Bill Title: Reinserts the provisions of the engrossed bill with changes that include the following. Requires the issuer of a network plan to submit a self-audit of its provider directory and a summary to the Department of Insurance, which the Department shall make publicly available. Makes changes to the information that must be provided in a network plan directory. Sets forth required actions if an issuer or the Department identifies a provider incorrectly listed in the provider directory. Removes provisions repealing the Short-Term, Limited-Duration Health Insurance Coverage Act and the related changes. Makes changes to provisions concerning confidentiality; transition of services; unreasonable and inadequate rates; the definitions of "excepted benefits" and "step therapy requirement"; off-formulary exception requests; algorithmic automated review processes; utilization review criteria; and adverse determinations. Makes other changes. Effective January 1, 2025, except that certain changes to the Managed Care Reform and Patient Rights Act take effect January 1, 2026.

Spectrum: Partisan Bill (Democrat 82-1)

Status: (Enrolled) 2024-05-30 - Added as Alternate Co-Sponsor Sen. Meg Loughran Cappel [HB5395 Detail]

---

Bill Drafts

Revision	Date	Format	Source	View
Enrolled	2024-05-25	HTML/Text	Link	View
Engrossed	2024-04-18	HTML/Text	Link	View
Introduced	2024-02-09	HTML/Text	Link	View

Amendments

Amendment	Date	Disposition	Format	Source	View
Senate Amendment 003	2024-05-22	Proposed	HTML/Text	Link	View
Senate Amendment 002	2024-05-20	Proposed	HTML/Text	Link	View
Senate Amendment 001	2024-05-02	Proposed	HTML/Text	Link	View
House Amendment 004	2024-04-17	Proposed	HTML/Text	Link	View
House Amendment 003	2024-04-16	Proposed	HTML/Text	Link	View
House Amendment 002	2024-04-05	Proposed	HTML/Text	Link	View
House Amendment 001	2024-03-06	Proposed	HTML/Text	Link	View

Supplemental Documents

Title	Description	Date	Format	Source	View
No supplemental documents for Illinois HB5395 currently on file.

Social Comments on IL HB5395