SCHOENBERG-CAPPARELLI-KRAUSE-KLINGLER-FEIGENHOLTZ, CROSS, MOORE,ANDREA, ERWIN, ACEVEDO, BEAUBIEN, BIGGINS, BOST, BUGIELSKI, BURKE, COULSON, COWLISHAW, CROTTY, CURRY,JULIE, FRITCHEY, GARRETT, GASH, GIGLIO, GRANBERG, HAMOS, HANNIG, HOEFT, HOLBROOK, HOWARD, JONES,LOU, JONES,SHIRLEY, KENNER, LYONS,JOSEPH, MCAULIFFE, MEYER, MOFFITT, MULLIGAN, MURPHY, O'BRIEN, PANKAU, PERSICO, RYDER, SAVIANO, SCOTT, SMITH,MICHAEL, SOMMER, WINTERS, WOJCIK, ZICKUS, LANG, DAVIS,MONIQUE, JOHNSON,TIM, FOWLER, REITZ, BOLAND AND BROSNAHAN. New Act 5 ILCS 375/6.12 new 30 ILCS 805/8.23 new 55 ILCS 5/5-1069.8 new 65 ILCS 5/10-4-2.8 new 215 ILCS 5/155.36 new 215 ILCS 5/370g from Ch. 73, par. 982g 215 ILCS 5/370s new 215 ILCS 5/511.118 new 215 ILCS 105/8.6 new 215 ILCS 123/15 215 ILCS 123/20 215 ILCS 125/2-2 from Ch. 111 1/2, par. 1404 215 ILCS 125/5-3.6 new 215 ILCS 125/6-7 from Ch. 111 1/2, par. 1418.7 215 ILCS 130/4002.6 new 215 ILCS 165/15.30 new 305 ILCS 5/5-16.12 new Creates the Managed Care Patient Rights Act. Enumerates certain information and quality of care standards to which a patient is entitled. Requires health care plans to disclose to enrollees and prospective enrollees specific information concerning benefits and coverages, emergency services, out-of-area coverages, service area covered, access to specialists, and grievance procedures. Sets forth requirements for continuity of care. Prohibits restraints on communications between health care providers and enrollees and others regarding care alternatives, quality, and utilization review issues. Establishes requirements for access to specialists and the mechanisms for second opinions. Requires health care plans to have a consumer advisory committee made up of enrollees and to establish a quality assessment program. Provides for the registration of utilization review programs. Amends the Health Care Purchasing Group Act to provide that a purchasing group may be formed by 2 or more employers having no more than 500 covered employees each rather than having an aggregate limit of 2,500 covered individuals. Authorizes the sponsor- ship of health care purchasing groups with up to 100,000 (rather than 10,000) covered individuals. Amends the State Employees Group Insurance Plan of 1971, the Counties Code, the Illinois Municipal Code, the Comprehensive Health Insurance Plan Act, the Health Maintenance Organization Act, the Limited Health Service Organization Act, the Voluntary Health Services Plans Act, and the Illinois Public Aid Code to require that health care coverage under those Acts comply with Managed Care Patient Rights Act. Amends the Illinois Insurance Code to require compliance with provisions of the Managed Care Patient Rights Act concerning utilization review and complaint procedures. Amends the State Mandates Act to provide reimbursement by the State is not required. Effective January 1, 2000. FISCAL NOTE (Dept. of Insurance) There may be a fiscal impact to the Department that exceeds $200,000. These costs would result from the hiring of addi- tional staff to implement the (UR) program registration pro- vision. Additionally, there would be some cost for the re- structuring of the Dept's database to accommodate for UR firms. 99-02-03 H FIRST READING 99-02-03 H ADDED AS A JOINT SPONSOR CAPPARELLI 99-02-03 H ADDED AS A CO-SPONSOR KRAUSE 99-02-03 H ADDED AS A CO-SPONSOR KLINGLER 99-02-03 H ADDED AS A CO-SPONSOR FEIGENHOLTZ 99-02-03 H ADDED AS A CO-SPONSOR CROSS 99-02-03 H ADDED AS A CO-SPONSOR LOPEZ 99-02-03 H ADDED AS A CO-SPONSOR MOORE,ANDREA 99-02-03 H ADDED AS A CO-SPONSOR ERWIN 99-02-03 H ADDED AS A CO-SPONSOR ACEVEDO 99-02-03 H ADDED AS A CO-SPONSOR BEAUBIEN 99-02-03 H ADDED AS A CO-SPONSOR BIGGINS 99-02-03 H ADDED AS A CO-SPONSOR BOST 99-02-03 H ADDED AS A CO-SPONSOR BRADLEY 99-02-03 H ADDED AS A CO-SPONSOR BUGIELSKI 99-02-03 H ADDED AS A CO-SPONSOR BURKE 99-02-03 H ADDED AS A CO-SPONSOR COULSON 99-02-03 H ADDED AS A CO-SPONSOR COWLISHAW 99-02-03 H ADDED AS A CO-SPONSOR CROTTY 99-02-03 H ADDED AS A CO-SPONSOR CURRY,JULIE 99-02-03 H ADDED AS A CO-SPONSOR DURKIN 99-02-03 H ADDED AS A CO-SPONSOR FRITCHEY 99-02-03 H ADDED AS A CO-SPONSOR GARRETT 99-02-03 H ADDED AS A CO-SPONSOR GASH 99-02-03 H ADDED AS A CO-SPONSOR GIGLIO 99-02-03 H ADDED AS A CO-SPONSOR GRANBERG 99-02-03 H ADDED AS A CO-SPONSOR HAMOS 99-02-03 H ADDED AS A CO-SPONSOR HANNIG 99-02-03 H ADDED AS A CO-SPONSOR HASSERT 99-02-03 H ADDED AS A CO-SPONSOR HOEFT 99-02-03 H ADDED AS A CO-SPONSOR HOLBROOK 99-02-03 H ADDED AS A CO-SPONSOR HOWARD 99-02-03 H ADDED AS A CO-SPONSOR JONES,LOU 99-02-03 H ADDED AS A CO-SPONSOR JONES,SHIRLEY 99-02-03 H ADDED AS A CO-SPONSOR KENNER 99-02-03 H ADDED AS A CO-SPONSOR LINDNER 99-02-03 H ADDED AS A CO-SPONSOR LYONS,JOSEPH 99-02-03 H ADDED AS A CO-SPONSOR MCAULIFFE 99-02-03 H ADDED AS A CO-SPONSOR MEYER 99-02-03 H ADDED AS A CO-SPONSOR MOFFITT 99-02-03 H ADDED AS A CO-SPONSOR MULLIGAN 99-02-03 H ADDED AS A CO-SPONSOR MURPHY 99-02-03 H ADDED AS A CO-SPONSOR NOVAK 99-02-03 H ADDED AS A CO-SPONSOR O'BRIEN 99-02-03 H ADDED AS A CO-SPONSOR PANKAU 99-02-03 H ADDED AS A CO-SPONSOR PERSICO 99-02-03 H ADDED AS A CO-SPONSOR RYDER 99-02-03 H ADDED AS A CO-SPONSOR SAVIANO 99-02-03 H ADDED AS A CO-SPONSOR SCOTT 99-02-03 H ADDED AS A CO-SPONSOR SLONE 99-02-03 H ADDED AS A CO-SPONSOR SMITH,MICHAEL 99-02-03 H ADDED AS A CO-SPONSOR SOMMER 99-02-03 H ADDED AS A CO-SPONSOR WINTERS 99-02-03 H ADDED AS A CO-SPONSOR WOJCIK 99-02-03 H ADDED AS A CO-SPONSOR ZICKUS 99-02-03 H REFERRED TO HOUSE RULES COMMITTEE RULES 99-02-10 H ASSIGNED TO COMMITTEE HEALTH CARE 99-02-10 H ADDED AS A CO-SPONSOR LANG 99-02-10 H ADDED AS A CO-SPONSOR MCGUIRE 99-02-10 H ADDED AS A CO-SPONSOR DAVIS,MONIQUE 99-02-11 H ADDED AS A CO-SPONSOR JOHNSON,TIM 99-02-18 H ADDED AS A CO-SPONSOR FOWLER 99-02-18 H ADDED AS A CO-SPONSOR REITZ 99-02-22 H ADDED AS A CO-SPONSOR FLOWERS 99-02-25 H ADDED AS A CO-SPONSOR BOLAND 99-03-04 H FISCAL NOTE FILED 99-03-04 H COMMITTEE HEALTH CARE 99-03-04 H ADDED AS A CO-SPONSOR BROSNAHAN 99-03-05 H RE-REFERRED TO RULES COMM/RULE 19(A) RULES HRUL 01-01-09 H SESSION SINE DIE END OF INQUIRY Full Text Bill Summary