IL HB5313 | 2023-2024 | 103rd General Assembly
Status
Completed Legislative Action
Spectrum: Strong Partisan Bill (Democrat 19-1)
Status: Failed on January 7 2025 - 100% progression
Action: 2025-01-07 - Session Sine Die
Text: Latest bill text (Engrossed) [HTML]
Spectrum: Strong Partisan Bill (Democrat 19-1)
Status: Failed on January 7 2025 - 100% progression
Action: 2025-01-07 - Session Sine Die
Text: Latest bill text (Engrossed) [HTML]
Summary
Amends the Network Adequacy and Transparency Act. Provides that a network plan shall, at least annually, audit (instead of audit periodically) at least 25% of its provider directories for accuracy, make any corrections necessary, and retain documentation of the audit. Provides that the network plan shall submit the audit to the Department of Insurance (instead of to the Director of Insurance upon request). Provides that the Department shall make the audit publicly available. Provides that a network plan shall include in the print format provider directory (i) a detailed description of the process to dispute charges for out-of-network providers or facilities that were incorrectly listed as in-network prior to the provision of care and (ii) a telephone number and email address to dispute those charges. Makes changes to the information that must be provided in a network plan's electronic and print directory. Requires the Director to conduct random audits of the accuracy of provider directories for at least 10% of plans each year. Provides that a consumer who incurs a cost for inappropriate out-of-network charges for a provider, facility, or hospital that was listed as in-network prior to the provision of services may file a verified complaint with the Department, and the Department shall conduct an investigation of the verified complaint and determine whether the complaint is sufficient. Provides that, upon a finding of sufficiency, the Director shall have the authority to levy a fine for not less than the cost incurred by the consumer for inappropriate out-of-network charges for a provider, facility, or hospital that was listed in-network. Provides that the fines collected by the Director shall be remitted to the consumer.
Title
INS-NETWORK ADEQUACY-DIRECTORY
Sponsors
Roll Calls
2024-04-17 - House - Third Reading in House (Y: 107 N: 5 NV: 1 Abs: 1) [PASS]
History
| Date | Chamber | Action |
|---|---|---|
| 2025-01-07 | House | Session Sine Die |
| 2024-05-17 | Senate | Rule 3-9(a) / Re-referred to Assignments |
| 2024-05-16 | Senate | Added as Alternate Co-Sponsor Sen. Lakesia Collins |
| 2024-05-14 | Senate | Added as Alternate Co-Sponsor Sen. Christopher Belt |
| 2024-05-10 | Senate | Rule 2-10 Committee Deadline Established As May 17, 2024 |
| 2024-04-30 | Senate | Rule 2-10 Committee Deadline Established As May 10, 2024 |
| 2024-04-30 | Senate | Postponed - Insurance |
| 2024-04-24 | Senate | Assigned to Insurance |
| 2024-04-18 | Senate | Referred to Assignments |
| 2024-04-18 | Senate | First Reading |
| 2024-04-18 | Senate | Chief Senate Sponsor Sen. Cristina Castro |
| 2024-04-18 | Senate | Placed on Calendar Order of First Reading |
| 2024-04-18 | Senate | Arrive in Senate |
| 2024-04-17 | House | Chief Co-Sponsor Changed to Rep. Camille Y. Lilly |
| 2024-04-17 | House | Added Chief Co-Sponsor Rep. Camille Y. Lilly |
| 2024-04-17 | House | Added Co-Sponsor Rep. Stephanie A. Kifowit |
| 2024-04-17 | House | Added Co-Sponsor Rep. Jaime M. Andrade, Jr. |
| 2024-04-17 | House | Added Co-Sponsor Rep. Yolonda Morris |
| 2024-04-17 | House | Added Co-Sponsor Rep. Dagmara Avelar |
| 2024-04-17 | House | House Floor Amendment No. 2 Tabled |
| 2024-04-17 | House | Third Reading - Short Debate - Passed 107-005-000 |
| 2024-04-17 | House | House Floor Amendment No. 2 Motion Filed to Table Rep. Margaret Croke |
| 2024-04-15 | House | House Floor Amendment No. 2 Rules Refers to Mental Health & Addiction Committee |
| 2024-04-12 | House | Placed on Calendar Order of 3rd Reading - Short Debate |
| 2024-04-12 | House | Second Reading - Short Debate |
| 2024-04-12 | House | House Floor Amendment No. 2 Referred to Rules Committee |
| 2024-04-12 | House | House Floor Amendment No. 2 Filed with Clerk by Rep. Margaret Croke |
| 2024-04-01 | House | Added Co-Sponsor Rep. Emanuel "Chris" Welch |
| 2024-04-01 | House | Added Co-Sponsor Rep. Sue Scherer |
| 2024-03-22 | House | Removed Co-Sponsor Rep. Camille Y. Lilly |
| 2024-03-22 | House | Added Co-Sponsor Rep. Camille Y. Lilly |
| 2024-03-21 | House | Added Co-Sponsor Rep. Ann M. Williams |
| 2024-03-21 | House | Added Co-Sponsor Rep. Daniel Didech |
| 2024-03-21 | House | Added Chief Co-Sponsor Rep. William E Hauter |
| 2024-03-20 | House | Added Co-Sponsor Rep. Kelly M. Cassidy |
| 2024-03-14 | House | Added Co-Sponsor Rep. Gregg Johnson |
| 2024-03-14 | House | Placed on Calendar 2nd Reading - Short Debate |
| 2024-03-14 | House | House Committee Amendment No. 1 Tabled |
| 2024-03-14 | House | Do Pass / Short Debate Mental Health & Addiction Committee; 021-000-000 |
| 2024-03-14 | House | Added Co-Sponsor Rep. Terra Costa Howard |
| 2024-03-13 | House | Added Co-Sponsor Rep. Bob Morgan |
| 2024-03-13 | House | House Committee Amendment No. 1 Referred to Rules Committee |
| 2024-03-13 | House | House Committee Amendment No. 1 Filed with Clerk by Rep. Margaret Croke |
| 2024-02-28 | House | Assigned to Mental Health & Addiction Committee |
| 2024-02-26 | House | Added Chief Co-Sponsor Rep. Maurice A. West, II |
| 2024-02-21 | House | Added Chief Co-Sponsor Rep. Lindsey LaPointe |
| 2024-02-09 | House | Referred to Rules Committee |
| 2024-02-09 | House | First Reading |
| 2024-02-09 | House | Filed with the Clerk by Rep. Margaret Croke |
Code Citations
| Chapter | Article | Section | Citation Type | Statute Text |
|---|---|---|---|---|
| 215 | 124 | 25 | Amended Code | Citation Text |
| 215 | 124 | 35 | New Code | See Bill Text |
