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]

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.

Tracking Information

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Title

INSURANCE-MENTAL HEALTH

Sponsors

Rep. Deborah Conroy [D]Rep. Jennifer Gong-Gershowitz [D]Rep. Terra Costa Howard [D]Rep. Jonathan Carroll [D]
Rep. Maura Hirschauer [D]Rep. Robyn Gabel [D]Rep. Bob Morgan [D]Rep. Will Guzzardi [D]
Rep. Maurice West [D]Rep. Kelly Cassidy [D]Rep. Mary Flowers [D]Rep. Nicholas Smith [D]
Rep. Katie Stuart [D]Rep. Angelica Guerrero-Cuellar [D]Rep. Natalie Manley [D]Rep. Lindsey LaPointe [D]
Rep. Marcus Evans [D]Rep. William Davis [D]Rep. Margaret Croke [D]Rep. Barbara Hernandez [D]
Rep. Ryan Spain [R]Rep. Frances Hurley [D]Rep. Amy Grant [R]Rep. Joyce Mason [D]
Rep. Anna Moeller [D]Rep. Gregory Harris [D]Rep. Mark Walker [D]Rep. LaShawn Ford [D]
Rep. Kathleen Willis [D]Rep. Delia Ramirez [D]Rep. Sam Yingling [D]Rep. Lawrence Walsh [D]
Rep. Janet Yang Rohr [D]Rep. Emanuel Welch [D]Rep. Elizabeth Hernandez [D]Rep. Jaime Andrade [D]
Rep. Ann Williams [D]Sen. Laura Fine [D]Sen. Sara Feigenholtz [D]Sen. Doris Turner [D]
Sen. Jacqueline Collins [D]Sen. Kimberly Lightford [D]Sen. Ram Villivalam [D]Sen. David Koehler [D]
Sen. Patricia Vanpelt-Watkins [D]Sen. Robert Peters [D]Sen. Adriane Johnson [D]Sen. Celina Villanueva [D]
Sen. Julie Morrison [D]Sen. Laura Murphy [D]Sen. Thomas Cullerton [D]Sen. Mattie Hunter [D]
Sen. Antonio Munoz [D]Sen. Mike Simmons [D]Sen. Karina Villa [D]Sen. Melinda Bush [D]
Sen. Christopher Belt [D]Sen. Linda Holmes [D]Sen. Michael Hastings [D]Sen. William Cunningham [D]
Sen. Meg Loughran Cappel [D]Sen. Cristina Castro [D]Sen. Suzanne Glowiak [D]Sen. Omar Aquino [D]
Sen. Rachelle Crowe [D]Sen. Robert Martwick [D]Sen. John Connor [D]Sen. Patrick Joyce [D]
Sen. Ann Gillespie [D]

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]

History

DateChamberAction
2021-08-25HousePublic Act . . . . . . . . . 102-0579
2021-08-25HouseEffective Date August 25, 2021; - some provisions effective January 1, 2022
2021-08-25HouseGovernor Approved
2021-06-29HouseSent to the Governor
2021-05-31HousePassed Both Houses
2021-05-31HouseHouse Concurs
2021-05-31HouseSenate Committee Amendment No. 1 House Concurs 116-000-002
2021-05-30HouseSenate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Mental Health & Addiction Committee; 014-000-000
2021-05-30HouseSenate Committee Amendment No. 1 Motion to Concur Rules Referred to Mental Health & Addiction Committee
2021-05-30HouseSenate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee
2021-05-30HouseSenate Committee Amendment No. 1 Motion Filed Concur Rep. Deb Conroy
2021-05-29HousePlaced on Calendar Order of Concurrence Senate Amendment(s) 1
2021-05-29HouseArrived in House
2021-05-29SenateThird Reading - Passed; 059-000-000
2021-05-27SenatePlaced on Calendar Order of 3rd Reading ** May 28, 2021
2021-05-20SenateAdded as Alternate Co-Sponsor Sen. Ann Gillespie
2021-05-20SenateAdded as Alternate Co-Sponsor Sen. Patrick J. Joyce
2021-05-20SenateAdded as Alternate Co-Sponsor Sen. John Connor
2021-05-20SenateAdded as Alternate Co-Sponsor Sen. Robert F. Martwick
2021-05-20SenateAdded as Alternate Co-Sponsor Sen. Rachelle Crowe
2021-05-20SenateAdded as Alternate Co-Sponsor Sen. Omar Aquino
2021-05-20SenateAdded as Alternate Co-Sponsor Sen. Suzy Glowiak Hilton
2021-05-20SenateAdded as Alternate Co-Sponsor Sen. Cristina Castro
2021-05-20SenateAdded as Alternate Co-Sponsor Sen. Meg Loughran Cappel
2021-05-20SenateAdded as Alternate Co-Sponsor Sen. Bill Cunningham
2021-05-20SenateAdded as Alternate Co-Sponsor Sen. Michael E. Hastings
2021-05-20SenatePlaced on Calendar Order of 3rd Reading May 21, 2021
2021-05-20SenateSecond Reading
2021-05-19SenatePlaced on Calendar Order of 2nd Reading May 20, 2021
2021-05-19SenateDo Pass as Amended Insurance; 012-000-000
2021-05-19SenateSenate Committee Amendment No. 1 Adopted
2021-05-17SenateSenate Committee Amendment No. 1 Assignments Refers to Insurance
2021-05-14SenateSenate Committee Amendment No. 1 Referred to Assignments
2021-05-14SenateSenate Committee Amendment No. 1 Filed with Secretary by Sen. Laura Fine
2021-05-06SenateAdded as Alternate Co-Sponsor Sen. Linda Holmes
2021-05-05SenateAdded as Alternate Co-Sponsor Sen. Christopher Belt
2021-05-05SenateAdded as Alternate Co-Sponsor Sen. Melinda Bush
2021-05-04SenateAdded as Alternate Co-Sponsor Sen. Karina Villa
2021-05-04SenateAdded as Alternate Co-Sponsor Sen. Mike Simmons
2021-05-04SenateAdded as Alternate Co-Sponsor Sen. Antonio Muñoz
2021-05-04SenateAdded as Alternate Co-Sponsor Sen. Mattie Hunter
2021-05-04SenateAdded as Alternate Co-Sponsor Sen. Thomas Cullerton
2021-05-04SenateAssigned to Insurance
2021-04-29SenateAdded as Alternate Co-Sponsor Sen. Laura M. Murphy
2021-04-29SenateAdded as Alternate Co-Sponsor Sen. Julie A. Morrison
2021-04-28SenateAdded as Alternate Co-Sponsor Sen. Celina Villanueva
2021-04-27SenateAdded as Alternate Co-Sponsor Sen. Adriane Johnson
2021-04-27SenateAdded as Alternate Chief Co-Sponsor Sen. Kimberly A. Lightford
2021-04-27SenateAdded as Alternate Co-Sponsor Sen. Robert Peters
2021-04-27SenateAdded as Alternate Co-Sponsor Sen. Patricia Van Pelt
2021-04-27SenateAdded as Alternate Chief Co-Sponsor Sen. Jacqueline Y. Collins
2021-04-27SenateAdded as Alternate Chief Co-Sponsor Sen. Doris Turner
2021-04-27SenateAdded as Alternate Co-Sponsor Sen. David Koehler
2021-04-27SenateAdded as Alternate Co-Sponsor Sen. Ram Villivalam
2021-04-26SenateAdded as Alternate Chief Co-Sponsor Sen. Sara Feigenholtz
2021-04-23SenateReferred to Assignments
2021-04-23SenateFirst Reading
2021-04-23SenateChief Senate Sponsor Sen. Laura Fine
2021-04-23SenatePlaced on Calendar Order of First Reading
2021-04-23SenateArrive in Senate
2021-04-22HouseAdded Co-Sponsor Rep. Ann M. Williams
2021-04-22HouseAdded Co-Sponsor Rep. Jaime M. Andrade, Jr.
2021-04-22HouseAdded Co-Sponsor Rep. Elizabeth Hernandez
2021-04-22HouseAdded Chief Co-Sponsor Rep. Terra Costa Howard
2021-04-22HouseThird Reading - Short Debate - Passed 114-000-000
2021-04-22HousePlaced on Calendar Order of 3rd Reading - Short Debate
2021-04-22HouseHouse Floor Amendment No. 1 Adopted
2021-04-22HouseRecalled to Second Reading - Short Debate
2021-04-22HouseAdded Co-Sponsor Rep. Emanuel Chris Welch
2021-04-21HouseAdded Co-Sponsor Rep. Janet Yang Rohr
2021-04-21HouseAdded Co-Sponsor Rep. Lawrence Walsh, Jr.
2021-04-21HouseHouse Floor Amendment No. 1 Recommends Be Adopted Mental Health & Addiction Committee; 014-000-000
2021-04-20HouseHouse Floor Amendment No. 1 Rules Refers to Mental Health & Addiction Committee
2021-04-20HouseAdded Co-Sponsor Rep. Sam Yingling
2021-04-20HouseAdded Co-Sponsor Rep. Delia C. Ramirez
2021-04-19HouseAdded Co-Sponsor Rep. Kathleen Willis
2021-04-19HouseAdded Co-Sponsor Rep. La Shawn K. Ford
2021-04-19HouseHouse Floor Amendment No. 1 Referred to Rules Committee
2021-04-19HouseHouse Floor Amendment No. 1 Filed with Clerk by Rep. Deb Conroy
2021-04-14HousePlaced on Calendar Order of 3rd Reading - Short Debate
2021-04-14HouseSecond Reading - Short Debate
2021-04-13HouseAdded Co-Sponsor Rep. Mark L. Walker
2021-04-13HouseAdded Co-Sponsor Rep. Greg Harris
2021-04-12HouseAdded Co-Sponsor Rep. Anna Moeller
2021-04-12HouseAdded Co-Sponsor Rep. Joyce Mason
2021-04-12HouseAdded Co-Sponsor Rep. Amy Grant
2021-04-12HouseAdded Co-Sponsor Rep. Frances Ann Hurley
2021-04-08HouseAdded Co-Sponsor Rep. Ryan Spain
2021-04-08HousePlaced on Calendar 2nd Reading - Short Debate
2021-04-07HouseAdded Co-Sponsor Rep. Barbara Hernandez
2021-04-06HouseAdded Co-Sponsor Rep. Margaret Croke
2021-03-26HouseAdded Co-Sponsor Rep. William Davis
2021-03-26HouseDo Pass / Short Debate Mental Health & Addiction Committee; 016-000-000
2021-03-26HouseAdded Co-Sponsor Rep. Marcus C. Evans, Jr.
2021-03-25HouseAdded Co-Sponsor Rep. Lindsey LaPointe
2021-03-24HouseAdded Co-Sponsor Rep. Natalie A. Manley
2021-03-24HouseAdded Co-Sponsor Rep. Angelica Guerrero-Cuellar
2021-03-23HouseAdded Co-Sponsor Rep. Katie Stuart
2021-03-18HouseAdded Co-Sponsor Rep. Nicholas K. Smith
2021-03-18HouseAdded Co-Sponsor Rep. Mary E. Flowers
2021-03-18HouseAdded Co-Sponsor Rep. Kelly M. Cassidy
2021-03-17HouseAdded Co-Sponsor Rep. Maurice A. West, II
2021-03-12HouseAdded Co-Sponsor Rep. Will Guzzardi
2021-03-11HouseAdded Co-Sponsor Rep. Bob Morgan
2021-03-09HouseAssigned to Mental Health & Addiction Committee
2021-03-02HouseAdded Co-Sponsor Rep. Robyn Gabel
2021-03-01HouseAdded Co-Sponsor Rep. Maura Hirschauer
2021-02-26HouseRemoved Co-Sponsor Rep. Terra Costa Howard
2021-02-26HouseAdded Co-Sponsor Rep. Terra Costa Howard
2021-02-23HouseAdded Co-Sponsor Rep. Jonathan Carroll
2021-02-19HouseReferred to Rules Committee
2021-02-19HouseFirst Reading
2021-02-19HouseAdded Chief Co-Sponsor Rep. Jennifer Gong-Gershowitz
2021-02-17HouseFiled with the Clerk by Rep. Deb Conroy

Code Citations

ChapterArticleSectionCitation TypeStatute Text
21518035Amended CodeCitation Text
21518040Amended CodeCitation Text
2155370cAmended CodeCitation Text

Illinois State Sources

TypeSource
Summaryhttps://www.ilga.gov/legislation/BillStatus.asp?DocNum=2595&GAID=16&DocTypeID=HB&SessionID=110&GA=102
Texthttps://www.ilga.gov/legislation/102/HB/10200HB2595.htm
Texthttps://www.ilga.gov/legislation/102/HB/10200HB2595eng.htm
Texthttps://www.ilga.gov/legislation/102/HB/10200HB2595enr.htm
Texthttps://www.ilga.gov/legislation/publicacts/102/102-0579.htm
Amendmenthttps://www.ilga.gov/legislation/102/HB/10200HB2595ham001.htm
Amendmenthttps://www.ilga.gov/legislation/102/HB/10200HB2595sam001.htm
Roll Callhttps://www.ilga.gov/legislation/votehistory/102/house/10200HB2595_04222021_008000T.pdf
Roll Callhttps://www.ilga.gov/legislation/votehistory/102/senate/10200HB2595_05292021_011043.pdf
Roll Callhttps://www.ilga.gov/legislation/votehistory/102/house/10200HB2595sam001_05312021_030000C.pdf

Bill Comments

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