{"data":{"id":"us-il/215-ilcs-161-40","jurisdiction":"us-il","citation":"215 ILCS 161/40","heading":"Prohibitions; medical plan preconditions.","body":"(Text of Section before amendment by P.A. 104-851)\n(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:\n(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\n(2) an eye care provider to contract with a vision care plan as a condition to participation in a medical plan or in-network.\n(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.\n(c) A vision care plan may act as a network regarding routine vision care services offered by a health care plan.\n(Text of Section after amendment by P.A. 104-851)\nProhibitions; medical plan preconditions.\n(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:\n(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\n(2) an eye care provider to participate in a vision care plan as a condition to participation in a medical plan or in-network.\n(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.\n(c) A vision care organization may administer a network regarding routine vision care services offered by a health care plan.","path":["CHAPTER 215 INSURANCE","Vision Care Plan Regulation Act."],"source_url":"https://www.ilga.gov/legislation/ILCS/details?ActID=4450\u0026ChapterID=22\u0026ChapAct=FullText\u0026Print=True","current_through":"at least Public Act 104-854","vintage":"","retrieved_at":"2026-10-27T07:37:15Z","sha256":"0ecb8999cccee99470c0c5f246cd696f75ef73ff128fe3a4fdfa53a2004f6810","source_id":"us-il","stale":false,"prev":"us-il/215-ilcs-161-35","next":"us-il/215-ilcs-161-45"},"notice":"GroundRules: Original legal text. Not legal advice."}
