HB 5250 Illinois House · 96th Regular Session

INS CD-ACCESS TO CONTRACTS

Summary
Amends the Illinois Insurance Code. Sets forth provisions concerning restrictions on payment and reimbursement. Provides that a contracting entity, insurer, or third-party administrator may not grant access to a provider's health care services and contractual discounts pursuant to a provider network contract or reimburse a physician or other provider on a discounted fee basis for covered services that are provided to an insured unless certain conditions are met. Provides that a party to a preferred provider contract may not sell, lease, or otherwise transfer information regarding the payment or reimbursement terms of the contract without notification to and the authority of the other contracting parties. Sets forth requirements for a contracting entity, insurer, or third-party administrator that grants access to a provider's health care services and contractual discounts pursuant to a provider network contract. Provides that the Department of Insurance shall enforce the provisions concerning restrictions on payment and reimbursement. Sets forth penalties for violations of the Act.
Bill status failed 1 of 4 stages cleared
Introduction
Feb 2010
Committee Review
Floor Vote
Governor
Introduced Feb 3, 2010 Last action Jan 11, 2011
Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
10
Key actions
0
Committee
5
Amendments
2
Jan 11, 2011
House · Failed
Session Sine Die
Mar 15, 2010
House · Referred to committee
Rule 19(a) / Re-referred to Rules Committee
Mar 9, 2010
House · Reported by committee
Remains in Insurance Committee
Mar 9, 2010
House · Failed in committee
Motion Do Pass as Amended - Lost Insurance Committee; 009-011-000
Mar 9, 2010
House · Amendment adopted
House Committee Amendment No. 1 Adopted in Insurance Committee; by Voice Vote
Mar 9, 2010
House · Amendment offered
House Committee Amendment No. 1 Filed with Clerk by Insurance Committee
Feb 16, 2010
House · Referred to committee
Assigned to Insurance Committee
Feb 3, 2010
House · Referred to committee
Referred to Rules Committee
0 primary · 1 co-sponsor

Sponsors

Role
Legislator
Party
State
District
Co
Photo of Linda Chapa LaVia
Linda Chapa LaVia
DDemocratic
IL
83