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91_HB0814eng HB0814 Engrossed LRB9102331JSpc 1 AN ACT to amend the Illinois Insurance Code by changing 2 Section 370c. 3 Be it enacted by the People of the State of Illinois, 4 represented in the General Assembly: 5 Section 5. The Illinois Insurance Code is amended by 6 changing Section 370c as follows: 7 (215 ILCS 5/370c) (from Ch. 73, par. 982c) 8 Sec. 370c. Mental, emotional, or nervous disorders or 9 conditions. 10 (1) On and after the effective date of this Section, 11 every insurer which delivers, issues for delivery or renews 12 or modifies group A&H policies providing coverage for 13 hospital or medical treatment or services for illness on an 14 expense-incurred basis shall offer to the applicant or group 15 policyholder subject to the insurers standards of 16 insurability, coverage for reasonable and necessary treatment 17 and services for mental, emotional or nervous disorders or 18 conditions up to the limits provided in the policy for other 19 disorders or conditions, except (i) the insured may be 20 required to pay up to 50% of expenses incurred as a result of 21 the treatment or services, and (ii) the annual benefit limit 22 may be limited to the lesser of $10,000 or 25% of the 23 lifetime policy limit. 24 (2) Each insured that is covered for mental, emotional 25 or nervous disorders or conditions shall be free to select 26 the physician licensed to practice medicine in all its 27 branches, licensed clinical psychologist, licensed clinical 28 professional counselor, or licensed clinical social worker of 29 his choice to treat such disorders, and the insurer shall pay 30 the covered charges of such physician licensed to practice 31 medicine in all its branches, licensed clinical psychologist, HB0814 Engrossed -2- LRB9102331JSpc 1 licensed clinical professional counselor, or licensed 2 clinical social worker up to the limits of coverage, provided 3 (i) the disorder or condition treated is covered by the 4 policy, and (ii) the physician, licensed psychologist, 5 licensed clinical professional counselor, or licensed 6 clinical social worker is authorized to provide said services 7 under the statutes of this State and in accordance with 8 accepted principles of his profession. 9 Insofar as this Section applies solely to licensed 10 clinical social workers and licensed clinical professional 11 counselors, those persons who may provide services to 12 individuals shall do so after the licensed clinical social 13 worker or licensed clinical professional counselor has 14 informed the patient of the desirability of the patient 15 conferring with the patient's primary care physician and the 16 licensed clinical social worker or licensed clinical 17 professional counselor has provided written notification to 18 the patient's primary care physician, if any, that services 19 are being provided to the patient. That notification may, 20 however, be waived by the patient on a written form. Those 21 forms shall be retained by the licensed clinical social 22 worker or the licensed clinical professional counselor for a 23 period of not less than 5 years. 24 (Source: P.A. 86-1434.) 25 Section 99. Effective date. This Act takes effect upon 26 becoming law.