HB 1284 Illinois House · 98th Regular Session

EXCLUSIVE PROVIDER BNFT PLANS

Summary
Creates the Exclusive Provider Benefit Plan Act. Provides that an exclusive provider benefit plan that meets the requirements of the Act shall be permitted. Provides that to the extent of any conflict between the provision permitting exclusive provider benefit plans and any other statutory provision, the provision permitting exclusive provider benefit plans prevails over the conflicting provision. Provides that an insurer duly licensed under the laws of this State may offer exclusive provider benefit plans to individuals and group health plans in conformity with the terms set forth in the provision concerning the applicability of the Act. Provides that an insurer shall not be required to be licensed as an HMO under the Health Maintenance Organization Act in order to offer exclusive provider benefit plans under the provision concerning the applicability of the Act. Sets forth provisions concerning the applicability of the Health Carrier External Review Act; the construction of the Exclusive Provider Benefit Plan Act; providing information to enrollees and prospective enrollees; the availability of exclusive providers; notice of nonrenewal or termination; transitions of service and continuity of care; prohibitions; exclusive provider benefit plan's access to specialists; health care services appeals, complaints, and external independent reviews; emergency services prior to stabilization; post-stabilization medical services; quality assessment programs; utilization review; and qualifying examinations of insurers and fees. Amends the Freedom of Information Act to establish an exemption for all identified or deidentified health information due to the Department's administration of the Exclusive Provider Benefit Plan Act. Effective immediately.
Bill status failed 1 of 4 stages cleared
Introduction
Feb 2013
Committee Review
Floor Vote
Governor
Introduced Feb 5, 2013 Last action Dec 3, 2014
Floor votes

How they voted

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Full legislative history

Actions timeline

Total actions
10
Key actions
0
Committee
4
Dec 3, 2014
House · Failed
Session Sine Die
Apr 19, 2013
House · Referred to committee
Rule 19(a) / Re-referred to Rules Committee
Mar 19, 2013
House · Reported by committee
Do Pass / Short Debate Insurance Committee; 026-000-000
Feb 13, 2013
House · Referred to committee
Assigned to Insurance Committee
Feb 5, 2013
House · Referred to committee
Referred to Rules Committee
0 primary · 1 co-sponsor

Sponsors

Role
Legislator
Party
State
District
Co
Photo of Lou Lang
Lou Lang
DDemocratic
IL
16