Illinois SB 230: INS-NONPARTICIPATING PROVIDERS

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
SB0230

Introduced 1/22/2025, by Sen. Lakesia Collins 

SYNOPSIS AS INTRODUCED:

215 ILCS 5/356z.3a

 Amends the Illinois Insurance Code. In a provision concerning services provided by nonparticipating providers, provides that "health care facility" in the context of non-emergency services, includes a facility or office in which a patient receives reproductive health care, as defined in the Reproductive Health Act.

LRB104 06413 BAB 16449 b

A BILL FOR

SB0230LRB104 06413 BAB 16449 b

1 AN ACT concerning regulation.

2 Be it enacted by the People of the State of Illinois, 

3represented in the General Assembly:

4 Section 5. The Illinois Insurance Code is amended by 

5changing Section 356z.3a as follows:

6 (215 ILCS 5/356z.3a)

7 Sec. 356z.3a. Billing; emergency services; 

8nonparticipating providers.

9 (a) As used in this Section:

10 "Ancillary services" means:

11 (1) items and services related to emergency medicine, 

12 anesthesiology, pathology, radiology, and neonatology that 

13 are provided by any health care provider;

14 (2) items and services provided by assistant surgeons, 

15 hospitalists, and intensivists;

16 (3) diagnostic services, including radiology and 

17 laboratory services, except for advanced diagnostic 

18 laboratory tests identified on the most current list 

19 published by the United States Secretary of Health and 

20 Human Services under 42 U.S.C. 300gg-132(b)(3);

21 (4) items and services provided by other specialty 

22 practitioners as the United States Secretary of Health and 

23 Human Services specifies through rulemaking under 42 

SB0230- 2 -LRB104 06413 BAB 16449 b

1 U.S.C. 300gg-132(b)(3);

2 (5) items and services provided by