IL HB4703 | 2021-2022 | 102nd General Assembly
Status
Completed Legislative Action
Spectrum: Partisan Bill (Democrat 26-0)
Status: Passed on May 26 2022 - 100% progression
Action: 2022-07-01 - Added as Alternate Co-Sponsor Sen. Doris Turner
Text: Latest bill text (Chaptered) [HTML]
Spectrum: Partisan Bill (Democrat 26-0)
Status: Passed on May 26 2022 - 100% progression
Action: 2022-07-01 - Added as Alternate Co-Sponsor Sen. Doris Turner
Text: Latest bill text (Chaptered) [HTML]
Summary
Amends the Illinois Insurance Code. Provides that when an insured receives emergency services or covered ancillary services from a nonparticipating provider or a nonparticipating facility, the health insurance issuer shall ensure that cost-sharing requirements are applied as though the services had been received from a participating provider or facility, and that the insured or any group policyholder or plan sponsor shall not be liable to or billed by the health insurance issuer, the nonparticipating provider, or the facility beyond the cost-sharing amount. Contains provisions concerning a notice and consent process for out-of-network coverage; billing for reasonable administrative fees; assignment of benefits to nonparticipating providers; and cost-sharing amounts and deductibles. Amends the Illinois Insurance Code and the Health Maintenance Organization Act to make a change in provisions concerning disclosure of nonparticipating provider benefits. Amends the Network Adequacy and Transparency Act. Provides that a beneficiary who receives care at a participating health care facility shall not be required to search for participating providers under certain circumstances. Amends the Managed Care Reform and Patient Rights Act. Provides that prior authorization or approval by the plan shall not be required for post-stabilization services that constitute emergency services. Amends the Health Maintenance Organization Act and the Voluntary Health Services Plans Act to provide that health maintenance organizations and voluntary health services plans are subject to provisions of the Illinois Insurance Code concerning billing and cost sharing. Makes other changes. Effective July 1, 2022, except that certain changes take effect January 1, 2023.
Title
INSURANCE-BILLING
Sponsors
Roll Calls
2022-03-30 - Senate - Third Reading in Senate (Y: 55 N: 0 NV: 4 Abs: 0) [PASS]
2022-03-03 - House - Third Reading in House (Y: 105 N: 0 NV: 0 Abs: 2) [PASS]
2022-03-03 - House - Third Reading in House (Y: 105 N: 0 NV: 0 Abs: 2) [PASS]
History
| Date | Chamber | Action |
|---|---|---|
| 2022-07-01 | Senate | Added as Alternate Co-Sponsor Sen. Doris Turner |
| 2022-06-03 | Senate | Added as Alternate Co-Sponsor Sen. Bill Cunningham |
| 2022-05-26 | House | Public Act . . . . . . . . . 102-0901 |
| 2022-05-26 | House | Effective Date July 1, 2022; - Some Provisions Effective January 1, 2023 |
| 2022-05-26 | House | Governor Approved |
| 2022-05-25 | Senate | Added as Alternate Co-Sponsor Sen. Omar Aquino |
| 2022-05-25 | Senate | Added as Alternate Co-Sponsor Sen. Michael E. Hastings |
| 2022-05-25 | Senate | Added as Alternate Co-Sponsor Sen. Scott M. Bennett |
| 2022-05-25 | Senate | Added as Alternate Co-Sponsor Sen. Eric Mattson |
| 2022-05-25 | Senate | Added as Alternate Co-Sponsor Sen. Christopher Belt |
| 2022-05-25 | Senate | Added as Alternate Co-Sponsor Sen. Ram Villivalam |
| 2022-05-25 | Senate | Added as Alternate Co-Sponsor Sen. Celina Villanueva |
| 2022-05-25 | Senate | Added as Alternate Co-Sponsor Sen. Meg Loughran Cappel |
| 2022-04-28 | House | Sent to the Governor |
| 2022-04-08 | Senate | Added as Alternate Co-Sponsor Sen. Robert F. Martwick |
| 2022-03-31 | Senate | Added as Alternate Co-Sponsor Sen. Kimberly A. Lightford |
| 2022-03-30 | Senate | Added as Alternate Chief Co-Sponsor Sen. Laura Fine |
| 2022-03-30 | Senate | Added as Alternate Chief Co-Sponsor Sen. Mike Simmons |
| 2022-03-30 | House | Passed Both Houses |
| 2022-03-30 | Senate | Third Reading - Passed; 055-000-000 |
| 2022-03-30 | Senate | Added as Alternate Co-Sponsor Sen. Steve Stadelman |
| 2022-03-30 | Senate | Added as Alternate Co-Sponsor Sen. Diane Pappas |
| 2022-03-30 | Senate | Added as Alternate Co-Sponsor Sen. Karina Villa |
| 2022-03-29 | Senate | Added as Alternate Co-Sponsor Sen. Mattie Hunter |
| 2022-03-29 | Senate | Added as Alternate Co-Sponsor Sen. Suzy Glowiak Hilton |
| 2022-03-29 | Senate | Added as Alternate Co-Sponsor Sen. Napoleon Harris, III |
| 2022-03-29 | Senate | Added as Alternate Co-Sponsor Sen. Cristina Castro |
| 2022-03-24 | Senate | Added as Alternate Co-Sponsor Sen. John Connor |
| 2022-03-23 | Senate | Placed on Calendar Order of 3rd Reading March 24, 2022 |
| 2022-03-23 | Senate | Second Reading |
| 2022-03-23 | Senate | Placed on Calendar Order of 2nd Reading |
| 2022-03-23 | Senate | Do Pass Insurance; 011-000-000 |
| 2022-03-16 | Senate | Assigned to Insurance |
| 2022-03-04 | Senate | Referred to Assignments |
| 2022-03-04 | Senate | First Reading |
| 2022-03-04 | Senate | Chief Senate Sponsor Sen. Ann Gillespie |
| 2022-03-04 | Senate | Placed on Calendar Order of First Reading |
| 2022-03-04 | Senate | Arrive in Senate |
| 2022-03-03 | House | Added Chief Co-Sponsor Rep. Mary E. Flowers |
| 2022-03-03 | House | Third Reading - Short Debate - Passed 105-000-000 |
| 2022-03-03 | House | Placed on Calendar Order of 3rd Reading - Short Debate |
| 2022-03-03 | House | House Floor Amendment No. 1 Adopted |
| 2022-03-02 | House | Held on Calendar Order of Second Reading - Short Debate |
| 2022-03-02 | House | Second Reading - Short Debate |
| 2022-03-02 | House | House Floor Amendment No. 1 Recommends Be Adopted Insurance Committee; 012-000-000 |
| 2022-03-01 | House | House Floor Amendment No. 1 Rules Refers to Insurance Committee |
| 2022-02-25 | House | House Floor Amendment No. 1 Referred to Rules Committee |
| 2022-02-25 | House | House Floor Amendment No. 1 Filed with Clerk by Rep. Bob Morgan |
| 2022-02-15 | House | Added Chief Co-Sponsor Rep. Michael Kelly |
| 2022-02-15 | House | Placed on Calendar 2nd Reading - Short Debate |
| 2022-02-10 | House | Do Pass / Short Debate Insurance Committee; 017-000-000 |
| 2022-02-01 | House | Assigned to Insurance Committee |
| 2022-01-27 | House | Referred to Rules Committee |
| 2022-01-27 | House | First Reading |
| 2022-01-21 | House | Filed with the Clerk by Rep. Bob Morgan |
Code Citations
| Chapter | Article | Section | Citation Type | Statute Text |
|---|---|---|---|---|
| 215 | 124 | 10 | Amended Code | Citation Text |
| 215 | 125 | 4.5-1 | Amended Code | Citation Text |
| 215 | 125 | 5-3 | Amended Code | Citation Text |
| 215 | 134 | 70 | Amended Code | Citation Text |
| 215 | 165 | 10 | Amended Code | Citation Text |
| 215 | 5 | 356z.3 | Amended Code | Citation Text |
| 215 | 5 | 356z.3a | Amended Code | Citation Text |
