Bill Text: IL HB5317 | 2023-2024 | 103rd General Assembly | Chaptered

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Bill Title: Reinserts the provisions of the bill, as amended by House Amendment No. 1, with the following change. Provides that beginning January 1, 2026 (rather than January 1, 2027), no dental plan carrier is required to accept from a dental care provider eligibility for a dental plan transaction or dental care claims or equivalent encounter information transaction. Effective immediately.

Spectrum: Slight Partisan Bill (Republican 2-1)

Status: (Passed) 2024-07-19 - Public Act . . . . . . . . . 103-0705 [HB5317 Detail]

Download: Illinois-2023-HB5317-Chaptered.html

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Public Act 103-0705
HB5317 Enrolled LRB103 38524 RPS 68660 b
AN ACT concerning regulation.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Uniform Electronic Transactions in Dental
Care Billing Act is amended by changing Section 20 as follows:
(215 ILCS 111/20)
Sec. 20. Uniform electronic claims and eligibility
transactions required.
(a) Beginning January 1, 2026 2025, no dental plan carrier
is required to accept from a dental care provider eligibility
for a dental plan transaction or dental care claims or
equivalent encounter information transaction except as
provided in this Act.
(b) All dental plan carriers and dental care providers
must exchange claims and eligibility information
electronically using the standard electronic data interchange
transactions for claims submissions, payments, and
verification of benefits required under the Health Insurance
Portability and Accountability Act in order to be compensable
by the dental plan carrier.
(Source: P.A. 102-146, eff. 7-23-21.)