IL HB4475 | 2023-2024 | 103rd General Assembly

Status

Spectrum: Partisan Bill (Democrat 29-1)
Status: Engrossed on April 19 2024 - 50% progression
Action: 2024-04-24 - Referred to Assignments
Pending: Senate Assignments Committee
Text: Latest bill text (Engrossed) [HTML]

Summary

Reinserts the provisions of the bill, as amended by House Amendment No. 1, with the following changes. Provides that for all group or individual policies of accident and health insurance or managed care plans that are amended, delivered, issued, or renewed on or after January 1, 2026, or any contracted third party administering the behavioral health benefits for the insurer, reimbursement for in-network mental health and substance use disorder treatment services delivered by Illinois providers and facilities must be equal to or greater than 141% of the Medicare rate for the mental health or substance use disorder service delivered (rather than on average, at least as favorable as professional services provided by in-network primary care providers). Removes language providing that reimbursement rates for services paid to Illinois mental health and substance use disorder treatment providers and facilities do not meet the required standard unless the reimbursement rates are, on average, equal to or greater than 141% of the Medicare reimbursement rate for the same service. Provides that, if the Department of Insurance determines that an insurer or a contracted third party administering the behavioral health benefits for the insurer has violated a provision concerning mental health and substance use parity, the Department shall by order assess a civil penalty of $1,000 (rather than $5,000) for each violation. Excludes health care plans serving Medicaid populations that provide, arrange for, pay for, or reimburse the cost of any health care service for persons who are enrolled under the Illinois Public Aid Code or under the Children's Health Insurance Program Act from provisions concerning mental health and substance use parity. Makes other changes. Effective immediately.

Tracking Information

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Title

INS CD-BEHAVIORIAL HEALTH

Sponsors


Roll Calls

2024-04-19 - House - Third Reading in House (Y: 86 N: 20 NV: 1 Abs: 1) [PASS]

History

DateChamberAction
2024-04-24SenateReferred to Assignments
2024-04-24SenateFirst Reading
2024-04-24SenateChief Senate Sponsor Sen. Karina Villa
2024-04-24SenatePlaced on Calendar Order of First Reading
2024-04-24SenateArrive in Senate
2024-04-19HouseAdded Co-Sponsor Rep. Matt Hanson
2024-04-19HouseAdded Co-Sponsor Rep. Mark L. Walker
2024-04-19HouseAdded Co-Sponsor Rep. William E Hauter
2024-04-19HouseRemoved Co-Sponsor Rep. Janet Yang Rohr
2024-04-19HouseAdded Co-Sponsor Rep. Janet Yang Rohr
2024-04-19HouseAdded Chief Co-Sponsor Rep. Michael J. Kelly
2024-04-19HouseAdded Chief Co-Sponsor Rep. Sonya M. Harper
2024-04-19HouseThird Reading - Short Debate - Passed 086-020-000
2024-04-19HouseAdded Co-Sponsor Rep. Maura Hirschauer
2024-04-19HousePlaced on Calendar Order of 3rd Reading - Short Debate
2024-04-19HouseHouse Floor Amendment No. 2 Adopted
2024-04-19HouseAdded Co-Sponsor Rep. Yolonda Morris
2024-04-18HouseHouse Floor Amendment No. 2 Recommends Be Adopted Mental Health & Addiction Committee; 017-000-000
2024-04-17HouseHeld on Calendar Order of Second Reading - Short Debate
2024-04-17HouseSecond Reading - Short Debate
2024-04-17HouseHouse Floor Amendment No. 2 Rules Refers to Mental Health & Addiction Committee
2024-04-16HouseHouse Floor Amendment No. 2 Referred to Rules Committee
2024-04-16HouseHouse Floor Amendment No. 2 Filed with Clerk by Rep. Lindsey LaPointe
2024-04-15HouseAdded Co-Sponsor Rep. Stephanie A. Kifowit
2024-04-12HouseAdded Co-Sponsor Rep. Katie Stuart
2024-04-12HouseAdded Co-Sponsor Rep. Jay Hoffman
2024-04-10HouseAdded Co-Sponsor Rep. Bob Morgan
2024-04-04HousePlaced on Calendar 2nd Reading - Short Debate
2024-04-04HouseDo Pass as Amended / Short Debate Mental Health & Addiction Committee; 017-000-000
2024-04-04HouseHouse Committee Amendment No. 1 Adopted in Mental Health & Addiction Committee; by Voice Vote
2024-04-03HouseHouse Committee Amendment No. 1 Rules Refers to Mental Health & Addiction Committee
2024-04-02HouseHouse Committee Amendment No. 1 Referred to Rules Committee
2024-04-02HouseHouse Committee Amendment No. 1 Filed with Clerk by Rep. Lindsey LaPointe
2024-04-01HouseAdded Co-Sponsor Rep. Laura Faver Dias
2024-03-27HouseAdded Co-Sponsor Rep. Theresa Mah
2024-03-20HouseAdded Co-Sponsor Rep. Tracy Katz Muhl
2024-03-07HouseAdded Co-Sponsor Rep. Nabeela Syed
2024-02-27HouseAdded Co-Sponsor Rep. Terra Costa Howard
2024-02-22HouseAdded Co-Sponsor Rep. Michelle Mussman
2024-02-21HouseAdded Co-Sponsor Rep. Gregg Johnson
2024-02-20HouseAdded Co-Sponsor Rep. Will Guzzardi
2024-02-20HouseAdded Co-Sponsor Rep. Dagmara Avelar
2024-02-14HouseAssigned to Mental Health & Addiction Committee
2024-02-09HouseAdded Co-Sponsor Rep. Norma Hernandez
2024-02-09HouseAdded Co-Sponsor Rep. Kevin John Olickal
2024-02-09HouseAdded Co-Sponsor Rep. Hoan Huynh
2024-02-09HouseAdded Co-Sponsor Rep. Anne Stava-Murray
2024-02-09HouseAdded Co-Sponsor Rep. Kelly M. Cassidy
2024-02-09HouseAdded Co-Sponsor Rep. Suzanne M. Ness
2024-02-07HouseAdded Chief Co-Sponsor Rep. Jenn Ladisch Douglass
2024-02-07HouseAdded Chief Co-Sponsor Rep. Maurice A. West, II
2024-01-17HouseReferred to Rules Committee
2024-01-17HouseFirst Reading
2024-01-17HouseFiled with the Clerk by Rep. Lindsey LaPointe

Code Citations

ChapterArticleSectionCitation TypeStatute Text
2155370c.3New CodeSee Bill Text
51005-45.55New CodeSee Bill Text

Illinois State Sources


Bill Comments

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