IL HB0711 | 2021-2022 | 102nd General Assembly

Status

Completed Legislative Action
Spectrum: Slight Partisan Bill (Democrat 65-27)
Status: Passed on August 19 2021 - 100% progression
Action: 2021-08-19 - Public Act . . . . . . . . . 102-0409
Text: Latest bill text (Chaptered) [HTML]

Summary

Creates the Prior Authorization Reform Act. Provides requirements concerning disclosure and review of prior authorization requirements, denial of claims or coverage by a utilization review organization, and the implementation of prior authorization requirements or restrictions. Provides requirements concerning a utilization review organization's obligations with respect to prior authorizations in nonurgent circumstances, urgent health care services, and emergency health care services. Provides that a utilization review organization shall not require prior authorization under specified circumstances. Provides requirements concerning the length of prior authorizations. Provides that health care services are automatically deemed authorized if a utilization review organization fails to comply with the requirements of the Act. Provides that the Director of Insurance may impose an administrative fine not to exceed $250,000 for violations of the Act. Defines terms. Amends the Illinois Insurance Code to change the definition of "emergency medical condition". Amends the Managed Care Reform and Patient Rights Act to provide that companies that transact accident and health insurance shall comply with specified requirements of the Managed Care Reform and Patient Rights Act. Amends the Illinois Public Aid Code to provide that all managed care organizations shall comply with the requirements of the Prior Authorization Reform Act. Makes other changes. Effective January 1, 2022.

Tracking Information

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Title

PRIOR AUTHORIZATION REFORM ACT

Sponsors

Rep. Gregory Harris [D]Rep. Tom Demmer [R]Rep. William Davis [D]Rep. Anna Moeller [D]
Rep. Ryan Spain [R]Rep. Keith Wheeler [R]Rep. Ann Williams [D]Rep. Robyn Gabel [D]
Rep. Deborah Conroy [D]Rep. Kelly Cassidy [D]Rep. Jeff Keicher [R]Rep. Mark Batinick [R]
Rep. Michael Marron [R]Rep. Jonathan Carroll [D]Rep. Elizabeth Hernandez [D]Rep. Timothy Butler [R]
Rep. Frances Hurley [D]Rep. Martin Moylan [D]Rep. Michelle Mussman [D]Rep. Justin Slaughter [D]
Rep. Deanne Mazzochi [R]Rep. Mike Murphy [R]Rep. Andrew Chesney [R]Rep. Norine Hammond [R]
Rep. Nicholas Smith [D]Rep. Michael Madigan [D]Rep. Natalie Manley [D]Rep. Will Guzzardi [D]
Rep. Jennifer Gong-Gershowitz [D]Rep. Margaret Croke [D]Rep. Katie Stuart [D]Rep. Bob Morgan [D]
Rep. Lindsey LaPointe [D]Rep. Lawrence Walsh [D]Rep. Sue Scherer [D]Rep. Maura Hirschauer [D]
Rep. Debbie Meyers-Martin [D]Rep. Lakesia Collins [D]Rep. Barbara Hernandez [D]Rep. Tom Weber [R]
Rep. Dagmara Avelar [D]Rep. Stephanie Kifowit [D]Rep. Daniel Didech [D]Rep. Tony McCombie [R]
Rep. Thomas Bennett [R]Rep. Amy Elik [R]Rep. Amy Grant [R]Rep. Dave Vella [D]
Rep. Michael Halpin [D]Rep. Terra Costa Howard [D]Rep. Jaime Andrade [D]Rep. Dave Severin [R]
Rep. Dan Caulkins [R]Rep. Keith Sommer [R]Rep. Adam Niemerg [R]Rep. Charles Meier [R]
Rep. Sam Yingling [D]Rep. Jehan Gordon [D]Rep. Chris Bos [R]Rep. Maurice West [D]
Rep. Carol Ammons [D]Rep. Emanuel Welch [D]Rep. Joyce Mason [D]Rep. Seth Lewis [R]
Rep. Camille Lilly [D]Sen. Linda Holmes [D]Sen. Dale Fowler [R]Sen. Cristina Castro [D]
Sen. David Koehler [D]Sen. Antonio Munoz [D]Sen. Suzanne Glowiak [D]Sen. Jacqueline Collins [D]
Sen. Rachelle Crowe [D]Sen. Patricia Vanpelt-Watkins [D]Sen. Kimberly Lightford [D]Sen. Donald DeWitte [R]
Sen. Susan Rezin [R]Sen. Laura Fine [D]Sen. Adriane Johnson [D]Sen. Doris Turner [D]
Sen. Melinda Bush [D]Sen. Napoleon Harris [D]Sen. Laura Murphy [D]Sen. Mattie Hunter [D]
Sen. Emil Jones [D]Sen. Christopher Belt [D]Sen. Scott Bennett [D]Sen. William Cunningham [D]
Sen. Win Stoller [R]Sen. Julie Morrison [D]Sen. Steve Stadelman [D]Sen. Ann Gillespie [D]

Roll Calls

2021-05-27 - Senate - Motion in Senate (Y: 57 N: 0 NV: 2 Abs: 0) [PASS]
2021-04-21 - House - Third Reading in House (Y: 117 N: 0 NV: 0 Abs: 0) [PASS]

History

DateChamberAction
2021-08-19HousePublic Act . . . . . . . . . 102-0409
2021-08-19HouseEffective Date January 1, 2022
2021-08-19HouseGovernor Approved
2021-06-23HouseSent to the Governor
2021-05-27HousePassed Both Houses
2021-05-27SenateThird Reading - Passed; 057-000-000
2021-05-24SenatePlaced on Calendar Order of 3rd Reading ** May 25, 2021
2021-05-24SenateAdded as Alternate Co-Sponsor Sen. Ann Gillespie
2021-05-20SenateAdded as Alternate Co-Sponsor Sen. Steve Stadelman
2021-05-13SenatePlaced on Calendar Order of 3rd Reading May 14, 2021
2021-05-13SenateSecond Reading
2021-05-13SenateAdded as Alternate Co-Sponsor Sen. Julie A. Morrison
2021-05-11SenateAdded as Alternate Co-Sponsor Sen. Win Stoller
2021-05-06SenateAdded as Alternate Co-Sponsor Sen. Bill Cunningham
2021-05-06SenatePlaced on Calendar Order of 2nd Reading May 10, 2021
2021-05-06SenateDo Pass Insurance; 011-000-000
2021-05-04SenateAdded as Alternate Co-Sponsor Sen. Scott M. Bennett
2021-05-04SenateAdded as Alternate Co-Sponsor Sen. Christopher Belt
2021-05-04SenateAdded as Alternate Co-Sponsor Sen. Emil Jones, III
2021-05-04SenateAdded as Alternate Co-Sponsor Sen. Mattie Hunter
2021-05-03SenateAdded as Alternate Co-Sponsor Sen. Laura M. Murphy
2021-05-03SenateAdded as Alternate Co-Sponsor Sen. Napoleon Harris, III
2021-05-03SenateAdded as Alternate Co-Sponsor Sen. Melinda Bush
2021-04-30SenateAdded as Alternate Co-Sponsor Sen. Doris Turner
2021-04-29SenateAdded as Alternate Co-Sponsor Sen. Adriane Johnson
2021-04-29SenateAdded as Alternate Co-Sponsor Sen. Laura Fine
2021-04-28SenateAdded as Alternate Co-Sponsor Sen. Sue Rezin
2021-04-28SenateAdded as Alternate Co-Sponsor Sen. Donald P. DeWitte
2021-04-28SenateAssigned to Insurance
2021-04-28SenateAdded as Alternate Co-Sponsor Sen. Kimberly A. Lightford
2021-04-28SenateAdded as Alternate Co-Sponsor Sen. Patricia Van Pelt
2021-04-27SenateAdded as Alternate Co-Sponsor Sen. Rachelle Crowe
2021-04-27SenateAdded as Alternate Co-Sponsor Sen. Jacqueline Y. Collins
2021-04-27SenateAdded as Alternate Co-Sponsor Sen. Suzy Glowiak Hilton
2021-04-27SenateAdded as Alternate Chief Co-Sponsor Sen. Antonio Muñoz
2021-04-27SenateAdded as Alternate Chief Co-Sponsor Sen. David Koehler
2021-04-27SenateAdded as Alternate Chief Co-Sponsor Sen. Cristina Castro
2021-04-22SenateAdded as Alternate Chief Co-Sponsor Sen. Dale Fowler
2021-04-22SenateReferred to Assignments
2021-04-22SenateFirst Reading
2021-04-22SenateChief Senate Sponsor Sen. Linda Holmes
2021-04-21SenatePlaced on Calendar Order of First Reading April 22, 2021
2021-04-21SenateArrive in Senate
2021-04-21HouseAdded Co-Sponsor Rep. Camille Y. Lilly
2021-04-21HouseThird Reading - Short Debate - Passed 117-000-000
2021-04-21HousePlaced on Calendar Order of 3rd Reading - Short Debate
2021-04-21HouseHouse Floor Amendment No. 2 Adopted
2021-04-21HouseHouse Floor Amendment No. 2 Recommends Be Adopted Rules Committee; 005-000-000
2021-04-21HouseAdded Co-Sponsor Rep. Seth Lewis
2021-04-21HouseRecalled to Second Reading - Short Debate
2021-04-20HouseAdded Co-Sponsor Rep. Joyce Mason
2021-04-20HousePlaced on Calendar Order of 3rd Reading - Short Debate
2021-04-20HouseHouse Floor Amendment No. 1 Adopted
2021-04-20HouseSecond Reading - Short Debate
2021-04-20HouseHouse Floor Amendment No. 2 Referred to Rules Committee
2021-04-20HouseHouse Floor Amendment No. 2 Filed with Clerk by Rep. Greg Harris
2021-04-20HouseAdded Co-Sponsor Rep. Emanuel Chris Welch
2021-04-20HouseAdded Co-Sponsor Rep. Carol Ammons
2021-04-14HouseHouse Floor Amendment No. 1 Recommends Be Adopted Human Services Committee; 012-000-000
2021-04-13HouseHouse Floor Amendment No. 1 Rules Refers to Human Services Committee
2021-04-07HouseHouse Floor Amendment No. 1 Referred to Rules Committee
2021-04-07HouseHouse Floor Amendment No. 1 Filed with Clerk by Rep. Greg Harris
2021-04-07HouseAdded Co-Sponsor Rep. Maurice A. West, II
2021-04-01HouseAdded Co-Sponsor Rep. Chris Bos
2021-03-18HouseAdded Co-Sponsor Rep. Jehan Gordon-Booth
2021-03-17HouseAdded Co-Sponsor Rep. Sam Yingling
2021-03-17HousePlaced on Calendar 2nd Reading - Short Debate
2021-03-16HouseAdded Co-Sponsor Rep. Charles Meier
2021-03-12HouseAdded Co-Sponsor Rep. Adam Niemerg
2021-03-12HouseAdded Co-Sponsor Rep. Keith P. Sommer
2021-03-09HouseDo Pass / Short Debate Human Services Committee; 015-000-000
2021-03-04HouseAdded Co-Sponsor Rep. Dan Caulkins
2021-03-03HouseAdded Co-Sponsor Rep. Dave Severin
2021-03-02HouseAssigned to Human Services Committee
2021-02-28HouseAdded Co-Sponsor Rep. Jaime M. Andrade, Jr.
2021-02-26HouseAdded Co-Sponsor Rep. Terra Costa Howard
2021-02-25HouseAdded Co-Sponsor Rep. Michael Halpin
2021-02-24HouseAdded Co-Sponsor Rep. Dave Vella
2021-02-19HouseAdded Co-Sponsor Rep. Amy Grant
2021-02-19HouseAdded Co-Sponsor Rep. Amy Elik
2021-02-18HouseAdded Co-Sponsor Rep. Thomas M. Bennett
2021-02-18HouseAdded Co-Sponsor Rep. Tony McCombie
2021-02-18HouseAdded Co-Sponsor Rep. Daniel Didech
2021-02-16HouseAdded Co-Sponsor Rep. Stephanie A. Kifowit
2021-02-16HouseAdded Co-Sponsor Rep. Dagmara Avelar
2021-02-16HouseAdded Co-Sponsor Rep. Tom Weber
2021-02-16HouseAdded Co-Sponsor Rep. Barbara Hernandez
2021-02-11HouseAdded Co-Sponsor Rep. Lakesia Collins
2021-02-11HouseAdded Co-Sponsor Rep. Debbie Meyers-Martin
2021-02-10HouseAdded Co-Sponsor Rep. Maura Hirschauer
2021-02-10HouseAdded Co-Sponsor Rep. Sue Scherer
2021-02-08HouseReferred to Rules Committee
2021-02-08HouseFirst Reading
2021-02-08HouseCo-Sponsor Rep. Lawrence Walsh, Jr.
2021-02-08HouseCo-Sponsor Rep. Lindsey LaPointe
2021-02-08HouseCo-Sponsor Rep. Bob Morgan
2021-02-08HouseCo-Sponsor Rep. Katie Stuart
2021-02-08HouseCo-Sponsor Rep. Margaret Croke
2021-02-08HouseCo-Sponsor Rep. Jennifer Gong-Gershowitz
2021-02-08HouseCo-Sponsor Rep. Will Guzzardi
2021-02-08HouseCo-Sponsor Rep. Natalie A. Manley
2021-02-08HouseCo-Sponsor Rep. Michael J. Madigan
2021-02-08HouseCo-Sponsor Rep. Nicholas K. Smith
2021-02-08HouseCo-Sponsor Rep. Norine K. Hammond
2021-02-08HouseCo-Sponsor Rep. Andrew S. Chesney
2021-02-08HouseCo-Sponsor Rep. Mike Murphy
2021-02-08HouseCo-Sponsor Rep. Deanne M. Mazzochi
2021-02-08HouseCo-Sponsor Rep. Justin Slaughter
2021-02-08HouseCo-Sponsor Rep. Michelle Mussman
2021-02-08HouseCo-Sponsor Rep. Martin J. Moylan
2021-02-08HouseCo-Sponsor Rep. Frances Ann Hurley
2021-02-08HouseCo-Sponsor Rep. Tim Butler
2021-02-08HouseCo-Sponsor Rep. Elizabeth Hernandez
2021-02-08HouseCo-Sponsor Rep. Jonathan Carroll
2021-02-08HouseCo-Sponsor Rep. Michael T. Marron
2021-02-08HouseCo-Sponsor Rep. Mark Batinick
2021-02-08HouseCo-Sponsor Rep. Jeff Keicher
2021-02-08HouseCo-Sponsor Rep. Kelly M. Cassidy
2021-02-08HouseCo-Sponsor Rep. Deb Conroy
2021-02-08HouseCo-Sponsor Rep. Robyn Gabel
2021-02-08HouseCo-Sponsor Rep. Ann M. Williams
2021-02-08HouseCo-Sponsor Rep. Keith R. Wheeler
2021-02-08HouseChief Co-Sponsor Rep. Ryan Spain
2021-02-08HouseChief Co-Sponsor Rep. Anna Moeller
2021-02-08HouseChief Co-Sponsor Rep. William Davis
2021-02-08HouseChief Co-Sponsor Rep. Tom Demmer
2021-02-08HouseFiled with the Clerk by Rep. Greg Harris

Code Citations

ChapterArticleSectionCitation TypeStatute Text
21513410Amended CodeCitation Text
21513465Amended CodeCitation Text
2155370gAmended CodeCitation Text
30555-5.12dNew CodeSee Bill Text

Illinois State Sources


Bill Comments

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