INS-TELEHEALTH SERVICES House SponsorsRep. Thaddeus Jones-Deb Conroy-Dan Brady-Bob Morgan-Rita Mayfield, Stephanie A. Kifowit, LaToya Greenwood, Camille Y. Lilly, Deanne M. Mazzochi, Nicholas K. Smith, Keith P. Sommer, Mark L. Walker, Janet Yang Rohr, Anthony DeLuca, Robyn Gabel, Tony McCombie, Anna Moeller, Thomas Morrison, Mike Murphy, Adam Niemerg, Sue Scherer, Chris Bos, Suzanne Ness, Debbie Meyers-Martin and Dagmara Avelar Senate Sponsors(Sen. Napoleon Harris, III-Cristina H. Pacione-Zayas-Jacqueline Y. Collins, Thomas Cullerton, Sally J. Turner-Linda Holmes, Dan McConchie, Laura Fine, Meg Loughran Cappel, John Connor, Michael E. Hastings, Sue Rezin, Suzy Glowiak Hilton, Doris Turner, Rachelle Crowe, Karina Villa, Steve Stadelman, Jason A. Barickman, Adriane Johnson, Julie A. Morrison, Patrick J. Joyce, Patricia Van Pelt, Scott M. Bennett, Cristina Castro-Mattie Hunter, Bill Cunningham, Sara Feigenholtz, Christopher Belt, Elgie R. Sims, Jr., Steven M. Landek, Laura M. Murphy, Laura Ellman and Mike Simmons) 7/22/2021HousePublic Act . . . . . . . . . 102-0104 215 ILCS 5/356z.22 Amends the Illinois Insurance Code. Includes the delivery of covered health care services by way of telephone usage in the definition of "telehealth services". Provides that health care services that are covered under an individual or group policy of accident or health insurance must be covered when delivered via telehealth services when clinically appropriate, subject to specified conditions (rather than requiring an individual or group policy of accident or health insurance to comply with specified conditions if it provides coverage for telehealth services). Provides that patient cost-sharing may be no more than if the health care service were delivered in person. Provides that no excepted benefit policy may deny or reduce any benefit to a patient based on the use of clinically appropriate telehealth services in the course of satisfying the policy's benefit criteria.House Committee Amendment No. 1 Replaces everything after the enacting clause with the provisions of the introduced bill with the following changes. In provisions concerning health care services that are covered under an individual or group policy of accident and health insurance that must be covered when delivered via telehealth services when clinically appropriate, provides that reimbursement to a health care provider for telehealth services for behavioral health services provided through an interactive telecommunications system shall be made on the same basis, in the same manner, and at the same rate as would be applied for the same services if they had been delivered in-person and shall include reasonable compensation to a facility that serves as the originating site at the time a telehealth service is rendered. Provides that with respect to telehealth benefits provided in an individual or group policy of accident or health insurance, insurers may not (rather than an individual or group policy of accident or health insurance may not) require patients to use a separate panel of health care providers to receive telehealth service coverage and reimbursement; create geographic or facility restrictions or requirements for telehealth services; require patients or health care providers to prove a hardship or access barrier before the approval of telehealth services for coverage or reimbursement; negotiate different contract rates for telehealth services and in-person services for behavioral health services; or impose upon telehealth services utilization review requirements that are unnecessary, duplicative, or unwarranted or impose any treatment limitations, prior authorization, documentation, or recordkeeping requirements that are more stringent than the requirements applicable to the same health care service when rendered in-person. Provides that health care providers shall determine the appropriateness of specific sites, technology platforms, and technology vendors for a telehealth service, as long as delivered services adhere to privacy laws. Defines terms.House Floor Amendment No. 2 Adds reference to:215 ILCS 5/356z.43 new225 ILCS 150/5225 ILCS 150/15325 ILCS 20/3from Ch. 23, par. 4153325 ILCS 20/3b new325 ILCS 20/11from Ch. 23, par. 4161Replaces everything after the enacting clause with the provisions of the introduced bill with the following changes. Provides that a health insurer shall reimburse a network provider for behavioral health services delivered through telehealth on at least the same basis and at the same rate as if delivered in-person. Provides that a health insurer may establish reasonable requirements and parameters for telehealth services. Further amends the Illinois Insurance Code. Creates the Telehealth Payment Parity Task Force to review and study the use of telehealth services in the State with respect to payment and reimbursement parity for health care providers providing such services. Sets forth provisions concerning election of a chairperson, compensation, and appointments of members of the Telehealth Payment Parity Task Force. Provides that the task force shall submit its findings and recommendations to the Governor and General Assembly by December 31, 2021. Provides that the task force is dissolved on January 1, 2023. Amends the Telehealth Act. In provisions concerning use of telehealth, provides that services provided by telehealth shall be consistent with all federal and State privacy, security, and confidentiality laws. Provides that health care professionals shall determine the appropriateness of specific sites, technology platforms, and technology vendors for a telehealth service, as long as delivered services adhere to specified privacy laws. Provides that health care professionals shall maintain documentation and recordkeeping in accordance with specified provisions of the Illinois Administrative Code. Amends the Early Intervention Services System Act. Permits an early intervention provider to deliver via telehealth any type of early intervention services authorized under the Act to the extent of his or her scope of practice as established in his or her respective licensing Act consistent with the standards of care for in-person services. Requires parents to be informed of the availability of early intervention services provided through telehealth. Provides that parents shall make the final decision as to whether accepted early intervention services are delivered in person or via telehealth. Defines terms. Makes other changes. Effective immediately.Senate Committee Amendment No. 1 Deletes reference to:215 ILCS 5/356z.43 newAdds reference to:5 ILCS 100/5-45.8 new225 ILCS 150/10Replaces everything after the enacting clause with the provisions of the engrossed bill with the following changes. Provides that an individual or group policy of accident or health insurance that is amended, delivered, issued, or renewed on or after the effective date of the amendatory Act shall cover telehealth services, e-visits, and virtual check-ins rendered by a health care professional when clinically appropriate and medically necessary to insureds, enrollees, and members in the same manner as any other benefits covered under the policy. Provides that an individual or group policy of accident or health insurance may provide reimbursement to a facility that serves as the originating site at the time a telehealth service is rendered. Sets forth provisions with which coverage for telehealth services shall comply. Provides that an individual or group policy of accident or health insurance shall notify health care professionals and facilities of any instructions necessary to facilitate billing for telehealth services, e-visits, and virtual check-ins. Provides that the Department of Insurance and the Department of Public Health shall commission a report to the General Assembly and shall submit the report by December 31, 2026. Provides that the Department of Insurance may adopt rules to implement the provisions. Provides that specified provisions are inoperative on and after January 1, 2028. Removes provisions concerning the Telehealth Payment Parity Task Force. Defines terms. Further amends the Telehealth Act. Changes a reference to "telehealth" to "telehealth services." Removes language that provides that health care professionals shall maintain documentation and recordkeeping in accordance with specified provisions of the Illinois Administrative Code. Defines terms. Amends the Illinois Administrative Procedure Act to provide for emergency rulemaking. Makes other changes. Effective immediately. 2/19/2021HouseFiled with the Clerk by Rep. Thaddeus Jones 2/19/2021HouseFirst Reading 2/19/2021HouseReferred to Rules Committee 3/16/2021HouseAssigned to Insurance Committee 3/22/2021HouseHouse Committee Amendment No. 1 Filed with Clerk by Rep. Thaddeus Jones 3/22/2021HouseHouse Committee Amendment No. 1 Referred to Rules Committee 3/23/2021HouseHouse Committee Amendment No. 1 Rules Refers to Insurance Committee 3/25/2021HouseHouse Committee Amendment No. 1 Adopted in Insurance Committee; by Voice Vote 3/25/2021HouseDo Pass as Amended / Short Debate Insurance Committee; 019-000-000 4/8/2021HousePlaced on Calendar 2nd Reading - Short Debate 4/20/2021HouseHouse Floor Amendment No. 2 Filed with Clerk by Rep. Thaddeus Jones 4/20/2021HouseHouse Floor Amendment No. 2 Referred to Rules Committee 4/21/2021HouseHouse Floor Amendment No. 2 Rules Refers to Insurance Committee 4/21/2021HouseSecond Reading - Short Debate 4/21/2021HouseHeld on Calendar Order of Second Reading - Short Debate 4/21/2021HouseHouse Floor Amendment No. 2 Recommends Be Adopted Insurance Committee; 015-000-000 4/22/2021HouseHouse Floor Amendment No. 2 Adopted 4/22/2021HousePlaced on Calendar Order of 3rd Reading - Short Debate 4/22/2021HouseThird Reading - Short Debate - Passed 114-000-000 4/22/2021HouseAdded Co-Sponsor Rep. Stephanie A. Kifowit 4/22/2021HouseAdded Co-Sponsor Rep. LaToya Greenwood 4/22/2021HouseAdded Co-Sponsor Rep. Camille Y. Lilly 4/22/2021HouseAdded Chief Co-Sponsor Rep. Rita Mayfield 4/22/2021HouseAdded Chief Co-Sponsor Rep. Sue Scherer 4/22/2021HouseAdded Chief Co-Sponsor Rep. Dan Brady 4/22/2021HouseAdded Chief Co-Sponsor Rep. Bob Morgan 4/22/2021HouseRemove Chief Co-Sponsor Rep. Sue Scherer 4/23/2021SenateArrive in Senate 4/23/2021SenatePlaced on Calendar Order of First Reading 4/23/2021SenateChief Senate Sponsor Sen. Napoleon Harris, III 4/23/2021SenateFirst Reading 4/23/2021SenateReferred to Assignments 5/3/2021SenateAdded as Alternate Chief Co-Sponsor Sen. Cristina H. Pacione-Zayas 5/11/2021SenateAssigned to Insurance 5/18/2021SenateAdded as Alternate Chief Co-Sponsor Sen. Jacqueline Y. Collins 5/19/2021SenatePostponed - Insurance 5/20/2021SenateAdded as Alternate Co-Sponsor Sen. Thomas Cullerton 5/21/2021SenateRule 2-10 Committee Deadline Established As May 29, 2021 5/25/2021SenateSenate Committee Amendment No. 1 Filed with Secretary by Sen. Napoleon Harris, III 5/25/2021SenateSenate Committee Amendment No. 1 Referred to Assignments 5/26/2021SenateSenate Committee Amendment No. 1 Assignments Refers to Insurance 5/27/2021SenateSenate Committee Amendment No. 1 Adopted 5/27/2021SenateDo Pass as Amended Insurance; 013-000-000 5/27/2021SenatePlaced on Calendar Order of 2nd Reading 5/28/2021SenateSecond Reading 5/28/2021SenatePlaced on Calendar Order of 3rd Reading May 29, 2021 5/29/2021SenateAdded as Alternate Co-Sponsor Sen. Sally J. Turner 5/29/2021SenateAdded as Alternate Chief Co-Sponsor Sen. Linda Holmes 5/30/2021SenateAdded as Alternate Co-Sponsor Sen. Dan McConchie 5/30/2021SenateAdded as Alternate Co-Sponsor Sen. Laura Fine 5/30/2021SenateAdded as Alternate Co-Sponsor Sen. Meg Loughran Cappel 5/30/2021SenateAdded as Alternate Co-Sponsor Sen. John Connor 5/30/2021SenateAdded as Alternate Co-Sponsor Sen. Michael E. Hastings 5/30/2021SenateThird Reading - Passed; 059-000-000 5/30/2021SenateAdded as Alternate Co-Sponsor Sen. Sue Rezin 5/30/2021SenateAdded as Alternate Co-Sponsor Sen. Suzy Glowiak Hilton 5/30/2021SenateAdded as Alternate Co-Sponsor Sen. Doris Turner 5/30/2021SenateAdded as Alternate Co-Sponsor Sen. Rachelle Crowe 5/30/2021SenateAdded as Alternate Co-Sponsor Sen. Karina Villa 5/30/2021SenateAdded as Alternate Co-Sponsor Sen. Steve Stadelman 5/30/2021SenateAdded as Alternate Co-Sponsor Sen. Jason A. Barickman 5/30/2021SenateAdded as Alternate Co-Sponsor Sen. Adriane Johnson 5/30/2021SenateAdded as Alternate Co-Sponsor Sen. Julie A. Morrison 5/30/2021SenateAdded as Alternate Co-Sponsor Sen. Patrick J. Joyce 5/30/2021SenateAdded as Alternate Co-Sponsor Sen. Patricia Van Pelt 5/30/2021SenateAdded as Alternate Co-Sponsor Sen. Scott M. Bennett 5/30/2021SenateAdded as Alternate Co-Sponsor Sen. Cristina Castro 5/30/2021HouseArrived in House 5/30/2021HousePlaced on Calendar Order of Concurrence Senate Amendment(s) 1 5/30/2021SenateAdded as Alternate Chief Co-Sponsor Sen. Mattie Hunter 5/30/2021SenateAdded as Alternate Co-Sponsor Sen. Bill Cunningham 5/30/2021SenateAdded as Alternate Co-Sponsor Sen. Sara Feigenholtz 5/30/2021SenateAdded as Alternate Co-Sponsor Sen. Christopher Belt 5/31/2021HouseSenate Committee Amendment No. 1 Motion Filed Concur Rep. Thaddeus Jones 5/31/2021HouseSenate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee 5/31/2021HouseSenate Committee Amendment No. 1 Motion to Concur Rules Referred to Insurance Committee 5/31/2021HouseAdded Co-Sponsor Rep. Deanne M. Mazzochi 5/31/2021SenateAdded as Alternate Co-Sponsor Sen. Elgie R. Sims, Jr. 5/31/2021HouseSenate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Insurance Committee; 016-000-000 5/31/2021HouseAdded Co-Sponsor Rep. Nicholas K. Smith 5/31/2021HouseAdded Co-Sponsor Rep. Keith P. Sommer 5/31/2021HouseAdded Co-Sponsor Rep. Mark L. Walker 5/31/2021HouseAdded Co-Sponsor Rep. Janet Yang Rohr 5/31/2021HouseAdded Co-Sponsor Rep. Anthony DeLuca 5/31/2021HouseAdded Co-Sponsor Rep. Robyn Gabel 5/31/2021HouseAdded Co-Sponsor Rep. Tony McCombie 5/31/2021HouseAdded Co-Sponsor Rep. Anna Moeller 5/31/2021HouseAdded Co-Sponsor Rep. Thomas Morrison 5/31/2021HouseAdded Co-Sponsor Rep. Mike Murphy 5/31/2021HouseAdded Co-Sponsor Rep. Adam Niemerg 5/31/2021HouseAdded Chief Co-Sponsor Rep. Deb Conroy 5/31/2021HouseAdded Co-Sponsor Rep. Sue Scherer 5/31/2021HouseAdded Co-Sponsor Rep. Chris Bos 5/31/2021HouseAdded Co-Sponsor Rep. Suzanne Ness 5/31/2021HouseAdded Co-Sponsor Rep. Debbie Meyers-Martin 5/31/2021SenateAdded as Alternate Co-Sponsor Sen. Steven M. Landek 5/31/2021HouseSenate Committee Amendment No. 1 House Concurs 118-000-000 5/31/2021HouseHouse Concurs 5/31/2021HousePassed Both Houses 5/31/2021HouseAdded Co-Sponsor Rep. Dagmara Avelar 6/7/2021SenateAdded as Alternate Co-Sponsor Sen. Laura M. Murphy 6/8/2021SenateAdded as Alternate Co-Sponsor Sen. Laura Ellman 6/29/2021HouseSent to the Governor 7/6/2021SenateAdded as Alternate Co-Sponsor Sen. Mike Simmons 7/22/2021HouseGovernor Approved 7/22/2021HouseEffective Date July 22, 2021 7/22/2021HousePublic Act . . . . . . . . . 102-0104