Bill Title: 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.

Spectrum: Slight Partisan Bill (Republican 5-3)

Status: (Enrolled) 2024-05-25 - Passed Both Houses [HB4789 Detail]

Text: Latest bill text (Engrossed) [HTML]

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Sponsors

Name	Type	Sponsorship	District	Financial	Encyclopedia	Biography
Representative Bob Morgan [D]	Primary	Sponsored Bills	HD-058	FollowTheMoney	Ballotpedia	VoteSmart
Representative Tom Weber [R]	Cosponsor	Sponsored Bills	HD-064	FollowTheMoney	Ballotpedia	VoteSmart
Representative Travis Weaver [R]	Cosponsor	Sponsored Bills	HD-093	FollowTheMoney	Ballotpedia	VoteSmart
Representative Dave Severin [R]	Cosponsor	Sponsored Bills	HD-116	FollowTheMoney	Ballotpedia	VoteSmart
Representative Suzanne Ness [D]	Cosponsor	Sponsored Bills	HD-066	FollowTheMoney	Ballotpedia	VoteSmart
Senator Dave Syverson [R]	Primary	Sponsored Bills	SD-035	FollowTheMoney	Ballotpedia	VoteSmart
Senator Julie Morrison [D]	Cosponsor	Sponsored Bills	SD-029	FollowTheMoney	Ballotpedia	VoteSmart
Senator Sally Turner [R]	Cosponsor	Sponsored Bills	SD-044	FollowTheMoney	Ballotpedia	VoteSmart

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