Illinois Senate Bill 158 (Prior Session Legislation)

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Spectrum: Partisan Bill (Democrat 3-0)
Status: Introduced on February 9 2021 - 25% progression, died in committee
Action: 2021-03-24 - Added as Co-Sponsor Sen. Omar Aquino
Pending: Senate Assignments 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, 2022.

PRIOR AUTHORIZATION REFORM ACT

Sen. Linda Holmes [D]

Sen. Christopher Belt [D]

Sen. Omar Aquino [D]

Date	Chamber	Action
2021-03-24	Senate	Added as Co-Sponsor Sen. Omar Aquino
2021-03-24	Senate	Added as Chief Co-Sponsor Sen. Christopher Belt
2021-02-09	Senate	Referred to Assignments
2021-02-09	Senate	First Reading
2021-02-09	Senate	Filed with Secretary by Sen. Linda Holmes

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=158&GAID=16&DocTypeID=SB&SessionID=110&GA=102
Text	https://www.ilga.gov/legislation/102/SB/10200SB0158.htm