Bill Status of HB 2072   103rd General Assembly

Short Description:  INS-DENTAL NETWORK PLAN CHANGE

House Sponsors
Rep. Jennifer Gong-Gershowitz, Dave Vella, Theresa Mah and Anna Moeller

Senate Sponsors
(Sen. Laura Fine)


Last Action  View All Actions

DateChamber Action
  6/9/2023HousePublic Act . . . . . . . . . 103-0024

Statutes Amended In Order of Appearance
215 ILCS 5/355.4

Synopsis As Introduced
Amends the Illinois Insurance Code. In provisions concerning provider notification of dental plan changes, provides that no insurer, service corporation, dental service plan corporation, insurance network leasing company, or any company that issues, delivers, amends, or renews an individual or group policy of accident and health insurance on or after the effective date of the amendatory Act that provides dental insurance may automatically enroll a provider in a leased network without the provider's written consent. Provides that any contract entered into or renewed on or after the effective date of the amendatory Act that allows the rights and obligations of the contract to be assigned or leased to another insurer shall provide for notice that informs each provider in writing via certified mail 90 days before any scheduled assignment or lease of the network to which the provider is a contracted provider (rather than shall provide notice of that assignment or lease within 30 days after the assignment or lease to the contracting dentist). Provides that an insurer, service corporation, dental service plan corporation, insurance network leasing company, or any company that issues, delivers, amends, or renews an individual or group policy of accident and health insurance on or after the effective date of the amendatory Act that provides dental insurance that leases or assigns its network shall not cancel a network participating dentist's contractual relationship or otherwise penalize a network participating dentist in any way based on whether or not the dentist accepts the terms of the assignment or lease.

House Floor Amendment No. 3
Adds reference to:
215 ILCS 5/355.5 new

Replaces everything after the enacting clause. Amends the Illinois Insurance Code. Provides that no dental carrier may automatically enroll a provider in a leased network without allowing any provider that is part of the dental carrier's provider network to choose to not participate by opting out. Provides that the provisions do not apply if access to a provider network contract is granted to a dental carrier or an entity operating in accordance with the same brand licensee program as the contracting entity or to a provider network contract for dental services provided to beneficiaries of specified health plans. Provides that any contract entered into or renewed on or after the effective date of the amendatory Act that allows the rights and obligations of the contract to be assigned or leased to another insurer shall provide for notice that informs each provider in writing via certified mail 60 days before any scheduled assignment or lease of the network to which the provider is a contracted provider (rather than shall provide notice of that assignment or lease within 30 days after the assignment or lease to the contracting dentist). Provides that no insurer, dental service plan corporation, professional service corporation, insurance network leasing company, or any company that amends, delivers, issues, or renews an individual or group policy of accident and health insurance on or after the effective date of the amendatory Act shall require a dental care provider to incur a fee to access and obtain payment or reimbursement for services provided. Provides that a dental plan carrier shall provide a dental care provider with 100% of the contracted amount of the payment or reimbursement. Provides that fees incurred directly by a dental care provider from third parties related to transmitting an automated clearing house network claim, transaction management, data management, or portal services and other fees charged by third parties that are not in the control of the dental plan carrier shall not be prohibited by the provisions. Makes other changes.

Actions 
DateChamber Action
  2/2/2023HouseFiled with the Clerk by Rep. Jennifer Gong-Gershowitz
  2/2/2023HouseChief Sponsor Changed to Rep. Jennifer Gong-Gershowitz
  2/7/2023HouseFirst Reading
  2/7/2023HouseReferred to Rules Committee
  2/15/2023HouseAssigned to Insurance Committee
  2/15/2023HouseAdded Co-Sponsor Rep. Dave Vella
  2/17/2023HouseAdded Co-Sponsor Rep. Theresa Mah
  2/27/2023HouseAdded Co-Sponsor Rep. Anna Moeller
  3/2/2023HouseTo Insurance Main Subcommittee
  3/3/2023HouseHouse Committee Amendment No. 1 Filed with Clerk by Rep. Jennifer Gong-Gershowitz
  3/3/2023HouseHouse Committee Amendment No. 1 Referred to Rules Committee
  3/7/2023HouseHouse Committee Amendment No. 1 Rules Refers to Insurance Committee
  3/8/2023HouseMotion Filed to Suspend Rule 21 Insurance Committee; Rep. Robyn Gabel
  3/8/2023HouseMotion to Suspend Rule 21 - Prevailed
  3/9/2023HouseDo Pass / Short Debate Insurance Committee; 015-000-000
  3/9/2023HouseHouse Committee Amendment No. 1 Tabled
  3/10/2023HousePlaced on Calendar 2nd Reading - Short Debate
  3/15/2023HouseHouse Floor Amendment No. 2 Filed with Clerk by Rep. Jennifer Gong-Gershowitz
  3/15/2023HouseHouse Floor Amendment No. 2 Referred to Rules Committee
  3/16/2023HouseHouse Floor Amendment No. 2 Rules Refers to Insurance Committee
  3/17/2023HouseHouse Floor Amendment No. 3 Filed with Clerk by Rep. Jennifer Gong-Gershowitz
  3/17/2023HouseHouse Floor Amendment No. 3 Referred to Rules Committee
  3/21/2023HouseHouse Floor Amendment No. 3 Rules Refers to Insurance Committee
  3/21/2023HouseHouse Floor Amendment No. 3 Recommends Be Adopted Insurance Committee; 014-000-000
  3/22/2023HouseHouse Floor Amendment No. 3 Adopted
  3/22/2023HouseSecond Reading - Short Debate
  3/22/2023HousePlaced on Calendar Order of 3rd Reading - Short Debate
  3/23/2023HouseThird Reading - Short Debate - Passed 110-000-000
  3/23/2023HouseHouse Floor Amendment No. 2 Tabled
  3/24/2023SenateArrive in Senate
  3/24/2023SenatePlaced on Calendar Order of First Reading
  3/24/2023SenateChief Senate Sponsor Sen. Laura Fine
  3/24/2023SenateFirst Reading
  3/24/2023SenateReferred to Assignments
  4/12/2023SenateApproved for Consideration Assignments
  4/12/2023SenatePlaced on Calendar Order of 2nd Reading April 18, 2023
  4/20/2023SenateSecond Reading
  4/20/2023SenatePlaced on Calendar Order of 3rd Reading April 25, 2023
  5/4/2023SenateThird Reading - Passed; 055-000-000
  5/4/2023HousePassed Both Houses
  6/2/2023HouseSent to the Governor
  6/9/2023HouseGovernor Approved
  6/9/2023HouseEffective Date January 1, 2024
  6/9/2023HousePublic Act . . . . . . . . . 103-0024

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