215 ILCS 161/1
Short title
Short title. This Act may be cited as the Vision Care Plan Regulation Act. (Source: P.A. 103-482, eff. 8-4-23.)
Illinois Compiled Statutes 215 ILCS 161 — Vision Care Plan Regulation Act.
Illinois · statute · 215 ILCS 161 · 11 active provisions
215 ILCS 161/5
Definitions
Definitions. As used in this Act: "Covered materials" means materials for which reimbursement from the vision care plan is provided to an eye care provider by an enrollee's plan contract or for which a reimbursement would be available but for the application of the enrollee's contractual limitation of deductibles, copa…
215 ILCS 161/10
Noncovered services
Noncovered services. (a) No vision care organization that issues, delivers, amends, or renews a vision care plan on or after the effective date of this Act shall issue a contract that requires an eye care provider, as a condition of participation in the vision care plan, to provide services or materials to an enrollee…
215 ILCS 161/15
Fees for covered services and covered materials
Fees for covered services and covered materials. Fees paid under a vision care plan for covered services and covered materials, regardless of the supplier or optical lab used to obtain materials, shall be reasonable and shall be clearly listed on a fee schedule that has been provided to the eye care provider before ent…
215 ILCS 161/20
Misrepresentation
Misrepresentation. (a) A vision care organization and its officers, directors, agents, and employees are subject to the provisions of Sections 149 and 154.6 of the Illinois Insurance Code. (b) Incorporation by reference in this Act to specific laws of this State shall not be construed to exempt a vision care organizati…
215 ILCS 161/25
Subcontractors
Subcontractors. The provisions of this Act apply to any subcontractors used by a vision care organization to supply materials or services to an eye care provider or an enrollee under a vision care plan. (Source: P.A. 103-482, eff. 8-4-23.)
215 ILCS 161/30
Suppliers; optical labs
Suppliers; optical labs. (a) A vision care organization may not restrict or limit an eye care provider's choice of suppliers of services, covered materials, or the use of an optical lab. (b) A vision care organization may not require an eye care provider or patient to order or purchase covered materials, including, but…
215 ILCS 161/35
Modification of plan
Modification of plan. (a) The terms, fees, discounts, or reimbursement rates in a vision care plan may not be changed during the term of the contract unless mutually agreed to in writing by the eye care provider and the vision care organization that issued the vision care plan. However, a change proposed to a vision ca…
215 ILCS 161/40
Prohibitions; medical plan preconditions
Prohibitions; medical plan preconditions. (a) No vision care organization that issues, delivers, amends, or renews a vision care plan on or after the effective date of this Act shall issue a vision care plan contract that requires: (1) an eye care provider to contract with a plan that offers supplemental or specialty h…
215 ILCS 161/900
(Amendatory provisions; text omitted)
(Amendatory provisions; text omitted). (Source: P.A. 103-482, eff. 8-4-23; text omitted.)
215 ILCS 161/999
Effective date
Effective date. This Act takes effect upon becoming law. (Source: P.A. 103-482, eff. 8-4-23.)