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Isabel’s morning briefing

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* ICYMI: Governor Pritzker will give his sixth budget address on Wednesday. Tribune

* Related stories…

* Isabel’s top picks…

* Rep. Margaret Croke

Inseparable, a national organization focused on closing the treatment gap for people with mental health conditions, improving crisis response, and supporting youth mental health, today applauded the introduction of legislation in the General Assembly to improve access to mental health treatment by eliminating “ghost networks,” or provider networks that are filled with providers who are not actually in-network, not taking new patients, no longer in the same location, or not even practicing at all. The bill, HB5313, was recently introduced by State Representative Margaret Croke (IL-12) to ensure that enrollees seeking a mental health care provider can rely on accurate provider directories from their health plan. […]

While insurance companies are required to make provider directories available for consumers when selecting a health plan or looking for an in-network provider, research shows that these directories frequently mischaracterize available providers or include “ghost networks” that are not actually available to people enrolled in a plan. Research also proves the importance of ensuring people get the treatment they need – delays can cause conditions to worsen, a rise in additional health concerns, and a dramatic increase in costs. […]

HB5313 would expand what a plan must disclose in its provider directories to include a description of how to dispute charges for out-of-network providers that were incorrectly listed as in-network prior to the provision of care, including a phone number and email address. It would allow consumers to recoup out-of-pocket expenses if they were charged out-of-network costs for a provider that was listed as in-network in their provider directory. HB5313 would also require plans to audit at least 25% of its provider directories annually and make any necessary corrections, and would also require the Department of Insurance to randomly audit at least 10% of plans each year.

* Here’s the rest of your morning roundup…

posted by Isabel Miller
Tuesday, Feb 20, 24 @ 7:42 am

Comments

  1. ==WBEZ..Rural Gun Owners==

    “However, Democratic State Sen. Bill Cunningham…“Whether you are affirmatively going out and enforcing the law, or enforcing it when you come across a situation where you find someone to be in violation — I don’t know that, in the latter example, so many sheriffs are going to refuse to enforce the law,” Cunningham said. “But I think anyone who believes in law and order should enforce the law of the land.”

    Cunningham’s first example of affirmatively going out and enforcing the law” is either very scary or ignorant. ISP and LEO have no idea who among FOID card holders own the now-banned weapons/devices/ammo. So how would sheriffs go about this enforcement, I suppose they could dragnet FOID card holders, stake out ranges, and up speed traps outside ranges hoping to pull over offenders. All to enforce a 100% DEM partisan law that will have little to no impact on crime. The reaction of Sheriffs (including many Dem’s) is both expected and a reasonable response

    Comment by Donnie Elgin Tuesday, Feb 20, 24 @ 10:11 am

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