Illinois HB5393 amends the Limited Health Service Organization Act to redefine terms and modify provisions for point-of-service contracts.
HB5393 amends the Limited Health Service Organization Act by changing definitions and modifying provisions for point-of-service (POS) contracts. The bill redefines terms such as "limited health service organization," "limited health care plan," and "out-of-plan covered services." It also modifies the requirements for LHSOs offering POS contracts, including financial limitations, compliance plans, and reporting obligations. The bill removes the requirement for LHSOs to include an annual maximum benefit allowance for out-of-plan services and adjusts the financial penalty for non-compliance.
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- Critical Issues
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