HB 5493 Illinois House · 103rd Regular Session

INSURANCE-VARIOUS

Summary
Amends the Illinois Insurance Code. Provides that certain coverage requirements apply to an individual policy of accident and health insurance (currently, a policy of accident and health insurance). Provides that an individual or group policy of accident and health insurance or a managed care plan must not require authorization or referral by the plan, issuer, or any person, including a primary care provider, for any covered individual who seeks coverage for certain obstetrical or gynecological care. Provides that if a policy, contract, or certificate requires or allows a covered individual to designate a primary care provider and provides coverage for any obstetrical or gynecological care, the insurer shall provide the notice required under specified federal regulations in all circumstances required under those regulations. Makes changes in provisions concerning post-parturition care. Changes the language required in the disclosure of a limited benefit. Increases the fee for filing a plan of division of a domestic stock company and for filing an insurance business transfer plan. Makes changes in provisions concerning fraud reporting; coverage for epinephrine injectors; blanket accident and health insurance; authorization of policies, agreements, or arrangements with incentives or limits on reimbursement; and refunds and penalties. Repeals a provision concerning the application of certain provisions. Amends the Network Adequacy and Transparency Act. Changes references from "woman's principal health care provider" to "obstetrical and gynecological health care professional". Amends the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Limited Health Service Organization Act, and the Illinois Public Aid Code to make conforming changes. Amends the Health Maintenance Organization Act. Makes changes to the required disclosures. Provides that health maintenance organizations are subject to certain coverage requirements for pharmacy testing, screening, vaccinations, and treatment; for proton beam therapy; for children with neuromuscular, neurological, or cognitive impairment; and for no-cost mental health prevention and wellness visits. Effective immediately, except that certain provisions are effective January 1, 2025.
Bill status signed all 4 stages cleared
Introduction
Apr 2024
Committee Review
May 2024
House Passage
May 2024
Signed into Law
Jul 2024
Introduced Apr 24, 2024 Signed Jul 19, 2024
Floor votes · House Apr 19, 2024

How they voted

940
Passed · 23 other
Total votes 117
Apr 19, 2024
D Democratic77
63 Yea 14
81% Yea
R Republican40
31 Yea 9
77% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
40
Key actions
12
Committee
13
Amendments
6
Jul 19, 2024
Signed into law
Governor Approved
lower
May 16, 2024
Lower · Passed
Passed Both Houses
lower
May 16, 2024
Lower · Passed
Third Reading - Passed; 058-000-000
lower
May 8, 2024
Lower · Passed
Do Pass Insurance; 010-000-000
lower
Apr 30, 2024
Lower · Passed
Rule 2-10 Committee Deadline Established As May 10, 2024
lower
Apr 30, 2024
Committee
Assigned to Insurance
lower
Apr 24, 2024
Committee
Referred to Assignments
lower
Apr 24, 2024
Introduced
Arrive in Senate
lower
Apr 19, 2024
Lower · Passed
Third Reading - Short Debate - Passed 095-000-000
lower
Apr 2, 2024
Amended
House Committee Amendment No. 1 Tabled
lower
Apr 2, 2024
Lower · Passed
Do Pass as Amended / Short Debate Insurance Committee; 012-000-000
lower
Apr 2, 2024
Lower · Passed
House Committee Amendment No. 3 Adopted in Insurance Committee; by Voice Vote
lower
Apr 2, 2024
Lower · Passed
House Committee Amendment No. 2 Adopted in Insurance Committee; by Voice Vote
lower
Apr 2, 2024
Lower · Passed
House Committee Amendment No. 3 Rules Refers to Insurance Committee
lower
Mar 25, 2024
Committee
House Committee Amendment No. 3 Referred to Rules Committee
lower
Mar 25, 2024
Introduced
House Committee Amendment No. 3 Filed with Clerk by Rep. Thaddeus Jones
lower
Mar 21, 2024
Lower · Passed
House Committee Amendment No. 2 Rules Refers to Insurance Committee
lower
Mar 20, 2024
Committee
House Committee Amendment No. 2 Referred to Rules Committee
lower
Mar 20, 2024
Introduced
House Committee Amendment No. 2 Filed with Clerk by Rep. Thaddeus Jones
lower
Mar 12, 2024
Lower · Passed
House Committee Amendment No. 1 Rules Refers to Insurance Committee
lower
Mar 8, 2024
Committee
House Committee Amendment No. 1 Referred to Rules Committee
lower
Mar 8, 2024
Introduced
House Committee Amendment No. 1 Filed with Clerk by Rep. Thaddeus Jones
lower
Feb 28, 2024
Committee
Assigned to Insurance Committee
lower
Feb 9, 2024
Committee
Referred to Rules Committee
lower
2 primary · 1 co-sponsor

Sponsors