IL HB2595 | 2021-2022 | 102nd General Assembly
Status
Completed Legislative Action
Spectrum: Partisan Bill (Democrat 67-2)
Status: Passed on August 25 2021 - 100% progression
Action: 2021-08-25 - Public Act . . . . . . . . . 102-0579
Text: Latest bill text (Chaptered) [HTML]
Spectrum: Partisan Bill (Democrat 67-2)
Status: Passed on August 25 2021 - 100% progression
Action: 2021-08-25 - Public Act . . . . . . . . . 102-0579
Text: Latest bill text (Chaptered) [HTML]
Summary
Amends the Illinois Insurance Code. Provides that every insurer that amends, delivers, issues, or renews a group or individual policy of accident and health insurance or a qualified health plan offered through the health insurance marketplace in the State and Medicaid managed care organizations providing coverage for hospital or medical treatment shall provide coverage for medically necessary treatment of mental, emotional, nervous, or substance use disorders or conditions. Provides that an insurer shall not limit benefits or coverage for medically necessary services on the basis that those services should be or could be covered by a public program. Provides that an insurer shall base any medical necessity determination or the utilization review criteria on current generally accepted standards of mental, emotional, nervous, or substance use disorder or condition care. Provides that in conducting utilization review of covered health care services and benefits for the diagnosis, prevention, and treatment of mental, emotional, and nervous disorders or conditions in children, adolescents, and adults, an insurer shall exclusively apply the criteria and guidelines set forth in the most recent versions of the treatment criteria developed by the nonprofit professional association for the relevant clinical specialty. Provides that an insurer shall not apply different, additional, conflicting, or more restrictive utilization review criteria than the criteria and guidelines set forth in the treatment criteria. Provides that the Director may, after appropriate notice and opportunity for hearing, assess a civil penalty between $5,000 and $20,000 for each violation. Amends the Health Carrier External Review Act. Provides that the independent review organization shall comply with specified requirements for an adverse determination or final adverse determination involving mental, emotional, nervous, or substance use disorders or conditions. Makes other changes. Effective immediately.
Title
INSURANCE-MENTAL HEALTH
Sponsors
Roll Calls
2021-05-31 - House - Concurrence in House (Y: 116 N: 0 NV: 2 Abs: 0) [PASS]
2021-05-29 - Senate - Motion in Senate (Y: 59 N: 0 NV: 0 Abs: 0) [PASS]
2021-04-22 - House - Third Reading in House (Y: 114 N: 0 NV: 2 Abs: 1) [PASS]
2021-05-29 - Senate - Motion in Senate (Y: 59 N: 0 NV: 0 Abs: 0) [PASS]
2021-04-22 - House - Third Reading in House (Y: 114 N: 0 NV: 2 Abs: 1) [PASS]
History
Date | Chamber | Action |
---|---|---|
2021-08-25 | House | Public Act . . . . . . . . . 102-0579 |
2021-08-25 | House | Effective Date August 25, 2021; - some provisions effective January 1, 2022 |
2021-08-25 | House | Governor Approved |
2021-06-29 | House | Sent to the Governor |
2021-05-31 | House | Passed Both Houses |
2021-05-31 | House | House Concurs |
2021-05-31 | House | Senate Committee Amendment No. 1 House Concurs 116-000-002 |
2021-05-30 | House | Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Mental Health & Addiction Committee; 014-000-000 |
2021-05-30 | House | Senate Committee Amendment No. 1 Motion to Concur Rules Referred to Mental Health & Addiction Committee |
2021-05-30 | House | Senate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee |
2021-05-30 | House | Senate Committee Amendment No. 1 Motion Filed Concur Rep. Deb Conroy |
2021-05-29 | House | Placed on Calendar Order of Concurrence Senate Amendment(s) 1 |
2021-05-29 | House | Arrived in House |
2021-05-29 | Senate | Third Reading - Passed; 059-000-000 |
2021-05-27 | Senate | Placed on Calendar Order of 3rd Reading ** May 28, 2021 |
2021-05-20 | Senate | Added as Alternate Co-Sponsor Sen. Ann Gillespie |
2021-05-20 | Senate | Added as Alternate Co-Sponsor Sen. Patrick J. Joyce |
2021-05-20 | Senate | Added as Alternate Co-Sponsor Sen. John Connor |
2021-05-20 | Senate | Added as Alternate Co-Sponsor Sen. Robert F. Martwick |
2021-05-20 | Senate | Added as Alternate Co-Sponsor Sen. Rachelle Crowe |
2021-05-20 | Senate | Added as Alternate Co-Sponsor Sen. Omar Aquino |
2021-05-20 | Senate | Added as Alternate Co-Sponsor Sen. Suzy Glowiak Hilton |
2021-05-20 | Senate | Added as Alternate Co-Sponsor Sen. Cristina Castro |
2021-05-20 | Senate | Added as Alternate Co-Sponsor Sen. Meg Loughran Cappel |
2021-05-20 | Senate | Added as Alternate Co-Sponsor Sen. Bill Cunningham |
2021-05-20 | Senate | Added as Alternate Co-Sponsor Sen. Michael E. Hastings |
2021-05-20 | Senate | Placed on Calendar Order of 3rd Reading May 21, 2021 |
2021-05-20 | Senate | Second Reading |
2021-05-19 | Senate | Placed on Calendar Order of 2nd Reading May 20, 2021 |
2021-05-19 | Senate | Do Pass as Amended Insurance; 012-000-000 |
2021-05-19 | Senate | Senate Committee Amendment No. 1 Adopted |
2021-05-17 | Senate | Senate Committee Amendment No. 1 Assignments Refers to Insurance |
2021-05-14 | Senate | Senate Committee Amendment No. 1 Referred to Assignments |
2021-05-14 | Senate | Senate Committee Amendment No. 1 Filed with Secretary by Sen. Laura Fine |
2021-05-06 | Senate | Added as Alternate Co-Sponsor Sen. Linda Holmes |
2021-05-05 | Senate | Added as Alternate Co-Sponsor Sen. Christopher Belt |
2021-05-05 | Senate | Added as Alternate Co-Sponsor Sen. Melinda Bush |
2021-05-04 | Senate | Added as Alternate Co-Sponsor Sen. Karina Villa |
2021-05-04 | Senate | Added as Alternate Co-Sponsor Sen. Mike Simmons |
2021-05-04 | Senate | Added as Alternate Co-Sponsor Sen. Antonio Muñoz |
2021-05-04 | Senate | Added as Alternate Co-Sponsor Sen. Mattie Hunter |
2021-05-04 | Senate | Added as Alternate Co-Sponsor Sen. Thomas Cullerton |
2021-05-04 | Senate | Assigned to Insurance |
2021-04-29 | Senate | Added as Alternate Co-Sponsor Sen. Laura M. Murphy |
2021-04-29 | Senate | Added as Alternate Co-Sponsor Sen. Julie A. Morrison |
2021-04-28 | Senate | Added as Alternate Co-Sponsor Sen. Celina Villanueva |
2021-04-27 | Senate | Added as Alternate Co-Sponsor Sen. Adriane Johnson |
2021-04-27 | Senate | Added as Alternate Chief Co-Sponsor Sen. Kimberly A. Lightford |
2021-04-27 | Senate | Added as Alternate Co-Sponsor Sen. Robert Peters |
2021-04-27 | Senate | Added as Alternate Co-Sponsor Sen. Patricia Van Pelt |
2021-04-27 | Senate | Added as Alternate Chief Co-Sponsor Sen. Jacqueline Y. Collins |
2021-04-27 | Senate | Added as Alternate Chief Co-Sponsor Sen. Doris Turner |
2021-04-27 | Senate | Added as Alternate Co-Sponsor Sen. David Koehler |
2021-04-27 | Senate | Added as Alternate Co-Sponsor Sen. Ram Villivalam |
2021-04-26 | Senate | Added as Alternate Chief Co-Sponsor Sen. Sara Feigenholtz |
2021-04-23 | Senate | Referred to Assignments |
2021-04-23 | Senate | First Reading |
2021-04-23 | Senate | Chief Senate Sponsor Sen. Laura Fine |
2021-04-23 | Senate | Placed on Calendar Order of First Reading |
2021-04-23 | Senate | Arrive in Senate |
2021-04-22 | House | Added Co-Sponsor Rep. Ann M. Williams |
2021-04-22 | House | Added Co-Sponsor Rep. Jaime M. Andrade, Jr. |
2021-04-22 | House | Added Co-Sponsor Rep. Elizabeth Hernandez |
2021-04-22 | House | Added Chief Co-Sponsor Rep. Terra Costa Howard |
2021-04-22 | House | Third Reading - Short Debate - Passed 114-000-000 |
2021-04-22 | House | Placed on Calendar Order of 3rd Reading - Short Debate |
2021-04-22 | House | House Floor Amendment No. 1 Adopted |
2021-04-22 | House | Recalled to Second Reading - Short Debate |
2021-04-22 | House | Added Co-Sponsor Rep. Emanuel Chris Welch |
2021-04-21 | House | Added Co-Sponsor Rep. Janet Yang Rohr |
2021-04-21 | House | Added Co-Sponsor Rep. Lawrence Walsh, Jr. |
2021-04-21 | House | House Floor Amendment No. 1 Recommends Be Adopted Mental Health & Addiction Committee; 014-000-000 |
2021-04-20 | House | House Floor Amendment No. 1 Rules Refers to Mental Health & Addiction Committee |
2021-04-20 | House | Added Co-Sponsor Rep. Sam Yingling |
2021-04-20 | House | Added Co-Sponsor Rep. Delia C. Ramirez |
2021-04-19 | House | Added Co-Sponsor Rep. Kathleen Willis |
2021-04-19 | House | Added Co-Sponsor Rep. La Shawn K. Ford |
2021-04-19 | House | House Floor Amendment No. 1 Referred to Rules Committee |
2021-04-19 | House | House Floor Amendment No. 1 Filed with Clerk by Rep. Deb Conroy |
2021-04-14 | House | Placed on Calendar Order of 3rd Reading - Short Debate |
2021-04-14 | House | Second Reading - Short Debate |
2021-04-13 | House | Added Co-Sponsor Rep. Mark L. Walker |
2021-04-13 | House | Added Co-Sponsor Rep. Greg Harris |
2021-04-12 | House | Added Co-Sponsor Rep. Anna Moeller |
2021-04-12 | House | Added Co-Sponsor Rep. Joyce Mason |
2021-04-12 | House | Added Co-Sponsor Rep. Amy Grant |
2021-04-12 | House | Added Co-Sponsor Rep. Frances Ann Hurley |
2021-04-08 | House | Added Co-Sponsor Rep. Ryan Spain |
2021-04-08 | House | Placed on Calendar 2nd Reading - Short Debate |
2021-04-07 | House | Added Co-Sponsor Rep. Barbara Hernandez |
2021-04-06 | House | Added Co-Sponsor Rep. Margaret Croke |
2021-03-26 | House | Added Co-Sponsor Rep. William Davis |
2021-03-26 | House | Do Pass / Short Debate Mental Health & Addiction Committee; 016-000-000 |
2021-03-26 | House | Added Co-Sponsor Rep. Marcus C. Evans, Jr. |
2021-03-25 | House | Added Co-Sponsor Rep. Lindsey LaPointe |
2021-03-24 | House | Added Co-Sponsor Rep. Natalie A. Manley |
2021-03-24 | House | Added Co-Sponsor Rep. Angelica Guerrero-Cuellar |
2021-03-23 | House | Added Co-Sponsor Rep. Katie Stuart |
2021-03-18 | House | Added Co-Sponsor Rep. Nicholas K. Smith |
2021-03-18 | House | Added Co-Sponsor Rep. Mary E. Flowers |
2021-03-18 | House | Added Co-Sponsor Rep. Kelly M. Cassidy |
2021-03-17 | House | Added Co-Sponsor Rep. Maurice A. West, II |
2021-03-12 | House | Added Co-Sponsor Rep. Will Guzzardi |
2021-03-11 | House | Added Co-Sponsor Rep. Bob Morgan |
2021-03-09 | House | Assigned to Mental Health & Addiction Committee |
2021-03-02 | House | Added Co-Sponsor Rep. Robyn Gabel |
2021-03-01 | House | Added Co-Sponsor Rep. Maura Hirschauer |
2021-02-26 | House | Removed Co-Sponsor Rep. Terra Costa Howard |
2021-02-26 | House | Added Co-Sponsor Rep. Terra Costa Howard |
2021-02-23 | House | Added Co-Sponsor Rep. Jonathan Carroll |
2021-02-19 | House | Referred to Rules Committee |
2021-02-19 | House | First Reading |
2021-02-19 | House | Added Chief Co-Sponsor Rep. Jennifer Gong-Gershowitz |
2021-02-17 | House | Filed with the Clerk by Rep. Deb Conroy |
Code Citations
Chapter | Article | Section | Citation Type | Statute Text |
---|---|---|---|---|
215 | 180 | 35 | Amended Code | Citation Text |
215 | 180 | 40 | Amended Code | Citation Text |
215 | 5 | 370c | Amended Code | Citation Text |