IL HB4789 | 2023-2024 | 103rd General Assembly
Status
Spectrum: Slight Partisan Bill (Republican 5-3)
Status: Enrolled on May 25 2024 - 75% progression
Action: 2024-06-21 - Sent to the Governor
Text: Latest bill text (Enrolled) [HTML]
Status: Enrolled on May 25 2024 - 75% progression
Action: 2024-06-21 - Sent to the Governor
Text: Latest bill text (Enrolled) [HTML]
Summary
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.
Title
INS CD-DENTAL PREAUTHORIZATION
Sponsors
| Rep. Bob Morgan [D] | Rep. Tom Weber [R] | Rep. Travis Weaver [R] | Rep. Dave Severin [R] |
| Rep. Suzanne Ness [D] | Sen. Dave Syverson [R] | Sen. Julie Morrison [D] | Sen. Sally Turner [R] |
Roll Calls
2024-05-25 - House - Concurrence in House (Y: 105 N: 0 NV: 1 Abs: 0) [PASS]
2024-05-16 - Senate - Third Reading in Senate (Y: 59 N: 0 NV: 0 Abs: 0) [PASS]
2024-04-16 - House - Third Reading in House (Y: 111 N: 0 NV: 1 Abs: 1) [PASS]
2024-05-16 - Senate - Third Reading in Senate (Y: 59 N: 0 NV: 0 Abs: 0) [PASS]
2024-04-16 - House - Third Reading in House (Y: 111 N: 0 NV: 1 Abs: 1) [PASS]
History
| Date | Chamber | Action |
|---|---|---|
| 2024-06-21 | House | Sent to the Governor |
| 2024-05-25 | House | Passed Both Houses |
| 2024-05-25 | House | House Concurs |
| 2024-05-25 | House | Senate Committee Amendment No. 1 House Concurs 105-000-001 |
| 2024-05-22 | House | Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Insurance Committee; 014-000-000 |
| 2024-05-21 | House | Senate Committee Amendment No. 1 Motion to Concur Rules Referred to Insurance Committee |
| 2024-05-17 | House | Senate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee |
| 2024-05-17 | House | Senate Committee Amendment No. 1 Motion Filed Concur Rep. Bob Morgan |
| 2024-05-16 | House | Placed on Calendar Order of Concurrence Senate Amendment(s) 1 |
| 2024-05-16 | House | Arrived in House |
| 2024-05-16 | Senate | Added as Alternate Co-Sponsor Sen. Sally J. Turner |
| 2024-05-16 | Senate | Third Reading - Passed; 059-000-000 |
| 2024-05-08 | Senate | Placed on Calendar Order of 3rd Reading |
| 2024-05-08 | Senate | Second Reading |
| 2024-05-01 | Senate | Placed on Calendar Order of 2nd Reading May 2, 2024 |
| 2024-05-01 | Senate | Do Pass as Amended Insurance; 008-000-000 |
| 2024-04-30 | Senate | Senate Committee Amendment No. 1 Adopted |
| 2024-04-30 | Senate | Senate Committee Amendment No. 1 Assignments Refers to Insurance |
| 2024-04-29 | Senate | Senate Committee Amendment No. 1 Referred to Assignments |
| 2024-04-29 | Senate | Senate Committee Amendment No. 1 Filed with Secretary by Sen. Dave Syverson |
| 2024-04-24 | Senate | Added as Alternate Co-Sponsor Sen. Julie A. Morrison |
| 2024-04-24 | Senate | Assigned to Insurance |
| 2024-04-17 | Senate | Referred to Assignments |
| 2024-04-17 | Senate | First Reading |
| 2024-04-17 | Senate | Chief Senate Sponsor Sen. Dave Syverson |
| 2024-04-17 | Senate | Placed on Calendar Order of First Reading |
| 2024-04-17 | Senate | Arrive in Senate |
| 2024-04-16 | House | Added Co-Sponsor Rep. Suzanne M. Ness |
| 2024-04-16 | House | Added Chief Co-Sponsor Rep. Tom Weber |
| 2024-04-16 | House | Added Co-Sponsor Rep. Dave Severin |
| 2024-04-16 | House | Third Reading - Short Debate - Passed 111-000-001 |
| 2024-04-11 | House | Placed on Calendar Order of 3rd Reading - Short Debate |
| 2024-04-11 | House | Second Reading - Short Debate |
| 2024-04-03 | House | Placed on Calendar 2nd Reading - Short Debate |
| 2024-04-02 | House | Do Pass as Amended / Short Debate Insurance Committee; 015-000-000 |
| 2024-04-02 | House | House Committee Amendment No. 1 Adopted in Insurance Committee; by Voice Vote |
| 2024-04-02 | House | House Committee Amendment No. 1 Rules Refers to Insurance Committee |
| 2024-04-01 | House | House Committee Amendment No. 1 Referred to Rules Committee |
| 2024-04-01 | House | House Committee Amendment No. 1 Filed with Clerk by Rep. Bob Morgan |
| 2024-03-07 | House | Added Co-Sponsor Rep. Travis Weaver |
| 2024-02-14 | House | Assigned to Insurance Committee |
| 2024-02-06 | House | Referred to Rules Committee |
| 2024-02-06 | House | First Reading |
| 2024-02-05 | House | Filed with the Clerk by Rep. Bob Morgan |
