Bill Status of HB 4941   102nd General Assembly

Short Description:  INS CD-CONTRACTING PROCEDURES

House Sponsors
Rep. Theresa Mah-Thaddeus Jones-Bob Morgan, Camille Y. Lilly and Sue Scherer

Senate Sponsors
(Sen. Laura Fine and Laura M. Murphy-Patricia Van Pelt)


Last Action  View All Actions

DateChamber Action
  5/27/2022HousePublic Act . . . . . . . . . 102-0957

Statutes Amended In Order of Appearance
215 ILCS 5/368b

Synopsis As Introduced
Amends the Accident and Health Insurance Article of the Illinois Insurance Code. In provisions concerning contracting procedures, replaces language concerning changes to the fee schedule with language providing that an insurer, health maintenance organization, independent practice association, or physician hospital organization shall provide all contracted health care professionals or health care providers with notice of any changes to the fee schedule at least 90 days before the effective date of the change, that the right to advance notice of changes to the fee schedule cannot be waived by the health care professional or provider, and that changes to the fee schedule cannot be applied retroactively from the effective date of the changes. Provides that if the changes to the fee schedule include a reduction in fees greater than 3% of the Medicare rate established for the current calendar year, the health care professional or health care provider may propose alternative changes to the fee schedule. Provides that any changes to the fee schedule must be final at least 30 days before the effective date of the changes. Provides that fee schedule information must be provided directly to the contracted health care professional or health care provider (rather than may be made available) by mail, e-mail, or telephone, and that this information may also be provided by newsletter, website listing, or other reasonable method.

House Floor Amendment No. 1
Replaces everything after the enacting clause. Amends the Illinois Insurance Code. Provides that, beginning January 1, 2023, with respect to nonroutine changes to the fee schedule, the insurer, health maintenance organization, independent practice association, or physician hospital organization shall provide all contracted health care professionals or health care providers impacted by the nonroutine change with notice of the change at least 60 days before the effective date of the change, that the right to advance notice of nonroutine changes to the fee schedule may not be waived by the health care professional or provider, and that, for nonroutine changes, the information directing the health care professional or health care provider to the information provided by newsletter, website listing, or other reasonable method shall be provided by email or, if requested by the health care professional or health care provider, by mail. Defines "nonroutine change".

Senate Floor Amendment No. 1
Provides that health maintenance organizations that provide or arrange for and pay or reimburse for the cost of any health care services for persons who are enrolled in the medical assistance programs under the Illinois Public Aid Code shall comply with provider notification requirements established by the Department of Healthcare and Family Services.

Actions 
DateChamber Action
  1/25/2022HouseFiled with the Clerk by Rep. Theresa Mah
  1/27/2022HouseFirst Reading
  1/27/2022HouseReferred to Rules Committee
  2/9/2022HouseAssigned to Insurance Committee
  2/15/2022HouseDo Pass / Short Debate Insurance Committee; 016-000-000
  2/16/2022HousePlaced on Calendar 2nd Reading - Short Debate
  3/1/2022HouseHouse Floor Amendment No. 1 Filed with Clerk by Rep. Theresa Mah
  3/1/2022HouseHouse Floor Amendment No. 1 Referred to Rules Committee
  3/2/2022HouseHouse Floor Amendment No. 1 Rules Refers to Insurance Committee
  3/2/2022HouseSecond Reading - Short Debate
  3/2/2022HouseHeld on Calendar Order of Second Reading - Short Debate
  3/3/2022HouseHouse Floor Amendment No. 1 Recommends Be Adopted Insurance Committee; 017-000-000
  3/3/2022HouseAdded Chief Co-Sponsor Rep. Thaddeus Jones
  3/3/2022HouseAdded Chief Co-Sponsor Rep. Bob Morgan
  3/4/2022HouseHouse Floor Amendment No. 1 Adopted
  3/4/2022HousePlaced on Calendar Order of 3rd Reading - Short Debate
  3/4/2022HouseThird Reading - Short Debate - Passed 101-000-000
  3/7/2022SenateArrive in Senate
  3/7/2022SenatePlaced on Calendar Order of First Reading
  3/7/2022SenateChief Senate Sponsor Sen. Laura Fine
  3/7/2022SenateFirst Reading
  3/7/2022SenateReferred to Assignments
  3/15/2022SenateAdded as Alternate Co-Sponsor Sen. Laura M. Murphy
  3/16/2022SenateAssigned to Insurance
  3/23/2022SenateDo Pass Insurance; 011-000-000
  3/23/2022SenatePlaced on Calendar Order of 2nd Reading
  3/23/2022SenateSecond Reading
  3/23/2022SenatePlaced on Calendar Order of 3rd Reading March 24, 2022
  3/24/2022SenateSenate Floor Amendment No. 1 Filed with Secretary by Sen. Laura Fine
  3/24/2022SenateSenate Floor Amendment No. 1 Referred to Assignments
  3/28/2022SenateSenate Floor Amendment No. 1 Assignments Refers to Insurance
  3/30/2022SenateAdded as Alternate Chief Co-Sponsor Sen. Patricia Van Pelt
  3/30/2022SenateSenate Floor Amendment No. 1 Recommend Do Adopt Insurance; 014-000-000
  3/31/2022SenateRecalled to Second Reading
  3/31/2022SenateSenate Floor Amendment No. 1 Adopted; Fine
  3/31/2022SenatePlaced on Calendar Order of 3rd Reading
  3/31/2022SenateThird Reading - Passed; 056-000-000
  3/31/2022HouseArrived in House
  3/31/2022HousePlaced on Calendar Order of Concurrence Senate Amendment(s) 1
  4/3/2022HouseSenate Floor Amendment No. 1 Motion Filed Concur Rep. Theresa Mah
  4/3/2022HouseSenate Floor Amendment No. 1 Motion to Concur Referred to Rules Committee
  4/5/2022HouseSenate Floor Amendment No. 1 Motion to Concur Recommends Be Adopted Rules Committee; 004-000-000
  4/7/2022HouseSenate Floor Amendment No. 1 House Concurs 113-000-000
  4/7/2022HouseHouse Concurs
  4/7/2022HousePassed Both Houses
  4/7/2022HouseAdded Co-Sponsor Rep. Camille Y. Lilly
  4/7/2022HouseAdded Co-Sponsor Rep. Sue Scherer
  5/6/2022HouseSent to the Governor
  5/27/2022HouseGovernor Approved
  5/27/2022HouseEffective Date January 1, 2023
  5/27/2022HousePublic Act . . . . . . . . . 102-0957

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