SB 918 — REGULATION-TECH
Last action — Public Act . . . . . . . . . 94-0737
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✓Introduced
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✓In Committee
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✓Passed Senate
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✓Passed House
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✓To Executive
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6Enacted
This bill has been enacted into law. Introduced February 18, 2005. Enacted.
Prognosis
Where this bill stands today.
Odds of enactment
HighHow often bills like it became law.
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Enacted
Current position in the legislative process.
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10 sponsors
0 primary, 10 co-sponsors signed on.
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Single-party support
Sponsorship is currently within one party (1 D).
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Cleared a recorded vote
Passed 2 recorded votes so far.
Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.
Summary
Amends the Comprehensive Health Insurance Plan Act. Makes a technical change in a Section concerning the short title.
Bill Text
What changed in the latest version
17 added · 17 removed17 line(s) added, 17 removed.
SB0918 EngrossedEnrolled LRB094 04522 LJB 34551 b AN ACT concerning regulation.
Persons who can SB0918 EngrossedEnrolled - 2 - LRB094 04522 LJB 34551 b demonstrate the existence or history of any medical or health conditions on the list promulgated by the board shall not be required to provide the evidence specified in subsection a.
(1.1) His or her prior coverage under a group health plan or health insurance coverage, provided or arranged by an employer of more than 10 employees was discontinued for any reason without the entire group or plan being discontinued and not replaced, provided he or she remains SB0918 EngrossedEnrolled - 3 - LRB094 04522 LJB 34551 b an employee, or dependent thereof, of the same employer.
(7) The person’s premium is paid for or reimbursed SB0918 EngrossedEnrolled - 4 - LRB094 04522 LJB 34551 b under any government sponsored program or by any government agency or health care provider, except as an otherwise qualifying full-time employee, or dependent of such employee, of a government agency or health care provider or, except when a person’s premium is paid by the U.S.
The board or the administrator shall require verification of residency and may require any additional information or documentation, or statements under oath, when SB0918 EngrossedEnrolled - 5 - LRB094 04522 LJB 34551 b necessary to determine residency upon initial application and for the entire term of the policy.
Covered expenses shall be limited to the usual and customary charge, including negotiated fees, in the locality for the following services and articles when SB0918 EngrossedEnrolled - 6 - LRB094 04522 LJB 34551 b prescribed by a physician and determined by the Plan to be medically necessary for the following areas of services, subject to such separate deductibles, co-payments, exclusions, and other limitations on benefits as the Board shall establish and approve, and the other provisions of this Section:
(4) Outpatient prescription drugs that by law require a prescription written by a physician licensed to practice medicine in all its branches subject to such separate deductible, copayment, and other limitations or restrictions as the Board shall approve, including the use SB0918 EngrossedEnrolled - 7 - LRB094 04522 LJB 34551 b of a prescription drug card or any other program, or both.
SB0918 EngrossedEnrolled - 8 - LRB094 04522 LJB 34551 b (17) Outpatient services for diagnosis and treatment of mental and nervous disorders provided that a covered person shall be required to make a copayment not to exceed 50% and that the Plan’s payment shall not exceed such amounts as are established by the Board.
(6) Any expense incurred prior to the effective date of SB0918 EngrossedEnrolled - 9 - LRB094 04522 LJB 34551 b coverage by the Plan for the person on whose behalf the expense is incurred.
(16) Any expense for which a charge is not made in the absence of insurance or for which there is no legal SB0918 EngrossedEnrolled - 10 - LRB094 04522 LJB 34551 b obligation on the part of the patient to pay.
(24) Any expense or charge for procedures, treatments, equipment, or services that are provided in special settings for research purposes or in a controlled environment, are being studied for safety, efficiency, and SB0918 EngrossedEnrolled - 11 - LRB094 04522 LJB 34551 b effectiveness, and are awaiting endorsement by the appropriate national medical speciality college for general use within the medical community.
(2) The benefit plans approved by the Board may also provide for and employ various cost containment measures and other requirements including, but not limited to, preadmission certification, prior approval, second surgical opinions, concurrent utilization review programs, individual case management, preferred provider SB0918 EngrossedEnrolled - 12 - LRB094 04522 LJB 34551 b organizations, health maintenance organizations, and other cost effective arrangements for paying for covered expenses.
Subject to the provisions of subsection e of Section 7, benefits otherwise payable under Plan coverage shall be reduced by all amounts paid or payable by Medicare or any other government program or through any health insurance coverage or group health plan, whether by insurance, reimbursement, or otherwise, or through any third party liability, settlement, judgment, or award, regardless of the date of the settlement, judgment, or award, whether the settlement, judgment, or award is in the form of a contract, agreement, or trust on behalf of a SB0918 EngrossedEnrolled - 13 - LRB094 04522 LJB 34551 b minor or otherwise and whether the settlement, judgment, or award is payable to the covered person, his or her dependent, estate, personal representative, or guardian in a lump sum or over time, and by all hospital or medical expense benefits paid or payable under any worker’s compensation coverage, automobile medical payment, or liability insurance, whether provided on the basis of fault or nonfault, and by any hospital or medical benefits paid or payable under or provided pursuant to any State or federal law or program.
This agreement SB0918 EngrossedEnrolled - 14 - LRB094 04522 LJB 34551 b is to apply whether or not liability for the payments is established or admitted by the third party or whether those payments are itemized.
To enforce its subrogation right, the Plan may (i) intervene or join in an action or proceeding brought by the covered person or his personal representative, including his guardian, conservator, estate, dependents, or survivors, against any third party or the third party’s insurer that may be liable or (ii) institute and prosecute legal proceedings against any third party or the third party’s insurer that may be liable for the sickness or injury in an appropriate court either SB0918 EngrossedEnrolled - 15 - LRB094 04522 LJB 34551 b in the name of the Plan or in the name of the covered person or his personal representative, including his guardian, conservator, estate, dependents, or survivors.
The Plan shall pay to the covered person or his personal representative all sums collected from any third party by judgment or otherwise in excess of amounts paid in benefits under the Plan and amounts paid or to be paid as costs, attorneys fees, and reasonable expenses incurred by the Plan in making the collection or enforcing SB0918 EngrossedEnrolled - 16 - LRB094 04522 LJB 34551 b the judgment.
The burden of producing evidence sufficient to support the exercise by the court of its discretion to reduce the amount of a proven charge sought to be enforced SB0918 EngrossedEnrolled - 17 - LRB094 04522 LJB 34551 b against the recovery shall rest with the party seeking the reduction.
Action History
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Public Act . . . . . . . . . 94-0737
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Effective Date May 3, 2006
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Governor Approved
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Sent to the Governor
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Added Alternate Co-Sponsor Rep. Careen M Gordon
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Added Alternate Co-Sponsor Rep. Gary Hannig
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Added Alternate Co-Sponsor Rep. Annazette Collins
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Added Alternate Co-Sponsor Rep. Lisa M. Dugan
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Added Alternate Co-Sponsor Rep. John E. Bradley
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Passed Both Houses
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Added Alternate Chief Co-Sponsor Rep. Thomas Holbrook
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Third Reading - Short Debate - Passed 112-000-000
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Added Alternate Co-Sponsor Rep. Brandon W. Phelps
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Added Alternate Co-Sponsor Rep. Charles E. Jefferson
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Placed on Calendar Order of 3rd Reading - Short Debate
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Second Reading - Short Debate
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Added Alternate Chief Co-Sponsor Rep. Sara Feigenholtz
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Added Alternate Chief Co-Sponsor Rep. Jack McGuire
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Added Alternate Chief Co-Sponsor Rep. Mike Boland
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Placed on Calendar 2nd Reading - Short Debate
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Do Pass / Short Debate Insurance Committee; 013-000-000
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Assigned to Insurance Committee
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Referred to Rules Committee
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First Reading
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Chief House Sponsor Rep. Robert F. Flider
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Placed on Calendar Order of First Reading
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Arrived in House
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Third Reading - Passed; 057-000-000
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Placed on Calendar Order of 3rd Reading
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Senate Floor Amendment No. 1 Adopted; Demuzio
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Recalled to Second Reading
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Senate Floor Amendment No. 1 Recommend Do Adopt Insurance; 006-000-000
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Senate Floor Amendment No. 1 Rules Refers to Insurance
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Senate Floor Amendment No. 1 Referred to Rules
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Senate Floor Amendment No. 1 Filed with Secretary by Sen. Deanna Demuzio
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Chief Sponsor Changed to Sen. Deanna Demuzio
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Placed on Calendar Order of 3rd Reading March 1, 2006
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Approved for Consideration Rules
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Rule 2-10 Third Reading Deadline Extended to January 9, 2007
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Pursuant to Senate Rule 3-9(b) / Referred to Rules
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Rule 2-10 Third Reading Deadline Extended to December 31, 2005
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Placed on Calendar Order of 3rd Reading ** April 15, 2005
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Placed on Calendar Order of 3rd Reading March 16, 2005
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Second Reading
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Placed on Calendar Order of 2nd Reading March 10, 2005
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Do Pass Insurance; 006-004-000
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Assigned to Insurance
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Referred to Rules
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First Reading
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Chief Co-Sponsor Sen. Emil Jones, Jr.
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Filed with Secretary by Sen. William R. Haine
Sponsors
- Deanna Demuzio · Cosponsor
- Charles E. Jefferson · Cosponsor
- Brandon W. Phelps · Cosponsor
- Patrick J Verschoore · Cosponsor
- Larry McKeon · Cosponsor
- John E. Bradley · Cosponsor
- Lisa M. Dugan · Cosponsor
- Gary Hannig · Cosponsor
- Careen M Gordon · Cosponsor
- Lakesia Collins · Cosponsor
Sponsorship breakdown
Export CSV (upgrade) →0 sponsors · 10 co-sponsors · 173 not signed on
Sponsors (0)
None.
Co-sponsors (10)
- Deanna Demuzio
- Charles E. Jefferson
- Brandon W. Phelps
- Patrick J Verschoore
- Larry McKeon
- John E. Bradley
- Lisa M. Dugan
- Gary Hannig
- Careen M Gordon
- Lakesia Collins Democrat
Not signed on (173)
173 members have not signed on to this bill.
Show all 173 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 100 | 0 | 0 | 6 |
| Democrat | 9 | 0 | 0 | 0 |
| Republican | 3 | 0 | 0 | 0 |
| Total | 112 | 0 | 0 | 6 |
| % of votes cast | 95% | 0% | 0% | 5% |
How each member voted (118)
| Member | Party | Vote |
|---|---|---|
| Sacia | — | Yea |
| Saviano | — | Yea |
| Schmitz | — | Yea |
| Schock | — | Yea |
| Scully | — | Yea |
| Sommer | — | Yea |
| Soto | — | Yea |
| Leitch | — | Yea |
| Acevedo | — | Yea |
| Bassi | — | Yea |
| Mathias | — | Yea |
| Beaubien | — | Yea |
| Beiser | — | Yea |
| Bellock | — | Yea |
| Berrios | — | Yea |
| Biggins | — | Yea |
| Mautino | — | Yea |
| Black | — | Yea |
| Boland | — | Yea |
| May | — | Yea |
| Bost | — | Yea |
| Brauer | — | Yea |
| Brosnahan | — | Yea |
| Mulligan | — | Yea |
| Jakobsson | — | Yea |
| Jefferson | — | Yea |
| Jenisch | — | Yea |
| Krause | — | Yea |
| Lang | — | Yea |
| Dugan | — | Yea |
| Dunkin | — | Yea |
| Dunn | — | Yea |
| Lindner | — | Yea |
| McAuliffe | — | Yea |
| McCarthy | — | Yea |
| Reitz | — | Yea |
| Lyons, Joseph | — | Yea |
| McKeon | — | Yea |
| Mendoza | — | Yea |
| Meyer | — | Yea |
| Moffitt | — | Yea |
| Molaro | — | Yea |
| Myers | — | Yea |
| Tenhouse | — | Yea |
| Tryon | — | Yea |
| Turner | — | Yea |
| Verschoore | — | Yea |
| Wait | — | Yea |
| McGuire | — | Yea |
| Bradley, John | — | Yea |
| Bradley, Richard | — | Yea |
| Brady | — | Yea |
| Mitchell, Bill | — | Yea |
| Burke | — | Yea |
| Mitchell, Jerry | — | Yea |
| Sullivan | — | Yea |
| Hannig | — | Yea |
| Howard | — | Yea |
| Chavez | — | Yea |
| Churchill | — | Yea |
| Colvin | — | Yea |
| Coulson | — | Yea |
| Durkin | — | Yea |
| Eddy | — | Yea |
| Flider | — | Yea |
| Flowers | — | Yea |
| Franks | — | Yea |
| Fritchey | — | Yea |
| Froehlich | — | Yea |
| Giles | — | Yea |
| Gordon | — | Yea |
| Graham | — | Yea |
| Granberg | — | Yea |
| Hamos | — | Yea |
| Hassert | — | Yea |
| Holbrook | — | Yea |
| Watson | — | Yea |
| Madigan | — | Not Voting |
| Davis, Monique | — | Yea |
| Munson | — | Not Voting |
| Jones | — | Not Voting |
| Nekritz | — | Yea |
| Osmond | — | Yea |
| Parke | — | Yea |
| Phelps | — | Yea |
| Pihos | — | Yea |
| Washington | — | Yea |
| Winters | — | Yea |
| Yarbrough | — | Yea |
| Younge | — | Yea |
| Cross | — | Yea |
| Cultra | — | Yea |
| Currie | — | Yea |
| D'Amico | — | Yea |
| Daniels | — | Yea |
| Golar | — | Not Voting |
| Hultgren | — | Yea |
| Kosel | — | Yea |
| Osterman | — | Yea |
| Patterson | — | Not Voting |
| Poe | — | Yea |
| Pritchard | — | Yea |
| Ramey | — | Yea |
| Reis | — | Yea |
| Ryg | — | Not Voting |
| Chapa LaVia | — | Yea |
| Eva-Dina Delgado | Democrat | Yea |
| Jay Hoffman | Democrat | Yea |
| Lakesia Collins | Democrat | Yea |
| Michael J. Kelly | Democrat | Yea |
| Nicholas K. Smith | Democrat | Yea |
| Patrick J. Joyce | Democrat | Yea |
| Robert "Bob" Rita | Democrat | Yea |
| Sara Feigenholtz | Democrat | Yea |
| William "Will" Davis | Democrat | Yea |
| Brad Stephens | Republican | Yea |
| Chapin Rose | Republican | Yea |
| Chris Miller | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 51 | 0 | 0 | 2 |
| Democrat | 5 | 0 | 0 | 0 |
| Republican | 1 | 0 | 0 | 0 |
| Total | 57 | 0 | 0 | 2 |
| % of votes cast | 97% | 0% | 0% | 3% |
How each member voted (59)
| Member | Party | Vote |
|---|---|---|
| Sandoval | — | Yea |
| Silverstein | — | Yea |
| Althoff | — | Yea |
| Martinez | — | Yea |
| Axley | — | Yea |
| Bomke | — | Yea |
| Burzynski | — | Yea |
| Dahl | — | Yea |
| DeLeo | — | Yea |
| Haine | — | Yea |
| Halvorson | — | Yea |
| Maloney | — | Yea |
| Meeks | — | Yea |
| Millner | — | Yea |
| Peterson | — | Yea |
| Radogno | — | Yea |
| Schoenberg | — | Yea |
| Shadid | — | Yea |
| Sieben | — | Yea |
| Brady | — | Yea |
| Munoz | — | Yea |
| Trotter | — | Yea |
| Viverito | — | Yea |
| Sullivan | — | Yea |
| Petka | — | Yea |
| Jacobs | — | Yea |
| Clayborne | — | Yea |
| Cronin | — | Yea |
| Crotty | — | Yea |
| Forby | — | Yea |
| Garrett | — | Yea |
| Geo-Karis | — | Yea |
| Hendon | — | Yea |
| Jones, J. | — | Yea |
| Cullerton | — | Yea |
| Watson | — | Yea |
| Jones, W. | — | Yea |
| Lauzen | — | Yea |
| Demuzio | — | Yea |
| Link | — | Yea |
| Luechtefeld | — | Yea |
| Wilhelmi | — | Yea |
| Winkel | — | Not Voting |
| Dillard | — | Yea |
| Pankau | — | Yea |
| Raoul | — | Yea |
| Rauschenberger | — | Not Voting |
| Righter | — | Yea |
| Risinger | — | Yea |
| Ronen | — | Yea |
| Roskam | — | Yea |
| Rutherford | — | Yea |
| del Valle | — | Yea |
| Don Harmon | Democrat | Yea |
| Emil Jones, III | Democrat | Yea |
| Kimberly A. Lightford | Democrat | Yea |
| Lakesia Collins | Democrat | Yea |
| Mattie Hunter | Democrat | Yea |
| Dave Syverson | Republican | Yea |
Subjects
Frequently asked questions
- What does SB 918 do?
- Amends the Comprehensive Health Insurance Plan Act. Makes a technical change in a Section concerning the short title.
- Who sponsors SB 918?
- SB 918 is sponsored by Deanna Demuzio, Charles E. Jefferson, Brandon W. Phelps, Patrick J Verschoore, Larry McKeon, John E. Bradley, Lisa M. Dugan, Gary Hannig, Careen M Gordon, and Lakesia Collins (Democrat).
- What is the current status of SB 918?
- This bill has been enacted into law. Introduced February 18, 2005. Enacted.
- Where can I track SB 918?
- Track SB 918 free on One Click Politics — get push/email alerts when it moves.
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