Bill Sponsors: IL HB4475 | 2023-2024 | 103rd General Assembly

Bill Title: Reinserts the provisions of the bill, as amended by House Amendment No. 1, with the following changes. Provides that for all group or individual policies of accident and health insurance or managed care plans that are amended, delivered, issued, or renewed on or after January 1, 2026, or any contracted third party administering the behavioral health benefits for the insurer, reimbursement for in-network mental health and substance use disorder treatment services delivered by Illinois providers and facilities must be equal to or greater than 141% of the Medicare rate for the mental health or substance use disorder service delivered (rather than on average, at least as favorable as professional services provided by in-network primary care providers). Removes language providing that reimbursement rates for services paid to Illinois mental health and substance use disorder treatment providers and facilities do not meet the required standard unless the reimbursement rates are, on average, equal to or greater than 141% of the Medicare reimbursement rate for the same service. Provides that, if the Department of Insurance determines that an insurer or a contracted third party administering the behavioral health benefits for the insurer has violated a provision concerning mental health and substance use parity, the Department shall by order assess a civil penalty of $1,000 (rather than $5,000) for each violation. Excludes health care plans serving Medicaid populations that provide, arrange for, pay for, or reimburse the cost of any health care service for persons who are enrolled under the Illinois Public Aid Code or under the Children's Health Insurance Program Act from provisions concerning mental health and substance use parity. Makes other changes. Effective immediately.

Spectrum: Strong Partisan Bill (Democrat 37-3)

Status: (Engrossed) 2024-05-21 - Added as Alternate Co-Sponsor Sen. Patrick J. Joyce [HB4475 Detail]

Text: Latest bill text (Engrossed) [HTML]

Sponsors

NameTypeSponsorshipDistrictFinancialEncyclopediaBiography
Representative Lindsey LaPointe [D]PrimarySponsored BillsHD-019FollowTheMoneyBallotpediaVoteSmart
Representative Maurice West [D]CosponsorSponsored BillsHD-067FollowTheMoneyBallotpediaVoteSmart
Representative Jenn Ladisch Douglass [D]CosponsorSponsored BillsHD-045FollowTheMoneyBallotpediaN/A
Representative Sonya Harper [D]CosponsorSponsored BillsHD-006FollowTheMoneyBallotpediaVoteSmart
Representative Michael Kelly [D]CosponsorSponsored BillsHD-015N/ABallotpediaVoteSmart
Representative Suzanne Ness [D]CosponsorSponsored BillsHD-066FollowTheMoneyBallotpediaVoteSmart
Representative Kelly Cassidy [D]CosponsorSponsored BillsHD-014FollowTheMoneyBallotpediaVoteSmart
Representative Anne Stava-Murray [D]CosponsorSponsored BillsHD-081FollowTheMoneyBallotpediaVoteSmart
Representative Hoan Huynh [D]CosponsorSponsored BillsHD-013FollowTheMoneyBallotpediaVoteSmart
Representative Kevin Olickal [D]CosponsorSponsored BillsHD-016FollowTheMoneyBallotpediaVoteSmart
Representative Norma Hernandez [D]CosponsorSponsored BillsHD-077FollowTheMoneyBallotpediaVoteSmart
Representative Dagmara Avelar [D]CosponsorSponsored BillsHD-085FollowTheMoneyBallotpediaVoteSmart
Representative Will Guzzardi [D]CosponsorSponsored BillsHD-039FollowTheMoneyBallotpediaVoteSmart
Representative Gregg Johnson [D]CosponsorSponsored BillsHD-072FollowTheMoneyBallotpediaVoteSmart
Representative Michelle Mussman [D]CosponsorSponsored BillsHD-056FollowTheMoneyBallotpediaVoteSmart
Representative Terra Costa Howard [D]CosponsorSponsored BillsHD-042FollowTheMoneyBallotpediaVoteSmart
Representative Nabeela Syed [D]CosponsorSponsored BillsHD-051FollowTheMoneyBallotpediaN/A
Representative Tracy Katz Muhl [D]CosponsorSponsored BillsHD-057FollowTheMoneyBallotpediaVoteSmart
Representative Theresa Mah [D]CosponsorSponsored BillsHD-024FollowTheMoneyBallotpediaVoteSmart
Representative Laura Faver Dias [D]CosponsorSponsored BillsHD-062FollowTheMoneyBallotpediaVoteSmart
Representative Bob Morgan [D]CosponsorSponsored BillsHD-058FollowTheMoneyBallotpediaVoteSmart
Representative Jay Hoffman [D]CosponsorSponsored BillsHD-113FollowTheMoneyBallotpediaVoteSmart
Representative Katie Stuart [D]CosponsorSponsored BillsHD-112FollowTheMoneyBallotpediaVoteSmart
Representative Stephanie Kifowit [D]CosponsorSponsored BillsHD-084FollowTheMoneyBallotpediaVoteSmart
Representative Yolanda Morris [D]CosponsorSponsored BillsHD-009FollowTheMoneyBallotpediaVoteSmart
Representative Maura Hirschauer [D]CosponsorSponsored BillsHD-049FollowTheMoneyBallotpediaVoteSmart
Representative William Hauter [R]CosponsorSponsored BillsHD-087FollowTheMoneyBallotpediaVoteSmart
Senator Mark Walker [D]CosponsorSponsored BillsSD-027FollowTheMoneyBallotpediaVoteSmart
Representative Matt Hanson [D]CosponsorSponsored BillsHD-083FollowTheMoneyBallotpediaVoteSmart
Senator Karina Villa [D]PrimarySponsored BillsSD-025FollowTheMoneyBallotpediaVoteSmart
Senator Rachel Ventura [D]CosponsorSponsored BillsSD-043FollowTheMoneyBallotpediaVoteSmart
Senator Michael Hastings [D]CosponsorSponsored BillsSD-019FollowTheMoneyBallotpediaVoteSmart
Senator Laura Fine [D]CosponsorSponsored BillsSD-009FollowTheMoneyBallotpediaVoteSmart
Senator Terri Bryant [R]CosponsorSponsored BillsSD-058FollowTheMoneyBallotpediaVoteSmart
Senator Erica Harriss [R]CosponsorSponsored BillsSD-056FollowTheMoneyBallotpediaN/A
Senator Robert Peters [D]CosponsorSponsored BillsSD-013FollowTheMoneyBallotpediaVoteSmart
Senator Mike Simmons [D]CosponsorSponsored BillsSD-007N/ABallotpediaVoteSmart
Senator Mary Edly-Allen [D]CosponsorSponsored BillsSD-031FollowTheMoneyBallotpediaVoteSmart
Senator Julie Morrison [D]CosponsorSponsored BillsSD-029FollowTheMoneyBallotpediaVoteSmart
Senator Patrick Joyce [D]CosponsorSponsored BillsSD-040FollowTheMoneyBallotpediaVoteSmart

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