Bill Status of SB 3822   101st General Assembly

Short Description:  PRIOR AUTHORIZATION REFORM ACT

Senate Sponsors
Sen. Linda Holmes, Julie A. Morrison, Cristina Castro-Heather A. Steans-Donald P. DeWitte, Emil Jones, III, Christopher Belt-Jacqueline Y. Collins-Elgie R. Sims, Jr., Sue Rezin, Steve Stadelman, Laura M. Murphy, Andy Manar and Pat McGuire

Last Action  View All Actions

DateChamber Action
  1/13/2021SenateSession Sine Die

Statutes Amended In Order of Appearance
New Act
215 ILCS 134/45.2
215 ILCS 134/70
305 ILCS 5/5-5.12d new

Synopsis As Introduced
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.

Actions 
DateChamber Action
  2/14/2020SenateFiled with Secretary by Sen. Linda Holmes
  2/14/2020SenateFirst Reading
  2/14/2020SenateReferred to Assignments
  2/14/2020SenateAdded as Co-Sponsor Sen. Julie A. Morrison
  2/14/2020SenateAdded as Co-Sponsor Sen. Cristina Castro
  2/18/2020SenateAdded as Chief Co-Sponsor Sen. Heather A. Steans
  2/18/2020SenateAdded as Chief Co-Sponsor Sen. Donald P. DeWitte
  2/18/2020SenateAdded as Co-Sponsor Sen. Emil Jones, III
  2/18/2020SenateAdded as Co-Sponsor Sen. Christopher Belt
  2/18/2020SenateAdded as Chief Co-Sponsor Sen. Jacqueline Y. Collins
  2/18/2020SenateAdded as Chief Co-Sponsor Sen. Elgie R. Sims, Jr.
  2/19/2020SenateAdded as Co-Sponsor Sen. Sue Rezin
  2/19/2020SenateAdded as Co-Sponsor Sen. Steve Stadelman
  2/19/2020SenateAdded as Co-Sponsor Sen. Laura M. Murphy
  2/21/2020SenateAdded as Co-Sponsor Sen. Andy Manar
  3/3/2020SenateAdded as Co-Sponsor Sen. Pat McGuire
  1/13/2021SenateSession Sine Die

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