Illinois 2023-2024 Regular Session

Illinois Senate Bill SB2744 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1		-	Public Act 103-0918
2	1		SB2744 EnrolledLRB103 35050 RPS 64995 b SB2744 Enrolled LRB103 35050 RPS 64995 b
3	2		SB2744 Enrolled LRB103 35050 RPS 64995 b
4		-	AN ACT concerning regulation.
5		-	Be it enacted by the People of the State of Illinois,
6		-	represented in the General Assembly:
7		-	Section 5. The State Employees Group Insurance Act of 1971
8		-	is amended by changing Section 6.11 as follows:
9		-	(5 ILCS 375/6.11)
10		-	Sec. 6.11. Required health benefits; Illinois Insurance
11		-	Code requirements. The program of health benefits shall
12		-	provide the post-mastectomy care benefits required to be
13		-	covered by a policy of accident and health insurance under
14		-	Section 356t of the Illinois Insurance Code. The program of
15		-	health benefits shall provide the coverage required under
16		-	Sections 356g, 356g.5, 356g.5-1, 356m, 356q, 356u, 356w, 356x,
17		-	356z.2, 356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 356z.10,
18		-	356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.17, 356z.22,
19		-	356z.25, 356z.26, 356z.29, 356z.30a, 356z.32, 356z.33,
20		-	356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47, 356z.51,
21		-	356z.53, 356z.54, 356z.55, 356z.56, 356z.57, 356z.59, 356z.60,
22		-	and 356z.61, and 356z.62, 356z.64, 356z.67, 356z.68, 356z.70,
23		-	and 356z.71 of the Illinois Insurance Code. The program of
24		-	health benefits must comply with Sections 155.22a, 155.37,
25		-	355b, 356z.19, 370c, and 370c.1 and Article XXXIIB of the
26		-	Illinois Insurance Code. The program of health benefits shall
	3	+	1 AN ACT concerning regulation.
	4	+	2 Be it enacted by the People of the State of Illinois,
	5	+	3 represented in the General Assembly:
	6	+	4 Section 5. The State Employees Group Insurance Act of 1971
	7	+	5 is amended by changing Section 6.11 as follows:
	8	+	6 (5 ILCS 375/6.11)
	9	+	7 Sec. 6.11. Required health benefits; Illinois Insurance
	10	+	8 Code requirements. The program of health benefits shall
	11	+	9 provide the post-mastectomy care benefits required to be
	12	+	10 covered by a policy of accident and health insurance under
	13	+	11 Section 356t of the Illinois Insurance Code. The program of
	14	+	12 health benefits shall provide the coverage required under
	15	+	13 Sections 356g, 356g.5, 356g.5-1, 356m, 356q, 356u, 356w, 356x,
	16	+	14 356z.2, 356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 356z.10,
	17	+	15 356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.17, 356z.22,
	18	+	16 356z.25, 356z.26, 356z.29, 356z.30a, 356z.32, 356z.33,
	19	+	17 356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47, 356z.51,
	20	+	18 356z.53, 356z.54, 356z.55, 356z.56, 356z.57, 356z.59, 356z.60,
	21	+	19 and 356z.61, and 356z.62, 356z.64, 356z.67, 356z.68, 356z.70,
	22	+	20 and 356z.71 of the Illinois Insurance Code. The program of
	23	+	21 health benefits must comply with Sections 155.22a, 155.37,
	24	+	22 355b, 356z.19, 370c, and 370c.1 and Article XXXIIB of the
	25	+	23 Illinois Insurance Code. The program of health benefits shall
27	26
28	27
29	28
30	29		SB2744 Enrolled LRB103 35050 RPS 64995 b
31	30
32	31
33		-	provide the coverage required under Section 356m of the
34		-	Illinois Insurance Code and, for the employees of the State
35		-	Employee Group Insurance Program only, the coverage as also
36		-	provided in Section 6.11B of this Act. The Department of
37		-	Insurance shall enforce the requirements of this Section with
38		-	respect to Sections 370c and 370c.1 of the Illinois Insurance
39		-	Code; all other requirements of this Section shall be enforced
40		-	by the Department of Central Management Services.
41		-	Rulemaking authority to implement Public Act 95-1045, if
42		-	any, is conditioned on the rules being adopted in accordance
43		-	with all provisions of the Illinois Administrative Procedure
44		-	Act and all rules and procedures of the Joint Committee on
45		-	Administrative Rules; any purported rule not so adopted, for
46		-	whatever reason, is unauthorized.
47		-	(Source: P.A. 102-30, eff. 1-1-22; 102-103, eff. 1-1-22;
48		-	102-203, eff. 1-1-22; 102-306, eff. 1-1-22; 102-642, eff.
49		-	1-1-22; 102-665, eff. 10-8-21; 102-731, eff. 1-1-23; 102-768,
50		-	eff. 1-1-24; 102-804, eff. 1-1-23; 102-813, eff. 5-13-22;
51		-	102-816, eff. 1-1-23; 102-860, eff. 1-1-23; 102-1093, eff.
52		-	1-1-23; 102-1117, eff. 1-13-23; 103-8, eff. 1-1-24; 103-84,
53		-	eff. 1-1-24; 103-91, eff. 1-1-24; 103-420, eff. 1-1-24;
54		-	103-445, eff. 1-1-24; 103-535, eff. 8-11-23; 103-551, eff.
55		-	8-11-23; revised 8-29-23.)
56		-	Section 10. The Counties Code is amended by changing
57		-	Section 5-1069.3 as follows:
	32	+	SB2744 Enrolled- 2 -LRB103 35050 RPS 64995 b SB2744 Enrolled - 2 - LRB103 35050 RPS 64995 b
	33	+	SB2744 Enrolled - 2 - LRB103 35050 RPS 64995 b
	34	+	1 provide the coverage required under Section 356m of the
	35	+	2 Illinois Insurance Code and, for the employees of the State
	36	+	3 Employee Group Insurance Program only, the coverage as also
	37	+	4 provided in Section 6.11B of this Act. The Department of
	38	+	5 Insurance shall enforce the requirements of this Section with
	39	+	6 respect to Sections 370c and 370c.1 of the Illinois Insurance
	40	+	7 Code; all other requirements of this Section shall be enforced
	41	+	8 by the Department of Central Management Services.
	42	+	9 Rulemaking authority to implement Public Act 95-1045, if
	43	+	10 any, is conditioned on the rules being adopted in accordance
	44	+	11 with all provisions of the Illinois Administrative Procedure
	45	+	12 Act and all rules and procedures of the Joint Committee on
	46	+	13 Administrative Rules; any purported rule not so adopted, for
	47	+	14 whatever reason, is unauthorized.
	48	+	15 (Source: P.A. 102-30, eff. 1-1-22; 102-103, eff. 1-1-22;
	49	+	16 102-203, eff. 1-1-22; 102-306, eff. 1-1-22; 102-642, eff.
	50	+	17 1-1-22; 102-665, eff. 10-8-21; 102-731, eff. 1-1-23; 102-768,
	51	+	18 eff. 1-1-24; 102-804, eff. 1-1-23; 102-813, eff. 5-13-22;
	52	+	19 102-816, eff. 1-1-23; 102-860, eff. 1-1-23; 102-1093, eff.
	53	+	20 1-1-23; 102-1117, eff. 1-13-23; 103-8, eff. 1-1-24; 103-84,
	54	+	21 eff. 1-1-24; 103-91, eff. 1-1-24; 103-420, eff. 1-1-24;
	55	+	22 103-445, eff. 1-1-24; 103-535, eff. 8-11-23; 103-551, eff.
	56	+	23 8-11-23; revised 8-29-23.)
	57	+	24 Section 10. The Counties Code is amended by changing
	58	+	25 Section 5-1069.3 as follows:
58	59
59	60
60		-	(55 ILCS 5/5-1069.3)
61		-	Sec. 5-1069.3. Required health benefits. If a county,
62		-	including a home rule county, is a self-insurer for purposes
63		-	of providing health insurance coverage for its employees, the
64		-	coverage shall include coverage for the post-mastectomy care
65		-	benefits required to be covered by a policy of accident and
66		-	health insurance under Section 356t and the coverage required
67		-	under Sections 356g, 356g.5, 356g.5-1, 356q, 356u, 356w, 356x,
68		-	356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 356z.10, 356z.11,
69		-	356z.12, 356z.13, 356z.14, 356z.15, 356z.22, 356z.25, 356z.26,
70		-	356z.29, 356z.30a, 356z.32, 356z.33, 356z.36, 356z.40,
71		-	356z.41, 356z.45, 356z.46, 356z.47, 356z.48, 356z.51, 356z.53,
72		-	356z.54, 356z.56, 356z.57, 356z.59, 356z.60, and 356z.61, and
73		-	356z.62, 356z.64, 356z.67, 356z.68, 356z.70, and 356z.71 of
74		-	the Illinois Insurance Code. The coverage shall comply with
75		-	Sections 155.22a, 355b, 356z.19, and 370c of the Illinois
76		-	Insurance Code. The Department of Insurance shall enforce the
77		-	requirements of this Section. The requirement that health
78		-	benefits be covered as provided in this Section is an
79		-	exclusive power and function of the State and is a denial and
80		-	limitation under Article VII, Section 6, subsection (h) of the
81		-	Illinois Constitution. A home rule county to which this
82		-	Section applies must comply with every provision of this
83		-	Section.
84		-	Rulemaking authority to implement Public Act 95-1045, if
85	61
86	62
87		-	any, is conditioned on the rules being adopted in accordance
88		-	with all provisions of the Illinois Administrative Procedure
89		-	Act and all rules and procedures of the Joint Committee on
90		-	Administrative Rules; any purported rule not so adopted, for
91		-	whatever reason, is unauthorized.
92		-	(Source: P.A. 102-30, eff. 1-1-22; 102-103, eff. 1-1-22;
93		-	102-203, eff. 1-1-22; 102-306, eff. 1-1-22; 102-443, eff.
94		-	1-1-22; 102-642, eff. 1-1-22; 102-665, eff. 10-8-21; 102-731,
95		-	eff. 1-1-23; 102-804, eff. 1-1-23; 102-813, eff. 5-13-22;
96		-	102-816, eff. 1-1-23; 102-860, eff. 1-1-23; 102-1093, eff.
97		-	1-1-23; 102-1117, eff. 1-13-23; 103-84, eff. 1-1-24; 103-91,
98		-	eff. 1-1-24; 103-420, eff. 1-1-24; 103-445, eff. 1-1-24;
99		-	103-535, eff. 8-11-23; 103-551, eff. 8-11-23; revised
100		-	8-29-23.)
101		-	Section 15. The Illinois Municipal Code is amended by
102		-	changing Section 10-4-2.3 as follows:
103		-	(65 ILCS 5/10-4-2.3)
104		-	Sec. 10-4-2.3. Required health benefits. If a
105		-	municipality, including a home rule municipality, is a
106		-	self-insurer for purposes of providing health insurance
107		-	coverage for its employees, the coverage shall include
108		-	coverage for the post-mastectomy care benefits required to be
109		-	covered by a policy of accident and health insurance under
110		-	Section 356t and the coverage required under Sections 356g,
	63	+
	64	+	SB2744 Enrolled - 2 - LRB103 35050 RPS 64995 b
111	65
112	66
113		-	356g.5, 356g.5-1, 356q, 356u, 356w, 356x, 356z.4, 356z.4a,
114		-	356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13,
115		-	356z.14, 356z.15, 356z.22, 356z.25, 356z.26, 356z.29,
116		-	356z.30a, 356z.32, 356z.33, 356z.36, 356z.40, 356z.41,
117		-	356z.45, 356z.46, 356z.47, 356z.48, 356z.51, 356z.53, 356z.54,
118		-	356z.56, 356z.57, 356z.59, 356z.60, and 356z.61, and 356z.62,
119		-	356z.64, 356z.67, 356z.68, 356z.70, and 356z.71 of the
120		-	Illinois Insurance Code. The coverage shall comply with
121		-	Sections 155.22a, 355b, 356z.19, and 370c of the Illinois
122		-	Insurance Code. The Department of Insurance shall enforce the
123		-	requirements of this Section. The requirement that health
124		-	benefits be covered as provided in this is an exclusive power
125		-	and function of the State and is a denial and limitation under
126		-	Article VII, Section 6, subsection (h) of the Illinois
127		-	Constitution. A home rule municipality to which this Section
128		-	applies must comply with every provision of this Section.
129		-	Rulemaking authority to implement Public Act 95-1045, if
130		-	any, is conditioned on the rules being adopted in accordance
131		-	with all provisions of the Illinois Administrative Procedure
132		-	Act and all rules and procedures of the Joint Committee on
133		-	Administrative Rules; any purported rule not so adopted, for
134		-	whatever reason, is unauthorized.
135		-	(Source: P.A. 102-30, eff. 1-1-22; 102-103, eff. 1-1-22;
136		-	102-203, eff. 1-1-22; 102-306, eff. 1-1-22; 102-443, eff.
137		-	1-1-22; 102-642, eff. 1-1-22; 102-665, eff. 10-8-21; 102-731,
138		-	eff. 1-1-23; 102-804, eff. 1-1-23; 102-813, eff. 5-13-22;
	67	+	SB2744 Enrolled- 3 -LRB103 35050 RPS 64995 b SB2744 Enrolled - 3 - LRB103 35050 RPS 64995 b
	68	+	SB2744 Enrolled - 3 - LRB103 35050 RPS 64995 b
	69	+	1 (55 ILCS 5/5-1069.3)
	70	+	2 Sec. 5-1069.3. Required health benefits. If a county,
	71	+	3 including a home rule county, is a self-insurer for purposes
	72	+	4 of providing health insurance coverage for its employees, the
	73	+	5 coverage shall include coverage for the post-mastectomy care
	74	+	6 benefits required to be covered by a policy of accident and
	75	+	7 health insurance under Section 356t and the coverage required
	76	+	8 under Sections 356g, 356g.5, 356g.5-1, 356q, 356u, 356w, 356x,
	77	+	9 356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 356z.10, 356z.11,
	78	+	10 356z.12, 356z.13, 356z.14, 356z.15, 356z.22, 356z.25, 356z.26,
	79	+	11 356z.29, 356z.30a, 356z.32, 356z.33, 356z.36, 356z.40,
	80	+	12 356z.41, 356z.45, 356z.46, 356z.47, 356z.48, 356z.51, 356z.53,
	81	+	13 356z.54, 356z.56, 356z.57, 356z.59, 356z.60, and 356z.61, and
	82	+	14 356z.62, 356z.64, 356z.67, 356z.68, 356z.70, and 356z.71 of
	83	+	15 the Illinois Insurance Code. The coverage shall comply with
	84	+	16 Sections 155.22a, 355b, 356z.19, and 370c of the Illinois
	85	+	17 Insurance Code. The Department of Insurance shall enforce the
	86	+	18 requirements of this Section. The requirement that health
	87	+	19 benefits be covered as provided in this Section is an
	88	+	20 exclusive power and function of the State and is a denial and
	89	+	21 limitation under Article VII, Section 6, subsection (h) of the
	90	+	22 Illinois Constitution. A home rule county to which this
	91	+	23 Section applies must comply with every provision of this
	92	+	24 Section.
	93	+	25 Rulemaking authority to implement Public Act 95-1045, if
139	94
140	95
141		-	102-816, eff. 1-1-23; 102-860, eff. 1-1-23; 102-1093, eff.
142		-	1-1-23; 102-1117, eff. 1-13-23; 103-84, eff. 1-1-24; 103-91,
143		-	eff. 1-1-24; 103-420, eff. 1-1-24; 103-445, eff. 1-1-24;
144		-	103-535, eff. 8-11-23; 103-551, eff. 8-11-23; revised
145		-	8-29-23.)
146		-	Section 20. The School Code is amended by changing Section
147		-	10-22.3f as follows:
148		-	(105 ILCS 5/10-22.3f)
149		-	Sec. 10-22.3f. Required health benefits. Insurance
150		-	protection and benefits for employees shall provide the
151		-	post-mastectomy care benefits required to be covered by a
152		-	policy of accident and health insurance under Section 356t and
153		-	the coverage required under Sections 356g, 356g.5, 356g.5-1,
154		-	356q, 356u, 356w, 356x, 356z.4, 356z.4a, 356z.6, 356z.8,
155		-	356z.9, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.22,
156		-	356z.25, 356z.26, 356z.29, 356z.30a, 356z.32, 356z.33,
157		-	356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47, 356z.51,
158		-	356z.53, 356z.54, 356z.56, 356z.57, 356z.59, 356z.60, and
159		-	356z.61, and 356z.62, 356z.64, 356z.67, 356z.68, 356z.70, and
160		-	356z.71 of the Illinois Insurance Code. Insurance policies
161		-	shall comply with Section 356z.19 of the Illinois Insurance
162		-	Code. The coverage shall comply with Sections 155.22a, 355b,
163		-	and 370c of the Illinois Insurance Code. The Department of
164		-	Insurance shall enforce the requirements of this Section.
165	96
166	97
167		-	Rulemaking authority to implement Public Act 95-1045, if
168		-	any, is conditioned on the rules being adopted in accordance
169		-	with all provisions of the Illinois Administrative Procedure
170		-	Act and all rules and procedures of the Joint Committee on
171		-	Administrative Rules; any purported rule not so adopted, for
172		-	whatever reason, is unauthorized.
173		-	(Source: P.A. 102-30, eff. 1-1-22; 102-103, eff. 1-1-22;
174		-	102-203, eff. 1-1-22; 102-306, eff. 1-1-22; 102-642, eff.
175		-	1-1-22; 102-665, eff. 10-8-21; 102-731, eff. 1-1-23; 102-804,
176		-	eff. 1-1-23; 102-813, eff. 5-13-22; 102-816, eff. 1-1-23;
177		-	102-860, eff. 1-1-23; 102-1093, eff. 1-1-23; 102-1117, eff.
178		-	1-13-23; 103-84, eff. 1-1-24; 103-91, eff. 1-1-24; 103-420,
179		-	eff. 1-1-24; 103-445, eff. 1-1-24; 103-535, eff. 8-11-23;
180		-	103-551, eff. 8-11-23; revised 8-29-23.)
181		-	Section 25. The Illinois Insurance Code is amended by
182		-	adding Section 356z.71 as follows:
183		-	(215 ILCS 5/356z.71 new)
184		-	Sec. 356z.71. Coverage of vaccination administration fees.
185		-	(a) A group or individual policy of accident and health
186		-	insurance or a managed care plan that is amended, delivered,
187		-	issued, or renewed on or after January 1, 2026 shall provide
188		-	coverage for vaccinations for COVID-19, influenza, and
189		-	respiratory syncytial virus, including the administration of
190		-	the vaccine by a pharmacist or health care provider authorized
	98	+
	99	+	SB2744 Enrolled - 3 - LRB103 35050 RPS 64995 b
191	100
192	101
193		-	to administer such a vaccine, without imposing a deductible,
194		-	coinsurance, copayment, or any other cost-sharing requirement,
195		-	if the following conditions are met:
196		-	(1) the vaccine is authorized or licensed by the
197		-	United States Food and Drug Administration; and
198		-	(2) the vaccine is ordered and administered according
199		-	to the Advisory Committee on Immunization Practices
200		-	standard immunization schedule.
201		-	(b) If the vaccinations provided for in subsection (a) are
202		-	not otherwise available to be administered by a contracted
203		-	pharmacist or health care provider, the group or individual
204		-	policy of accident and health insurance or a managed care plan
205		-	shall cover the vaccination, including administration fees,
206		-	without imposing a deductible, coinsurance, copayment, or any
207		-	other cost-sharing requirement.
208		-	(c) The coverage required in this Section does not apply
209		-	to the extent that the coverage would disqualify a
210		-	high-deductible health plan from eligibility for a health
211		-	savings account pursuant to Section 223 of the Internal
212		-	Revenue Code of 1986.
213		-	Section 30. The Health Maintenance Organization Act is
214		-	amended by changing Section 5-3 as follows:
215		-	(215 ILCS 125/5-3) (from Ch. 111 1/2, par. 1411.2)
216		-	Sec. 5-3. Insurance Code provisions.
	102	+	SB2744 Enrolled- 4 -LRB103 35050 RPS 64995 b SB2744 Enrolled - 4 - LRB103 35050 RPS 64995 b
	103	+	SB2744 Enrolled - 4 - LRB103 35050 RPS 64995 b
	104	+	1 any, is conditioned on the rules being adopted in accordance
	105	+	2 with all provisions of the Illinois Administrative Procedure
	106	+	3 Act and all rules and procedures of the Joint Committee on
	107	+	4 Administrative Rules; any purported rule not so adopted, for
	108	+	5 whatever reason, is unauthorized.
	109	+	6 (Source: P.A. 102-30, eff. 1-1-22; 102-103, eff. 1-1-22;
	110	+	7 102-203, eff. 1-1-22; 102-306, eff. 1-1-22; 102-443, eff.
	111	+	8 1-1-22; 102-642, eff. 1-1-22; 102-665, eff. 10-8-21; 102-731,
	112	+	9 eff. 1-1-23; 102-804, eff. 1-1-23; 102-813, eff. 5-13-22;
	113	+	10 102-816, eff. 1-1-23; 102-860, eff. 1-1-23; 102-1093, eff.
	114	+	11 1-1-23; 102-1117, eff. 1-13-23; 103-84, eff. 1-1-24; 103-91,
	115	+	12 eff. 1-1-24; 103-420, eff. 1-1-24; 103-445, eff. 1-1-24;
	116	+	13 103-535, eff. 8-11-23; 103-551, eff. 8-11-23; revised
	117	+	14 8-29-23.)
	118	+	15 Section 15. The Illinois Municipal Code is amended by
	119	+	16 changing Section 10-4-2.3 as follows:
	120	+	17 (65 ILCS 5/10-4-2.3)
	121	+	18 Sec. 10-4-2.3. Required health benefits. If a
	122	+	19 municipality, including a home rule municipality, is a
	123	+	20 self-insurer for purposes of providing health insurance
	124	+	21 coverage for its employees, the coverage shall include
	125	+	22 coverage for the post-mastectomy care benefits required to be
	126	+	23 covered by a policy of accident and health insurance under
	127	+	24 Section 356t and the coverage required under Sections 356g,
217	128
218	129
219		-	(a) Health Maintenance Organizations shall be subject to
220		-	the provisions of Sections 133, 134, 136, 137, 139, 140,
221		-	141.1, 141.2, 141.3, 143, 143c, 147, 148, 149, 151, 152, 153,
222		-	154, 154.5, 154.6, 154.7, 154.8, 155.04, 155.22a, 155.49,
223		-	355.2, 355.3, 355b, 355c, 356f, 356g.5-1, 356m, 356q, 356v,
224		-	356w, 356x, 356z.2, 356z.3a, 356z.4, 356z.4a, 356z.5, 356z.6,
225		-	356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13, 356z.14,
226		-	356z.15, 356z.17, 356z.18, 356z.19, 356z.20, 356z.21, 356z.22,
227		-	356z.23, 356z.24, 356z.25, 356z.26, 356z.28, 356z.29, 356z.30,
228		-	356z.30a, 356z.31, 356z.32, 356z.33, 356z.34, 356z.35,
229		-	356z.36, 356z.37, 356z.38, 356z.39, 356z.40, 356z.41, 356z.44,
230		-	356z.45, 356z.46, 356z.47, 356z.48, 356z.49, 356z.50, 356z.51,
231		-	356z.53, 356z.54, 356z.55, 356z.56, 356z.57, 356z.58, 356z.59,
232		-	356z.60, 356z.61, 356z.62, 356z.64, 356z.65, 356z.67, 356z.68,
233		-	356z.71, 364, 364.01, 364.3, 367.2, 367.2-5, 367i, 368a, 368b,
234		-	368c, 368d, 368e, 370c, 370c.1, 401, 401.1, 402, 403, 403A,
235		-	408, 408.2, 409, 412, 444, and 444.1, paragraph (c) of
236		-	subsection (2) of Section 367, and Articles IIA, VIII 1/2,
237		-	XII, XII 1/2, XIII, XIII 1/2, XXV, XXVI, and XXXIIB of the
238		-	Illinois Insurance Code.
239		-	(b) For purposes of the Illinois Insurance Code, except
240		-	for Sections 444 and 444.1 and Articles XIII and XIII 1/2,
241		-	Health Maintenance Organizations in the following categories
242		-	are deemed to be "domestic companies":
243		-	(1) a corporation authorized under the Dental Service
244		-	Plan Act or the Voluntary Health Services Plans Act;
245	130
246	131
247		-	(2) a corporation organized under the laws of this
248		-	State; or
249		-	(3) a corporation organized under the laws of another
250		-	state, 30% or more of the enrollees of which are residents
251		-	of this State, except a corporation subject to
252		-	substantially the same requirements in its state of
253		-	organization as is a "domestic company" under Article VIII
254		-	1/2 of the Illinois Insurance Code.
255		-	(c) In considering the merger, consolidation, or other
256		-	acquisition of control of a Health Maintenance Organization
257		-	pursuant to Article VIII 1/2 of the Illinois Insurance Code,
258		-	(1) the Director shall give primary consideration to
259		-	the continuation of benefits to enrollees and the
260		-	financial conditions of the acquired Health Maintenance
261		-	Organization after the merger, consolidation, or other
262		-	acquisition of control takes effect;
263		-	(2)(i) the criteria specified in subsection (1)(b) of
264		-	Section 131.8 of the Illinois Insurance Code shall not
265		-	apply and (ii) the Director, in making his determination
266		-	with respect to the merger, consolidation, or other
267		-	acquisition of control, need not take into account the
268		-	effect on competition of the merger, consolidation, or
269		-	other acquisition of control;
270		-	(3) the Director shall have the power to require the
271		-	following information:
272		-	(A) certification by an independent actuary of the
	132	+
	133	+	SB2744 Enrolled - 4 - LRB103 35050 RPS 64995 b
273	134
274	135
275		-	adequacy of the reserves of the Health Maintenance
276		-	Organization sought to be acquired;
277		-	(B) pro forma financial statements reflecting the
278		-	combined balance sheets of the acquiring company and
279		-	the Health Maintenance Organization sought to be
280		-	acquired as of the end of the preceding year and as of
281		-	a date 90 days prior to the acquisition, as well as pro
282		-	forma financial statements reflecting projected
283		-	combined operation for a period of 2 years;
284		-	(C) a pro forma business plan detailing an
285		-	acquiring party's plans with respect to the operation
286		-	of the Health Maintenance Organization sought to be
287		-	acquired for a period of not less than 3 years; and
288		-	(D) such other information as the Director shall
289		-	require.
290		-	(d) The provisions of Article VIII 1/2 of the Illinois
291		-	Insurance Code and this Section 5-3 shall apply to the sale by
292		-	any health maintenance organization of greater than 10% of its
293		-	enrollee population (including, without limitation, the health
294		-	maintenance organization's right, title, and interest in and
295		-	to its health care certificates).
296		-	(e) In considering any management contract or service
297		-	agreement subject to Section 141.1 of the Illinois Insurance
298		-	Code, the Director (i) shall, in addition to the criteria
299		-	specified in Section 141.2 of the Illinois Insurance Code,
300		-	take into account the effect of the management contract or
	136	+	SB2744 Enrolled- 5 -LRB103 35050 RPS 64995 b SB2744 Enrolled - 5 - LRB103 35050 RPS 64995 b
	137	+	SB2744 Enrolled - 5 - LRB103 35050 RPS 64995 b
	138	+	1 356g.5, 356g.5-1, 356q, 356u, 356w, 356x, 356z.4, 356z.4a,
	139	+	2 356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13,
	140	+	3 356z.14, 356z.15, 356z.22, 356z.25, 356z.26, 356z.29,
	141	+	4 356z.30a, 356z.32, 356z.33, 356z.36, 356z.40, 356z.41,
	142	+	5 356z.45, 356z.46, 356z.47, 356z.48, 356z.51, 356z.53, 356z.54,
	143	+	6 356z.56, 356z.57, 356z.59, 356z.60, and 356z.61, and 356z.62,
	144	+	7 356z.64, 356z.67, 356z.68, 356z.70, and 356z.71 of the
	145	+	8 Illinois Insurance Code. The coverage shall comply with
	146	+	9 Sections 155.22a, 355b, 356z.19, and 370c of the Illinois
	147	+	10 Insurance Code. The Department of Insurance shall enforce the
	148	+	11 requirements of this Section. The requirement that health
	149	+	12 benefits be covered as provided in this is an exclusive power
	150	+	13 and function of the State and is a denial and limitation under
	151	+	14 Article VII, Section 6, subsection (h) of the Illinois
	152	+	15 Constitution. A home rule municipality to which this Section
	153	+	16 applies must comply with every provision of this Section.
	154	+	17 Rulemaking authority to implement Public Act 95-1045, if
	155	+	18 any, is conditioned on the rules being adopted in accordance
	156	+	19 with all provisions of the Illinois Administrative Procedure
	157	+	20 Act and all rules and procedures of the Joint Committee on
	158	+	21 Administrative Rules; any purported rule not so adopted, for
	159	+	22 whatever reason, is unauthorized.
	160	+	23 (Source: P.A. 102-30, eff. 1-1-22; 102-103, eff. 1-1-22;
	161	+	24 102-203, eff. 1-1-22; 102-306, eff. 1-1-22; 102-443, eff.
	162	+	25 1-1-22; 102-642, eff. 1-1-22; 102-665, eff. 10-8-21; 102-731,
	163	+	26 eff. 1-1-23; 102-804, eff. 1-1-23; 102-813, eff. 5-13-22;
301	164
302	165
303		-	service agreement on the continuation of benefits to enrollees
304		-	and the financial condition of the health maintenance
305		-	organization to be managed or serviced, and (ii) need not take
306		-	into account the effect of the management contract or service
307		-	agreement on competition.
308		-	(f) Except for small employer groups as defined in the
309		-	Small Employer Rating, Renewability and Portability Health
310		-	Insurance Act and except for medicare supplement policies as
311		-	defined in Section 363 of the Illinois Insurance Code, a
312		-	Health Maintenance Organization may by contract agree with a
313		-	group or other enrollment unit to effect refunds or charge
314		-	additional premiums under the following terms and conditions:
315		-	(i) the amount of, and other terms and conditions with
316		-	respect to, the refund or additional premium are set forth
317		-	in the group or enrollment unit contract agreed in advance
318		-	of the period for which a refund is to be paid or
319		-	additional premium is to be charged (which period shall
320		-	not be less than one year); and
321		-	(ii) the amount of the refund or additional premium
322		-	shall not exceed 20% of the Health Maintenance
323		-	Organization's profitable or unprofitable experience with
324		-	respect to the group or other enrollment unit for the
325		-	period (and, for purposes of a refund or additional
326		-	premium, the profitable or unprofitable experience shall
327		-	be calculated taking into account a pro rata share of the
328		-	Health Maintenance Organization's administrative and
329	166
330	167
331		-	marketing expenses, but shall not include any refund to be
332		-	made or additional premium to be paid pursuant to this
333		-	subsection (f)). The Health Maintenance Organization and
334		-	the group or enrollment unit may agree that the profitable
335		-	or unprofitable experience may be calculated taking into
336		-	account the refund period and the immediately preceding 2
337		-	plan years.
338		-	The Health Maintenance Organization shall include a
339		-	statement in the evidence of coverage issued to each enrollee
340		-	describing the possibility of a refund or additional premium,
341		-	and upon request of any group or enrollment unit, provide to
342		-	the group or enrollment unit a description of the method used
343		-	to calculate (1) the Health Maintenance Organization's
344		-	profitable experience with respect to the group or enrollment
345		-	unit and the resulting refund to the group or enrollment unit
346		-	or (2) the Health Maintenance Organization's unprofitable
347		-	experience with respect to the group or enrollment unit and
348		-	the resulting additional premium to be paid by the group or
349		-	enrollment unit.
350		-	In no event shall the Illinois Health Maintenance
351		-	Organization Guaranty Association be liable to pay any
352		-	contractual obligation of an insolvent organization to pay any
353		-	refund authorized under this Section.
354		-	(g) Rulemaking authority to implement Public Act 95-1045,
355		-	if any, is conditioned on the rules being adopted in
356		-	accordance with all provisions of the Illinois Administrative
	168	+
	169	+	SB2744 Enrolled - 5 - LRB103 35050 RPS 64995 b
357	170
358	171
359		-	Procedure Act and all rules and procedures of the Joint
360		-	Committee on Administrative Rules; any purported rule not so
361		-	adopted, for whatever reason, is unauthorized.
362		-	(Source: P.A. 102-30, eff. 1-1-22; 102-34, eff. 6-25-21;
363		-	102-203, eff. 1-1-22; 102-306, eff. 1-1-22; 102-443, eff.
364		-	1-1-22; 102-589, eff. 1-1-22; 102-642, eff. 1-1-22; 102-665,
365		-	eff. 10-8-21; 102-731, eff. 1-1-23; 102-775, eff. 5-13-22;
366		-	102-804, eff. 1-1-23; 102-813, eff. 5-13-22; 102-816, eff.
367		-	1-1-23; 102-860, eff. 1-1-23; 102-901, eff. 7-1-22; 102-1093,
368		-	eff. 1-1-23; 102-1117, eff. 1-13-23; 103-84, eff. 1-1-24;
369		-	103-91, eff. 1-1-24; 103-123, eff. 1-1-24; 103-154, eff.
370		-	6-30-23; 103-420, eff. 1-1-24; 103-426, eff. 8-4-23; 103-445,
371		-	eff. 1-1-24; 103-551, eff. 8-11-23; revised 8-29-23.)
372		-	Section 35. The Voluntary Health Services Plans Act is
373		-	amended by changing Section 10 as follows:
	172	+	SB2744 Enrolled- 6 -LRB103 35050 RPS 64995 b SB2744 Enrolled - 6 - LRB103 35050 RPS 64995 b
	173	+	SB2744 Enrolled - 6 - LRB103 35050 RPS 64995 b
	174	+	1 102-816, eff. 1-1-23; 102-860, eff. 1-1-23; 102-1093, eff.
	175	+	2 1-1-23; 102-1117, eff. 1-13-23; 103-84, eff. 1-1-24; 103-91,
	176	+	3 eff. 1-1-24; 103-420, eff. 1-1-24; 103-445, eff. 1-1-24;
	177	+	4 103-535, eff. 8-11-23; 103-551, eff. 8-11-23; revised
	178	+	5 8-29-23.)
	179	+	6 Section 20. The School Code is amended by changing Section
	180	+	7 10-22.3f as follows:
	181	+	8 (105 ILCS 5/10-22.3f)
	182	+	9 Sec. 10-22.3f. Required health benefits. Insurance
	183	+	10 protection and benefits for employees shall provide the
	184	+	11 post-mastectomy care benefits required to be covered by a
	185	+	12 policy of accident and health insurance under Section 356t and
	186	+	13 the coverage required under Sections 356g, 356g.5, 356g.5-1,
	187	+	14 356q, 356u, 356w, 356x, 356z.4, 356z.4a, 356z.6, 356z.8,
	188	+	15 356z.9, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.22,
	189	+	16 356z.25, 356z.26, 356z.29, 356z.30a, 356z.32, 356z.33,
	190	+	17 356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47, 356z.51,
	191	+	18 356z.53, 356z.54, 356z.56, 356z.57, 356z.59, 356z.60, and
	192	+	19 356z.61, and 356z.62, 356z.64, 356z.67, 356z.68, 356z.70, and
	193	+	20 356z.71 of the Illinois Insurance Code. Insurance policies
	194	+	21 shall comply with Section 356z.19 of the Illinois Insurance
	195	+	22 Code. The coverage shall comply with Sections 155.22a, 355b,
	196	+	23 and 370c of the Illinois Insurance Code. The Department of
	197	+	24 Insurance shall enforce the requirements of this Section.
	198	+
	199	+
	200	+
	201	+
	202	+
	203	+	SB2744 Enrolled - 6 - LRB103 35050 RPS 64995 b
	204	+
	205	+
	206	+	SB2744 Enrolled- 7 -LRB103 35050 RPS 64995 b SB2744 Enrolled - 7 - LRB103 35050 RPS 64995 b
	207	+	SB2744 Enrolled - 7 - LRB103 35050 RPS 64995 b
	208	+	1 Rulemaking authority to implement Public Act 95-1045, if
	209	+	2 any, is conditioned on the rules being adopted in accordance
	210	+	3 with all provisions of the Illinois Administrative Procedure
	211	+	4 Act and all rules and procedures of the Joint Committee on
	212	+	5 Administrative Rules; any purported rule not so adopted, for
	213	+	6 whatever reason, is unauthorized.
	214	+	7 (Source: P.A. 102-30, eff. 1-1-22; 102-103, eff. 1-1-22;
	215	+	8 102-203, eff. 1-1-22; 102-306, eff. 1-1-22; 102-642, eff.
	216	+	9 1-1-22; 102-665, eff. 10-8-21; 102-731, eff. 1-1-23; 102-804,
	217	+	10 eff. 1-1-23; 102-813, eff. 5-13-22; 102-816, eff. 1-1-23;
	218	+	11 102-860, eff. 1-1-23; 102-1093, eff. 1-1-23; 102-1117, eff.
	219	+	12 1-13-23; 103-84, eff. 1-1-24; 103-91, eff. 1-1-24; 103-420,
	220	+	13 eff. 1-1-24; 103-445, eff. 1-1-24; 103-535, eff. 8-11-23;
	221	+	14 103-551, eff. 8-11-23; revised 8-29-23.)
	222	+	15 Section 25. The Illinois Insurance Code is amended by
	223	+	16 adding Section 356z.71 as follows:
	224	+	17 (215 ILCS 5/356z.71 new)
	225	+	18 Sec. 356z.71. Coverage of vaccination administration fees.
	226	+	19 (a) A group or individual policy of accident and health
	227	+	20 insurance or a managed care plan that is amended, delivered,
	228	+	21 issued, or renewed on or after January 1, 2026 shall provide
	229	+	22 coverage for vaccinations for COVID-19, influenza, and
	230	+	23 respiratory syncytial virus, including the administration of
	231	+	24 the vaccine by a pharmacist or health care provider authorized
	232	+
	233	+
	234	+
	235	+
	236	+
	237	+	SB2744 Enrolled - 7 - LRB103 35050 RPS 64995 b
	238	+
	239	+
	240	+	SB2744 Enrolled- 8 -LRB103 35050 RPS 64995 b SB2744 Enrolled - 8 - LRB103 35050 RPS 64995 b
	241	+	SB2744 Enrolled - 8 - LRB103 35050 RPS 64995 b
	242	+	1 to administer such a vaccine, without imposing a deductible,
	243	+	2 coinsurance, copayment, or any other cost-sharing requirement,
	244	+	3 if the following conditions are met:
	245	+	4 (1) the vaccine is authorized or licensed by the
	246	+	5 United States Food and Drug Administration; and
	247	+	6 (2) the vaccine is ordered and administered according
	248	+	7 to the Advisory Committee on Immunization Practices
	249	+	8 standard immunization schedule.
	250	+	9 (b) If the vaccinations provided for in subsection (a) are
	251	+	10 not otherwise available to be administered by a contracted
	252	+	11 pharmacist or health care provider, the group or individual
	253	+	12 policy of accident and health insurance or a managed care plan
	254	+	13 shall cover the vaccination, including administration fees,
	255	+	14 without imposing a deductible, coinsurance, copayment, or any
	256	+	15 other cost-sharing requirement.
	257	+	16 (c) The coverage required in this Section does not apply
	258	+	17 to the extent that the coverage would disqualify a
	259	+	18 high-deductible health plan from eligibility for a health
	260	+	19 savings account pursuant to Section 223 of the Internal
	261	+	20 Revenue Code of 1986.
	262	+	21 Section 30. The Health Maintenance Organization Act is
	263	+	22 amended by changing Section 5-3 as follows:
	264	+	23 (215 ILCS 125/5-3) (from Ch. 111 1/2, par. 1411.2)
	265	+	24 Sec. 5-3. Insurance Code provisions.
	266	+
	267	+
	268	+
	269	+
	270	+
	271	+	SB2744 Enrolled - 8 - LRB103 35050 RPS 64995 b
	272	+
	273	+
	274	+	SB2744 Enrolled- 9 -LRB103 35050 RPS 64995 b SB2744 Enrolled - 9 - LRB103 35050 RPS 64995 b
	275	+	SB2744 Enrolled - 9 - LRB103 35050 RPS 64995 b
	276	+	1 (a) Health Maintenance Organizations shall be subject to
	277	+	2 the provisions of Sections 133, 134, 136, 137, 139, 140,
	278	+	3 141.1, 141.2, 141.3, 143, 143c, 147, 148, 149, 151, 152, 153,
	279	+	4 154, 154.5, 154.6, 154.7, 154.8, 155.04, 155.22a, 155.49,
	280	+	5 355.2, 355.3, 355b, 355c, 356f, 356g.5-1, 356m, 356q, 356v,
	281	+	6 356w, 356x, 356z.2, 356z.3a, 356z.4, 356z.4a, 356z.5, 356z.6,
	282	+	7 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13, 356z.14,
	283	+	8 356z.15, 356z.17, 356z.18, 356z.19, 356z.20, 356z.21, 356z.22,
	284	+	9 356z.23, 356z.24, 356z.25, 356z.26, 356z.28, 356z.29, 356z.30,
	285	+	10 356z.30a, 356z.31, 356z.32, 356z.33, 356z.34, 356z.35,
	286	+	11 356z.36, 356z.37, 356z.38, 356z.39, 356z.40, 356z.41, 356z.44,
	287	+	12 356z.45, 356z.46, 356z.47, 356z.48, 356z.49, 356z.50, 356z.51,
	288	+	13 356z.53, 356z.54, 356z.55, 356z.56, 356z.57, 356z.58, 356z.59,
	289	+	14 356z.60, 356z.61, 356z.62, 356z.64, 356z.65, 356z.67, 356z.68,
	290	+	15 356z.71, 364, 364.01, 364.3, 367.2, 367.2-5, 367i, 368a, 368b,
	291	+	16 368c, 368d, 368e, 370c, 370c.1, 401, 401.1, 402, 403, 403A,
	292	+	17 408, 408.2, 409, 412, 444, and 444.1, paragraph (c) of
	293	+	18 subsection (2) of Section 367, and Articles IIA, VIII 1/2,
	294	+	19 XII, XII 1/2, XIII, XIII 1/2, XXV, XXVI, and XXXIIB of the
	295	+	20 Illinois Insurance Code.
	296	+	21 (b) For purposes of the Illinois Insurance Code, except
	297	+	22 for Sections 444 and 444.1 and Articles XIII and XIII 1/2,
	298	+	23 Health Maintenance Organizations in the following categories
	299	+	24 are deemed to be "domestic companies":
	300	+	25 (1) a corporation authorized under the Dental Service
	301	+	26 Plan Act or the Voluntary Health Services Plans Act;
	302	+
	303	+
	304	+
	305	+
	306	+
	307	+	SB2744 Enrolled - 9 - LRB103 35050 RPS 64995 b
	308	+
	309	+
	310	+	SB2744 Enrolled- 10 -LRB103 35050 RPS 64995 b SB2744 Enrolled - 10 - LRB103 35050 RPS 64995 b
	311	+	SB2744 Enrolled - 10 - LRB103 35050 RPS 64995 b
	312	+	1 (2) a corporation organized under the laws of this
	313	+	2 State; or
	314	+	3 (3) a corporation organized under the laws of another
	315	+	4 state, 30% or more of the enrollees of which are residents
	316	+	5 of this State, except a corporation subject to
	317	+	6 substantially the same requirements in its state of
	318	+	7 organization as is a "domestic company" under Article VIII
	319	+	8 1/2 of the Illinois Insurance Code.
	320	+	9 (c) In considering the merger, consolidation, or other
	321	+	10 acquisition of control of a Health Maintenance Organization
	322	+	11 pursuant to Article VIII 1/2 of the Illinois Insurance Code,
	323	+	12 (1) the Director shall give primary consideration to
	324	+	13 the continuation of benefits to enrollees and the
	325	+	14 financial conditions of the acquired Health Maintenance
	326	+	15 Organization after the merger, consolidation, or other
	327	+	16 acquisition of control takes effect;
	328	+	17 (2)(i) the criteria specified in subsection (1)(b) of
	329	+	18 Section 131.8 of the Illinois Insurance Code shall not
	330	+	19 apply and (ii) the Director, in making his determination
	331	+	20 with respect to the merger, consolidation, or other
	332	+	21 acquisition of control, need not take into account the
	333	+	22 effect on competition of the merger, consolidation, or
	334	+	23 other acquisition of control;
	335	+	24 (3) the Director shall have the power to require the
	336	+	25 following information:
	337	+	26 (A) certification by an independent actuary of the
	338	+
	339	+
	340	+
	341	+
	342	+
	343	+	SB2744 Enrolled - 10 - LRB103 35050 RPS 64995 b
	344	+
	345	+
	346	+	SB2744 Enrolled- 11 -LRB103 35050 RPS 64995 b SB2744 Enrolled - 11 - LRB103 35050 RPS 64995 b
	347	+	SB2744 Enrolled - 11 - LRB103 35050 RPS 64995 b
	348	+	1 adequacy of the reserves of the Health Maintenance
	349	+	2 Organization sought to be acquired;
	350	+	3 (B) pro forma financial statements reflecting the
	351	+	4 combined balance sheets of the acquiring company and
	352	+	5 the Health Maintenance Organization sought to be
	353	+	6 acquired as of the end of the preceding year and as of
	354	+	7 a date 90 days prior to the acquisition, as well as pro
	355	+	8 forma financial statements reflecting projected
	356	+	9 combined operation for a period of 2 years;
	357	+	10 (C) a pro forma business plan detailing an
	358	+	11 acquiring party's plans with respect to the operation
	359	+	12 of the Health Maintenance Organization sought to be
	360	+	13 acquired for a period of not less than 3 years; and
	361	+	14 (D) such other information as the Director shall
	362	+	15 require.
	363	+	16 (d) The provisions of Article VIII 1/2 of the Illinois
	364	+	17 Insurance Code and this Section 5-3 shall apply to the sale by
	365	+	18 any health maintenance organization of greater than 10% of its
	366	+	19 enrollee population (including, without limitation, the health
	367	+	20 maintenance organization's right, title, and interest in and
	368	+	21 to its health care certificates).
	369	+	22 (e) In considering any management contract or service
	370	+	23 agreement subject to Section 141.1 of the Illinois Insurance
	371	+	24 Code, the Director (i) shall, in addition to the criteria
	372	+	25 specified in Section 141.2 of the Illinois Insurance Code,
	373	+	26 take into account the effect of the management contract or
	374	+
	375	+
	376	+
	377	+
	378	+
	379	+	SB2744 Enrolled - 11 - LRB103 35050 RPS 64995 b
	380	+
	381	+
	382	+	SB2744 Enrolled- 12 -LRB103 35050 RPS 64995 b SB2744 Enrolled - 12 - LRB103 35050 RPS 64995 b
	383	+	SB2744 Enrolled - 12 - LRB103 35050 RPS 64995 b
	384	+	1 service agreement on the continuation of benefits to enrollees
	385	+	2 and the financial condition of the health maintenance
	386	+	3 organization to be managed or serviced, and (ii) need not take
	387	+	4 into account the effect of the management contract or service
	388	+	5 agreement on competition.
	389	+	6 (f) Except for small employer groups as defined in the
	390	+	7 Small Employer Rating, Renewability and Portability Health
	391	+	8 Insurance Act and except for medicare supplement policies as
	392	+	9 defined in Section 363 of the Illinois Insurance Code, a
	393	+	10 Health Maintenance Organization may by contract agree with a
	394	+	11 group or other enrollment unit to effect refunds or charge
	395	+	12 additional premiums under the following terms and conditions:
	396	+	13 (i) the amount of, and other terms and conditions with
	397	+	14 respect to, the refund or additional premium are set forth
	398	+	15 in the group or enrollment unit contract agreed in advance
	399	+	16 of the period for which a refund is to be paid or
	400	+	17 additional premium is to be charged (which period shall
	401	+	18 not be less than one year); and
	402	+	19 (ii) the amount of the refund or additional premium
	403	+	20 shall not exceed 20% of the Health Maintenance
	404	+	21 Organization's profitable or unprofitable experience with
	405	+	22 respect to the group or other enrollment unit for the
	406	+	23 period (and, for purposes of a refund or additional
	407	+	24 premium, the profitable or unprofitable experience shall
	408	+	25 be calculated taking into account a pro rata share of the
	409	+	26 Health Maintenance Organization's administrative and
	410	+
	411	+
	412	+
	413	+
	414	+
	415	+	SB2744 Enrolled - 12 - LRB103 35050 RPS 64995 b
	416	+
	417	+
	418	+	SB2744 Enrolled- 13 -LRB103 35050 RPS 64995 b SB2744 Enrolled - 13 - LRB103 35050 RPS 64995 b
	419	+	SB2744 Enrolled - 13 - LRB103 35050 RPS 64995 b
	420	+	1 marketing expenses, but shall not include any refund to be
	421	+	2 made or additional premium to be paid pursuant to this
	422	+	3 subsection (f)). The Health Maintenance Organization and
	423	+	4 the group or enrollment unit may agree that the profitable
	424	+	5 or unprofitable experience may be calculated taking into
	425	+	6 account the refund period and the immediately preceding 2
	426	+	7 plan years.
	427	+	8 The Health Maintenance Organization shall include a
	428	+	9 statement in the evidence of coverage issued to each enrollee
	429	+	10 describing the possibility of a refund or additional premium,
	430	+	11 and upon request of any group or enrollment unit, provide to
	431	+	12 the group or enrollment unit a description of the method used
	432	+	13 to calculate (1) the Health Maintenance Organization's
	433	+	14 profitable experience with respect to the group or enrollment
	434	+	15 unit and the resulting refund to the group or enrollment unit
	435	+	16 or (2) the Health Maintenance Organization's unprofitable
	436	+	17 experience with respect to the group or enrollment unit and
	437	+	18 the resulting additional premium to be paid by the group or
	438	+	19 enrollment unit.
	439	+	20 In no event shall the Illinois Health Maintenance
	440	+	21 Organization Guaranty Association be liable to pay any
	441	+	22 contractual obligation of an insolvent organization to pay any
	442	+	23 refund authorized under this Section.
	443	+	24 (g) Rulemaking authority to implement Public Act 95-1045,
	444	+	25 if any, is conditioned on the rules being adopted in
	445	+	26 accordance with all provisions of the Illinois Administrative
	446	+
	447	+
	448	+
	449	+
	450	+
	451	+	SB2744 Enrolled - 13 - LRB103 35050 RPS 64995 b
	452	+
	453	+
	454	+	SB2744 Enrolled- 14 -LRB103 35050 RPS 64995 b SB2744 Enrolled - 14 - LRB103 35050 RPS 64995 b
	455	+	SB2744 Enrolled - 14 - LRB103 35050 RPS 64995 b
	456	+	1 Procedure Act and all rules and procedures of the Joint
	457	+	2 Committee on Administrative Rules; any purported rule not so
	458	+	3 adopted, for whatever reason, is unauthorized.
	459	+	4 (Source: P.A. 102-30, eff. 1-1-22; 102-34, eff. 6-25-21;
	460	+	5 102-203, eff. 1-1-22; 102-306, eff. 1-1-22; 102-443, eff.
	461	+	6 1-1-22; 102-589, eff. 1-1-22; 102-642, eff. 1-1-22; 102-665,
	462	+	7 eff. 10-8-21; 102-731, eff. 1-1-23; 102-775, eff. 5-13-22;
	463	+	8 102-804, eff. 1-1-23; 102-813, eff. 5-13-22; 102-816, eff.
	464	+	9 1-1-23; 102-860, eff. 1-1-23; 102-901, eff. 7-1-22; 102-1093,
	465	+	10 eff. 1-1-23; 102-1117, eff. 1-13-23; 103-84, eff. 1-1-24;
	466	+	11 103-91, eff. 1-1-24; 103-123, eff. 1-1-24; 103-154, eff.
	467	+	12 6-30-23; 103-420, eff. 1-1-24; 103-426, eff. 8-4-23; 103-445,
	468	+	13 eff. 1-1-24; 103-551, eff. 8-11-23; revised 8-29-23.)
	469	+	14 Section 35. The Voluntary Health Services Plans Act is
	470	+	15 amended by changing Section 10 as follows:
	471	+	16 (215 ILCS 165/10) (from Ch. 32, par. 604)
	472	+	17 Sec. 10. Application of Insurance Code provisions. Health
	473	+	18 services plan corporations and all persons interested therein
	474	+	19 or dealing therewith shall be subject to the provisions of
	475	+	20 Articles IIA and XII 1/2 and Sections 3.1, 133, 136, 139, 140,
	476	+	21 143, 143c, 149, 155.22a, 155.37, 354, 355.2, 355.3, 355b,
	477	+	22 356g, 356g.5, 356g.5-1, 356q, 356r, 356t, 356u, 356v, 356w,
	478	+	23 356x, 356y, 356z.1, 356z.2, 356z.3a, 356z.4, 356z.4a, 356z.5,
	479	+	24 356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13,
	480	+
	481	+
	482	+
	483	+
	484	+
	485	+	SB2744 Enrolled - 14 - LRB103 35050 RPS 64995 b
	486	+
	487	+
	488	+	SB2744 Enrolled- 15 -LRB103 35050 RPS 64995 b SB2744 Enrolled - 15 - LRB103 35050 RPS 64995 b
	489	+	SB2744 Enrolled - 15 - LRB103 35050 RPS 64995 b
	490	+
	491	+
	492	+
	493	+
	494	+
	495	+	SB2744 Enrolled - 15 - LRB103 35050 RPS 64995 b