Public Act . . . . . . . . . 104-0731
Summary
The bill amends the Illinois Insurance Code to force health insurers, nonprofit health service plans, and HMOs to update and publicly post their medical policies on biomarker testing within 90 days of the law taking effect. When a claim for a test that meets specified evidence is denied, the insurer must provide a detailed written explanation for that individual. It also adds rules for utilization review, prior authorization, and lets the Department of Insurance audit compliance.
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