92nd General Assembly
Summary of SB1497
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Senate Sponsors:
WALSH,T.

House Sponsors:
FLOWERS-FRANKS-MAY-HOFFMAN-CROTTY

Short description: 
INS UTIL REVIEW ALL INSURERS                                               

Synopsis of Bill as introduced:
        Amends the Illinois Insurance Code.  Provides that all  insurance      
   companies  that  conduct  health care services utilization review must      
   comply with the utilization review requirements of  the  Managed  Care      
   Reform and Patient Rights Act.                                              
        SENATE AMENDMENT NO. 1.                                                
        Replaces  everything  after  the  enacting  clause.   Amends  the      
   Illinois Insurance Code.   Makes  a  technical  change  in  a  Section      
   concerning the applicability of Managed Care Reform and Patient Rights      
   Act.                                                                        
        SENATE AMENDMENT NO. 2.                                                
          Deletes reference to:                                                
          215 ILCS 5/155.36                                                    
          Adds reference to:                                                   
          215 ILCS 134/97 new                                                  
        Replaces  everything  after  the  enacting  clause.   Amends  the      
   Managed Care Reform and Patient Rights Act.  Provides  that  a  health      
   maintenance  organization  is liable for damages for harm to enrollees      
   proximately caused by the failure to exercise ordinary care in  health      
   care   treatment   decisions.    Provides   that   health  maintenance      
   organizations are not  required  to  provide  treatment  that  is  not      
   covered  by  the  health  care  plan.   Does  not  apply  to  workers'      
   compensation coverage.  Effective immediately.                              
        SENATE AMENDMENT NO. 4.                                                
        Provides that the term "health care provider" as used in the bill      
   has the meaning given that term in the Managed Care Reform and Patient      
   Rights Act rather than in the Code of Civil Procedure.  Provides  that      
   a  "health  care  treatment  decision"  is a determination made by the      
   health care plan that affects the quality of treatment or care  rather      
   than  directly determines the diagnosis, treatment, or care.  Provides      
   that the bill does not affect the confidentiality of peer  review  and      
   utilization  review  records.    Removes  a  prohibition  on including      
   certain hold harmless clauses in contracts between health  maintenance      
   organizations and physicians and hospitals.                                 
 
Last action on Bill: SESSION SINE DIE

   Last action date: JAN-07-2003

           Location: Senate

 Amendments to Bill: AMENDMENTS ADOPTED: HOUSE -   0     SENATE -   3


   END OF INQUIRY 



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