Illinois · 104th session
Amends the Network Adequacy and Transparency Act. In provisions concerning continuity of care for beneficiaries, provides that the network plan shall permit the beneficiary to continue an ongoing course of treatment with that provider during a transitional period for 90 days from the date of the notice to the beneficiary of the provider's disaffiliation from the network plan if the beneficiary has a confirmed appointment and the provider attests that the appointment was scheduled prior to the date of notification. Requires a network plan to provide for continuity of care for new beneficiaries during a transition period of 90 days from the effective date of enrollment if the beneficiary has a confirmed appointment and the current provider attests that the appointment was scheduled prior to the effective date of enrollment. Limits the applicability of continuity of care requirements if the provider or beneficiary reschedules an appointment or schedules any follow up appointments after 90 days from the effective date of enrollment. Effective January 1, 2027.
Public Act . . . . . . . . . 104-0333 (2025-08-15)