Bill Texts: IL HB5395 | 2023-2024 | 103rd General Assembly
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: (Passed) 2024-07-10 - Public Act . . . . . . . . . 103-0650 [HB5395 Detail]
Spectrum: Partisan Bill (Democrat 82-1)
Status: (Passed) 2024-07-10 - Public Act . . . . . . . . . 103-0650 [HB5395 Detail]
Bill Drafts
| Revision | Date | Format | Source | View |
|---|---|---|---|---|
| Chaptered | 2024-07-10 | HTML/Text | Link | 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. | |||||
