Bill Title: Amends the Limited Health Service Organization Act. Makes changes to defined terms. In provisions concerning the offering of a point-of-sale contract by a limited health service organization (LHSO), removes a provision requiring the LHSO to include an annual maximum benefit allowance not to exceed $2,500 per year that is separate from any limits or allowances applied to in-plan services. Provides that, if an LHSO expends in any calendar quarter more than 20% of its total limited health services expenditures for all its members for out-of-plan covered services, then specified limitations shall not apply subject to the LHSO minimum capital and surplus requirements applicable to a life, accident, and health insurance company. Makes other changes.

Sponsorship: Partisan Bill (Democrat 4)

Status: (Passed) 2026-07-10 - Public Act . . . . . . . . . 104-0562 [HB5393 Detail]

Text: Latest bill text (Enrolled) [HTML]

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