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Workers' Compensation

supportHouse Amendment 2 to Senate Bill 904 makes three changes to the Illinois Workers’ Compensation Act to address a growing crisis of unpaid workers’ compensation medical bills.

It would:

  • Allow medical professionals to collect interest on late medical claims by filing a claim for this interest in circuit court, and increase that late payment penalty from 1 percent to 2 percent. While this interest provision has been in the law since 2005, medical professionals currently have no means to collect this interest.
  • Require workers' compensation insurance companies to send an Explanation of Benefits to medical professionals explaining why they have denied the authorization of medical care or what additional information they need to make a decision on that care.
  • Prevent workers' compensation insurers from ignoring the law requiring them to use electronic billing for workers' compensation claims. This has been the law for seven years, yet workers' compensation insurers still refuse to use standardized electronic billing systems that are used throughout the rest of the healthcare world.

More and more doctors, hospitals, and other medical professionals are finding it difficult to provide care to injured workers under the current situation. Any reduction in access to medical care will increase the time that injured workers are off of work and increase the long-term effects of their injuries – both of which could actually increase costs for employers, in addition to the negative effects on workers. 

This ISMS-backed legislation passed through both chambers with super-majorities. Unfortunately, on August 28 Governor Rauner issued an amendatory veto to the bill removing key protections. Thankfully, Illinois’s General Assembly acted to overturn the Governor’s veto in November and this important legislation is now law!

SB 904 Resources:

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