IL HB4789 | 2023-2024 | 103rd General Assembly

Status

Completed Legislative Action
Spectrum: Slight Partisan Bill (Republican 5-3)
Status: Passed on August 9 2024 - 100% progression
Action: 2024-08-09 - Public Act . . . . . . . . . 103-0832
Text: Latest bill text (Chaptered) [HTML]

Summary

Reinserts the provisions of the introduced bill with the following changes. Makes a change in the definition of "prior authorization". Defines "dental carrier" as an insurer, dental service corporation, insurance network leasing company, or any company that offers individual or group policies of accident and health insurance that provide coverage for dental services. Changes references from "dental service contractor" and "insurer" to "dental carrier". Provides that beginning on the effective date of the amendatory Act, a dental carrier shall not deny any claim subsequently submitted for procedures specifically included in a prior authorization unless certain circumstances apply. Removes language providing that no insurer, dental service plan corporation, insurance network leasing company, or any company that amends, delivers, issues, or renews an individual or group policy of accident and health insurance that provides dental insurance on or after the effective date of the amendatory Act shall deny any claim subsequently submitted for procedures specifically included in a prior authorization unless certain circumstances apply. Further amends the Illinois Insurance Code. In a provision requiring contracting entities to provide notification before any scheduled assignment or lease of the network to which the provider is a contracted provider, requires the notification to provide the specific URL address where the following are located: all contract terms, a policy manual, a fee schedule, and a statement that the provider has the right to choose not to participate in third-party access (instead of the notification including all contract terms, a policy manual, a fee schedule, and a statement that the provider has the right to choose not to participate in third-party access). Requires the notification to provide instructions for how the provider may obtain a copy of those materials. Amends the Limited Health Service Organization Act and Voluntary Health Services Plans Act to make conforming changes.

Tracking Information

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Title

INS CD-DENTAL PREAUTHORIZATION

Sponsors


Roll Calls

2024-05-25 - House - Concurrence in House (Y: 105 N: 0 NV: 1 Abs: 0) [PASS]
2024-05-16 - Senate - Third Reading in Senate (Y: 59 N: 0 NV: 0 Abs: 0) [PASS]
2024-04-16 - House - Third Reading in House (Y: 111 N: 0 NV: 1 Abs: 1) [PASS]

History

DateChamberAction
2024-08-09HousePublic Act . . . . . . . . . 103-0832
2024-08-09HouseEffective Date January 1, 2025
2024-08-09HouseGovernor Approved
2024-06-21HouseSent to the Governor
2024-05-25HousePassed Both Houses
2024-05-25HouseHouse Concurs
2024-05-25HouseSenate Committee Amendment No. 1 House Concurs 105-000-001
2024-05-22HouseSenate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Insurance Committee; 014-000-000
2024-05-21HouseSenate Committee Amendment No. 1 Motion to Concur Rules Referred to Insurance Committee
2024-05-17HouseSenate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee
2024-05-17HouseSenate Committee Amendment No. 1 Motion Filed Concur Rep. Bob Morgan
2024-05-16HousePlaced on Calendar Order of Concurrence Senate Amendment(s) 1
2024-05-16HouseArrived in House
2024-05-16SenateAdded as Alternate Co-Sponsor Sen. Sally J. Turner
2024-05-16SenateThird Reading - Passed; 059-000-000
2024-05-08SenatePlaced on Calendar Order of 3rd Reading
2024-05-08SenateSecond Reading
2024-05-01SenatePlaced on Calendar Order of 2nd Reading May 2, 2024
2024-05-01SenateDo Pass as Amended Insurance; 008-000-000
2024-04-30SenateSenate Committee Amendment No. 1 Adopted
2024-04-30SenateSenate Committee Amendment No. 1 Assignments Refers to Insurance
2024-04-29SenateSenate Committee Amendment No. 1 Referred to Assignments
2024-04-29SenateSenate Committee Amendment No. 1 Filed with Secretary by Sen. Dave Syverson
2024-04-24SenateAdded as Alternate Co-Sponsor Sen. Julie A. Morrison
2024-04-24SenateAssigned to Insurance
2024-04-17SenateReferred to Assignments
2024-04-17SenateFirst Reading
2024-04-17SenateChief Senate Sponsor Sen. Dave Syverson
2024-04-17SenatePlaced on Calendar Order of First Reading
2024-04-17SenateArrive in Senate
2024-04-16HouseAdded Co-Sponsor Rep. Suzanne M. Ness
2024-04-16HouseAdded Chief Co-Sponsor Rep. Tom Weber
2024-04-16HouseAdded Co-Sponsor Rep. Dave Severin
2024-04-16HouseThird Reading - Short Debate - Passed 111-000-001
2024-04-11HousePlaced on Calendar Order of 3rd Reading - Short Debate
2024-04-11HouseSecond Reading - Short Debate
2024-04-03HousePlaced on Calendar 2nd Reading - Short Debate
2024-04-02HouseDo Pass as Amended / Short Debate Insurance Committee; 015-000-000
2024-04-02HouseHouse Committee Amendment No. 1 Adopted in Insurance Committee; by Voice Vote
2024-04-02HouseHouse Committee Amendment No. 1 Rules Refers to Insurance Committee
2024-04-01HouseHouse Committee Amendment No. 1 Referred to Rules Committee
2024-04-01HouseHouse Committee Amendment No. 1 Filed with Clerk by Rep. Bob Morgan
2024-03-07HouseAdded Co-Sponsor Rep. Travis Weaver
2024-02-14HouseAssigned to Insurance Committee
2024-02-06HouseReferred to Rules Committee
2024-02-06HouseFirst Reading
2024-02-05HouseFiled with the Clerk by Rep. Bob Morgan

Code Citations

ChapterArticleSectionCitation TypeStatute Text
2155355dNew CodeSee Bill Text

Illinois State Sources

TypeSource
Summaryhttps://www.ilga.gov/legislation/BillStatus.asp?DocNum=4789&GAID=17&DocTypeID=HB&SessionID=112&GA=103
Texthttps://www.ilga.gov/legislation/103/HB/10300HB4789.htm
Texthttps://www.ilga.gov/legislation/103/HB/10300HB4789eng.htm
Texthttps://www.ilga.gov/legislation/103/HB/10300HB4789enr.htm
Texthttps://www.ilga.gov/legislation/publicacts/103/103-0832.htm
Amendmenthttps://www.ilga.gov/legislation/103/HB/10300HB4789ham001.htm
Amendmenthttps://www.ilga.gov/legislation/103/HB/10300HB4789sam001.htm
Roll Callhttps://www.ilga.gov/legislation/votehistory/103/house/10300HB4789_04162024_035000T.pdf
Roll Callhttps://www.ilga.gov/legislation/votehistory/103/senate/10300HB4789_05162024_012000T.pdf
Roll Callhttps://www.ilga.gov/legislation/votehistory/103/house/10300HB4789sam001_05252024_022000C.pdf

Bill Comments

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