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Amends the Illinois Insurance Code. Establishes reimbursement rates for mental health and substance use disorder treatment services for all group or individual policies of accident and health insurance or managed care plans that are amended, delivered, issued, or renewed on or after January 1, 2027 or for any contracted third party administering the behavioral health benefits for the insurer. Requires a group or individual policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2026 or any contracted third party administering the behavioral health benefits for the insurer to cover certain medically necessary mental health and substance use disorder treatment services. Provides that, if the Department of Insurance determines that an insurer or a contracted third party administering the behavioral health benefits for the insurer has violated a provision concerning mental health and substance use parity, the Department shall by order assess a civil penalty of $1,000 for each violation. Excludes certain health care plans serving Medicaid populations who are enrolled under the Illinois Public Aid Code or under the Children's Health Insurance Program Act from provisions concerning mental health and substance use parity. Requires the Department to review the impact of the proposed mental health and substance abuse mandate on network adequacy for mental health and substance use disorder treatment and access to affordable mental health and substance use care. Permits the Department to examine out-of-network utilization and out-of-pocket costs for insureds for mental health and substance use treatment and services for all plans to compare with in-network utilization. Amends the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, and the School Code to require coverage under those provisions. Effective immediately.
Introduced
Jan 13, 2025
Last Action
Mar 20, 2025
Session
IL 104th
Sponsors
1 primary · 31 co
Added as Co-Sponsor Sen. Sally J. Turner
Added as Co-Sponsor Sen. Julie A. Morrison
Added as Co-Sponsor Sen. Paul Faraci
Added as Co-Sponsor Sen. Seth Lewis
Added as Co-Sponsor Sen. Doris Turner
Added as Co-Sponsor Sen. Cristina Castro
Added as Chief Co-Sponsor Sen. Bill Cunningham
Added as Co-Sponsor Sen. Terri Bryant
Added as Co-Sponsor Sen. Erica Harriss
Added as Co-Sponsor Sen. David Koehler
Added as Co-Sponsor Sen. Steve Stadelman
Added as Co-Sponsor Sen. Lakesia Collins
Added as Co-Sponsor Sen. Laura M. Murphy
Added as Co-Sponsor Sen. Michael E. Hastings
Added as Co-Sponsor Sen. Laura Fine
Added as Co-Sponsor Sen. Mike Simmons
Added as Co-Sponsor Sen. Celina Villanueva
Added as Co-Sponsor Sen. Robert Peters
Added as Co-Sponsor Sen. Robert F. Martwick
Added as Co-Sponsor Sen. Mike Porfirio
Added as Co-Sponsor Sen. Javier L. Cervantes
Added as Co-Sponsor Sen. Rachel Ventura
Added as Co-Sponsor Sen. Mark L. Walker
Added as Co-Sponsor Sen. Patrick J. Joyce
Added as Co-Sponsor Sen. Ram Villivalam
Added as Co-Sponsor Sen. Christopher Belt
Added as Chief Co-Sponsor Sen. Mattie Hunter
Added as Co-Sponsor Sen. Adriane Johnson
Added as Co-Sponsor Sen. Mary Edly-Allen
Added as Chief Co-Sponsor Sen. Graciela Guzmán
Added as Co-Sponsor Sen. Sara Feigenholtz
Referred to Assignments
Filed with Secretary by Sen. Karina Villa
First Reading
Get a plain-English explanation of what this bill does, who it affects, and why it matters.
Added as Co-Sponsor Sen. Sally J. Turner
Michael E. Hastings
Mike Simmons
Robert F. Martwick
Laura M. Murphy
David Koehler
Julie A. Morrison
Sally J. Turner
Patrick J. Joyce
Mark L. Walker
Javier L. Cervantes