KRAUSE-PHELPS-BIGGERT-ERWIN-MULLIGAN, FEIGENHOLTZ AND PERSICO.
ACCESS EMERGENCY MED SERVICES
Synopsis of Bill as introduced:
Creates the Access to Emergency Services Act. Provides that
health insurance plans, as defined, must provide coverage for
emergency services obtained by a covered individual. Provides for
administration by the Department of Insurance. Amends the Illinois
Insurance Code, Comprehensive Health Insurance Plan Act, Health
Maintenance Organization Act, and Illinois Public Aid Code to require
coverage under those Acts for emergency service. Effective
HOUSE AMENDMENT NO. 1.
Provides that certain determinations shall be made by any
physician rather than a physician of the hospital. Deletes provision
requiring payment for emergency medical screening examinations.
FISCAL NOTE, H-AM 1 (Dept. of Insurance)
Hiring of two registered nurses and support staff and equipment
will probably cost in the area of $200,000.
FISCAL NOTE (CMS)
The Dept. of CMS estimates that HB 643 will result in a 1.8 to
2.5 percent increase in HMO cost, which would equate to $4.6
million to $6.2 million.
FISCAL NOTE (Dept. of Public Aid)
The Dept. feels that the assumption of authorization of ser-
vices unless a denial is received within 30 miniutes will lead
to an increase in expenditures. This increase could cause HMO's
doing business with the Dept. to request an increase to the
capitation rate paid to them.
Last action on Bill: SESSION SINE DIE
Last action date: 99-01-12
Amendments to Bill: AMENDMENTS ADOPTED: HOUSE - 1 SENATE - 0
END OF INQUIRY
Full Text Bill Status