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]

Text: Latest bill text (Chaptered) [HTML]

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Sponsors

Name	Type	Sponsorship	District	Financial	Encyclopedia	Biography
Representative Anna Moeller [D]	Primary	Sponsored Bills	HD-043	FollowTheMoney	Ballotpedia	VoteSmart
Representative Robyn Gabel [D]	Cosponsor	Sponsored Bills	HD-018	FollowTheMoney	Ballotpedia	VoteSmart
Representative Eva Dina Delgado [D]	Cosponsor	Sponsored Bills	HD-003	FollowTheMoney	Ballotpedia	VoteSmart
Representative Bob Morgan [D]	Cosponsor	Sponsored Bills	HD-058	FollowTheMoney	Ballotpedia	VoteSmart
Representative Camille Lilly [D]	Cosponsor	Sponsored Bills	HD-078	FollowTheMoney	Ballotpedia	VoteSmart
Representative William Hauter [R]	Cosponsor	Sponsored Bills	HD-087	FollowTheMoney	Ballotpedia	VoteSmart
Representative Jenn Ladisch Douglass [D]	Cosponsor	Sponsored Bills	HD-045	FollowTheMoney	Ballotpedia	N/A
Representative Yolanda Morris [D]	Cosponsor	Sponsored Bills	HD-009	FollowTheMoney	Ballotpedia	VoteSmart
Representative Sue Scherer [D]	Cosponsor	Sponsored Bills	HD-096	FollowTheMoney	Ballotpedia	VoteSmart
Representative Kelly Cassidy [D]	Cosponsor	Sponsored Bills	HD-014	FollowTheMoney	Ballotpedia	VoteSmart
Representative Marcus Evans [D]	Cosponsor	Sponsored Bills	HD-033	FollowTheMoney	Ballotpedia	VoteSmart
Representative Sonya Harper [D]	Cosponsor	Sponsored Bills	HD-006	FollowTheMoney	Ballotpedia	VoteSmart
Senator Mark Walker [D]	Cosponsor	Sponsored Bills	SD-027	FollowTheMoney	Ballotpedia	VoteSmart
Representative Mary Canty [D]	Cosponsor	Sponsored Bills	HD-054	FollowTheMoney	Ballotpedia	VoteSmart
Representative Will Guzzardi [D]	Cosponsor	Sponsored Bills	HD-039	FollowTheMoney	Ballotpedia	VoteSmart
Representative Ann Williams [D]	Cosponsor	Sponsored Bills	HD-011	FollowTheMoney	Ballotpedia	VoteSmart
Representative Nabeela Syed [D]	Cosponsor	Sponsored Bills	HD-051	FollowTheMoney	Ballotpedia	N/A
Representative Natalie Manley [D]	Cosponsor	Sponsored Bills	HD-098	FollowTheMoney	Ballotpedia	VoteSmart
Representative Nicholas Smith [D]	Cosponsor	Sponsored Bills	HD-034	FollowTheMoney	Ballotpedia	VoteSmart
Representative Elizabeth Hernandez [D]	Cosponsor	Sponsored Bills	HD-002	FollowTheMoney	Ballotpedia	VoteSmart
Representative Lindsey LaPointe [D]	Cosponsor	Sponsored Bills	HD-019	FollowTheMoney	Ballotpedia	VoteSmart
Representative Dagmara Avelar [D]	Cosponsor	Sponsored Bills	HD-085	FollowTheMoney	Ballotpedia	VoteSmart
Representative Suzanne Ness [D]	Cosponsor	Sponsored Bills	HD-066	FollowTheMoney	Ballotpedia	VoteSmart
Representative Matt Hanson [D]	Cosponsor	Sponsored Bills	HD-083	FollowTheMoney	Ballotpedia	VoteSmart
Representative Terra Costa Howard [D]	Cosponsor	Sponsored Bills	HD-042	FollowTheMoney	Ballotpedia	VoteSmart
Representative Katie Stuart [D]	Cosponsor	Sponsored Bills	HD-112	FollowTheMoney	Ballotpedia	VoteSmart
Representative Jaime Andrade [D]	Cosponsor	Sponsored Bills	HD-040	FollowTheMoney	Ballotpedia	VoteSmart
Representative Joyce Mason [D]	Cosponsor	Sponsored Bills	HD-061	FollowTheMoney	Ballotpedia	VoteSmart
Representative Jehan Gordon-Booth [D]	Cosponsor	Sponsored Bills	HD-092	FollowTheMoney	Ballotpedia	VoteSmart
Representative Martin Moylan [D]	Cosponsor	Sponsored Bills	HD-055	FollowTheMoney	Ballotpedia	VoteSmart
Representative Diane Blair-Sherlock [D]	Cosponsor	Sponsored Bills	HD-046	FollowTheMoney	Ballotpedia	VoteSmart
Representative Maura Hirschauer [D]	Cosponsor	Sponsored Bills	HD-049	FollowTheMoney	Ballotpedia	VoteSmart
Representative Maurice West [D]	Cosponsor	Sponsored Bills	HD-067	FollowTheMoney	Ballotpedia	VoteSmart
Representative Michael Kelly [D]	Cosponsor	Sponsored Bills	HD-015	N/A	Ballotpedia	VoteSmart
Representative Tracy Katz Muhl [D]	Cosponsor	Sponsored Bills	HD-057	FollowTheMoney	Ballotpedia	VoteSmart
Representative Margaret Croke [D]	Cosponsor	Sponsored Bills	HD-012	FollowTheMoney	Ballotpedia	VoteSmart
Representative Kimberly Du Buclet [D]	Cosponsor	Sponsored Bills	HD-005	N/A	Ballotpedia	N/A
Representative Theresa Mah [D]	Cosponsor	Sponsored Bills	HD-024	FollowTheMoney	Ballotpedia	VoteSmart
Representative Rita Mayfield [D]	Cosponsor	Sponsored Bills	HD-060	FollowTheMoney	Ballotpedia	VoteSmart
Representative Michelle Mussman [D]	Cosponsor	Sponsored Bills	HD-056	FollowTheMoney	Ballotpedia	VoteSmart
Representative Kevin Olickal [D]	Cosponsor	Sponsored Bills	HD-016	FollowTheMoney	Ballotpedia	VoteSmart
Representative Abdelnasser Rashid [D]	Cosponsor	Sponsored Bills	HD-021	FollowTheMoney	Ballotpedia	VoteSmart
Representative Robert Rita [D]	Cosponsor	Sponsored Bills	HD-028	FollowTheMoney	Ballotpedia	VoteSmart
Representative Sharon Chung [D]	Cosponsor	Sponsored Bills	HD-091	FollowTheMoney	Ballotpedia	N/A
Representative Kambium Buckner [D]	Cosponsor	Sponsored Bills	HD-026	FollowTheMoney	Ballotpedia	VoteSmart
Representative LaShawn Ford [D]	Cosponsor	Sponsored Bills	HD-008	FollowTheMoney	Ballotpedia	VoteSmart
Representative Emanuel Welch [D]	Cosponsor	Sponsored Bills	HD-007	FollowTheMoney	Ballotpedia	VoteSmart
Representative Stephanie Kifowit [D]	Cosponsor	Sponsored Bills	HD-084	FollowTheMoney	Ballotpedia	VoteSmart
Representative Janet Yang Rohr [D]	Cosponsor	Sponsored Bills	HD-041	FollowTheMoney	Ballotpedia	VoteSmart
Representative Anne Stava-Murray [D]	Cosponsor	Sponsored Bills	HD-081	FollowTheMoney	Ballotpedia	VoteSmart
Representative Laura Faver Dias [D]	Cosponsor	Sponsored Bills	HD-062	FollowTheMoney	Ballotpedia	VoteSmart
Representative Jennifer Gong-Gershowitz [D]	Cosponsor	Sponsored Bills	HD-017	FollowTheMoney	Ballotpedia	VoteSmart
Representative Gregg Johnson [D]	Cosponsor	Sponsored Bills	HD-072	FollowTheMoney	Ballotpedia	VoteSmart
Representative Harry Benton [D]	Cosponsor	Sponsored Bills	HD-097	FollowTheMoney	Ballotpedia	VoteSmart
Representative Norma Hernandez [D]	Cosponsor	Sponsored Bills	HD-077	FollowTheMoney	Ballotpedia	VoteSmart
Representative Lilian Jimenez [D]	Cosponsor	Sponsored Bills	HD-004	FollowTheMoney	Ballotpedia	VoteSmart
Representative Debbie Meyers-Martin [D]	Cosponsor	Sponsored Bills	HD-038	FollowTheMoney	Ballotpedia	VoteSmart
Representative Hoan Huynh [D]	Cosponsor	Sponsored Bills	HD-013	FollowTheMoney	Ballotpedia	VoteSmart
Senator Robert Peters [D]	Primary	Sponsored Bills	SD-013	FollowTheMoney	Ballotpedia	VoteSmart
Senator Laura Fine [D]	Cosponsor	Sponsored Bills	SD-009	FollowTheMoney	Ballotpedia	VoteSmart
Senator Rachel Ventura [D]	Cosponsor	Sponsored Bills	SD-043	FollowTheMoney	Ballotpedia	VoteSmart
Senator Willie Preston [D]	Cosponsor	Sponsored Bills	SD-016	FollowTheMoney	Ballotpedia	VoteSmart
Senator Patrick Joyce [D]	Cosponsor	Sponsored Bills	SD-040	FollowTheMoney	Ballotpedia	VoteSmart
Senator Kimberly Lightford [D]	Cosponsor	Sponsored Bills	SD-004	FollowTheMoney	Ballotpedia	VoteSmart
Senator Karina Villa [D]	Cosponsor	Sponsored Bills	SD-025	FollowTheMoney	Ballotpedia	VoteSmart
Senator Mike Simmons [D]	Cosponsor	Sponsored Bills	SD-007	N/A	Ballotpedia	VoteSmart
Senator Ram Villivalam [D]	Cosponsor	Sponsored Bills	SD-008	FollowTheMoney	Ballotpedia	VoteSmart
Senator Sara Feigenholtz [D]	Cosponsor	Sponsored Bills	SD-006	FollowTheMoney	Ballotpedia	VoteSmart
Senator Steve Stadelman [D]	Cosponsor	Sponsored Bills	SD-034	FollowTheMoney	Ballotpedia	VoteSmart
Senator Julie Morrison [D]	Cosponsor	Sponsored Bills	SD-029	FollowTheMoney	Ballotpedia	VoteSmart
Senator Laura Ellman [D]	Cosponsor	Sponsored Bills	SD-021	FollowTheMoney	Ballotpedia	VoteSmart
Senator Christopher Belt [D]	Cosponsor	Sponsored Bills	SD-057	FollowTheMoney	Ballotpedia	VoteSmart
Senator Javier Cervantes [D]	Cosponsor	Sponsored Bills	SD-001	FollowTheMoney	Ballotpedia	VoteSmart
Senator Adriane Johnson [D]	Cosponsor	Sponsored Bills	SD-030	N/A	Ballotpedia	VoteSmart
Senator Lakesia Collins [D]	Cosponsor	Sponsored Bills	SD-005	FollowTheMoney	Ballotpedia	VoteSmart
Senator Mike Porfirio [D]	Cosponsor	Sponsored Bills	SD-011	FollowTheMoney	Ballotpedia	VoteSmart
Senator Mary Edly-Allen [D]	Cosponsor	Sponsored Bills	SD-031	FollowTheMoney	Ballotpedia	VoteSmart
Senator Natalie Toro [D]	Cosponsor	Sponsored Bills	SD-020	N/A	Ballotpedia	VoteSmart
Senator Mattie Hunter [D]	Cosponsor	Sponsored Bills	SD-003	FollowTheMoney	Ballotpedia	VoteSmart
Senator Napoleon Harris [D]	Cosponsor	Sponsored Bills	SD-015	FollowTheMoney	Ballotpedia	VoteSmart
Senator Doris Turner [D]	Cosponsor	Sponsored Bills	SD-048	FollowTheMoney	Ballotpedia	VoteSmart
Senator Laura Murphy [D]	Cosponsor	Sponsored Bills	SD-028	FollowTheMoney	Ballotpedia	VoteSmart
Senator Meg Loughran Cappel [D]	Cosponsor	Sponsored Bills	SD-049	FollowTheMoney	Ballotpedia	VoteSmart

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