(215 ILCS 161/40) (Text of Section before amendment by P.A. 104-851)
Sec. 40. 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 health care services as a condition of contracting with a plan that offers basic health services; or (2) an eye care provider to contract with a vision care plan as a condition to participation in a medical plan or in-network. (b) A vision care plan may enter into an agreement with a health care plan to deliver routine vision care services that are covered under the enrollee's plan. (c) A vision care plan may act as a network regarding routine vision care services offered by a health care plan.
(Source: P.A. 103-482, eff. 8-4-23.) (Text of Section after amendment by P.A. 104-851) Sec. 40. Prohibitions; medical plan preconditions. (a) No vision care organization that issues, delivers, amends, or renews a provider agreement on or after the effective date of this amendatory Act of the 104th General Assembly shall issue a provider agreement that requires: (1) an eye care provider to participate in a plan that offers supplemental or specialty health care services as a condition of entering into or maintaining a provider agreement relating to a plan that offers basic health services; or (2) an eye care provider to participate in a vision care plan as a condition to participation in a medical plan or in-network. (b) A vision care organization may enter into an agreement with a health care plan to deliver routine vision care services that are covered under the enrollee's plan. (c) A vision care organization may administer a network regarding routine vision care services offered by a health care plan. (Source: P.A. 103-482, eff. 8-4-23; 104-851, eff. 1-1-27.)