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20 Ill. Comp. Stat. §§ 2215/4-1 through 2215/4-4: Illinois Health Finance Reform Act – Illinois
Status: Enacted     Year Enacted: 1984
Statutes require hospitals to make information available about the normal charge incurred for any procedure or operation to prospective patients. Statutes require the Department to make available the “Consumer Guide to Health Care” and the …
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210 Ill. Comp. Stat. §§ 3/1 through 3/35: Alternative Health Care Delivery Act – Illinois
Status: Enacted     Year Enacted: 1992
The Alternative Health Care Delivery Act is created by these statutes with the intent to foster new and innovative solutions to health care problems, including limited access, lack of choice and high cost. These statutes …
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215 Ill. Comp. Stat. § 105/15. Alternative portable coverage for federally eligible individuals: Comprehensive Health Insurance Plan Act – Illinois
Status: Enacted     Year Enacted: 1997
Statute governs portability provisions of comprehensive health insurance plan and requires that the coverages offered under this statute, the schedule of benefits, deductibles, co-payments, exclusions and other limitations be approved by the board.The board is …
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215 Ill. Comp. Stat. § 130/3008. Evidence of coverage: Limited Health Service Organization Act – Illinois
Status: Enacted     Year Enacted: 1989
Every subscriber of a limited health service organization shall be issued an evidence of coverage, which must contain a clear and complete statement of any limitation of the services or benefits to be provided, and …
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215 Ill. Comp. Stat. § 134/15. Provision of information: Managed Care Reform and Patient Rights Act – Illinois
Status: Enacted     Year Enacted: 2000
A health care plan shall provide annually to enrollees and prospective enrollees, upon request, a complete list of participating health care providers in the health care plan’s service area and a description of the following …
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215 Ill. Comp. Stat. § 134/72. Pharmacy providers: Managed Care Reform and Patient Rights Act – Illinois
Status: Enacted     Year Enacted: 2000
A health care plan shall apply the same co-insurance, copayment, and deductible factors to all drug prescriptions filled by a pharmacy provider that participates in the health care plan’s network. A health care plan may …
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215 Ill. Comp. Stat. § 5/143.31. Uniform medical claim and billing forms: Illinois Insurance Code — Provisions Applicable to All Companies – Illinois
Status: Enacted     Year Enacted: 1994
When a health insurer sends an explanation of benefits paid statements or claims summary statements to an insured it shall be in a format and written in a manner that promotes understanding by the insured …
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215 Ill. Comp. Stat. § 5/356z.3a. Nonparticipating facility-based physicians and providers: Accident and Health Insurance – Illinois
Status: Enacted     Year Enacted: 2011
When a beneficiary, insured, or enrollee utilizes a participating network hospital or a participating network ambulatory surgery center and, due to any reason, in network services for radiology, anesthesiology, pathology, emergency physician, or neonatology are …
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215 Ill. Comp. Stat. § 5/356z.4. Coverage for contraceptives: Accident and Health Insurance – Illinois
Status: Enacted     Year Enacted: 2004
The General Assembly hereby finds and declares medical management techniques such as denials, step therapy, or prior authorization in public and private health care coverage can impede access to the most effective contraceptive methods. All …
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215 Ill. Comp. Stat. §§ 105/1 through 105/8: Comprehensive Health Insurance Plan Act – Illinois
Status: Enacted     Year Enacted: 1987
Statutes create a board to supervise and control the Illinois Comprehensive Health Insurance Plan, the board may provide for and employ cost containment measures and requirements including utilization programs. The board has authority to establish …
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215 Ill. Comp. Stat. §§ 106/1 through 106/30: Children’s Health Insurance Program Act – Illinois
Status: Enacted     Year Enacted: 1998
The Act enables low-income children of Illinois to access health benefits coverage, especially preventative health care. Statute requires that at least 50% of recipients eligible for comprehensive medical benefits be enrolled in a care coordination …
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215 Ill. Comp. Stat. §§ 124/1 through 124/25: Network Adequacy and Transparency Act – Illinois
Status: Enacted     Year Enacted: 2017
Statutes prohibit an insurer from prohibiting a preferred provider from discussing any specific or all treatment options with beneficiaries or from advocating on behalf of beneficiaries within utilization review. If the insurer does not have …
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215 Ill. Comp. Stat. §§ 125/4-10 through 125/4-20: Health Maintenance Organization Act — Delivery of Services – Required Provisions and Marketing – Illinois
Status: Enacted     Year Enacted: 1987
Statutes lay out indepenent review process for what constitutes “medically necessary” for a certain patient. Statutes require a health maintenance organization to file with the Director, prior to use, a notice of any change in …
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215 Ill. Comp. Stat. §§ 170/1 through 170/40: Covering All Kids Health Insurance Act – Illinois
Status: Enacted     Year Enacted: 2006
The Covering All Kids Health Insurance Act was created to enable all children to access affordable health insurance that offers comprehensive coverage and emphasizes preventive healthcare. The Department shall adopt rules regarding performance standards and …
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215 Ill. Comp. Stat. §§ 5/1201 through 5/1203: Illinois Insurance Cost Containment Act – Illinois
Status: Enacted     Year Enacted: 1986
The purpose of this Article is to promote public welfare by stabilizing the cost of insurance. The Article intends to permit and encourage competition between companies to ensure the provision of adequate insurance at reasonable …
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215 Ill. Comp. Stat. §§ 93/1 through 93/35: Small Employer Health Insurance Rating Act – Illinois
Status: Enacted     Year Enacted: 2000
The intent of this Act is to improve the efficiency and fairness of the small group health insurance marketplace. Statutes regulate premium rates and require small employer carriers to make its rating practices available to …
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