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20 Ill. Comp. Stat. § 215/5-1. Mandatory Utilization Review: Illinois Health Finance Reform Act – Illinois
Status: Enacted     Year Enacted: 1984
Any third party payor shall have the option to require utilization review for hospital admissions and continued hospital stays
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210 Ill. Comp. Stat. § 3/30. Demonstration program requirements: Alternative Health Care Delivery Act – Illinois
Status: Enacted     Year Enacted: 1992
This section sets out the requirements for demonstration/pilot programs.
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210 Ill. Comp. Stat. § 3/35. Alternative health care models authorized: Alternative Health Care Delivery Act – Illinois
Status: Enacted     Year Enacted: 1992
Notwithstanding any other law to the contrary, alternative health care models described in this Section may be established on a demonstration basis.
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210 Ill. Comp. Stat. § 3/5. Purpose: Alternative Health Care Delivery Act – Illinois
Status: Enacted     Year Enacted: 1992
The General Assembly finds that many consumers have limited access to needed health care. Other consumers have limited health care choices. Consumers of health care also experience high out-of-pocket costs for health care, and the …
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210 Ill. Comp. Stat. § 89/5. Definitions: Hospital Uninsured Patient Discount Act – Illinois
Status: Enacted     Year Enacted: 2008
Definitions for the Hospital Uninsured Patient Discount Act.
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215 Ill. Comp. Stat. § 124/10. Network adequacy: Network Adequacy and Transparency Act – Illinois
Status: Enacted     Year Enacted: 2017
Plans must file with the department a description of their network adequacy. An insurer shall not prohibit a preferred provider from discussing any specific or all treatment options with beneficiaries irrespective of the insurer’s position …
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215 Ill. Comp. Stat. § 124/25. Network transparency: Network Adequacy and Transparency Act – Illinois
Status: Enacted     Year Enacted: 2017
A network plan shall post electronically an up-to-date, accurate, and complete provider directory for each of its network plans, with the information and search functions, as described in this Section.
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215 Ill. Comp. Stat. § 124/5. Definitions: Network Adequacy and Transparency Act – Illinois
Status: Enacted     Year Enacted: 2017
Definitions for the Network Adequacy and Transparency Act.
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215 Ill. Comp. Stat. § 134/10. Definitions: Managed Care Reform and Patient Rights Act – Illinois
Status: Enacted     Year Enacted: 2000
Definitions for the Managed Care Reform and Patient Rights Act.
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215 Ill. Comp. Stat. § 134/5. Health care patient rights: Managed Care Reform and Patient Rights Act – Illinois
Status: Enacted     Year Enacted: 2000
A patient has the right, regardless of source of payment, to examine and to receive a reasonable explanation of his or her total bill for health care services rendered by his or her physician or …
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215 Ill. Comp. Stat. § 134/65. Emergency services prior to stabilization: Managed Care Reform and Patient Rights Act – Illinois
Status: Enacted     Year Enacted: 2000
A health care plan that provides or that is required by law to provide coverage for emergency services shall provide coverage such that payment under this coverage is not dependent upon whether the services are …
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215 Ill. Comp. Stat. § 5/356r. Woman’s principal health care provider: Accident and Health Insurance – Illinois
Status: Enacted     Year Enacted: 1997
Women shall have the right to select a female principal health provider. If a female insured or enrollee has designated a woman’s principal health care provider, then the insured or enrollee must be given direct …
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23 R.I. Gen. Laws § 23-1-1.1. Health planning — Findings: Department of Health – Rhode Island
Status: Enacted     Year Enacted: 1988
It is found and determined that health planning is essential to promote appropriate access to high quality health services at a reasonable cost and is a precondition to effective public health practice by the department …
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27 R.I. Gen. Laws § 27-18.8-1. Purpose: Health Care Accessibility and Quality Assurance Act – Rhode Island
Status: Enacted     Year Enacted: 2017
Describes the purpose of the Health Care Accessibility and Quality Assurance Act
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27 R.I. Gen. Laws § 27-18.8-2. Definitions: Health Care Accessibility and Quality Assurance Act – Rhode Island
Status: Enacted     Year Enacted: 2017
Defines terms related to the Health Care Accessibility and Quality Assurance Act
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27 R.I. Gen. Laws § 27-18.8-3. Certification of network plans: Health Care Accessibility and Quality Assurance Act – Rhode Island
Status: Enacted     Year Enacted: 2017
Describes the requirements for a network to be certified by the Insurance Commissioner. Prohibits most favored nation clauses. Originally enacted in 2003 as 23 R.I. Gen. Laws §§ 23-17.13-2 and 23-17.13-3. General certificate requirements: Health …
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