House Sponsors: MULLIGAN-MADIGAN,MJ-DANIELS-BURKE-BIGGERT, ERWIN, SCHAKOWSKY, KLINGLER, FLOWERS, FEIGENHOLTZ, TENHOUSE, DAVIS,MONIQUE, WOOD, HOWARD, POE, MCGUIRE, BUGIELSKI, O'BRIEN, CROTTY, SCULLY, MCCARTHY, BROSNAHAN, KOSEL, BERGMAN, HOLBROOK AND DAVIS,STEVE. Senate Sponsors: PARKER-BERMAN-FARLEY-HALVORSON Short description: MASTECTOMY-INPATIENT CARE Synopsis of Bill as introduced: Amends the State Employees Group Insurance Law of 1971, Counties Code, Illinois Municipal Code, School Code, Illinois Insurance Code, Health Maintenance Organization Act, Comprehensive Health Insurance Plan Act, Voluntary Health Services Plans Act, and Illinois Public Aid Code. Provides that health care benefits under those Acts and under managed care plans must provide for a minimum of 96 hours of inpatient care following a mastectomy. Allows a shorter inpatient care period if certain criteria are met. Prohibits penalizing physicians for authorizing inpatient care as required by law. Amends the State Mandates Act to provide that reimbursement for post-mastectomy care benefits is not required under that Act. Effective June 1, 1997. FISCAL NOTE (Dept. of Insurance) There will be no fiscal impact on the Department. STATE MANDATES FISCAL NOTE In the opinion of DCCA, HB 107 does not create a mandate under the State Mandates Act. HOUSE AMENDMENT NO. 2. Adds reference to: 215 ILCS 130/4003 from Ch. 73, par. 1504-3 Prohibits inducements to provide inpatient stays that do not comply with the requirements. Requires that the insureds and enrollees be notified of the inpatient coverage requirements. Defines "managed care plan" and provides that a managed care plan may be established or operated by hospitals, insurance companies, and employer organizations among others. Provides that limited health service organizations are subject to the inpatient care requirements. Last action on Bill: SESSION SINE DIE Last action date: 99-01-12 Location: House Amendments to Bill: AMENDMENTS ADOPTED: HOUSE - 1 SENATE - 0 END OF INQUIRY Full Text Bill Status