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HB1864 - 104th General Assembly
DENTAL CARE-ELECTRONIC BILLING
Last Action
House Sponsors
Rep. Robert "Bob" Rita, Hoan Huynh and Camille Y. LillySenate Sponsors
(Sen. Javier L. Cervantes and Dave Syverson)Statutes Amended In Order of Appearance
215 ILCS 111/45 new
Synopsis As Introduced
Amends the Uniform Electronic Transactions in Dental Care Billing Act. Provides that beginning January 1, 2028 (instead of 2026), no dental plan carrier is required to accept from a dental care provider eligibility for a dental plan transaction or dental care claims or equivalent encounter information transaction. Sets forth exemptions from the requirements of the Act, and requires a dental care provider who is exempt from the requirements of the Act to file a form with the Department of Insurance indicating the applicable exemption. Requires each dental plan carrier to establish a portal that provides certain benefit and billing information. Requires a dental plan carrier to establish an electronic portal that allows dental care providers to submit claims electronically and directly to the dental care provider; accept attachments in an electronic format with the initial electronic claim's submission; and provide remittance advice with the corresponding payment. Provides that nothing in the Act requires a dental care provider to only accept electronic payment from a dental plan carrier. Provides that dental plan carriers shall allow alternative forms of payment, without additional fees or charges, to a dental care provider, if requested. Effective immediately.
House Floor Amendment No. 1
Deletes reference to:
215 ILCS 111/45 new
Adds reference to:
Replaces everything after the enacting clause with the provisions of the introduced bill with the following changes. Provides that, beginning January 1, 2027 (rather than 2028), no dental plan carrier is required to accept from a dental care provider eligibility for a dental plan transaction or dental care claims or equivalent encounter information transaction except as provided. Provides that all dental plan carriers and dental care providers must comply with applicable State and federal privacy and security laws and regulations when conducting the exchange of information under the Act. Requires the Department of Insurance to provide a specified exemption form no later than January 1, 2027 (rather than 2028). Establishes additional requirements for the eligibility and benefit verification portal. Removes language requiring dental plan carriers to allow alternative forms of payment, without additional fees or charges, to a dental care provider, if requested. Makes changes to defined terms and makes other changes. Effective immediately, except that provisions concerning exemptions, requirements for the eligibility and benefit verification portal, and payments accepted by dental care providers are effective Janaury 1, 2027.
Senate Committee Amendment No. 1
In provisions concerning circumstances in which a dental care provider shall not be required to submit claims electronically, includes a dental care provider that works less than 16 (rather than 20) hours per week and is a solo practitioner. Removes the dental care provider planning to retire prior to January 1, 2031 from the list of circumstances.
Actions
| Date | Chamber | Action |
|---|---|---|
| 1/29/2025 | House | Filed with the Clerk by Rep. Robert "Bob" Rita |
| 1/29/2025 | House | First Reading |
| 1/29/2025 | House | Referred to Rules Committee |
| 2/25/2025 | House | Assigned to Insurance Committee |
| 3/18/2025 | House | Do Pass / Short Debate Insurance Committee; 010-005-000 |
| 3/19/2025 | House | Placed on Calendar 2nd Reading - Short Debate |
| 3/26/2025 | House | Second Reading - Short Debate |
| 3/26/2025 | House | Held on Calendar Order of Second Reading - Short Debate |
| 4/02/2025 | House | House Floor Amendment No. 1 Filed with Clerk by Rep. Robert "Bob" Rita |
| 4/02/2025 | House | House Floor Amendment No. 1 Referred to Rules Committee |
| 4/07/2025 | House | House Floor Amendment No. 1 Rules Refers to Insurance Committee |
| 4/08/2025 | House | House Floor Amendment No. 1 Recommends Be Adopted Insurance Committee; 014-000-000 |
| 4/09/2025 | House | House Floor Amendment No. 1 Adopted |
| 4/09/2025 | House | Placed on Calendar Order of 3rd Reading - Short Debate |
| 4/09/2025 | House | Third Reading - Short Debate - Passed 116-000-000 |
| 4/10/2025 | House | Added Co-Sponsor Rep. Hoan Huynh |
| 4/10/2025 | Senate | Arrive in Senate |
| 4/10/2025 | Senate | Placed on Calendar Order of First Reading |
| 4/10/2025 | Senate | Chief Senate Sponsor Sen. Javier L. Cervantes |
| 4/10/2025 | Senate | First Reading |
| 4/10/2025 | Senate | Referred to Assignments |
| 4/10/2025 | House | Added Co-Sponsor Rep. Camille Y. Lilly |
| 5/01/2025 | Senate | Added as Alternate Co-Sponsor Sen. Dave Syverson |
| 5/06/2025 | Senate | Assigned to Insurance |
| 5/09/2025 | Senate | Rule 2-10 Committee Deadline Established As May 23, 2025 |
| 5/12/2025 | Senate | Senate Committee Amendment No. 1 Filed with Secretary by Sen. Javier L. Cervantes |
| 5/12/2025 | Senate | Senate Committee Amendment No. 1 Referred to Assignments |
| 5/13/2025 | Senate | Senate Committee Amendment No. 1 Assignments Refers to Insurance |
| 5/13/2025 | Senate | Senate Committee Amendment No. 1 Adopted |
| 5/14/2025 | Senate | Do Pass as Amended Insurance; 010-000-000 |
| 5/14/2025 | Senate | Placed on Calendar Order of 2nd Reading May 15, 2025 |
| 5/15/2025 | Senate | Second Reading |
| 5/15/2025 | Senate | Placed on Calendar Order of 3rd Reading May 20, 2025 |
| 5/21/2025 | Senate | Third Reading - Passed; 058-000-000 |
| 5/21/2025 | House | Arrived in House |
| 5/21/2025 | House | Placed on Calendar Order of Concurrence Senate Amendment(s) 1 |
| 5/21/2025 | House | Senate Committee Amendment No. 1 Motion Filed Concur Rep. Robert "Bob" Rita |
| 5/21/2025 | House | Senate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee |
| 5/28/2025 | House | Senate Committee Amendment No. 1 Motion to Concur Rules Referred to Insurance Committee |
| 5/29/2025 | House | Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Insurance Committee; 015-000-000 |
| 5/31/2025 | House | Senate Committee Amendment No. 1 House Concurs 117-000-000 |
| 5/31/2025 | House | House Concurs |
| 5/31/2025 | House | Passed Both Houses |
| 6/24/2025 | House | Sent to the Governor |
| 8/15/2025 | House | Governor Approved |
| 8/15/2025 | House | Effective Date August 15, 2025; some provisions |
| 8/15/2025 | House | Effective Date January 1, 2027; some provisions |
| 8/15/2025 | House | Public Act . . . . . . . . . 104-0203 |