Sen. Denny Jacobs
Filed: 3/22/2004
 
 

 




 

 		












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AMENDMENT TO SENATE BILL 2173 




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    AMENDMENT NO. ______. Amend Senate Bill 2173, AS AMENDED, 
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with reference to page and line numbers of Senate Amendment No. 
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1, on page 1, after line 22, by inserting the following:

 
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    "(a-5) "Consumer Choice of Benefits HMO plan" means a 
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health maintenance organization subscriber contract that, in 
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whole or in part, does not place limitations of restrictions on 
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deductibles, coinsurance, copayments, or any annual or 
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lifetime maximum benefit amounts, but that provides creditable 
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coverage as defined by Section 20 of the Illinois Health 
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Insurance Portability and Accountability Act."; and
 
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on page 2, after line 4, by inserting the following:
 
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    "(e) "Health Maintenance Organization" means any 
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organization formed under the laws of this or another state to 
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provide or arrange for one or more health care plans under a 
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system that causes any part of the risk of health care delivery 
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to be borne by the organization or its providers."; and
 
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on page 4, by replacing lines 3 and 4 with the following:
 
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    "plans authorized; minimum requirement.
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    (a) An insurer may offer one or more Consumer Choice of 
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Benefits Health Insurance plans.
 


 






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    (b)  A health maintenance organization may offer one or more 
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Consumer Choice Benefits HMO plans, provided that the plan's 
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deductibles and copayments paid for the receipt of basic health 
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care services do not exceed $5,000 per enrollee or $10,000 per 
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family in a calendar or contract year.".