- Published: Friday, April 28, 2017 03:25 PM
SPRINGFIELD – People struggling with multiple sclerosis could have an opportunity to ask for an exception to treatment limitations due to legislation passed by State Senator Terry Link (D-Vernon Hills).
“Restricting treatment for the more than 20,000 Illinois residents living with multiple sclerosis is atrocious,” Link said. “These restrictions mean that people diagnosed with MS are not allowed to get the medically recommended treatment they need.”
Senate Bill 193 would require that insurance companies offer an exceptions process for patients with multiple sclerosis to request an exception to a treatment limitation. It would also require that the insurance company would have 72 hours to accept or deny the exception request. Limitations include being subject to waiting periods, cost sharing limits and other limits.
“By taking this step, insurance companies now have to justify to people why they are denying their medically necessary treatment,” Link said. “This is a small step in the long fight to push for a compassionate Illinois that helps people manage their symptoms appropriately.”
Currently, insurance companies can limit the number of physical therapy session covered even if more sessions are deemed medically necessary.
The legislation moves to the House for further consideration.