IL HB2472 | 2023-2024 | 103rd General Assembly
Status
Completed Legislative Action
Spectrum: Partisan Bill (Democrat 3-0)
Status: Passed on July 19 2024 - 100% progression
Action: 2024-07-19 - Public Act . . . . . . . . . 103-0656
Text: Latest bill text (Chaptered) [HTML]
Spectrum: Partisan Bill (Democrat 3-0)
Status: Passed on July 19 2024 - 100% progression
Action: 2024-07-19 - Public Act . . . . . . . . . 103-0656
Text: Latest bill text (Chaptered) [HTML]
Summary
Reinserts the provisions of the bill, as amended by House Amendment No. 1, with the following changes. Provides that even if a health care plan or other utilization review program uses an algorithmic automated process in the course of utilization review for medical necessity, the health care plan or other utilization review program shall ensure that only a clinical peer makes any adverse determination based on medical necessity and that any subsequent appeal is processed. Adds the National Committee for Quality Assurance to a provision requiring utilization review programs to certify compliance with certain accreditation entities. Provides that utilization review programs that use algorithmic automated processes to decide whether to render adverse determinations (rather than that use algorithmic automated processes) based on medical necessity in the course of utilization review shall use objective, evidence-based criteria compliant with the accreditation requirements. Makes changes in the definition of "adverse determination". Effective January 1, 2025.
Title
INS-ADVERSE DETERMINATION
Sponsors
Roll Calls
2024-05-15 - Senate - Third Reading in Senate (Y: 57 N: 0 NV: 2 Abs: 0) [PASS]
2024-04-19 - House - Third Reading in House (Y: 106 N: 0 NV: 1 Abs: 1) [PASS]
2024-04-19 - House - Third Reading in House (Y: 106 N: 0 NV: 1 Abs: 1) [PASS]
History
| Date | Chamber | Action |
|---|---|---|
| 2024-07-19 | House | Public Act . . . . . . . . . 103-0656 |
| 2024-07-19 | House | Effective Date January 1, 2025 |
| 2024-07-19 | House | Governor Approved |
| 2024-06-13 | House | Sent to the Governor |
| 2024-05-15 | House | Passed Both Houses |
| 2024-05-15 | Senate | Third Reading - Passed; 057-000-000 |
| 2024-05-09 | Senate | Placed on Calendar Order of 3rd Reading |
| 2024-05-09 | Senate | Second Reading |
| 2024-05-08 | Senate | Placed on Calendar Order of 2nd Reading May 9, 2024 |
| 2024-05-08 | Senate | Do Pass Insurance; 010-000-000 |
| 2024-04-30 | Senate | Rule 2-10 Committee Deadline Established As May 10, 2024 |
| 2024-04-30 | Senate | Assigned to Insurance |
| 2024-04-24 | Senate | Referred to Assignments |
| 2024-04-24 | Senate | First Reading |
| 2024-04-24 | Senate | Chief Senate Sponsor Sen. Laura Fine |
| 2024-04-24 | Senate | Placed on Calendar Order of First Reading |
| 2024-04-24 | Senate | Arrive in Senate |
| 2024-04-19 | House | Third Reading - Short Debate - Passed 106-000-000 |
| 2024-04-19 | House | Placed on Calendar Order of 3rd Reading - Short Debate |
| 2024-04-19 | House | House Floor Amendment No. 2 Adopted |
| 2024-04-18 | House | House Floor Amendment No. 2 Recommends Be Adopted Insurance Committee; 015-000-000 |
| 2024-04-17 | House | Held on Calendar Order of Second Reading - Short Debate |
| 2024-04-17 | House | Second Reading - Short Debate |
| 2024-04-17 | House | House Floor Amendment No. 2 Rules Refers to Insurance Committee |
| 2024-04-16 | House | House Floor Amendment No. 2 Referred to Rules Committee |
| 2024-04-16 | House | House Floor Amendment No. 2 Filed with Clerk by Rep. Bob Morgan |
| 2024-03-22 | House | Added Co-Sponsor Rep. Lilian Jiménez |
| 2024-03-21 | House | Placed on Calendar 2nd Reading - Short Debate |
| 2024-03-20 | House | Do Pass as Amended / Short Debate Insurance Committee; 013-000-000 |
| 2024-03-20 | House | House Committee Amendment No. 1 Adopted in Insurance Committee; by Voice Vote |
| 2024-03-20 | House | House Committee Amendment No. 1 Rules Refers to Insurance Committee |
| 2024-03-14 | House | House Committee Amendment No. 1 Referred to Rules Committee |
| 2024-03-14 | House | House Committee Amendment No. 1 Filed with Clerk by Rep. Bob Morgan |
| 2024-02-29 | House | Assigned to Insurance Committee |
| 2023-03-10 | House | Rule 19(a) / Re-referred to Rules Committee |
| 2023-03-10 | House | Rule 19(a) / Re-referred to Rules Committee |
| 2023-02-21 | House | Assigned to Insurance Committee |
| 2023-02-15 | House | Referred to Rules Committee |
| 2023-02-15 | House | First Reading |
| 2023-02-15 | House | Filed with the Clerk by Rep. Bob Morgan |
Code Citations
| Chapter | Article | Section | Citation Type | Statute Text |
|---|---|---|---|---|
| 215 | 124 | 10 | Amended Code | Citation Text |
| 215 | 134 | 10 | Amended Code | Citation Text |
| 215 | 134 | 45 | Amended Code | Citation Text |
| 215 | 134 | 70 | Amended Code | Citation Text |
| 215 | 134 | 85 | Amended Code | Citation Text |
| 215 | 180 | 10 | Amended Code | Citation Text |
| 215 | 200 | 55 | Amended Code | Citation Text |
| 215 | 5 | 155.36 | Amended Code | Citation Text |
| 215 | 5 | 370s | Amended Code | Citation Text |
