Creates the Prior Authorization Reform Act. Provides requirements concerning disclosure and review of prior authorization requirements, denial of claims or coverage by a utilization review program, and the implementation of prior authorization requirements or restrictions. Provides requirements concerning a utilization review program's obligations with respect to prior authorizations in nonurgent circumstances, urgent health care services, and emergency health care services. Provides that a utilization review program shall not require prior authorization under specified circumstances. Provides requirements concerning the length of prior authorizations. Provides that health care services are automatically deemed authorized if a utilization review program fails to comply with the requirements of the Act. Provides that the Director of Insurance may impose an administrative fine not to exceed $250,000 for violations of the Act. Defines terms. Amends the Managed Care Reform and Patient Rights Act to provide that an insurer that provides prescription drug benefits must comply with the requirements of the Prior Authorization Reform Act. Provides that if prior authorization for covered post-stabilization services is required by a health care plan, the plan shall comply with the requirements of the Prior Authorization Reform Act. Amends the Illinois Public Aid Code to provide that all managed care organizations shall comply with the requirements of the Prior Authorization Reform Act. Makes other changes. Effective January 1, 2021.
Rep. Carol Ammons
Sponsored bills
Amends various Acts relating to the governance of public universities. Provides that the boards of trustees shall provide by rule or contract for a procedure to evaluate the performance and qualifications of non-tenured faculty members. Provides that, if the implementation of the procedure results in a decision to dismiss a non-tenured faculty member for the ensuing academic year or term, the Board shall give notice to the faculty member not later than 60 days before the end of the academic year or term. Provides that, if the Board fails to give the notice within the time period, the faculty member shall be deemed reemployed for the ensuing academic year. Effective immediately.
Amends the Payday Loan Reform Act. Provides that lenders must verify the identity of borrowers before making a loan under the Act. Requires inspection and copying of a government-issued identification document. Allows identifications to be made by licensees under the Currency Exchange Act and other licensees approved by the Department of Financial and Professional Regulation on behalf of lenders under the Payday Loan Reform Act.
States the belief that Illinois must be proactive in educating, empowering, and advocating for those at the end of life and urges Congress to enact legislation that would encourage Medicare and Medicaid to take meaningful steps toward identifying and educating vulnerable populations that are nearing the end of life.
Creates the Complete Streets Act. Requires the Department of Transportation to use federal or State funds allocated for transportation projects to improve safety, access, and mobility for users of the various modes of transportation. Creates the Complete Streets Advisory Board. Provides that the Governor shall appoint members representing various agencies, organizations, or interest groups to the Advisory Board. Provides that the Advisory Board, in coordination with a representative or representatives of the Department, shall prepare a report on the status of the implementation of the Complete Streets Initiative. Provides that the Advisory Board shall submit its initial report and recommendations to the Governor, the Department, and the General Assembly on or before January 1, 2022, and annually on January 1 of each subsequent year. Defines the terms "Advisory Board", "Department", "multimodal", "multimodal planning or multimodal transportation planning", and "user or users". Effective immediately.
Amends the Public Utilities Act. In its determination of public convenience and necessity for a proposed pipeline or facility designed or intended to transport crude oil and any alternate locations for such proposed pipeline or facility, requires the Illinois Commerce Commission to consider any evidence presented by a party or other entity that participates in the proceeding regarding the impact of the proposed pipeline or facility on environmental externalities. Provides that "environmental externalities" means benefits or costs, generated as a by-product of an economic activity, that do not accrue to the parties involved in the activity and are benefits or costs that manifest themselves through changes in the physical or biological environment.
Amends the Criminal Code of 2012. Provides that a peace officer is justified in using force likely to cause death or great bodily harm only when the officer reasonably believes that the force is necessary to prevent death or great bodily harm to the officer or the other person, or when the officer reasonably believes both that: (1) the force is necessary to prevent the arrest from being defeated by resistance or escape, the officer reasonably believes that the person to be arrested cannot be apprehended at a later date, and the officer reasonably believes that the person to be arrested is likely to cause great bodily harm to another; and (2) the person to be arrested just committed or attempted a forcible felony which involves the infliction or threatened infliction of great bodily harm and is attempting to escape by use of a deadly weapon, or otherwise indicates that the person will endanger human life or inflict great bodily harm unless arrested without delay.
Amends the Minors Article of the Probate Act of 1975. Provides that there is a rebuttable presumption that a parent of a minor is willing and able to make and carry out decisions concerning the educational needs of the minor. Provides that no petition for the appointment of a guardian of a minor shall be filed in which the primary purpose of the filing is to reduce the financial resources available to the minor in order to cause the minor to qualify for public or private financial assistance from an educational institution. Provides that the court shall deny the petition if it finds, by a preponderance of the evidence, that the primary purpose of the filing is to reduce the financial resources available to the minor in order to cause the minor to qualify for public or private financial assistance from an educational institution.
Amends the Ivory Ban Act. Renames the Act the Animal Parts and Products Ban Act. Makes the Act applicable to animal parts or products. Defines "animal part or product" as, in addition to ivory and rhinoceros horn, any item that contains, or is wholly or partially made from, the following animal family, genus, or species: cheetah, elephant, giraffe, great ape, hippopotamus, jaguar, leopard, lion, monk seal, narwhal, pangolin, ray or shark, rhinoceros, sea turtle, tiger, walrus, or whale, insofar as the species, subspecies, or distinct population segment is listed on specified endangered species lists. Authorizes the Department of Natural Resources to permit the transfer of covered animal parts or products to or from a museum. Makes changes concerning exemptions for certain antiques.
Amends the Criminal Identification Act. Provides that notwithstanding the eligibility requirements regarding expungement, a petitioner is eligible to petition the circuit court to expunge all records that have been sealed 3 years after the petitioner is granted sealing if the petitioner has not been arrested or has not had one or more criminal convictions between the court granting sealing and the filing of the petition for relief.