IL HB5498 | 2019-2020 | 101st General Assembly

Status

Spectrum: Moderate Partisan Bill (Democrat 7-1)
Status: Introduced on February 14 2020 - 25% progression, died in committee
Action: 2020-06-23 - Rule 19(b) / Re-referred to Rules Committee
Pending: House Rules Committee
Text: Latest bill text (Introduced) [HTML]

Summary

Amends the Illinois Insurance Code. Provides that the Department of Insurance and the Department of Healthcare and Family Services shall each appoint a Mental Health and Substance Use Disorder Parity Compliance Officer to assist with the responsibilities of enforcing the requirements of the Illinois Insurance Code. Provides that group accident and health policies providing coverage for hospital or medical treatment or services for illness on an expense-incurred basis shall provide specified coverage for the diagnosis and medically necessary treatment of mental, emotional, nervous, or substance use disorders or conditions. Provides criteria and standards for the types of treatment that constitute medically necessary treatment of mental, emotional, nervous, or substance use disorders or conditions. Provides that an insurer shall not limit benefits or coverage for chronic or pervasive mental, emotional, nervous, or substance use disorders or conditions to short-term treatment or to alleviating current symptoms. Provides that insurers shall perform specified actions to ensure the proper use of medical necessity criteria. Provides that if medically necessary services for mental, emotional, nervous, or substance use disorders or conditions are not available in-network within the geography and timeliness standards, the insurer must cover out-of-network services. Provides that if the Department of Insurance determines that an insurer has failed to meet the requirements of the amendatory Act, it shall impose a penalty per product line with respect to each beneficiary. Makes other changes.

Tracking Information

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Title

INS CD-MENTAL HEALTH COVERAGE

Sponsors


History

DateChamberAction
2020-06-23HouseRule 19(b) / Re-referred to Rules Committee
2020-03-12HouseAdded Co-Sponsor Rep. Gregory Harris
2020-03-12HouseAdded Chief Co-Sponsor Rep. Grant Wehrli
2020-03-03HouseAdded Co-Sponsor Rep. Will Guzzardi
2020-02-27HouseAdded Chief Co-Sponsor Rep. Terra Costa Howard
2020-02-27HouseAdded Co-Sponsor Rep. Robyn Gabel
2020-02-26HouseAdded Co-Sponsor Rep. Jennifer Gong-Gershowitz
2020-02-25HouseAssigned to Mental Health Committee
2020-02-21HouseAdded Co-Sponsor Rep. Jonathan "Yoni" Pizer
2020-02-18HouseReferred to Rules Committee
2020-02-18HouseFirst Reading
2020-02-14HouseFiled with the Clerk by Rep. Deb Conroy

Code Citations

ChapterArticleSectionCitation TypeStatute Text
2155370cAmended CodeCitation Text

Illinois State Sources


Bill Comments

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