Bill Text: IL SB2858 | 2023-2024 | 103rd General Assembly | Introduced

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Bill Title: Amends the Illinois Health Benefits Exchange Law. Provides that the Department of Insurance and the Department of Healthcare and Family Services have the authority to require, when the Department of Insurance operates the Illinois Health Benefits Exchange as a State-based exchange, the Illinois Health Benefits Exchange to offer enhanced direct enrollment technology that allows approved enhanced direct enrollment entities to maintain enrollment services as offered through the Federally Facilitated Marketplace's enhanced direct enrollment implementation; to require enhanced direct enrollment to be available for the first open enrollment period for the State-based exchange; to require that the State-based exchange adopt the application programming interface for the Federally Facilitated Marketplace's enhanced direct enrollment or adopt an application programming interface that is substantially similar; and to require enhanced direct enrollment entities to be approved to operate in the Federally Facilitated Marketplace and maintain compliance with all Centers for Medicare and Medicaid Services' privacy, security, and business requirements. Defines terms.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced) 2024-05-17 - Rule 3-9(a) / Re-referred to Assignments [SB2858 Detail]

Download: Illinois-2023-SB2858-Introduced.html

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103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB2858 Introduced 1/19/2024, by Sen. Napoleon Harris, III SYNOPSIS AS INTRODUCED:
215 ILCS 122/5-8 new
215 ILCS 122/5-23
Amends the Illinois Health Benefits Exchange Law. Provides that the Department of Insurance and the Department of Healthcare and Family Services have the authority to require, when the Department of Insurance operates the Illinois Health Benefits Exchange as a State-based exchange, the Illinois Health Benefits Exchange to offer enhanced direct enrollment technology that allows approved enhanced direct enrollment entities to maintain enrollment services as offered through the Federally Facilitated Marketplace's enhanced direct enrollment implementation; to require enhanced direct enrollment to be available for the first open enrollment period for the State-based exchange; to require that the State-based exchange adopt the application programming interface for the Federally Facilitated Marketplace's enhanced direct enrollment or adopt an application programming interface that is substantially similar; and to require enhanced direct enrollment entities to be approved to operate in the Federally Facilitated Marketplace and maintain compliance with all Centers for Medicare and Medicaid Services' privacy, security, and business requirements. Defines terms.
LRB103 33840 RPS 63655 b
A BILL FOR
SB2858 LRB103 33840 RPS 63655 b
AN ACT concerning regulation.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Illinois Health Benefits Exchange Law is
amended by changing Section 5-23 and by adding Section 5-8 as
follows:
(215 ILCS 122/5-8 new)
Sec. 5-8. Definitions. As used in this Act:
"Enhanced direct enrollment" means technology that allows
approved third-party entities to build and host directly on
their websites a version of the Illinois Health Benefits
Exchange eligibility application that securely integrates with
a back-end suite of application programming interfaces to
support application, enrollment, and post-enrollment
activities.
"Enhanced direct enrollment entity" means an entity
approved by the Department of Insurance to integrate with and
use the Enhanced Direct Enrollment technology operated by the
Illinois Health Benefits Exchange and that allows for brokers
and individuals to shop for, select, and enroll in qualified,
affordable private health plans without the need to be
redirected to the Illinois Health Benefits Exchange or contact
a call center.

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(215 ILCS 122/5-23)
Sec. 5-23. Department of Insurance and Department of
Healthcare and Family Services authority.
(a) The Department of Insurance and the Department of
Healthcare and Family Services, in addition to the powers
granted under the Illinois Insurance Code and the Illinois
Public Aid Code, have the power necessary to establish and
operate the Illinois Health Benefits Exchange, including, but
not limited to, the authority to:
(1) adopt rules deemed necessary by the departments to
implement this Law;
(2) employ or retain sufficient personnel to provide
administration, staffing, and necessary related support
required to adequately discharge the duties described in
this Law from funds held in the Illinois Health Benefits
Exchange Fund;
(3) procure services, including a call center, and
goods for the purpose of establishing the Illinois Health
Benefits Exchange, including, but not limited to,
procurements in conformance with paragraph (22) of
subsection (b) of Section 1-10 of the Illinois Procurement
Code; and
(4) require any exchange vendor to have experience
operating a State-based exchange in another state;and .
(5) require, when the Department of Insurance operates

SB2858 - 3 - LRB103 33840 RPS 63655 b
the Illinois Health Benefits Exchange as a State-based
exchange, the Illinois Health Benefits Exchange to offer
enhanced direct enrollment technology that allows approved
enhanced direct enrollment entities to maintain enrollment
services as offered through the Federally Facilitated
Marketplace's enhanced direct enrollment implementation
and to require:
(A) enhanced direct enrollment to be available for
the first open enrollment period for the State-based
exchange;
(B) the State-based exchange to adopt the
application programming interface for the Federally
Facilitated Marketplace's enhanced direct enrollment
or an application programming interface that is
substantially similar; and
(C) enhanced direct enrollment entities to be
approved to operate in the Federally Facilitated
Marketplace and maintain compliance with all Centers
for Medicare and Medicaid Services' privacy, security,
and business requirements.
Subparagraph (C) of paragraph (4) of this subsection shall
not be construed to limit the Department of Insurance's
authority to adopt rules regarding enhanced direct enrollment
entities beyond what the Centers for Medicare and Medicaid
Services requires.
(b) The Department of Insurance has the authority to

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employ a Marketplace Director of the Illinois Health Benefits
Exchange.
(Source: P.A. 103-103, eff. 6-27-23.)