Illinois 94th Regular Session Status: Enacted 1 D cosponsors

SB 918 — REGULATION-TECH

Last action — Public Act . . . . . . . . . 94-0737

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Senate
  4. ✓
    Passed House
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced February 18, 2005. Enacted.

Prognosis

Likely to advance 82% · moderate confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 10 sponsors

    0 primary, 10 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (1 D).

  • 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 removed

17 line(s) added, 17 removed.

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Previous
Latest
SB0918 Engrossed LRB094 04522 LJB 34551 b AN ACT concerning regulation.
SB0918 Enrolled LRB094 04522 LJB 34551 b AN ACT concerning regulation.
Persons who can SB0918 Engrossed - 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.
Persons who can SB0918 Enrolled - 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 Engrossed - 3 - LRB094 04522 LJB 34551 b an employee, or dependent thereof, of the same employer.
(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 Enrolled - 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 Engrossed - 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.
(7) The person’s premium is paid for or reimbursed SB0918 Enrolled - 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 Engrossed - 5 - LRB094 04522 LJB 34551 b necessary to determine residency upon initial application and for the entire term of the policy.
The board or the administrator shall require verification of residency and may require any additional information or documentation, or statements under oath, when SB0918 Enrolled - 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 Engrossed - 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:
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 Enrolled - 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 Engrossed - 7 - LRB094 04522 LJB 34551 b of a prescription drug card or any other program, or both.
(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 Enrolled - 7 - LRB094 04522 LJB 34551 b of a prescription drug card or any other program, or both.
SB0918 Engrossed - 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.
SB0918 Enrolled - 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 Engrossed - 9 - LRB094 04522 LJB 34551 b coverage by the Plan for the person on whose behalf the expense is incurred.
(6) Any expense incurred prior to the effective date of SB0918 Enrolled - 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 Engrossed - 10 - LRB094 04522 LJB 34551 b obligation on the part of the patient to pay.
(16) Any expense for which a charge is not made in the absence of insurance or for which there is no legal SB0918 Enrolled - 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 Engrossed - 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.
(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 Enrolled - 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 Engrossed - 12 - LRB094 04522 LJB 34551 b organizations, health maintenance organizations, and other cost effective arrangements for paying for covered expenses.
(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 Enrolled - 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 Engrossed - 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.
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 Enrolled - 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 Engrossed - 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.
This agreement SB0918 Enrolled - 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 Engrossed - 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.
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 Enrolled - 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 Engrossed - 16 - LRB094 04522 LJB 34551 b the judgment.
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 Enrolled - 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 Engrossed - 17 - LRB094 04522 LJB 34551 b against the recovery shall rest with the party seeking the reduction.
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 Enrolled - 17 - LRB094 04522 LJB 34551 b against the recovery shall rest with the party seeking the reduction.
View plain text versions (3)

Action History

  1. Public Act . . . . . . . . . 94-0737

  2. Effective Date May 3, 2006

  3. Governor Approved

  4. Sent to the Governor

  5. Added Alternate Co-Sponsor Rep. Careen M Gordon

  6. Added Alternate Co-Sponsor Rep. Gary Hannig

  7. Added Alternate Co-Sponsor Rep. Annazette Collins

  8. Added Alternate Co-Sponsor Rep. Lisa M. Dugan

  9. Added Alternate Co-Sponsor Rep. John E. Bradley

  10. Passed Both Houses

  11. Added Alternate Chief Co-Sponsor Rep. Thomas Holbrook

  12. Third Reading - Short Debate - Passed 112-000-000

  13. Added Alternate Co-Sponsor Rep. Brandon W. Phelps

  14. Added Alternate Co-Sponsor Rep. Charles E. Jefferson

  15. Placed on Calendar Order of 3rd Reading - Short Debate

  16. Second Reading - Short Debate

  17. Added Alternate Chief Co-Sponsor Rep. Sara Feigenholtz

  18. Added Alternate Chief Co-Sponsor Rep. Jack McGuire

  19. Added Alternate Chief Co-Sponsor Rep. Mike Boland

  20. Placed on Calendar 2nd Reading - Short Debate

  21. Do Pass / Short Debate Insurance Committee; 013-000-000

  22. Assigned to Insurance Committee

  23. Referred to Rules Committee

  24. First Reading

  25. Chief House Sponsor Rep. Robert F. Flider

  26. Placed on Calendar Order of First Reading

  27. Arrived in House

  28. Third Reading - Passed; 057-000-000

  29. Placed on Calendar Order of 3rd Reading

  30. Senate Floor Amendment No. 1 Adopted; Demuzio

  31. Recalled to Second Reading

  32. Senate Floor Amendment No. 1 Recommend Do Adopt Insurance; 006-000-000

  33. Senate Floor Amendment No. 1 Rules Refers to Insurance

  34. Senate Floor Amendment No. 1 Referred to Rules

  35. Senate Floor Amendment No. 1 Filed with Secretary by Sen. Deanna Demuzio

  36. Chief Sponsor Changed to Sen. Deanna Demuzio

  37. Placed on Calendar Order of 3rd Reading March 1, 2006

  38. Approved for Consideration Rules

  39. Rule 2-10 Third Reading Deadline Extended to January 9, 2007

  40. Pursuant to Senate Rule 3-9(b) / Referred to Rules

  41. Rule 2-10 Third Reading Deadline Extended to December 31, 2005

  42. Placed on Calendar Order of 3rd Reading ** April 15, 2005

  43. Placed on Calendar Order of 3rd Reading March 16, 2005

  44. Second Reading

  45. Placed on Calendar Order of 2nd Reading March 10, 2005

  46. Do Pass Insurance; 006-004-000

  47. Assigned to Insurance

  48. Referred to Rules

  49. First Reading

  50. Chief Co-Sponsor Sen. Emil Jones, Jr.

  51. 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.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Third Reading

Passed 112 Yea · 0 Nay · 6 Other
Party YeaNayPresentNot Voting
Unaffiliated 100006
Democrat 9000
Republican 3000
Total 112006
% 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

Official roll call →

Third Reading

Passed 57 Yea · 0 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 51002
Democrat 5000
Republican 1000
Total 57002
% 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

Official roll call →

Subjects

Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

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?
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