IL HB5395 | 2023-2024 | 103rd General Assembly
Status
Completed Legislative Action
Spectrum: Partisan Bill (Democrat 82-1)
Status: Passed on July 10 2024 - 100% progression
Action: 2024-07-10 - Public Act . . . . . . . . . 103-0650
Text: Latest bill text (Chaptered) [HTML]
Spectrum: Partisan Bill (Democrat 82-1)
Status: Passed on July 10 2024 - 100% progression
Action: 2024-07-10 - Public Act . . . . . . . . . 103-0650
Text: Latest bill text (Chaptered) [HTML]
Summary
Reinserts the provisions of the engrossed bill with changes that include the following. Requires the issuer of a network plan to submit a self-audit of its provider directory and a summary to the Department of Insurance, which the Department shall make publicly available. Makes changes to the information that must be provided in a network plan directory. Sets forth required actions if an issuer or the Department identifies a provider incorrectly listed in the provider directory. Removes provisions repealing the Short-Term, Limited-Duration Health Insurance Coverage Act and the related changes. Makes changes to provisions concerning confidentiality; transition of services; unreasonable and inadequate rates; the definitions of "excepted benefits" and "step therapy requirement"; off-formulary exception requests; algorithmic automated review processes; utilization review criteria; and adverse determinations. Makes other changes. Effective January 1, 2025, except that certain changes to the Managed Care Reform and Patient Rights Act take effect January 1, 2026.
Title
NETWORK ADEQUACY-STANDARDS
Sponsors
Roll Calls
2024-05-25 - House - Concurrence in House (Y: 83 N: 23 NV: 1 Abs: 0) [PASS]
2024-05-25 - House - Concurrence in House (Y: 83 N: 23 NV: 1 Abs: 0) [PASS]
2024-05-23 - Senate - Third Reading in Senate (Y: 45 N: 14 NV: 0 Abs: 0) [PASS]
2024-04-18 - House - Third Reading in House (Y: 81 N: 25 NV: 2 Abs: 2) [PASS]
2024-05-25 - House - Concurrence in House (Y: 83 N: 23 NV: 1 Abs: 0) [PASS]
2024-05-23 - Senate - Third Reading in Senate (Y: 45 N: 14 NV: 0 Abs: 0) [PASS]
2024-04-18 - House - Third Reading in House (Y: 81 N: 25 NV: 2 Abs: 2) [PASS]
History
| Date | Chamber | Action |
|---|---|---|
| 2024-07-10 | House | Public Act . . . . . . . . . 103-0650 |
| 2024-07-10 | House | Effective Date January 1, 2025 |
| 2024-07-10 | House | Governor Approved |
| 2024-06-21 | House | Sent to the Governor |
| 2024-05-30 | Senate | Added as Alternate Co-Sponsor Sen. Meg Loughran Cappel |
| 2024-05-26 | Senate | Added as Alternate Co-Sponsor Sen. Laura M. Murphy |
| 2024-05-26 | Senate | Added as Alternate Co-Sponsor Sen. Doris Turner |
| 2024-05-25 | House | Passed Both Houses |
| 2024-05-25 | House | House Concurs |
| 2024-05-25 | House | Senate Floor Amendment No. 3 House Concurs 083-023-001 |
| 2024-05-25 | House | Senate Committee Amendment No. 2 House Concurs 083-023-001 |
| 2024-05-24 | House | Senate Floor Amendment No. 3 Motion to Concur Recommends Be Adopted Human Services Committee; 009-000-000 |
| 2024-05-24 | House | Senate Committee Amendment No. 2 Motion to Concur Recommends Be Adopted Human Services Committee; 009-000-000 |
| 2024-05-24 | Senate | Added as Alternate Co-Sponsor Sen. Napoleon Harris, III |
| 2024-05-24 | House | Senate Floor Amendment No. 3 Motion to Concur Rules Referred to Human Services Committee |
| 2024-05-24 | House | Senate Committee Amendment No. 2 Motion to Concur Rules Referred to Human Services Committee |
| 2024-05-24 | House | Senate Floor Amendment No. 3 Motion to Concur Referred to Rules Committee |
| 2024-05-24 | House | Senate Committee Amendment No. 2 Motion to Concur Referred to Rules Committee |
| 2024-05-24 | House | Senate Floor Amendment No. 3 Motion Filed Concur Rep. Anna Moeller |
| 2024-05-24 | House | Senate Committee Amendment No. 2 Motion Filed Concur Rep. Anna Moeller |
| 2024-05-24 | House | Placed on Calendar Order of Concurrence Senate Amendment(s) 2, 3 |
| 2024-05-24 | House | Arrived in House |
| 2024-05-23 | Senate | Senate Committee Amendment No. 1 Tabled Pursuant to Rule 5-4(a) |
| 2024-05-23 | Senate | Third Reading - Passed; 045-014-000 |
| 2024-05-23 | Senate | Placed on Calendar Order of 3rd Reading |
| 2024-05-23 | Senate | Senate Floor Amendment No. 3 Adopted; Peters |
| 2024-05-23 | Senate | Recalled to Second Reading |
| 2024-05-23 | Senate | Senate Floor Amendment No. 3 Be Approved for Consideration Assignments |
| 2024-05-22 | Senate | Senate Floor Amendment No. 3 Referred to Assignments |
| 2024-05-22 | Senate | Senate Floor Amendment No. 3 Filed with Secretary by Sen. Robert Peters |
| 2024-05-22 | Senate | Placed on Calendar Order of 3rd Reading May 23, 2024 |
| 2024-05-22 | Senate | Second Reading |
| 2024-05-21 | Senate | Rule 2-10 Third Reading/Passage Deadline Established As May 24, 2024 |
| 2024-05-21 | Senate | Placed on Calendar Order of 2nd Reading May 21, 2024 |
| 2024-05-21 | Senate | Do Pass as Amended Insurance; 007-004-000 |
| 2024-05-21 | Senate | Senate Committee Amendment No. 2 Adopted |
| 2024-05-21 | Senate | Added as Alternate Co-Sponsor Sen. Mattie Hunter |
| 2024-05-21 | Senate | Senate Committee Amendment No. 2 Assignments Refers to Insurance |
| 2024-05-21 | Senate | Added as Alternate Co-Sponsor Sen. Natalie Toro |
| 2024-05-20 | Senate | Senate Committee Amendment No. 2 Referred to Assignments |
| 2024-05-20 | Senate | Senate Committee Amendment No. 2 Filed with Secretary by Sen. Robert Peters |
| 2024-05-17 | Senate | Rule 2-10 Committee Deadline Established As May 24, 2024 |
| 2024-05-16 | Senate | Added as Alternate Co-Sponsor Sen. Mary Edly-Allen |
| 2024-05-14 | Senate | Added as Alternate Co-Sponsor Sen. Mike Porfirio |
| 2024-05-13 | Senate | Added as Alternate Co-Sponsor Sen. Lakesia Collins |
| 2024-05-10 | Senate | Rule 2-10 Committee Deadline Established As May 17, 2024 |
| 2024-05-10 | Senate | Added as Alternate Co-Sponsor Sen. Adriane Johnson |
| 2024-05-10 | Senate | Added as Alternate Co-Sponsor Sen. Javier L. Cervantes |
| 2024-05-08 | Senate | Added as Alternate Co-Sponsor Sen. Christopher Belt |
| 2024-05-07 | Senate | Added as Alternate Co-Sponsor Sen. Laura Ellman |
| 2024-05-07 | Senate | Senate Committee Amendment No. 1 Assignments Refers to Insurance |
| 2024-05-03 | Senate | Added as Alternate Co-Sponsor Sen. Julie A. Morrison |
| 2024-05-03 | Senate | Added as Alternate Co-Sponsor Sen. Steve Stadelman |
| 2024-05-02 | Senate | Senate Committee Amendment No. 1 Referred to Assignments |
| 2024-05-02 | Senate | Senate Committee Amendment No. 1 Filed with Secretary by Sen. Robert Peters |
| 2024-05-01 | Senate | Added as Alternate Co-Sponsor Sen. Sara Feigenholtz |
| 2024-05-01 | Senate | Added as Alternate Co-Sponsor Sen. Ram Villivalam |
| 2024-04-30 | Senate | Rule 2-10 Committee Deadline Established As May 10, 2024 |
| 2024-04-30 | Senate | Added as Alternate Chief Co-Sponsor Sen. Patrick J. Joyce |
| 2024-04-30 | Senate | Assigned to Insurance |
| 2024-04-29 | Senate | Added as Alternate Co-Sponsor Sen. Mike Simmons |
| 2024-04-26 | Senate | Added as Alternate Chief Co-Sponsor Sen. Willie Preston |
| 2024-04-25 | Senate | Added as Alternate Chief Co-Sponsor Sen. Rachel Ventura |
| 2024-04-25 | Senate | Added as Alternate Chief Co-Sponsor Sen. Laura Fine |
| 2024-04-23 | Senate | Added as Alternate Co-Sponsor Sen. Karina Villa |
| 2024-04-23 | Senate | Added as Alternate Co-Sponsor Sen. Kimberly A. Lightford |
| 2024-04-19 | Senate | Referred to Assignments |
| 2024-04-19 | Senate | First Reading |
| 2024-04-19 | Senate | Chief Senate Sponsor Sen. Robert Peters |
| 2024-04-19 | Senate | Placed on Calendar Order of First Reading |
| 2024-04-19 | Senate | Arrive in Senate |
| 2024-04-18 | House | Added Co-Sponsor Rep. Hoan Huynh |
| 2024-04-18 | House | Added Co-Sponsor Rep. Debbie Meyers-Martin |
| 2024-04-18 | House | Added Co-Sponsor Rep. Lilian Jiménez |
| 2024-04-18 | House | Added Co-Sponsor Rep. Norma Hernandez |
| 2024-04-18 | House | Added Co-Sponsor Rep. Harry Benton |
| 2024-04-18 | House | Added Co-Sponsor Rep. Gregg Johnson |
| 2024-04-18 | House | Added Co-Sponsor Rep. Jennifer Gong-Gershowitz |
| 2024-04-18 | House | House Floor Amendment No. 3 Tabled |
| 2024-04-18 | House | House Floor Amendment No. 2 Tabled |
| 2024-04-18 | House | Third Reading - Short Debate - Passed 081-025-002 |
| 2024-04-18 | House | Placed on Calendar Order of 3rd Reading - Short Debate |
| 2024-04-18 | House | State Mandates Fiscal Note Requested - Withdrawn by Rep. Ryan Spain |
| 2024-04-18 | House | State Debt Impact Note Requested - Withdrawn by Rep. Robyn Gabel |
| 2024-04-18 | House | Racial Impact Note Requested - Withdrawn by Rep. Robyn Gabel |
| 2024-04-18 | House | Pension Note Requested - Withdrawn by Rep. Robyn Gabel |
| 2024-04-18 | House | Land Conveyance Appraisal Note Requested - Withdrawn by Rep. Robyn Gabel |
| 2024-04-18 | House | Judicial Note Requested - Withdrawn by Rep. Robyn Gabel |
| 2024-04-18 | House | Housing Affordability Impact Note Requested - Withdrawn by Rep. Robyn Gabel |
| 2024-04-18 | House | Home Rule Note Requested - Withdrawn by Rep. Robyn Gabel |
| 2024-04-18 | House | Correctional Note Requested - Withdrawn by Rep. Robyn Gabel |
| 2024-04-18 | House | House Floor Amendment No. 4 Adopted |
| 2024-04-18 | House | Added Co-Sponsor Rep. Laura Faver Dias |
| 2024-04-18 | House | Added Co-Sponsor Rep. Anne Stava-Murray |
| 2024-04-18 | House | House Floor Amendment No. 4 Recommends Be Adopted Human Services Committee; 009-000-000 |
| 2024-04-17 | House | House Floor Amendment No. 4 Rules Refers to Human Services Committee |
| 2024-04-17 | House | House Floor Amendment No. 3 Rules Refers to Human Services Committee |
| 2024-04-17 | House | House Floor Amendment No. 4 Referred to Rules Committee |
| 2024-04-17 | House | House Floor Amendment No. 4 Filed with Clerk by Rep. Anna Moeller |
| 2024-04-16 | House | Held on Calendar Order of Second Reading - Short Debate |
| 2024-04-16 | House | Second Reading - Short Debate |
| 2024-04-16 | House | House Floor Amendment No. 3 Referred to Rules Committee |
| 2024-04-16 | House | House Floor Amendment No. 3 Filed with Clerk by Rep. Anna Moeller |
| 2024-04-16 | House | Added Co-Sponsor Rep. Janet Yang Rohr |
| 2024-04-15 | House | Added Co-Sponsor Rep. Stephanie A. Kifowit |
| 2024-04-15 | House | House Floor Amendment No. 2 Rules Refers to Human Services Committee |
| 2024-04-05 | House | House Floor Amendment No. 2 Referred to Rules Committee |
| 2024-04-05 | House | House Floor Amendment No. 2 Filed with Clerk by Rep. Anna Moeller |
| 2024-04-01 | House | Fiscal Note Filed |
| 2024-03-26 | House | Balanced Budget Note Filed |
| 2024-03-22 | House | Added Co-Sponsor Rep. Emanuel "Chris" Welch |
| 2024-03-22 | House | State Mandates Fiscal Note Requested by Rep. Robyn Gabel |
| 2024-03-22 | House | State Debt Impact Note Requested by Rep. Robyn Gabel |
| 2024-03-22 | House | Racial Impact Note Requested by Rep. Robyn Gabel |
| 2024-03-22 | House | Pension Note Requested by Rep. Robyn Gabel |
| 2024-03-22 | House | Land Conveyance Appraisal Note Requested by Rep. Robyn Gabel |
| 2024-03-22 | House | Judicial Note Requested by Rep. Robyn Gabel |
| 2024-03-22 | House | Housing Affordability Impact Note Requested by Rep. Robyn Gabel |
| 2024-03-22 | House | Home Rule Note Requested by Rep. Robyn Gabel |
| 2024-03-22 | House | Fiscal Note Requested by Rep. Robyn Gabel |
| 2024-03-22 | House | Correctional Note Requested by Rep. Robyn Gabel |
| 2024-03-22 | House | Balanced Budget Note Requested by Rep. Robyn Gabel |
| 2024-03-21 | House | Placed on Calendar 2nd Reading - Short Debate |
| 2024-03-21 | House | Balanced Budget Note Requested by Rep. Ryan Spain |
| 2024-03-21 | House | State Mandates Fiscal Note Requested by Rep. Ryan Spain |
| 2024-03-21 | House | Fiscal Note Requested by Rep. Ryan Spain |
| 2024-03-21 | House | Do Pass as Amended / Short Debate Human Services Committee; 006-003-000 |
| 2024-03-21 | House | House Committee Amendment No. 1 Adopted in Human Services Committee; by Voice Vote |
| 2024-03-12 | House | House Committee Amendment No. 1 Rules Refers to Human Services Committee |
| 2024-03-12 | House | Added Co-Sponsor Rep. La Shawn K. Ford |
| 2024-03-12 | House | Added Co-Sponsor Rep. Kam Buckner |
| 2024-03-07 | House | Added Co-Sponsor Rep. Sharon Chung |
| 2024-03-07 | House | Added Co-Sponsor Rep. William E Hauter |
| 2024-03-07 | House | Added Co-Sponsor Rep. Robert "Bob" Rita |
| 2024-03-07 | House | Added Co-Sponsor Rep. Abdelnasser Rashid |
| 2024-03-07 | House | Added Co-Sponsor Rep. Kevin John Olickal |
| 2024-03-07 | House | Added Co-Sponsor Rep. Michelle Mussman |
| 2024-03-07 | House | Added Co-Sponsor Rep. Rita Mayfield |
| 2024-03-07 | House | Added Co-Sponsor Rep. Theresa Mah |
| 2024-03-07 | House | Added Co-Sponsor Rep. Kimberly Du Buclet |
| 2024-03-07 | House | Added Co-Sponsor Rep. Margaret Croke |
| 2024-03-06 | House | House Committee Amendment No. 1 Referred to Rules Committee |
| 2024-03-06 | House | House Committee Amendment No. 1 Filed with Clerk by Rep. Anna Moeller |
| 2024-03-05 | House | Assigned to Human Services Committee |
| 2024-03-04 | House | Added Co-Sponsor Rep. Tracy Katz Muhl |
| 2024-03-04 | House | Added Co-Sponsor Rep. Michael J. Kelly |
| 2024-03-04 | House | Added Co-Sponsor Rep. Maurice A. West, II |
| 2024-02-23 | House | Added Co-Sponsor Rep. Maura Hirschauer |
| 2024-02-23 | House | Added Co-Sponsor Rep. Michelle Mussman |
| 2024-02-23 | House | Added Co-Sponsor Rep. Martin J. Moylan |
| 2024-02-23 | House | Added Co-Sponsor Rep. Jehan Gordon-Booth |
| 2024-02-23 | House | Chief Co-Sponsor Changed to Rep. Camille Y. Lilly |
| 2024-02-23 | House | Chief Co-Sponsor Changed to Rep. Bob Morgan |
| 2024-02-23 | House | Added Chief Co-Sponsor Rep. Bob Morgan |
| 2024-02-23 | House | Chief Co-Sponsor Changed to Rep. Camille Y. Lilly |
| 2024-02-23 | House | Added Chief Co-Sponsor Rep. Camille Y. Lilly |
| 2024-02-22 | House | Removed Co-Sponsor Rep. Bob Morgan |
| 2024-02-22 | House | Added Co-Sponsor Rep. Joyce Mason |
| 2024-02-22 | House | Added Co-Sponsor Rep. Jaime M. Andrade, Jr. |
| 2024-02-22 | House | Added Co-Sponsor Rep. Katie Stuart |
| 2024-02-22 | House | Added Co-Sponsor Rep. Terra Costa Howard |
| 2024-02-22 | House | Added Co-Sponsor Rep. Matt Hanson |
| 2024-02-22 | House | Added Co-Sponsor Rep. Suzanne M. Ness |
| 2024-02-22 | House | Added Co-Sponsor Rep. Dagmara Avelar |
| 2024-02-22 | House | Added Co-Sponsor Rep. Lindsey LaPointe |
| 2024-02-22 | House | Added Co-Sponsor Rep. Elizabeth "Lisa" Hernandez |
| 2024-02-22 | House | Added Co-Sponsor Rep. Nicholas K. Smith |
| 2024-02-22 | House | Added Co-Sponsor Rep. Natalie A. Manley |
| 2024-02-22 | House | Added Co-Sponsor Rep. Nabeela Syed |
| 2024-02-22 | House | Added Co-Sponsor Rep. Ann M. Williams |
| 2024-02-22 | House | Added Co-Sponsor Rep. Bob Morgan |
| 2024-02-22 | House | Added Co-Sponsor Rep. Will Guzzardi |
| 2024-02-22 | House | Added Co-Sponsor Rep. Mary Beth Canty |
| 2024-02-22 | House | Added Co-Sponsor Rep. Mark L. Walker |
| 2024-02-22 | House | Added Co-Sponsor Rep. Sonya M. Harper |
| 2024-02-22 | House | Added Co-Sponsor Rep. Marcus C. Evans, Jr. |
| 2024-02-22 | House | Added Co-Sponsor Rep. Kelly M. Cassidy |
| 2024-02-22 | House | Added Co-Sponsor Rep. Sue Scherer |
| 2024-02-22 | House | Added Chief Co-Sponsor Rep. Eva-Dina Delgado |
| 2024-02-22 | House | Added Co-Sponsor Rep. Yolonda Morris |
| 2024-02-22 | House | Added Co-Sponsor Rep. Jenn Ladisch Douglass |
| 2024-02-20 | House | Added Chief Co-Sponsor Rep. Robyn Gabel |
| 2024-02-09 | House | Referred to Rules Committee |
| 2024-02-09 | House | First Reading |
| 2024-02-09 | House | Filed with the Clerk by Rep. Anna Moeller |
Code Citations
| Chapter | Article | Section | Citation Type | Statute Text |
|---|---|---|---|---|
| 215 | 124 | 10 | Amended Code | Citation Text |
| 215 | 124 | 15 | Amended Code | Citation Text |
| 215 | 124 | 20 | Amended Code | Citation Text |
| 215 | 124 | 25 | Amended Code | Citation Text |
| 215 | 124 | 3 | Amended Code | Citation Text |
| 215 | 124 | 30 | Amended Code | Citation Text |
| 215 | 124 | 35 | New Code | See Bill Text |
| 215 | 124 | 40 | New Code | See Bill Text |
| 215 | 124 | 5 | Amended Code | Citation Text |
| 215 | 124 | 50 | New Code | See Bill Text |
| 215 | 134 | 20 | Amended Code | Citation Text |
| 215 | 134 | 25 | Amended Code | Citation Text |
| 5 | 100 | 5-45.55 | New Code | See Bill Text |
