Amends the Illinois Insurance Code. In provisions concerning the payment of nonparticipating ground ambulance service providers, makes changes to defined term, removes jurisdictional provisions, and provides that, for nonparticipating ground ambulance service providers owned and operated by (instead of subject to) a unit of local government, a rate shall be paid that is equal to the rate established or approved by the governing body of the unit of local government providing the ground ambulance service. Establishes a rate of pay for nonparticipating ground ambulance service providers that are not owned and operated by (instead of subject to the jurisdiction of) a unit of local government. Amends the Health Maintenance Organization Act. Replaces provisions concerning coverage for emergency transportation by ambulance with provisions concerning coverage for ground ambulance service.
Senate Committee Amendment No. 1: Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill with the following changes. In provisions concerning payment from a health insurance issuer to a nonparticipating ground ambulance service provider, provides that, for nonparticipating ground ambulance service providers subject to a unit of local government (rather than owned and operated by a unit of local government), the rate shall be equal to the rate established or approved by the governing body of the local government (rather than a unit of local government) providing the ground ambulance service. Provides that, for nonparticipating ground ambulance service providers that are not subject to the jurisdiction of a unit of local government (rather than owned and operated by a unit of local government), the rate shall be equal to the lesser of the specified rates.
Statutes affected: Introduced: 215 ILCS 5/356, 215 ILCS 125/4
Engrossed: 215 ILCS 5/356, 215 ILCS 125/4