Illinois Senate Bill 3822 (Prior Session Legislation)

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Completed Legislative Action
Spectrum: Moderate Partisan Bill (Democrat 12-2)
Status: Failed on January 13 2021 - 100% progression
Action: 2021-01-13 - Session Sine Die
Text: Latest bill text (Introduced) [HTML]

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 program, and the implementation of prior authorization requirements or restrictions. Provides requirements concerning a utilization review program's obligations with respect to prior authorizations in nonurgent circumstances, urgent health care services, and emergency health care services. Provides that a utilization review program 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 program 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 Managed Care Reform and Patient Rights Act to provide that an insurer that provides prescription drug benefits must comply with the requirements of the Prior Authorization Reform Act. Provides that if prior authorization for covered post-stabilization services is required by a health care plan, the plan shall comply with the requirements of the Prior Authorization Reform 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, 2021.

PRIOR AUTHORIZATION REFORM ACT

Sen. Linda Holmes [D]	Sen. Heather Steans [D]	Sen. Donald DeWitte [R]	Sen. Jacqueline Collins [D]
Sen. Elgie Sims [D]	Sen. Julie Morrison [D]	Sen. Cristina Castro [D]	Sen. Emil Jones [D]
Sen. Christopher Belt [D]	Sen. Susan Rezin [R]	Sen. Steve Stadelman [D]	Sen. Laura Murphy [D]
Sen. Andy Manar [D]	Sen. Pat McGuire [D]

Date	Chamber	Action
2021-01-13	Senate	Session Sine Die
2020-03-03	Senate	Added as Co-Sponsor Sen. Pat McGuire
2020-02-21	Senate	Added as Co-Sponsor Sen. Andy Manar
2020-02-19	Senate	Added as Co-Sponsor Sen. Laura M. Murphy
2020-02-19	Senate	Added as Co-Sponsor Sen. Steve Stadelman
2020-02-19	Senate	Added as Co-Sponsor Sen. Sue Rezin
2020-02-18	Senate	Added as Chief Co-Sponsor Sen. Elgie R. Sims, Jr.
2020-02-18	Senate	Added as Chief Co-Sponsor Sen. Jacqueline Y. Collins
2020-02-18	Senate	Added as Co-Sponsor Sen. Christopher Belt
2020-02-18	Senate	Added as Co-Sponsor Sen. Emil Jones, III
2020-02-18	Senate	Added as Chief Co-Sponsor Sen. Donald P. DeWitte
2020-02-18	Senate	Added as Chief Co-Sponsor Sen. Heather A. Steans
2020-02-14	Senate	Added as Co-Sponsor Sen. Cristina Castro
2020-02-14	Senate	Added as Co-Sponsor Sen. Julie A. Morrison
2020-02-14	Senate	Referred to Assignments
2020-02-14	Senate	First Reading
2020-02-14	Senate	Filed with Secretary by Sen. Linda Holmes

Chapter	Article	Section	Citation Type	Statute Text
215	134	45.2	Amended Code	Citation Text
215	134	70	Amended Code	Citation Text
305	5	5-5.12d	New Code	See Bill Text

Type	Source
Summary	https://www.ilga.gov/legislation/BillStatus.asp?DocNum=3822&GAID=15&DocTypeID=SB&SessionID=108&GA=101
Text	https://www.ilga.gov/legislation/101/SB/10100SB3822.htm