summary
Introduced
02/05/2026
02/05/2026
In Committee
02/17/2026
02/17/2026
Crossed Over
Passed
Dead
Introduced Session
104th General Assembly
Bill Summary
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.
AI Summary
This bill amends the Illinois Insurance Code and the Health Maintenance Organization Act to change how nonparticipating ground ambulance service providers are paid. For providers owned and operated by a unit of local government, the bill establishes that insurers will pay the rate set by that local government. For other nonparticipating ground ambulance providers, the bill sets a payment rate that is the lesser of the negotiated rate between the provider and the insurer, 85% of the provider's billed charges, or a rate based on the provider's filed charges with the Department of Public Health. The bill also clarifies that Health Maintenance Organizations (HMOs) must cover ground ambulance services and that payments to nonparticipating ground ambulance providers by HMOs will follow the same rules as outlined in the Insurance Code. This aims to ensure consistent and fair payment for ground ambulance services, regardless of whether the provider is part of an insurance network.
Committee Categories
Business and Industry
Sponsors (1)
Last Action
Assigned to Insurance (on 02/17/2026)
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