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Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or a managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2026, shall not impose any prior authorization or utilization management controls on covered behavioral health services. Makes conforming changes to the State Employees Group Insurance Act of 1971, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, and the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Insurance and the Department of Healthcare and Family Services to establish a process for receiving complaints from providers and covered individuals for violations of the mandate. Grants the Department of Insurance and the Department of Healthcare and Family Services the authority to issue cease and desist orders and administrative fines. Amends the Prior Authorization Reform Act. Provides that the Department of Healthcare and Family Services shall adopt rules consistent with the Act. Provisions amending the Prior Authorization Reform Act are effective immediately.
Introduced
Feb 4, 2025
Last Action
Apr 24, 2025
Session
IL 104th
Sponsors
1 primary · 7 co
Added as Co-Sponsor Sen. Karina Villa
Rule 3-9(a) / Re-referred to Assignments
Added as Co-Sponsor Sen. Adriane Johnson
Rule 2-10 Committee Deadline Established As April 11, 2025
Rule 2-10 Committee Deadline Established As April 4, 2025
Added as Co-Sponsor Sen. Mary Edly-Allen
Senate Committee Amendment No. 1 Pursuant to Senate Rule 3-8(b-1), the following amendments will remain in the Committee on Assignments
Added as Co-Sponsor Sen. Robert Peters
Senate Committee Amendment No. 1 Referred to Assignments
Senate Committee Amendment No. 1 Filed with Secretary by Sen. Laura Fine
Added as Chief Co-Sponsor Sen. Graciela Guzmán
Added as Co-Sponsor Sen. Rachel Ventura
Assigned to Insurance
Directed to Multiple Committees Refer to Insurance Committee then Appropriation-Health & Human Services
Added as Co-Sponsor Sen. Mike Simmons
First Reading
Referred to Assignments
Filed with Secretary by Sen. Laura Fine
Get a plain-English explanation of what this bill does, who it affects, and why it matters.
Added as Co-Sponsor Sen. Karina Villa