Illinois House Bill 5510 (Prior Session Legislation)

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Spectrum: Slight Partisan Bill (Democrat 29-13)
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]

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.

PRIOR AUTHORIZATION REFORM ACT

Rep. Gregory Harris [D]	Rep. Tom Demmer [R]	Rep. Andre Thapedi [D]	Rep. Frances Hurley [D]
Rep. Ryan Spain [R]	Rep. Emanuel Welch [D]	Rep. Jeff Keicher [R]	Rep. Michael Marron [R]
Rep. Elizabeth Hernandez [D]	Rep. Jonathan Carroll [D]	Sen. John Connor [D]	Rep. Anna Moeller [D]
Rep. Michelle Mussman [D]	Rep. Deborah Conroy [D]	Rep. Ann Williams [D]	Rep. Margo McDermed [R]
Rep. Mike Murphy [R]	Rep. Grant Wehrli [R]	Rep. Theresa Mah [D]	Rep. Michael Zalewski [D]
Rep. Keith Wheeler [R]	Rep. Martin Moylan [D]	Rep. Bob Morgan [D]	Rep. Nicholas Smith [D]
Rep. Norine Hammond [R]	Rep. William Davis [D]	Rep. Justin Slaughter [D]	Rep. Keith Sommer [R]
Rep. Arthur Turner [D]	Rep. Lawrence Walsh [D]	Rep. Maurice West [D]	Rep. Robyn Gabel [D]
Rep. Marcus Evans [D]	Rep. Jawaharial Williams [D]	Rep. Carol Ammons [D]	Rep. Sonya Harper [D]
Rep. Kambium Buckner [D]	Rep. Patrick Windhorst [R]	Rep. Kelly Cassidy [D]	Sen. Andrew Chesney [R]
Rep. John Cabello [R]	Rep. Jonathan Pizer [D]

Date	Chamber	Action
2020-06-23	House	Rule 19(b) / Re-referred to Rules Committee
2020-03-05	House	Added Co-Sponsor Rep. Jonathan "Yoni" Pizer
2020-03-05	House	Added Co-Sponsor Rep. John M. Cabello
2020-03-05	House	Added Co-Sponsor Rep. Andrew S. Chesney
2020-03-05	House	Added Co-Sponsor Rep. Kelly M. Cassidy
2020-03-05	House	Added Co-Sponsor Rep. Patrick Windhorst
2020-03-05	House	Added Co-Sponsor Rep. Kambium Buckner
2020-03-04	House	Added Co-Sponsor Rep. Sonya M. Harper
2020-03-04	House	Added Co-Sponsor Rep. Carol Ammons
2020-03-04	House	Added Co-Sponsor Rep. Jawaharial Williams
2020-03-04	House	Added Co-Sponsor Rep. Marcus C. Evans, Jr.
2020-02-27	House	Added Co-Sponsor Rep. Robyn Gabel
2020-02-26	House	Added Co-Sponsor Rep. Maurice A. West, II
2020-02-26	House	Added Co-Sponsor Rep. Lawrence Walsh, Jr.
2020-02-26	House	Added Co-Sponsor Rep. Arthur Turner
2020-02-25	House	Assigned to Human Services Committee
2020-02-20	House	Added Co-Sponsor Rep. Keith P. Sommer
2020-02-19	House	Added Co-Sponsor Rep. Justin Slaughter
2020-02-19	House	Added Co-Sponsor Rep. William Davis
2020-02-19	House	Added Co-Sponsor Rep. Norine K. Hammond
2020-02-18	House	Added Co-Sponsor Rep. Nicholas K. Smith
2020-02-18	House	Referred to Rules Committee
2020-02-18	House	First Reading
2020-02-18	House	Added Co-Sponsor Rep. Bob Morgan
2020-02-18	House	Added Co-Sponsor Rep. Martin J. Moylan
2020-02-18	House	Added Co-Sponsor Rep. Keith R. Wheeler
2020-02-18	House	Added Co-Sponsor Rep. Michael J. Zalewski
2020-02-14	House	Co-Sponsor Rep. Theresa Mah
2020-02-14	House	Co-Sponsor Rep. Grant Wehrli
2020-02-14	House	Co-Sponsor Rep. Mike Murphy
2020-02-14	House	Co-Sponsor Rep. Margo McDermed
2020-02-14	House	Co-Sponsor Rep. Ann M. Williams
2020-02-14	House	Co-Sponsor Rep. Deb Conroy
2020-02-14	House	Co-Sponsor Rep. Michelle Mussman
2020-02-14	House	Co-Sponsor Rep. Anna Moeller
2020-02-14	House	Co-Sponsor Rep. John Connor
2020-02-14	House	Co-Sponsor Rep. Jonathan Carroll
2020-02-14	House	Co-Sponsor Rep. Elizabeth Hernandez
2020-02-14	House	Co-Sponsor Rep. Michael T. Marron
2020-02-14	House	Co-Sponsor Rep. Jeff Keicher
2020-02-14	House	Co-Sponsor Rep. Emanuel Chris Welch
2020-02-14	House	Chief Co-Sponsor Rep. Ryan Spain
2020-02-14	House	Chief Co-Sponsor Rep. Frances Ann Hurley
2020-02-14	House	Chief Co-Sponsor Rep. André Thapedi
2020-02-14	House	Chief Co-Sponsor Rep. Tom Demmer
2020-02-14	House	Filed with the Clerk by Rep. Gregory Harris

Chapter	Article	Section	Citation Type	Statute Text
215	134	45.2	Amended Code	Citation Text
215	134	70	Amended Code	Citation Text
305	5	5-5.12d	New Code	See Bill Text

Type	Source
Summary	https://www.ilga.gov/legislation/BillStatus.asp?DocNum=5510&GAID=15&DocTypeID=HB&SessionID=108&GA=101
Text	https://www.ilga.gov/legislation/101/HB/10100HB5510.htm