | 4 |
| increase in the Consumer Price Index for medical care published | 5 |
| by the U.S. Bureau of Labor Statistics, but in no case more | 6 |
| than 4% per year. Payment for services must be made within 30 | 7 |
| days after receipt of a bill or claim for payment in accordance | 8 |
| with Section 386a of the Illinois Insurance Code.
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| Section 99. Effective date. This Act takes effect July 1, | 10 |
| 2007.
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