Bill Title: Reinserts the provisions of the bill, as amended by House Amendment No. 1, with changes that include the following. Provides that the amendatory Act may be referred to as the Health Care Protection Act. In the Network Adequacy and Transparency Act, provides that the Department of Insurance shall enforce certain network adequacy and transparency standards for stand-alone dental plans for plans amended, delivered, issued, or renewed on or after January 1, 2025. Provides that for the Department to enforce any new or modified federal standard before the Department adopts the standard by rule, the Department must, no later than May 15 before the start of the plan year, give public notice to the affected health insurance issuers through a bulletin. Further amends the Illinois Insurance Code, makes changes concerning provider directories. Creates the Uniform Electronic Provider Directory Information Form Task Force. Requires the Department of Insurance, with input from the Uniform Electronic Provider Directory Information Form Task Force, to develop and publish a uniform electronic provider directory information form that issuers shall make available to providers to notify the issuer of the provider's currently accurate provider directory information. Provides that certain provisions concerning prosthetic and customized orthotic devices do not apply to certain other fixed indemnities. Requires the Department to create a template for drug formularies by March 31, 2025. With regard to a prohibition on certain step therapy requirements, removes an exception for the Department of Healthcare and Family services. Makes changes concerning the calculation of a cost-sharing reduction defunding adjustment factor; retrospective review of coverage for inpatient mental health treatment at participating hospitals; the definition of "step therapy requirement"; concurrent review; and standards for utilization review criteria. Makes other changes. Amends the Illinois Health Benefits Exchange Law. Provides that beginning for plan year 2026, if a health insurance issuer offers a product as defined under federal regulations at the gold or silver level through the Illinois Health Benefits Exchange, the issuer must offer that product at both the gold and silver levels. Provides that no later than October 1, 2025 (rather than July 1, 2025), insurance companies that use a drug formulary shall post the formulary on their websites. Amends the Managed Care Reform and Patient Rights Act. Makes changes concerning definitions and utilization review programs. Further amends the Prior Authorization Reform Act. Changes the definition of "medically necessary". Amends the Illinois Public Aid Code. Makes changes concerning the applicability of the Managed Care Reform and Patient Rights Act to the Code. Effective January 1, 2025.

Spectrum: Partisan Bill (Democrat 73-1)

Status: (Engrossed) 2024-05-10 - Rule 2-10 Committee Deadline Established As May 17, 2024 [HB5395 Detail]

Text: Latest bill text (Engrossed) [HTML]

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Sponsors

Name	Type	Sponsorship	District	Financial	Encyclopedia	Biography
Representative Anna Moeller [D]	Primary	Sponsored Bills	HD-043	FollowTheMoney	Ballotpedia	VoteSmart
Representative Robyn Gabel [D]	Cosponsor	Sponsored Bills	HD-018	FollowTheMoney	Ballotpedia	VoteSmart
Representative Eva Dina Delgado [D]	Cosponsor	Sponsored Bills	HD-003	FollowTheMoney	Ballotpedia	VoteSmart
Representative Bob Morgan [D]	Cosponsor	Sponsored Bills	HD-058	FollowTheMoney	Ballotpedia	VoteSmart
Representative Camille Lilly [D]	Cosponsor	Sponsored Bills	HD-078	FollowTheMoney	Ballotpedia	VoteSmart
Representative William Hauter [R]	Cosponsor	Sponsored Bills	HD-087	FollowTheMoney	Ballotpedia	VoteSmart
Representative Jenn Ladisch Douglass [D]	Cosponsor	Sponsored Bills	HD-045	FollowTheMoney	Ballotpedia	N/A
Representative Yolanda Morris [D]	Cosponsor	Sponsored Bills	HD-009	FollowTheMoney	Ballotpedia	VoteSmart
Representative Sue Scherer [D]	Cosponsor	Sponsored Bills	HD-096	FollowTheMoney	Ballotpedia	VoteSmart
Representative Kelly Cassidy [D]	Cosponsor	Sponsored Bills	HD-014	FollowTheMoney	Ballotpedia	VoteSmart
Representative Marcus Evans [D]	Cosponsor	Sponsored Bills	HD-033	FollowTheMoney	Ballotpedia	VoteSmart
Representative Sonya Harper [D]	Cosponsor	Sponsored Bills	HD-006	FollowTheMoney	Ballotpedia	VoteSmart
Representative Mark Walker [D]	Cosponsor	Sponsored Bills	HD-053	FollowTheMoney	Ballotpedia	VoteSmart
Representative Mary Canty [D]	Cosponsor	Sponsored Bills	HD-054	FollowTheMoney	Ballotpedia	VoteSmart
Representative Will Guzzardi [D]	Cosponsor	Sponsored Bills	HD-039	FollowTheMoney	Ballotpedia	VoteSmart
Representative Ann Williams [D]	Cosponsor	Sponsored Bills	HD-011	FollowTheMoney	Ballotpedia	VoteSmart
Representative Nabeela Syed [D]	Cosponsor	Sponsored Bills	HD-051	FollowTheMoney	Ballotpedia	N/A
Representative Natalie Manley [D]	Cosponsor	Sponsored Bills	HD-098	FollowTheMoney	Ballotpedia	VoteSmart
Representative Nicholas Smith [D]	Cosponsor	Sponsored Bills	HD-034	FollowTheMoney	Ballotpedia	VoteSmart
Representative Elizabeth Hernandez [D]	Cosponsor	Sponsored Bills	HD-002	FollowTheMoney	Ballotpedia	VoteSmart
Representative Lindsey LaPointe [D]	Cosponsor	Sponsored Bills	HD-019	FollowTheMoney	Ballotpedia	VoteSmart
Representative Dagmara Avelar [D]	Cosponsor	Sponsored Bills	HD-085	FollowTheMoney	Ballotpedia	VoteSmart
Representative Suzanne Ness [D]	Cosponsor	Sponsored Bills	HD-066	FollowTheMoney	Ballotpedia	VoteSmart
Representative Matt Hanson [D]	Cosponsor	Sponsored Bills	HD-083	FollowTheMoney	Ballotpedia	VoteSmart
Representative Terra Costa Howard [D]	Cosponsor	Sponsored Bills	HD-042	FollowTheMoney	Ballotpedia	VoteSmart
Representative Katie Stuart [D]	Cosponsor	Sponsored Bills	HD-112	FollowTheMoney	Ballotpedia	VoteSmart
Representative Jaime Andrade [D]	Cosponsor	Sponsored Bills	HD-040	FollowTheMoney	Ballotpedia	VoteSmart
Representative Joyce Mason [D]	Cosponsor	Sponsored Bills	HD-061	FollowTheMoney	Ballotpedia	VoteSmart
Representative Jehan Gordon-Booth [D]	Cosponsor	Sponsored Bills	HD-092	FollowTheMoney	Ballotpedia	VoteSmart
Representative Martin Moylan [D]	Cosponsor	Sponsored Bills	HD-055	FollowTheMoney	Ballotpedia	VoteSmart
Representative Diane Blair-Sherlock [D]	Cosponsor	Sponsored Bills	HD-046	FollowTheMoney	Ballotpedia	VoteSmart
Representative Maura Hirschauer [D]	Cosponsor	Sponsored Bills	HD-049	FollowTheMoney	Ballotpedia	VoteSmart
Representative Maurice West [D]	Cosponsor	Sponsored Bills	HD-067	FollowTheMoney	Ballotpedia	VoteSmart
Representative Michael Kelly [D]	Cosponsor	Sponsored Bills	HD-015	N/A	Ballotpedia	VoteSmart
Representative Tracy Katz Muhl [D]	Cosponsor	Sponsored Bills	HD-057	FollowTheMoney	Ballotpedia	VoteSmart
Representative Margaret Croke [D]	Cosponsor	Sponsored Bills	HD-012	FollowTheMoney	Ballotpedia	VoteSmart
Representative Kimberly Du Buclet [D]	Cosponsor	Sponsored Bills	HD-005	N/A	Ballotpedia	N/A
Representative Theresa Mah [D]	Cosponsor	Sponsored Bills	HD-024	FollowTheMoney	Ballotpedia	VoteSmart
Representative Rita Mayfield [D]	Cosponsor	Sponsored Bills	HD-060	FollowTheMoney	Ballotpedia	VoteSmart
Representative Michelle Mussman [D]	Cosponsor	Sponsored Bills	HD-056	FollowTheMoney	Ballotpedia	VoteSmart
Representative Kevin Olickal [D]	Cosponsor	Sponsored Bills	HD-016	FollowTheMoney	Ballotpedia	VoteSmart
Representative Abdelnasser Rashid [D]	Cosponsor	Sponsored Bills	HD-021	FollowTheMoney	Ballotpedia	VoteSmart
Representative Robert Rita [D]	Cosponsor	Sponsored Bills	HD-028	FollowTheMoney	Ballotpedia	VoteSmart
Representative Sharon Chung [D]	Cosponsor	Sponsored Bills	HD-091	FollowTheMoney	Ballotpedia	N/A
Representative Kambium Buckner [D]	Cosponsor	Sponsored Bills	HD-026	FollowTheMoney	Ballotpedia	VoteSmart
Representative LaShawn Ford [D]	Cosponsor	Sponsored Bills	HD-008	FollowTheMoney	Ballotpedia	VoteSmart
Representative Emanuel Welch [D]	Cosponsor	Sponsored Bills	HD-007	FollowTheMoney	Ballotpedia	VoteSmart
Representative Stephanie Kifowit [D]	Cosponsor	Sponsored Bills	HD-084	FollowTheMoney	Ballotpedia	VoteSmart
Representative Janet Yang Rohr [D]	Cosponsor	Sponsored Bills	HD-041	FollowTheMoney	Ballotpedia	VoteSmart
Representative Anne Stava-Murray [D]	Cosponsor	Sponsored Bills	HD-081	FollowTheMoney	Ballotpedia	VoteSmart
Representative Laura Faver Dias [D]	Cosponsor	Sponsored Bills	HD-062	FollowTheMoney	Ballotpedia	VoteSmart
Representative Jennifer Gong-Gershowitz [D]	Cosponsor	Sponsored Bills	HD-017	FollowTheMoney	Ballotpedia	VoteSmart
Representative Gregg Johnson [D]	Cosponsor	Sponsored Bills	HD-072	FollowTheMoney	Ballotpedia	VoteSmart
Representative Harry Benton [D]	Cosponsor	Sponsored Bills	HD-097	FollowTheMoney	Ballotpedia	VoteSmart
Representative Norma Hernandez [D]	Cosponsor	Sponsored Bills	HD-077	FollowTheMoney	Ballotpedia	VoteSmart
Representative Lilian Jimenez [D]	Cosponsor	Sponsored Bills	HD-004	FollowTheMoney	Ballotpedia	VoteSmart
Representative Debbie Meyers-Martin [D]	Cosponsor	Sponsored Bills	HD-038	FollowTheMoney	Ballotpedia	VoteSmart
Representative Hoan Huynh [D]	Cosponsor	Sponsored Bills	HD-013	FollowTheMoney	Ballotpedia	VoteSmart
Senator Robert Peters [D]	Primary	Sponsored Bills	SD-013	FollowTheMoney	Ballotpedia	VoteSmart
Senator Laura Fine [D]	Cosponsor	Sponsored Bills	SD-009	FollowTheMoney	Ballotpedia	VoteSmart
Senator Rachel Ventura [D]	Cosponsor	Sponsored Bills	SD-043	FollowTheMoney	Ballotpedia	VoteSmart
Senator Willie Preston [D]	Cosponsor	Sponsored Bills	SD-016	FollowTheMoney	Ballotpedia	VoteSmart
Senator Patrick Joyce [D]	Cosponsor	Sponsored Bills	SD-040	FollowTheMoney	Ballotpedia	VoteSmart
Senator Kimberly Lightford [D]	Cosponsor	Sponsored Bills	SD-004	FollowTheMoney	Ballotpedia	VoteSmart
Senator Karina Villa [D]	Cosponsor	Sponsored Bills	SD-025	FollowTheMoney	Ballotpedia	VoteSmart
Senator Mike Simmons [D]	Cosponsor	Sponsored Bills	SD-007	N/A	Ballotpedia	VoteSmart
Senator Ram Villivalam [D]	Cosponsor	Sponsored Bills	SD-008	FollowTheMoney	Ballotpedia	VoteSmart
Senator Sara Feigenholtz [D]	Cosponsor	Sponsored Bills	SD-006	FollowTheMoney	Ballotpedia	VoteSmart
Senator Steve Stadelman [D]	Cosponsor	Sponsored Bills	SD-034	FollowTheMoney	Ballotpedia	VoteSmart
Senator Julie Morrison [D]	Cosponsor	Sponsored Bills	SD-029	FollowTheMoney	Ballotpedia	VoteSmart
Senator Laura Ellman [D]	Cosponsor	Sponsored Bills	SD-021	FollowTheMoney	Ballotpedia	VoteSmart
Senator Christopher Belt [D]	Cosponsor	Sponsored Bills	SD-057	FollowTheMoney	Ballotpedia	VoteSmart
Senator Javier Cervantes [D]	Cosponsor	Sponsored Bills	SD-001	FollowTheMoney	Ballotpedia	VoteSmart
Senator Adriane Johnson [D]	Cosponsor	Sponsored Bills	SD-030	N/A	Ballotpedia	VoteSmart

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