Public Act 095-0520
Public Act 0520 95TH GENERAL ASSEMBLY
|
Public Act 095-0520 |
SB0935 Enrolled |
LRB095 05753 KBJ 25843 b |
|
| AN ACT concerning health.
| Be it enacted by the People of the State of Illinois,
| represented in the General Assembly:
| Section 5. The State Employees Group Insurance Act of 1971 | is amended by changing Section 6.11 as follows:
| (5 ILCS 375/6.11)
| Sec. 6.11. Required health benefits; Illinois Insurance | Code
requirements. The program of health
benefits shall provide | the post-mastectomy care benefits required to be covered
by a | policy of accident and health insurance under Section 356t of | the Illinois
Insurance Code. The program of health benefits | shall provide the coverage
required under Sections 356u, 356w, | 356x, 356z.2, 356z.4, and 356z.6 , and 356z.9 of the
Illinois | Insurance Code.
The program of health benefits must comply with | Section 155.37 of the
Illinois Insurance Code.
| (Source: P.A. 92-440, eff. 8-17-01; 92-764, eff. 1-1-03; | 93-102, eff. 1-1-04; 93-853, eff. 1-1-05.)
| Section 10. The Counties Code is amended by changing | Section 5-1069.3 as follows: | (55 ILCS 5/5-1069.3)
| Sec. 5-1069.3. Required health benefits. If a county, |
| including a home
rule
county, is a self-insurer for purposes of | providing health insurance coverage
for its employees, the | coverage shall include coverage for the post-mastectomy
care | benefits required to be covered by a policy of accident and | health
insurance under Section 356t and the coverage required | under Sections 356u,
356w, 356x ,
and 356z.6 , and 356z.9 of
the | Illinois Insurance Code. The requirement that health benefits | be covered
as provided in this Section is an
exclusive power | and function of the State and is a denial and limitation under
| Article VII, Section 6, subsection (h) of the Illinois | Constitution. A home
rule county to which this Section applies | must comply with every provision of
this Section.
| (Source: P.A. 93-853, eff. 1-1-05.)
| Section 15. The Illinois Municipal Code is amended by | changing Section 10-4-2.3 as follows: | (65 ILCS 5/10-4-2.3)
| Sec. 10-4-2.3. Required health benefits. If a | municipality, including a
home rule municipality, is a | self-insurer for purposes of providing health
insurance | coverage for its employees, the coverage shall include coverage | for
the post-mastectomy care benefits required to be covered by | a policy of
accident and health insurance under Section 356t | and the coverage required
under Sections 356u, 356w, 356x ,
and
| 356z.6 , and 356z.9 of the Illinois
Insurance
Code. The |
| requirement that health
benefits be covered as provided in this | is an exclusive power and function of
the State and is a denial | and limitation under Article VII, Section 6,
subsection (h) of | the Illinois Constitution. A home rule municipality to which
| this Section applies must comply with every provision of this | Section.
| (Source: P.A. 93-853, eff. 1-1-05.)
| Section 20. The Illinois Insurance Code is amended by | adding Section 356z.9 as follows: | (215 ILCS 5/356z.9 new) | Sec. 356z.9. Amino acid-based elemental formulas. | A group or individual major medical accident and health | insurance policy or managed care plan amended, delivered, | issued, or renewed after the effective date of this amendatory | Act of the 95th General Assembly must provide coverage and | reimbursement for amino acid-based elemental formulas, | regardless of delivery method, for the diagnosis and treatment | of (i) eosinophilic disorders and (ii) short bowel syndrome | when the prescribing physician has issued a written order | stating that the amino acid-based elemental formula is | medically necessary. | Section 25. The Health Maintenance Organization Act is | amended by changing Section 5-3 as follows:
|
| (215 ILCS 125/5-3) (from Ch. 111 1/2, par. 1411.2)
| Sec. 5-3. Insurance Code provisions.
| (a) Health Maintenance Organizations
shall be subject to | the provisions of Sections 133, 134, 137, 140, 141.1,
141.2, | 141.3, 143, 143c, 147, 148, 149, 151,
152, 153, 154, 154.5, | 154.6,
154.7, 154.8, 155.04, 355.2, 356m, 356v, 356w, 356x, | 356y,
356z.2, 356z.4, 356z.5, 356z.6, 356z.8, 356z.9, 364.01, | 367.2, 367.2-5, 367i, 368a, 368b, 368c, 368d, 368e, 370c,
401, | 401.1, 402, 403, 403A,
408, 408.2, 409, 412, 444,
and
444.1,
| paragraph (c) of subsection (2) of Section 367, and Articles | IIA, VIII 1/2,
XII,
XII 1/2, XIII, XIII 1/2, XXV, and XXVI of | the Illinois Insurance Code.
| (b) For purposes of the Illinois Insurance Code, except for | Sections 444
and 444.1 and Articles XIII and XIII 1/2, Health | Maintenance Organizations in
the following categories are | deemed to be "domestic companies":
| (1) a corporation authorized under the
Dental Service | Plan Act or the Voluntary Health Services Plans Act;
| (2) a corporation organized under the laws of this | State; or
| (3) a corporation organized under the laws of another | state, 30% or more
of the enrollees of which are residents | of this State, except a
corporation subject to | substantially the same requirements in its state of
| organization as is a "domestic company" under Article VIII |
| 1/2 of the
Illinois Insurance Code.
| (c) In considering the merger, consolidation, or other | acquisition of
control of a Health Maintenance Organization | pursuant to Article VIII 1/2
of the Illinois Insurance Code,
| (1) the Director shall give primary consideration to | the continuation of
benefits to enrollees and the financial | conditions of the acquired Health
Maintenance Organization | after the merger, consolidation, or other
acquisition of | control takes effect;
| (2)(i) the criteria specified in subsection (1)(b) of | Section 131.8 of
the Illinois Insurance Code shall not | apply and (ii) the Director, in making
his determination | with respect to the merger, consolidation, or other
| acquisition of control, need not take into account the | effect on
competition of the merger, consolidation, or | other acquisition of control;
| (3) the Director shall have the power to require the | following
information:
| (A) certification by an independent actuary of the | adequacy
of the reserves of the Health Maintenance | Organization sought to be acquired;
| (B) pro forma financial statements reflecting the | combined balance
sheets of the acquiring company and | the Health Maintenance Organization sought
to be | acquired as of the end of the preceding year and as of | a date 90 days
prior to the acquisition, as well as pro |
| forma financial statements
reflecting projected | combined operation for a period of 2 years;
| (C) a pro forma business plan detailing an | acquiring party's plans with
respect to the operation | of the Health Maintenance Organization sought to
be | acquired for a period of not less than 3 years; and
| (D) such other information as the Director shall | require.
| (d) The provisions of Article VIII 1/2 of the Illinois | Insurance Code
and this Section 5-3 shall apply to the sale by | any health maintenance
organization of greater than 10% of its
| enrollee population (including without limitation the health | maintenance
organization's right, title, and interest in and to | its health care
certificates).
| (e) In considering any management contract or service | agreement subject
to Section 141.1 of the Illinois Insurance | Code, the Director (i) shall, in
addition to the criteria | specified in Section 141.2 of the Illinois
Insurance Code, take | into account the effect of the management contract or
service | agreement on the continuation of benefits to enrollees and the
| financial condition of the health maintenance organization to | be managed or
serviced, and (ii) need not take into account the | effect of the management
contract or service agreement on | competition.
| (f) Except for small employer groups as defined in the | Small Employer
Rating, Renewability and Portability Health |
| Insurance Act and except for
medicare supplement policies as | defined in Section 363 of the Illinois
Insurance Code, a Health | Maintenance Organization may by contract agree with a
group or | other enrollment unit to effect refunds or charge additional | premiums
under the following terms and conditions:
| (i) the amount of, and other terms and conditions with | respect to, the
refund or additional premium are set forth | in the group or enrollment unit
contract agreed in advance | of the period for which a refund is to be paid or
| additional premium is to be charged (which period shall not | be less than one
year); and
| (ii) the amount of the refund or additional premium | shall not exceed 20%
of the Health Maintenance | Organization's profitable or unprofitable experience
with | respect to the group or other enrollment unit for the | period (and, for
purposes of a refund or additional | premium, the profitable or unprofitable
experience shall | be calculated taking into account a pro rata share of the
| Health Maintenance Organization's administrative and | marketing expenses, but
shall not include any refund to be | made or additional premium to be paid
pursuant to this | subsection (f)). The Health Maintenance Organization and | the
group or enrollment unit may agree that the profitable | or unprofitable
experience may be calculated taking into | account the refund period and the
immediately preceding 2 | plan years.
|
| The Health Maintenance Organization shall include a | statement in the
evidence of coverage issued to each enrollee | describing the possibility of a
refund or additional premium, | and upon request of any group or enrollment unit,
provide to | the group or enrollment unit a description of the method used | to
calculate (1) the Health Maintenance Organization's | profitable experience with
respect to the group or enrollment | unit and the resulting refund to the group
or enrollment unit | or (2) the Health Maintenance Organization's unprofitable
| experience with respect to the group or enrollment unit and the | resulting
additional premium to be paid by the group or | enrollment unit.
| In no event shall the Illinois Health Maintenance | Organization
Guaranty Association be liable to pay any | contractual obligation of an
insolvent organization to pay any | refund authorized under this Section.
| (Source: P.A. 93-102, eff. 1-1-04; 93-261, eff. 1-1-04; 93-477, | eff. 8-8-03; 93-529, eff. 8-14-03; 93-853, eff. 1-1-05; | 93-1000, eff. 1-1-05; 94-906, eff. 1-1-07; 94-1076, eff. | 12-29-06; revised 1-5-07.)
| Section 30. The Limited Health Service Organization Act is | amended by changing Section 4003 as follows:
| (215 ILCS 130/4003) (from Ch. 73, par. 1504-3)
| Sec. 4003. Illinois Insurance Code provisions. Limited |
| health service
organizations shall be subject to the provisions | of Sections 133, 134, 137,
140, 141.1, 141.2, 141.3, 143, 143c, | 147, 148, 149, 151, 152, 153, 154, 154.5,
154.6, 154.7, 154.8, | 155.04, 155.37, 355.2, 356v, 356z.9, 368a, 401, 401.1,
402,
| 403, 403A, 408,
408.2, 409, 412, 444, and 444.1 and Articles | IIA, VIII 1/2, XII, XII 1/2,
XIII,
XIII 1/2, XXV, and XXVI of | the Illinois Insurance Code. For purposes of the
Illinois | Insurance Code, except for Sections 444 and 444.1 and Articles | XIII
and XIII 1/2, limited health service organizations in the | following categories
are deemed to be domestic companies:
| (1) a corporation under the laws of this State; or
| (2) a corporation organized under the laws of another | state, 30% of more
of the enrollees of which are residents | of this State, except a corporation
subject to | substantially the same requirements in its state of | organization as
is a domestic company under Article VIII | 1/2 of the Illinois Insurance Code.
| (Source: P.A. 91-549, eff. 8-14-99; 91-605, eff. 12-14-99; | 91-788, eff.
6-9-00; 92-440, eff. 8-17-01.)
| Section 35. The Voluntary Health Services Plans Act is | amended by changing Section 10 as follows:
| (215 ILCS 165/10) (from Ch. 32, par. 604)
| Sec. 10. Application of Insurance Code provisions. Health | services
plan corporations and all persons interested therein |
| or dealing therewith
shall be subject to the provisions of | Articles IIA and XII 1/2 and Sections
3.1, 133, 140, 143, 143c, | 149, 155.37, 354, 355.2, 356r, 356t, 356u, 356v,
356w, 356x, | 356y, 356z.1, 356z.2, 356z.4, 356z.5, 356z.6, 356z.8, 356z.9,
| 364.01, 367.2, 368a, 401, 401.1,
402,
403, 403A, 408,
408.2, | and 412, and paragraphs (7) and (15) of Section 367 of the | Illinois
Insurance Code.
| (Source: P.A. 93-102, eff. 1-1-04; 93-529, eff. 8-14-03; | 93-853, eff. 1-1-05; 93-1000, eff. 1-1-05; 94-1076, eff. | 12-29-06.)
| Section 40. The Illinois Public Aid Code is amended by | changing Section 5-5 as follows: | (305 ILCS 5/5-5) (from Ch. 23, par. 5-5)
| Sec. 5-5. Medical services. The Illinois Department, by | rule, shall
determine the quantity and quality of and the rate | of reimbursement for the
medical assistance for which
payment | will be authorized, and the medical services to be provided,
| which may include all or part of the following: (1) inpatient | hospital
services; (2) outpatient hospital services; (3) other | laboratory and
X-ray services; (4) skilled nursing home | services; (5) physicians'
services whether furnished in the | office, the patient's home, a
hospital, a skilled nursing home, | or elsewhere; (6) medical care, or any
other type of remedial | care furnished by licensed practitioners; (7)
home health care |
| services; (8) private duty nursing service; (9) clinic
| services; (10) dental services, including prevention and | treatment of periodontal disease and dental caries disease for | pregnant women; (11) physical therapy and related
services; | (12) prescribed drugs, dentures, and prosthetic devices; and
| eyeglasses prescribed by a physician skilled in the diseases of | the eye,
or by an optometrist, whichever the person may select; | (13) other
diagnostic, screening, preventive, and | rehabilitative services; (14)
transportation and such other | expenses as may be necessary; (15) medical
treatment of sexual | assault survivors, as defined in
Section 1a of the Sexual | Assault Survivors Emergency Treatment Act, for
injuries | sustained as a result of the sexual assault, including
| examinations and laboratory tests to discover evidence which | may be used in
criminal proceedings arising from the sexual | assault; (16) the
diagnosis and treatment of sickle cell | anemia; and (17)
any other medical care, and any other type of | remedial care recognized
under the laws of this State, but not | including abortions, or induced
miscarriages or premature | births, unless, in the opinion of a physician,
such procedures | are necessary for the preservation of the life of the
woman | seeking such treatment, or except an induced premature birth
| intended to produce a live viable child and such procedure is | necessary
for the health of the mother or her unborn child. The | Illinois Department,
by rule, shall prohibit any physician from | providing medical assistance
to anyone eligible therefor under |
| this Code where such physician has been
found guilty of | performing an abortion procedure in a wilful and wanton
manner | upon a woman who was not pregnant at the time such abortion
| procedure was performed. The term "any other type of remedial | care" shall
include nursing care and nursing home service for | persons who rely on
treatment by spiritual means alone through | prayer for healing.
| Notwithstanding any other provision of this Section, a | comprehensive
tobacco use cessation program that includes | purchasing prescription drugs or
prescription medical devices | approved by the Food and Drug administration shall
be covered | under the medical assistance
program under this Article for | persons who are otherwise eligible for
assistance under this | Article.
| Notwithstanding any other provision of this Code, the | Illinois
Department may not require, as a condition of payment | for any laboratory
test authorized under this Article, that a | physician's handwritten signature
appear on the laboratory | test order form. The Illinois Department may,
however, impose | other appropriate requirements regarding laboratory test
order | documentation.
| The Illinois Department of Healthcare and Family Services
| Public Aid shall provide the following services to
persons
| eligible for assistance under this Article who are | participating in
education, training or employment programs | operated by the Department of Human
Services as successor to |
| the Department of Public Aid:
| (1) dental services, which shall include but not be | limited to
prosthodontics; and
| (2) eyeglasses prescribed by a physician skilled in the | diseases of the
eye, or by an optometrist, whichever the | person may select.
| The Illinois Department, by rule, may distinguish and | classify the
medical services to be provided only in accordance | with the classes of
persons designated in Section 5-2.
| The Department of Healthcare and Family Services must | provide coverage and reimbursement for amino acid-based | elemental formulas, regardless of delivery method, for the | diagnosis and treatment of (i) eosinophilic disorders and (ii) | short bowel syndrome when the prescribing physician has issued | a written order stating that the amino acid-based elemental | formula is medically necessary.
| The Illinois Department shall authorize the provision of, | and shall
authorize payment for, screening by low-dose | mammography for the presence of
occult breast cancer for women | 35 years of age or older who are eligible
for medical | assistance under this Article, as follows: a baseline
mammogram | for women 35 to 39 years of age and an
annual mammogram for | women 40 years of age or older. All screenings
shall
include a | physical breast exam, instruction on self-examination and
| information regarding the frequency of self-examination and | its value as a
preventative tool. As used in this Section, |
| "low-dose mammography" means
the x-ray examination of the | breast using equipment dedicated specifically
for mammography, | including the x-ray tube, filter, compression device,
image | receptor, and cassettes, with an average radiation exposure | delivery
of less than one rad mid-breast, with 2 views for each | breast.
| Any medical or health care provider shall immediately | recommend, to
any pregnant woman who is being provided prenatal | services and is suspected
of drug abuse or is addicted as | defined in the Alcoholism and Other Drug Abuse
and Dependency | Act, referral to a local substance abuse treatment provider
| licensed by the Department of Human Services or to a licensed
| hospital which provides substance abuse treatment services. | The Department of Healthcare and Family Services
Public Aid
| shall assure coverage for the cost of treatment of the drug | abuse or
addiction for pregnant recipients in accordance with | the Illinois Medicaid
Program in conjunction with the | Department of Human Services.
| All medical providers providing medical assistance to | pregnant women
under this Code shall receive information from | the Department on the
availability of services under the Drug | Free Families with a Future or any
comparable program providing | case management services for addicted women,
including | information on appropriate referrals for other social services
| that may be needed by addicted women in addition to treatment | for addiction.
|
| The Illinois Department, in cooperation with the | Departments of Human
Services (as successor to the Department | of Alcoholism and Substance
Abuse) and Public Health, through a | public awareness campaign, may
provide information concerning | treatment for alcoholism and drug abuse and
addiction, prenatal | health care, and other pertinent programs directed at
reducing | the number of drug-affected infants born to recipients of | medical
assistance.
| Neither the Illinois Department of Healthcare and Family | Services
Public Aid nor the Department of Human
Services shall | sanction the recipient solely on the basis of
her substance | abuse.
| The Illinois Department shall establish such regulations | governing
the dispensing of health services under this Article | as it shall deem
appropriate. The Department
should
seek the | advice of formal professional advisory committees appointed by
| the Director of the Illinois Department for the purpose of | providing regular
advice on policy and administrative matters, | information dissemination and
educational activities for | medical and health care providers, and
consistency in | procedures to the Illinois Department.
| The Illinois Department may develop and contract with | Partnerships of
medical providers to arrange medical services | for persons eligible under
Section 5-2 of this Code. | Implementation of this Section may be by
demonstration projects | in certain geographic areas. The Partnership shall
be |
| represented by a sponsor organization. The Department, by rule, | shall
develop qualifications for sponsors of Partnerships. | Nothing in this
Section shall be construed to require that the | sponsor organization be a
medical organization.
| The sponsor must negotiate formal written contracts with | medical
providers for physician services, inpatient and | outpatient hospital care,
home health services, treatment for | alcoholism and substance abuse, and
other services determined | necessary by the Illinois Department by rule for
delivery by | Partnerships. Physician services must include prenatal and
| obstetrical care. The Illinois Department shall reimburse | medical services
delivered by Partnership providers to clients | in target areas according to
provisions of this Article and the | Illinois Health Finance Reform Act,
except that:
| (1) Physicians participating in a Partnership and | providing certain
services, which shall be determined by | the Illinois Department, to persons
in areas covered by the | Partnership may receive an additional surcharge
for such | services.
| (2) The Department may elect to consider and negotiate | financial
incentives to encourage the development of | Partnerships and the efficient
delivery of medical care.
| (3) Persons receiving medical services through | Partnerships may receive
medical and case management | services above the level usually offered
through the | medical assistance program.
|
| Medical providers shall be required to meet certain | qualifications to
participate in Partnerships to ensure the | delivery of high quality medical
services. These | qualifications shall be determined by rule of the Illinois
| Department and may be higher than qualifications for | participation in the
medical assistance program. Partnership | sponsors may prescribe reasonable
additional qualifications | for participation by medical providers, only with
the prior | written approval of the Illinois Department.
| Nothing in this Section shall limit the free choice of | practitioners,
hospitals, and other providers of medical | services by clients.
In order to ensure patient freedom of | choice, the Illinois Department shall
immediately promulgate | all rules and take all other necessary actions so that
provided | services may be accessed from therapeutically certified | optometrists
to the full extent of the Illinois Optometric | Practice Act of 1987 without
discriminating between service | providers.
| The Department shall apply for a waiver from the United | States Health
Care Financing Administration to allow for the | implementation of
Partnerships under this Section.
| The Illinois Department shall require health care | providers to maintain
records that document the medical care | and services provided to recipients
of Medical Assistance under | this Article. The Illinois Department shall
require health care | providers to make available, when authorized by the
patient, in |
| writing, the medical records in a timely fashion to other
| health care providers who are treating or serving persons | eligible for
Medical Assistance under this Article. All | dispensers of medical services
shall be required to maintain | and retain business and professional records
sufficient to | fully and accurately document the nature, scope, details and
| receipt of the health care provided to persons eligible for | medical
assistance under this Code, in accordance with | regulations promulgated by
the Illinois Department. The rules | and regulations shall require that proof
of the receipt of | prescription drugs, dentures, prosthetic devices and
| eyeglasses by eligible persons under this Section accompany | each claim
for reimbursement submitted by the dispenser of such | medical services.
No such claims for reimbursement shall be | approved for payment by the Illinois
Department without such | proof of receipt, unless the Illinois Department
shall have put | into effect and shall be operating a system of post-payment
| audit and review which shall, on a sampling basis, be deemed | adequate by
the Illinois Department to assure that such drugs, | dentures, prosthetic
devices and eyeglasses for which payment | is being made are actually being
received by eligible | recipients. Within 90 days after the effective date of
this | amendatory Act of 1984, the Illinois Department shall establish | a
current list of acquisition costs for all prosthetic devices | and any
other items recognized as medical equipment and | supplies reimbursable under
this Article and shall update such |
| list on a quarterly basis, except that
the acquisition costs of | all prescription drugs shall be updated no
less frequently than | every 30 days as required by Section 5-5.12.
| The rules and regulations of the Illinois Department shall | require
that a written statement including the required opinion | of a physician
shall accompany any claim for reimbursement for | abortions, or induced
miscarriages or premature births. This | statement shall indicate what
procedures were used in providing | such medical services.
| The Illinois Department shall require all dispensers of | medical
services, other than an individual practitioner or | group of practitioners,
desiring to participate in the Medical | Assistance program
established under this Article to disclose | all financial, beneficial,
ownership, equity, surety or other | interests in any and all firms,
corporations, partnerships, | associations, business enterprises, joint
ventures, agencies, | institutions or other legal entities providing any
form of | health care services in this State under this Article.
| The Illinois Department may require that all dispensers of | medical
services desiring to participate in the medical | assistance program
established under this Article disclose, | under such terms and conditions as
the Illinois Department may | by rule establish, all inquiries from clients
and attorneys | regarding medical bills paid by the Illinois Department, which
| inquiries could indicate potential existence of claims or liens | for the
Illinois Department.
|
| Enrollment of a vendor that provides non-emergency medical | transportation,
defined by the Department by rule,
shall be
| conditional for 180 days. During that time, the Department of | Healthcare and Family Services
Public Aid may
terminate the | vendor's eligibility to participate in the medical assistance
| program without cause. That termination of eligibility is not | subject to the
Department's hearing process.
| The Illinois Department shall establish policies, | procedures,
standards and criteria by rule for the acquisition, | repair and replacement
of orthotic and prosthetic devices and | durable medical equipment. Such
rules shall provide, but not be | limited to, the following services: (1)
immediate repair or | replacement of such devices by recipients without
medical | authorization; and (2) rental, lease, purchase or | lease-purchase of
durable medical equipment in a | cost-effective manner, taking into
consideration the | recipient's medical prognosis, the extent of the
recipient's | needs, and the requirements and costs for maintaining such
| equipment. Such rules shall enable a recipient to temporarily | acquire and
use alternative or substitute devices or equipment | pending repairs or
replacements of any device or equipment | previously authorized for such
recipient by the Department.
| The Department shall execute, relative to the nursing home | prescreening
project, written inter-agency agreements with the | Department of Human
Services and the Department on Aging, to | effect the following: (i) intake
procedures and common |
| eligibility criteria for those persons who are receiving
| non-institutional services; and (ii) the establishment and | development of
non-institutional services in areas of the State | where they are not currently
available or are undeveloped.
| The Illinois Department shall develop and operate, in | cooperation
with other State Departments and agencies and in | compliance with
applicable federal laws and regulations, | appropriate and effective
systems of health care evaluation and | programs for monitoring of
utilization of health care services | and facilities, as it affects
persons eligible for medical | assistance under this Code.
| The Illinois Department shall report annually to the | General Assembly,
no later than the second Friday in April of | 1979 and each year
thereafter, in regard to:
| (a) actual statistics and trends in utilization of | medical services by
public aid recipients;
| (b) actual statistics and trends in the provision of | the various medical
services by medical vendors;
| (c) current rate structures and proposed changes in | those rate structures
for the various medical vendors; and
| (d) efforts at utilization review and control by the | Illinois Department.
| The period covered by each report shall be the 3 years | ending on the June
30 prior to the report. The report shall | include suggested legislation
for consideration by the General | Assembly. The filing of one copy of the
report with the |
| Speaker, one copy with the Minority Leader and one copy
with | the Clerk of the House of Representatives, one copy with the | President,
one copy with the Minority Leader and one copy with | the Secretary of the
Senate, one copy with the Legislative | Research Unit, and such additional
copies
with the State | Government Report Distribution Center for the General
Assembly | as is required under paragraph (t) of Section 7 of the State
| Library Act shall be deemed sufficient to comply with this | Section.
| (Source: P.A. 92-16, eff. 6-28-01; 92-651, eff. 7-11-02; | 92-789, eff. 8-6-02; 93-632, eff. 2-1-04; 93-841, eff. 7-30-04; | 93-981, eff. 8-23-04; revised 12-15-05.)
| Section 99. Effective date. This Act takes effect upon | becoming law. |
Effective Date: 8/28/2007
|