Illinois HB 2464: INS-HEALTH/NEONATAL COST SHARE

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 Full Text of HB2464

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HB2464 EnrolledLRB104 10675 BAB 20754 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 

HB2464 Enrolled- 2 -LRB104 10675 BAB 20754 b

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

2 (5) items and services provided by a nonparticipating 

3 provider if there is no participating provider who can 

4 furnish the item or service at the facility; and

5 (6) items and services provided by a nonparticipating 

6 provider if there is no participating provider who will 

7 furnish the item or service because a participating 

8 provider has asserted the participating provider's rights 

9 under