Bill Status of HB 4055   103rd General Assembly

Short Description:  PRIOR AUTHORIZATION-EMERGENCY

House Sponsors
Rep. William E Hauter-Martin McLaughlin-Paul Jacobs-Brandun Schweizer-Jed Davis, Kevin Schmidt, Jason Bunting, Patrick Sheehan and Dave Severin

Senate Sponsors
(Sen. David Koehler)


Last Action  View All Actions

DateChamber Action
  7/19/2024HousePublic Act . . . . . . . . . 103-0659

Statutes Amended In Order of Appearance
215 ILCS 200/15
215 ILCS 200/20.5 new

Synopsis As Introduced
Amends the Prior Authorization Reform Act. Changes the definition of "emergency services" to provide that for the purposes of the provisions, emergency services are not required to be provided in the emergency department of a hospital. Provides that notwithstanding any other provision of law, a health insurance issuer or a contracted utilization review organization may not require prior authorization or approval by the health plan for emergency services.

House Floor Amendment No. 2
Deletes reference to:
215 ILCS 200/15
215 ILCS 200/20.5 new
Adds reference to:
215 ILCS 200/77 new

Replaces everything after the enacting clause. Amends the Prior Authorization Reform Act. Provides that notwithstanding any other provision of law, a health insurance issuer or a contracted utilization review organization may not require a prior authorization for drug therapies approved by the U.S. Food and Drug Administration for the treatment of hereditary bleeding disorders any more frequently than 6 months or the length of time the prescription for that dosage remains valid, whichever period is shorter. Effective January 1, 2026.

Actions 
DateChamber Action
  4/27/2023HouseFiled with the Clerk by Rep. William E Hauter
  4/27/2023HouseFirst Reading
  4/27/2023HouseReferred to Rules Committee
  2/1/2024HouseAdded Co-Sponsor Rep. Kevin Schmidt
  3/5/2024HouseAssigned to Insurance Committee
  4/2/2024HouseHouse Committee Amendment No. 1 Filed with Clerk by Rep. William E Hauter
  4/2/2024HouseHouse Committee Amendment No. 1 Referred to Rules Committee
  4/2/2024HouseDo Pass / Short Debate Insurance Committee; 015-000-000
  4/2/2024HouseHouse Committee Amendment No. 1 Tabled
  4/3/2024HousePlaced on Calendar 2nd Reading - Short Debate
  4/9/2024HouseHouse Floor Amendment No. 2 Filed with Clerk by Rep. William E Hauter
  4/9/2024HouseHouse Floor Amendment No. 2 Referred to Rules Committee
  4/15/2024HouseHouse Floor Amendment No. 2 Rules Refers to Insurance Committee
  4/15/2024HouseHouse Floor Amendment No. 2 Rules Refers to Insurance Committee
  4/17/2024HouseHouse Floor Amendment No. 2 Recommends Be Adopted Insurance Committee; 015-000-000
  4/17/2024HouseSecond Reading - Short Debate
  4/17/2024HouseHeld on Calendar Order of Second Reading - Short Debate
  4/19/2024HouseHouse Floor Amendment No. 2 Adopted
  4/19/2024HousePlaced on Calendar Order of 3rd Reading - Short Debate
  4/19/2024HouseThird Reading - Short Debate - Passed 106-000-000
  4/19/2024HouseAdded Co-Sponsor Rep. Jason Bunting
  4/19/2024HouseAdded Co-Sponsor Rep. Patrick Sheehan
  4/19/2024HouseAdded Co-Sponsor Rep. Dave Severin
  4/19/2024HouseAdded Chief Co-Sponsor Rep. Martin McLaughlin
  4/19/2024HouseAdded Chief Co-Sponsor Rep. Paul Jacobs
  4/19/2024HouseAdded Chief Co-Sponsor Rep. Brandun Schweizer
  4/19/2024HouseAdded Chief Co-Sponsor Rep. Jed Davis
  4/24/2024SenateArrive in Senate
  4/24/2024SenatePlaced on Calendar Order of First Reading
  4/24/2024SenateChief Senate Sponsor Sen. David Koehler
  4/24/2024SenateFirst Reading
  4/24/2024SenateReferred to Assignments
  4/30/2024SenateAssigned to Insurance
  4/30/2024SenateRule 2-10 Committee Deadline Established As May 10, 2024
  5/8/2024SenateDo Pass Insurance; 010-000-000
  5/8/2024SenatePlaced on Calendar Order of 2nd Reading May 9, 2024
  5/9/2024SenateSecond Reading
  5/9/2024SenatePlaced on Calendar Order of 3rd Reading
  5/15/2024SenateThird Reading - Passed; 056-000-000
  5/15/2024HousePassed Both Houses
  6/13/2024HouseSent to the Governor
  7/19/2024HouseGovernor Approved
  7/19/2024HouseEffective Date January 1, 2026
  7/19/2024HousePublic Act . . . . . . . . . 103-0659

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