33 | | - | United States, symptoms for depression and anxiety in |
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34 | | - | adults increased nearly fourfold during the COVID-19 |
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35 | | - | pandemic. |
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36 | | - | Section 10. The State Employees Group Insurance Act of |
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37 | | - | 1971 is amended by changing Section 6.11 as follows: |
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38 | | - | (5 ILCS 375/6.11) |
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39 | | - | (Text of Section before amendment by P.A. 102-768) |
---|
40 | | - | Sec. 6.11. Required health benefits; Illinois Insurance |
---|
41 | | - | Code requirements. The program of health benefits shall |
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42 | | - | provide the post-mastectomy care benefits required to be |
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43 | | - | covered by a policy of accident and health insurance under |
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44 | | - | Section 356t of the Illinois Insurance Code. The program of |
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45 | | - | health benefits shall provide the coverage required under |
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46 | | - | Sections 356g, 356g.5, 356g.5-1, 356m, 356q, 356u, 356w, 356x, |
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47 | | - | 356z.2, 356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 356z.10, |
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48 | | - | 356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.17, 356z.22, |
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49 | | - | 356z.25, 356z.26, 356z.29, 356z.30a, 356z.32, 356z.33, |
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50 | | - | 356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47, 356z.51, |
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51 | | - | 356z.53, 356z.54, 356z.56, 356z.57, 356z.59, and 356z.60, and |
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52 | | - | 356z.61 of the Illinois Insurance Code. The program of health |
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53 | | - | benefits must comply with Sections 155.22a, 155.37, 355b, |
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54 | | - | 356z.19, 370c, and 370c.1 and Article XXXIIB of the Illinois |
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55 | | - | Insurance Code. The Department of Insurance shall enforce the |
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56 | | - | requirements of this Section with respect to Sections 370c and |
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| 32 | + | HB2847 Enrolled- 2 -LRB103 26943 BMS 53308 b HB2847 Enrolled - 2 - LRB103 26943 BMS 53308 b |
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| 33 | + | HB2847 Enrolled - 2 - LRB103 26943 BMS 53308 b |
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| 34 | + | 1 United States, symptoms for depression and anxiety in |
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| 35 | + | 2 adults increased nearly fourfold during the COVID-19 |
---|
| 36 | + | 3 pandemic. |
---|
| 37 | + | 4 Section 10. The State Employees Group Insurance Act of |
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| 38 | + | 5 1971 is amended by changing Section 6.11 as follows: |
---|
| 39 | + | 6 (5 ILCS 375/6.11) |
---|
| 40 | + | 7 (Text of Section before amendment by P.A. 102-768) |
---|
| 41 | + | 8 Sec. 6.11. Required health benefits; Illinois Insurance |
---|
| 42 | + | 9 Code requirements. The program of health benefits shall |
---|
| 43 | + | 10 provide the post-mastectomy care benefits required to be |
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| 44 | + | 11 covered by a policy of accident and health insurance under |
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| 45 | + | 12 Section 356t of the Illinois Insurance Code. The program of |
---|
| 46 | + | 13 health benefits shall provide the coverage required under |
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| 47 | + | 14 Sections 356g, 356g.5, 356g.5-1, 356m, 356q, 356u, 356w, 356x, |
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| 48 | + | 15 356z.2, 356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 356z.10, |
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| 49 | + | 16 356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.17, 356z.22, |
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| 50 | + | 17 356z.25, 356z.26, 356z.29, 356z.30a, 356z.32, 356z.33, |
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| 51 | + | 18 356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47, 356z.51, |
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| 52 | + | 19 356z.53, 356z.54, 356z.56, 356z.57, 356z.59, and 356z.60, and |
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| 53 | + | 20 356z.61 of the Illinois Insurance Code. The program of health |
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| 54 | + | 21 benefits must comply with Sections 155.22a, 155.37, 355b, |
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| 55 | + | 22 356z.19, 370c, and 370c.1 and Article XXXIIB of the Illinois |
---|
| 56 | + | 23 Insurance Code. The Department of Insurance shall enforce the |
---|
| 57 | + | 24 requirements of this Section with respect to Sections 370c and |
---|
114 | | - | 102-1093, eff. 1-1-23; 102-1117, eff. 1-13-23.) |
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115 | | - | Section 15. The Department of Public Health Powers and |
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116 | | - | Duties Law of the Civil Administrative Code of Illinois is |
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117 | | - | amended by adding Section 2310-720 as follows: |
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118 | | - | (20 ILCS 2310/2310-720 new) |
---|
119 | | - | Sec. 2310-720. Public educational effort on mental health |
---|
120 | | - | and wellness. Subject to appropriation, the Department shall |
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121 | | - | undertake a public educational campaign to bring broad public |
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122 | | - | awareness to communities across this State on the importance |
---|
123 | | - | of mental health and wellness, including the expanded coverage |
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124 | | - | of mental health treatment, and consistent with the |
---|
125 | | - | recommendations of the Illinois Children's Mental Health |
---|
126 | | - | Partnership's Children's Mental Health Plan of 2022 and Public |
---|
127 | | - | Act 102-899. The Department shall look to other successful |
---|
128 | | - | public educational campaigns to guide this effort, such as the |
---|
129 | | - | public educational campaign related to Get Covered Illinois. |
---|
130 | | - | Additionally, the Department shall work with the Department of |
---|
131 | | - | Insurance, the Illinois State Board of Education, the |
---|
132 | | - | Department of Human Services, the Department of Healthcare and |
---|
133 | | - | Family Services, the Department of Juvenile Justice, the |
---|
134 | | - | Department of Children and Family Services, and other State |
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135 | | - | agencies as necessary to promote consistency in messaging and |
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136 | | - | distribution methods between this campaign and other |
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137 | | - | concurrent public educational campaigns related to mental |
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| 66 | + | HB2847 Enrolled- 3 -LRB103 26943 BMS 53308 b HB2847 Enrolled - 3 - LRB103 26943 BMS 53308 b |
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| 67 | + | HB2847 Enrolled - 3 - LRB103 26943 BMS 53308 b |
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| 68 | + | 1 370c.1 of the Illinois Insurance Code; all other requirements |
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| 69 | + | 2 of this Section shall be enforced by the Department of Central |
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| 70 | + | 3 Management Services. |
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| 71 | + | 4 Rulemaking authority to implement Public Act 95-1045, if |
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| 72 | + | 5 any, is conditioned on the rules being adopted in accordance |
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| 73 | + | 6 with all provisions of the Illinois Administrative Procedure |
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| 74 | + | 7 Act and all rules and procedures of the Joint Committee on |
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| 75 | + | 8 Administrative Rules; any purported rule not so adopted, for |
---|
| 76 | + | 9 whatever reason, is unauthorized. |
---|
| 77 | + | 10 (Source: P.A. 101-13, eff. 6-12-19; 101-281, eff. 1-1-20; |
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| 78 | + | 11 101-393, eff. 1-1-20; 101-452, eff. 1-1-20; 101-461, eff. |
---|
| 79 | + | 12 1-1-20; 101-625, eff. 1-1-21; 102-30, eff. 1-1-22; 102-103, |
---|
| 80 | + | 13 eff. 1-1-22; 102-203, eff. 1-1-22; 102-306, eff. 1-1-22; |
---|
| 81 | + | 14 102-642, eff. 1-1-22; 102-665, eff. 10-8-21; 102-731, eff. |
---|
| 82 | + | 15 1-1-23; 102-804, eff. 1-1-23; 102-813, eff. 5-13-22; 102-816, |
---|
| 83 | + | 16 eff. 1-1-23; 102-860, eff. 1-1-23; 102-1093, eff. 1-1-23; |
---|
| 84 | + | 17 revised 12-13-22.) |
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| 85 | + | 18 (Text of Section after amendment by P.A. 102-768) |
---|
| 86 | + | 19 Sec. 6.11. Required health benefits; Illinois Insurance |
---|
| 87 | + | 20 Code requirements. The program of health benefits shall |
---|
| 88 | + | 21 provide the post-mastectomy care benefits required to be |
---|
| 89 | + | 22 covered by a policy of accident and health insurance under |
---|
| 90 | + | 23 Section 356t of the Illinois Insurance Code. The program of |
---|
| 91 | + | 24 health benefits shall provide the coverage required under |
---|
| 92 | + | 25 Sections 356g, 356g.5, 356g.5-1, 356m, 356q, 356u, 356w, 356x, |
---|
192 | | - | self-insurer for purposes of providing health insurance |
---|
193 | | - | coverage for its employees, the coverage shall include |
---|
194 | | - | coverage for the post-mastectomy care benefits required to be |
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195 | | - | covered by a policy of accident and health insurance under |
---|
196 | | - | Section 356t and the coverage required under Sections 356g, |
---|
197 | | - | 356g.5, 356g.5-1, 356q, 356u, 356w, 356x, 356z.4, 356z.4a, |
---|
198 | | - | 356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13, |
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199 | | - | 356z.14, 356z.15, 356z.22, 356z.25, 356z.26, 356z.29, |
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200 | | - | 356z.30a, 356z.32, 356z.33, 356z.36, 356z.40, 356z.41, |
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201 | | - | 356z.45, 356z.46, 356z.47, 356z.48, 356z.51, 356z.53, 356z.54, |
---|
202 | | - | 356z.56, 356z.57, 356z.59, and 356z.60, and 356z.61 of the |
---|
203 | | - | Illinois Insurance Code. The coverage shall comply with |
---|
204 | | - | Sections 155.22a, 355b, 356z.19, and 370c of the Illinois |
---|
205 | | - | Insurance Code. The Department of Insurance shall enforce the |
---|
206 | | - | requirements of this Section. The requirement that health |
---|
207 | | - | benefits be covered as provided in this is an exclusive power |
---|
208 | | - | and function of the State and is a denial and limitation under |
---|
209 | | - | Article VII, Section 6, subsection (h) of the Illinois |
---|
210 | | - | Constitution. A home rule municipality to which this Section |
---|
211 | | - | applies must comply with every provision of this Section. |
---|
212 | | - | Rulemaking authority to implement Public Act 95-1045, if |
---|
213 | | - | any, is conditioned on the rules being adopted in accordance |
---|
214 | | - | with all provisions of the Illinois Administrative Procedure |
---|
215 | | - | Act and all rules and procedures of the Joint Committee on |
---|
216 | | - | Administrative Rules; any purported rule not so adopted, for |
---|
217 | | - | whatever reason, is unauthorized. |
---|
| 101 | + | HB2847 Enrolled- 4 -LRB103 26943 BMS 53308 b HB2847 Enrolled - 4 - LRB103 26943 BMS 53308 b |
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| 102 | + | HB2847 Enrolled - 4 - LRB103 26943 BMS 53308 b |
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| 103 | + | 1 356z.2, 356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 356z.10, |
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| 104 | + | 2 356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.17, 356z.22, |
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| 105 | + | 3 356z.25, 356z.26, 356z.29, 356z.30a, 356z.32, 356z.33, |
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| 106 | + | 4 356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47, 356z.51, |
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| 107 | + | 5 356z.53, 356z.54, 356z.55, 356z.56, 356z.57, 356z.59, and |
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| 108 | + | 6 356z.60, and 356z.61 of the Illinois Insurance Code. The |
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| 109 | + | 7 program of health benefits must comply with Sections 155.22a, |
---|
| 110 | + | 8 155.37, 355b, 356z.19, 370c, and 370c.1 and Article XXXIIB of |
---|
| 111 | + | 9 the Illinois Insurance Code. The Department of Insurance shall |
---|
| 112 | + | 10 enforce the requirements of this Section with respect to |
---|
| 113 | + | 11 Sections 370c and 370c.1 of the Illinois Insurance Code; all |
---|
| 114 | + | 12 other requirements of this Section shall be enforced by the |
---|
| 115 | + | 13 Department of Central Management Services. |
---|
| 116 | + | 14 Rulemaking authority to implement Public Act 95-1045, if |
---|
| 117 | + | 15 any, is conditioned on the rules being adopted in accordance |
---|
| 118 | + | 16 with all provisions of the Illinois Administrative Procedure |
---|
| 119 | + | 17 Act and all rules and procedures of the Joint Committee on |
---|
| 120 | + | 18 Administrative Rules; any purported rule not so adopted, for |
---|
| 121 | + | 19 whatever reason, is unauthorized. |
---|
| 122 | + | 20 (Source: P.A. 101-13, eff. 6-12-19; 101-281, eff. 1-1-20; |
---|
| 123 | + | 21 101-393, eff. 1-1-20; 101-452, eff. 1-1-20; 101-461, eff. |
---|
| 124 | + | 22 1-1-20; 101-625, eff. 1-1-21; 102-30, eff. 1-1-22; 102-103, |
---|
| 125 | + | 23 eff. 1-1-22; 102-203, eff. 1-1-22; 102-306, eff. 1-1-22; |
---|
| 126 | + | 24 102-642, eff. 1-1-22; 102-665, eff. 10-8-21; 102-731, eff. |
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| 127 | + | 25 1-1-23; 102-768, eff. 1-1-24; 102-804, eff. 1-1-23; 102-813, |
---|
| 128 | + | 26 eff. 5-13-22; 102-816, eff. 1-1-23; 102-860, eff. 1-1-23; |
---|
328 | | - | and for a service other than a mental health prevention |
---|
329 | | - | and wellness visit, reimbursement shall not be denied if |
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330 | | - | they occur on the same date by the same provider and the |
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331 | | - | provider is a primary care provider. |
---|
332 | | - | (h) A mental health prevention and wellness visit may be |
---|
333 | | - | incorporated into and reimbursed within any type of integrated |
---|
334 | | - | primary care service delivery method, including, but not |
---|
335 | | - | limited to, a psychiatric collaborative care model as provided |
---|
336 | | - | for under this Code. |
---|
337 | | - | (i) The Department shall adopt any rules necessary to |
---|
338 | | - | implement this Section by no later than October 31, 2024. |
---|
339 | | - | Section 95. No acceleration or delay. Where this Act makes |
---|
340 | | - | changes in a statute that is represented in this Act by text |
---|
341 | | - | that is not yet or no longer in effect (for example, a Section |
---|
342 | | - | represented by multiple versions), the use of that text does |
---|
343 | | - | not accelerate or delay the taking effect of (i) the changes |
---|
344 | | - | made by this Act or (ii) provisions derived from any other |
---|
345 | | - | Public Act. |
---|
346 | | - | Section 99. Effective date. This Act takes effect upon |
---|
347 | | - | becoming law. |
---|
| 167 | + | |
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| 168 | + | HB2847 Enrolled - 5 - LRB103 26943 BMS 53308 b |
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| 169 | + | |
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| 170 | + | |
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| 171 | + | HB2847 Enrolled- 6 -LRB103 26943 BMS 53308 b HB2847 Enrolled - 6 - LRB103 26943 BMS 53308 b |
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| 172 | + | HB2847 Enrolled - 6 - LRB103 26943 BMS 53308 b |
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| 173 | + | 1 health and mental wellness. Public messaging for this campaign |
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| 174 | + | 2 shall be simple, be easy to understand, and include culturally |
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| 175 | + | 3 competent messaging for different communities and regions |
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| 176 | + | 4 throughout this State. |
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| 177 | + | 5 Section 20. The Counties Code is amended by changing |
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| 178 | + | 6 Section 5-1069.3 as follows: |
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| 179 | + | 7 (55 ILCS 5/5-1069.3) |
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| 180 | + | 8 Sec. 5-1069.3. Required health benefits. If a county, |
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| 181 | + | 9 including a home rule county, is a self-insurer for purposes |
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| 182 | + | 10 of providing health insurance coverage for its employees, the |
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| 183 | + | 11 coverage shall include coverage for the post-mastectomy care |
---|
| 184 | + | 12 benefits required to be covered by a policy of accident and |
---|
| 185 | + | 13 health insurance under Section 356t and the coverage required |
---|
| 186 | + | 14 under Sections 356g, 356g.5, 356g.5-1, 356q, 356u, 356w, 356x, |
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| 187 | + | 15 356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 356z.10, 356z.11, |
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| 188 | + | 16 356z.12, 356z.13, 356z.14, 356z.15, 356z.22, 356z.25, 356z.26, |
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| 189 | + | 17 356z.29, 356z.30a, 356z.32, 356z.33, 356z.36, 356z.40, |
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| 190 | + | 18 356z.41, 356z.45, 356z.46, 356z.47, 356z.48, 356z.51, 356z.53, |
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| 191 | + | 19 356z.54, 356z.56, 356z.57, 356z.59, and 356z.60, and 356z.61 |
---|
| 192 | + | 20 of the Illinois Insurance Code. The coverage shall comply with |
---|
| 193 | + | 21 Sections 155.22a, 355b, 356z.19, and 370c of the Illinois |
---|
| 194 | + | 22 Insurance Code. The Department of Insurance shall enforce the |
---|
| 195 | + | 23 requirements of this Section. The requirement that health |
---|
| 196 | + | 24 benefits be covered as provided in this Section is an |
---|
| 197 | + | |
---|
| 198 | + | |
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| 199 | + | |
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| 200 | + | |
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| 201 | + | |
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| 202 | + | HB2847 Enrolled - 6 - LRB103 26943 BMS 53308 b |
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| 203 | + | |
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| 204 | + | |
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| 205 | + | HB2847 Enrolled- 7 -LRB103 26943 BMS 53308 b HB2847 Enrolled - 7 - LRB103 26943 BMS 53308 b |
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| 206 | + | HB2847 Enrolled - 7 - LRB103 26943 BMS 53308 b |
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| 207 | + | 1 exclusive power and function of the State and is a denial and |
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| 208 | + | 2 limitation under Article VII, Section 6, subsection (h) of the |
---|
| 209 | + | 3 Illinois Constitution. A home rule county to which this |
---|
| 210 | + | 4 Section applies must comply with every provision of this |
---|
| 211 | + | 5 Section. |
---|
| 212 | + | 6 Rulemaking authority to implement Public Act 95-1045, if |
---|
| 213 | + | 7 any, is conditioned on the rules being adopted in accordance |
---|
| 214 | + | 8 with all provisions of the Illinois Administrative Procedure |
---|
| 215 | + | 9 Act and all rules and procedures of the Joint Committee on |
---|
| 216 | + | 10 Administrative Rules; any purported rule not so adopted, for |
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| 217 | + | 11 whatever reason, is unauthorized. |
---|
| 218 | + | 12 (Source: P.A. 101-81, eff. 7-12-19; 101-281, eff. 1-1-20; |
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| 219 | + | 13 101-393, eff. 1-1-20; 101-461, eff. 1-1-20; 101-625, eff. |
---|
| 220 | + | 14 1-1-21; 102-30, eff. 1-1-22; 102-103, eff. 1-1-22; 102-203, |
---|
| 221 | + | 15 eff. 1-1-22; 102-306, eff. 1-1-22; 102-443, eff. 1-1-22; |
---|
| 222 | + | 16 102-642, eff. 1-1-22; 102-665, eff. 10-8-21; 102-731, eff. |
---|
| 223 | + | 17 1-1-23; 102-804, eff. 1-1-23; 102-813, eff. 5-13-22; 102-816, |
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| 224 | + | 18 eff. 1-1-23; 102-860, eff. 1-1-23; 102-1093, eff. 1-1-23; |
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| 225 | + | 19 102-1117, eff. 1-13-23.) |
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| 226 | + | 20 Section 25. The Illinois Municipal Code is amended by |
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| 227 | + | 21 changing Section 10-4-2.3 as follows: |
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| 228 | + | 22 (65 ILCS 5/10-4-2.3) |
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| 229 | + | 23 Sec. 10-4-2.3. Required health benefits. If a |
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| 230 | + | 24 municipality, including a home rule municipality, is a |
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| 231 | + | |
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| 232 | + | |
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| 233 | + | |
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| 234 | + | |
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| 235 | + | |
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| 236 | + | HB2847 Enrolled - 7 - LRB103 26943 BMS 53308 b |
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| 237 | + | |
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| 238 | + | |
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| 239 | + | HB2847 Enrolled- 8 -LRB103 26943 BMS 53308 b HB2847 Enrolled - 8 - LRB103 26943 BMS 53308 b |
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| 240 | + | HB2847 Enrolled - 8 - LRB103 26943 BMS 53308 b |
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| 241 | + | 1 self-insurer for purposes of providing health insurance |
---|
| 242 | + | 2 coverage for its employees, the coverage shall include |
---|
| 243 | + | 3 coverage for the post-mastectomy care benefits required to be |
---|
| 244 | + | 4 covered by a policy of accident and health insurance under |
---|
| 245 | + | 5 Section 356t and the coverage required under Sections 356g, |
---|
| 246 | + | 6 356g.5, 356g.5-1, 356q, 356u, 356w, 356x, 356z.4, 356z.4a, |
---|
| 247 | + | 7 356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13, |
---|
| 248 | + | 8 356z.14, 356z.15, 356z.22, 356z.25, 356z.26, 356z.29, |
---|
| 249 | + | 9 356z.30a, 356z.32, 356z.33, 356z.36, 356z.40, 356z.41, |
---|
| 250 | + | 10 356z.45, 356z.46, 356z.47, 356z.48, 356z.51, 356z.53, 356z.54, |
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| 251 | + | 11 356z.56, 356z.57, 356z.59, and 356z.60, and 356z.61 of the |
---|
| 252 | + | 12 Illinois Insurance Code. The coverage shall comply with |
---|
| 253 | + | 13 Sections 155.22a, 355b, 356z.19, and 370c of the Illinois |
---|
| 254 | + | 14 Insurance Code. The Department of Insurance shall enforce the |
---|
| 255 | + | 15 requirements of this Section. The requirement that health |
---|
| 256 | + | 16 benefits be covered as provided in this is an exclusive power |
---|
| 257 | + | 17 and function of the State and is a denial and limitation under |
---|
| 258 | + | 18 Article VII, Section 6, subsection (h) of the Illinois |
---|
| 259 | + | 19 Constitution. A home rule municipality to which this Section |
---|
| 260 | + | 20 applies must comply with every provision of this Section. |
---|
| 261 | + | 21 Rulemaking authority to implement Public Act 95-1045, if |
---|
| 262 | + | 22 any, is conditioned on the rules being adopted in accordance |
---|
| 263 | + | 23 with all provisions of the Illinois Administrative Procedure |
---|
| 264 | + | 24 Act and all rules and procedures of the Joint Committee on |
---|
| 265 | + | 25 Administrative Rules; any purported rule not so adopted, for |
---|
| 266 | + | 26 whatever reason, is unauthorized. |
---|
| 267 | + | |
---|
| 268 | + | |
---|
| 269 | + | |
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| 270 | + | |
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| 271 | + | |
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| 272 | + | HB2847 Enrolled - 8 - LRB103 26943 BMS 53308 b |
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| 273 | + | |
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| 274 | + | |
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| 275 | + | HB2847 Enrolled- 9 -LRB103 26943 BMS 53308 b HB2847 Enrolled - 9 - LRB103 26943 BMS 53308 b |
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| 276 | + | HB2847 Enrolled - 9 - LRB103 26943 BMS 53308 b |
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| 277 | + | 1 (Source: P.A. 101-81, eff. 7-12-19; 101-281, eff. 1-1-20; |
---|
| 278 | + | 2 101-393, eff. 1-1-20; 101-461, eff. 1-1-20; 101-625, eff. |
---|
| 279 | + | 3 1-1-21; 102-30, eff. 1-1-22; 102-103, eff. 1-1-22; 102-203, |
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| 280 | + | 4 eff. 1-1-22; 102-306, eff. 1-1-22; 102-443, eff. 1-1-22; |
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| 281 | + | 5 102-642, eff. 1-1-22; 102-665, eff. 10-8-21; 102-731, eff. |
---|
| 282 | + | 6 1-1-23; 102-804, eff. 1-1-23; 102-813, eff. 5-13-22; 102-816, |
---|
| 283 | + | 7 eff. 1-1-23; 102-860, eff. 1-1-23; 102-1093, eff. 1-1-23; |
---|
| 284 | + | 8 102-1117, eff. 1-13-23.) |
---|
| 285 | + | 9 Section 30. The School Code is amended by changing Section |
---|
| 286 | + | 10 10-22.3f as follows: |
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| 287 | + | 11 (105 ILCS 5/10-22.3f) |
---|
| 288 | + | 12 Sec. 10-22.3f. Required health benefits. Insurance |
---|
| 289 | + | 13 protection and benefits for employees shall provide the |
---|
| 290 | + | 14 post-mastectomy care benefits required to be covered by a |
---|
| 291 | + | 15 policy of accident and health insurance under Section 356t and |
---|
| 292 | + | 16 the coverage required under Sections 356g, 356g.5, 356g.5-1, |
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| 293 | + | 17 356q, 356u, 356w, 356x, 356z.4, 356z.4a, 356z.6, 356z.8, |
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| 294 | + | 18 356z.9, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.22, |
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| 295 | + | 19 356z.25, 356z.26, 356z.29, 356z.30a, 356z.32, 356z.33, |
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| 296 | + | 20 356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47, 356z.51, |
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| 297 | + | 21 356z.53, 356z.54, 356z.56, 356z.57, 356z.59, and 356z.60, and |
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| 298 | + | 22 356z.61 of the Illinois Insurance Code. Insurance policies |
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| 299 | + | 23 shall comply with Section 356z.19 of the Illinois Insurance |
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| 300 | + | 24 Code. The coverage shall comply with Sections 155.22a, 355b, |
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| 311 | + | 1 and 370c of the Illinois Insurance Code. The Department of |
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| 312 | + | 2 Insurance shall enforce the requirements of this Section. |
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| 313 | + | 3 Rulemaking authority to implement Public Act 95-1045, if |
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| 314 | + | 4 any, is conditioned on the rules being adopted in accordance |
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| 315 | + | 5 with all provisions of the Illinois Administrative Procedure |
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| 316 | + | 6 Act and all rules and procedures of the Joint Committee on |
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| 317 | + | 7 Administrative Rules; any purported rule not so adopted, for |
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| 318 | + | 8 whatever reason, is unauthorized. |
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| 319 | + | 9 (Source: P.A. 101-81, eff. 7-12-19; 101-281, eff. 1-1-20; |
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| 320 | + | 10 101-393, eff. 1-1-20; 101-461, eff. 1-1-20; 101-625, eff. |
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| 321 | + | 11 1-1-21; 102-30, eff. 1-1-22; 102-103, eff. 1-1-22; 102-203, |
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| 322 | + | 12 eff. 1-1-22; 102-306, eff. 1-1-22; 102-642, eff. 1-1-22; |
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| 323 | + | 13 102-665, eff. 10-8-21; 102-731, eff. 1-1-23; 102-804, eff. |
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| 324 | + | 14 1-1-23; 102-813, eff. 5-13-22; 102-816, eff. 1-1-23; 102-860, |
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| 325 | + | 15 eff. 1-1-23; 102-1093, eff. 1-1-23; 102-1117, eff. 1-13-23.) |
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| 326 | + | 16 Section 35. The Illinois Insurance Code is amended by |
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| 327 | + | 17 adding Section 356z.61 as follows: |
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| 328 | + | 18 (215 ILCS 5/356z.61 new) |
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| 329 | + | 19 Sec. 356z.61. Coverage of no-cost mental health prevention |
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| 330 | + | 20 and wellness visits. |
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| 331 | + | 21 (a) A group or individual policy of accident and health |
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| 332 | + | 22 insurance or managed care plan that is amended, delivered, |
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| 333 | + | 23 issued, or renewed on or after January 1, 2025 shall provide |
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| 334 | + | 24 coverage for one annual mental health prevention and wellness |
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| 345 | + | 1 visit for children and for adults. |
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| 346 | + | 2 (b) Mental health prevention and wellness visits shall |
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| 347 | + | 3 include any age-appropriate screening recommended by the |
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| 348 | + | 4 United States Preventive Services Task Force or by the |
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| 349 | + | 5 American Academy of Pediatrics' Bright Futures: Guidelines for |
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| 350 | + | 6 Health Supervision of Infants, Children, and Adolescents for |
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| 351 | + | 7 purposes of identifying a mental health issue, condition, or |
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| 352 | + | 8 disorder; discussing mental health symptoms that might be |
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| 353 | + | 9 present, including symptoms of a previously diagnosed mental |
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| 354 | + | 10 health condition or disorder; performing an evaluation of |
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| 355 | + | 11 adverse childhood experiences; and discussing mental health |
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| 356 | + | 12 and wellness. |
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| 357 | + | 13 (c) A mental health prevention and wellness visit shall be |
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| 358 | + | 14 covered for up to 60 minutes and may be performed by a |
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| 359 | + | 15 physician licensed to practice medicine in all of its |
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| 360 | + | 16 branches, a licensed clinical psychologist, a licensed |
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| 361 | + | 17 clinical social worker, a licensed clinical professional |
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| 362 | + | 18 counselor, a licensed marriage and family therapist, a |
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| 363 | + | 19 licensed social worker, or a licensed professional counselor. |
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| 364 | + | 20 (d) A policy subject to this Section shall not impose a |
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| 365 | + | 21 deductible, coinsurance, copayment, or other cost-sharing |
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| 366 | + | 22 requirement for mental health prevention and wellness visits. |
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| 367 | + | 23 The cost-sharing prohibition in this subsection (d) does not |
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| 368 | + | 24 apply to coverage of mental health prevention and wellness |
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| 369 | + | 25 visits to the extent such coverage would disqualify a |
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| 370 | + | 26 high-deductible health plan from eligibility for a health |
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| 381 | + | 1 savings account pursuant to Section 223 of the Internal |
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| 382 | + | 2 Revenue Code. |
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| 383 | + | 3 (e) A mental health prevention and wellness visit shall be |
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| 384 | + | 4 in addition to an annual physical examination and shall not |
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| 385 | + | 5 replace a well-child visit or a general health or medical |
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| 386 | + | 6 visit. |
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| 387 | + | 7 (f) A mental health prevention and wellness visit shall be |
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| 388 | + | 8 reimbursed through the following American Medical Association |
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| 389 | + | 9 current procedural terminology codes and at the same rate that |
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| 390 | + | 10 current procedural terminology codes are reimbursed for the |
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| 391 | + | 11 provision of other medical care: 99381-99387 and 99391-99397. |
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| 392 | + | 12 The Department shall update the current procedural terminology |
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| 393 | + | 13 codes through adoption of rules if the codes listed in this |
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| 394 | + | 14 subsection are altered, amended, changed, deleted, or |
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| 395 | + | 15 supplemented. |
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| 396 | + | 16 (g) Reimbursement of any of the current procedural |
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| 397 | + | 17 terminology codes listed in this Section shall comply with the |
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| 398 | + | 18 following: |
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| 399 | + | 19 (1) reimbursement may be adjusted for payment of |
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| 400 | + | 20 claims that are billed by a nonphysician clinician so long |
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| 401 | + | 21 as the methodology to determine the adjustments are |
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| 402 | + | 22 comparable to and applied no more stringently than the |
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| 403 | + | 23 methodology for adjustments made for reimbursement of |
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| 404 | + | 24 claims billed by nonphysician clinicians for other medical |
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| 405 | + | 25 care, in accordance with 45 CFR 146.136(c)(4); and |
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| 406 | + | 26 (2) for a mental health prevention and wellness visit |
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| 417 | + | 1 and for a service other than a mental health prevention |
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| 418 | + | 2 and wellness visit, reimbursement shall not be denied if |
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| 419 | + | 3 they occur on the same date by the same provider and the |
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| 420 | + | 4 provider is a primary care provider. |
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| 421 | + | 5 (h) A mental health prevention and wellness visit may be |
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| 422 | + | 6 incorporated into and reimbursed within any type of integrated |
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| 423 | + | 7 primary care service delivery method, including, but not |
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| 424 | + | 8 limited to, a psychiatric collaborative care model as provided |
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| 425 | + | 9 for under this Code. |
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| 426 | + | 10 (i) The Department shall adopt any rules necessary to |
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| 427 | + | 11 implement this Section by no later than October 31, 2024. |
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| 428 | + | 12 Section 95. No acceleration or delay. Where this Act makes |
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| 429 | + | 13 changes in a statute that is represented in this Act by text |
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| 430 | + | 14 that is not yet or no longer in effect (for example, a Section |
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| 431 | + | 15 represented by multiple versions), the use of that text does |
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| 432 | + | 16 not accelerate or delay the taking effect of (i) the changes |
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| 433 | + | 17 made by this Act or (ii) provisions derived from any other |
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| 434 | + | 18 Public Act. |
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| 435 | + | 19 Section 99. Effective date. This Act takes effect upon |
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| 436 | + | 20 becoming law. |
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