Short title
Short title. This Act may be cited as the In-Office Membership Care Act. (Source: P.A. 101-190, eff. 8-2-19.)
Illinois · statute · 815 ILCS 628 · 12 active provisions
Short title. This Act may be cited as the In-Office Membership Care Act. (Source: P.A. 101-190, eff. 8-2-19.)
Public policy. It is the policy of the State of Illinois to promote personal responsibility for health care and the cost-effective delivery of dental services by encouraging innovative use of in-office membership care practices for dental care. In-office membership care practices utilize a model of periodic fees for pr…
Definitions. In this Act: "Dental care provider" means a natural person or persons licensed or otherwise legally authorized to provide health care services in the State of Illinois in the field of dentistry who provides such services either alone or with others at the same location or other location affiliated with the…
In-office membership care agreement provisions. (a) An in-office membership care agreement shall identify: (1) the dental care provider or providers and the patient or patients; (2) the general scope of services as well as the specific services to be provided by the dental care provider as part of the in-office members…
Location of in-office membership care services. In-office membership care services may be provided in a dental care provider's office or another location in which a patient visit with the dental care provider needs to occur. (Source: P.A. 101-190, eff. 8-2-19.)
Insurance billing prohibited. Neither the patient nor the dental care provider shall submit a bill to an insurer for the services provided under an in-office membership care agreement. (Source: P.A. 101-190, eff. 8-2-19.)
In-office membership care agreements not classified as insurance. In-office membership care agreements are not subject to regulation as insurance under the Illinois Insurance Code. (Source: P.A. 101-190, eff. 8-2-19.)
Disclaimer. An in-office membership care agreement shall include the following disclaimer: "This agreement does not provide health insurance coverage, including the minimal essential coverage required by applicable federal law. It provides only the services described herein. It is recommended that health care insurance…
Restrictions on transfer. An in-office membership care agreement may not be sold or transferred by the dental care provider without the written consent of the patient and may be transferred only to another dental care provider. An in-office membership care agreement may not be sold to a group, employer or group of subs…
Effect of this Act. This Act does not prohibit dental care providers who are not dental care providers offering in-office membership care agreements from entering into agreements with patients to the extent such agreements do not violate the provisions of the Illinois Insurance Code. (Source: P.A. 101-190, eff. 8-2-19.…
(Amendatory provisions; text omitted). (Source: P.A. 101-190, eff. 8-2-19; text omitted.)
Effective date. This Act takes effect upon becoming law. (Source: P.A. 101-190, eff. 8-2-19.)