Date	Chamber	Action
8/26/2011	House	Public Act . . . . . . . . . 97-0574

Statutes Amended In Order of Appearance

215 ILCS 180/35

Synopsis As Introduced
Amends the Health Carrier External Review Act in the provision concerning standard external review. Provides that whenever a request is eligible for external review (1) the health carrier shall, within 2 (instead of 5) business days, request the Director of Insurance to assign an independent review organization (now, from the list of approved independent review organizations compiled and maintained by the Director) and (2) within 3 business days after receiving the health carrier's request, the Director shall assign, on a rotating basis, an independent review organization from the list of approved independent review organizations compiled and maintained by the Director. Includes the health carrier among those to be notified in writing by the Director of the request's eligibility and acceptance for external review. Effective immediately.

House Floor Amendment No. 1

	Adds reference to:
	New Act

215 ILCS 134/10

215 ILCS 134/45

215 ILCS 134/85

215 ILCS 180/10

215 ILCS 180/20

215 ILCS 180/25

215 ILCS 180/30

215 ILCS 180/40

215 ILCS 180/42 new

215 ILCS 180/55

215 ILCS 180/65

215 ILCS 180/72

215 ILCS 180/80 new

Replaces everything after the enacting clause with the bill as introduced and the following changes. Creates the Utilization Review and Benefit Determination Law. Provides that the Law establishes standards and criteria for the structure and operation of utilization review and benefit determination processes designed to facilitate ongoing assessment and management of health care services. Sets forth provisions concerning definitions, applicability and scope, the corporate oversight of utilization review programs, contracting, the scope and content of utilization review programs, operational requirements, procedures for standard utilization review and benefit determinations, procedures for expedited utilization review and benefit determinations, emergency services, confidentiality requirements, disclosure requirements, and administration and enforcement. Changes the short title of the Health Carrier Grievance Procedure Act and references thereof to the Health Carrier Grievance Procedure Law. Makes changes in the provision of the Managed Care Reform and Patient Rights Act concerning utilization review program registration. Makes changes in the provision of the Health Carrier External Review Act concerning notice of right to external review and standard external review. Makes other changes. Effective immediately.

Fiscal Note, House Floor Amendment No. 1 (Department of Insurance)

As a result of the requirements brought about by this legislation, the Department would need to add, at a minimum, three (3) full time staff. Though no immediate need, additional legal staff may be required in the near future. The three (3) employees would work with the Consumer Division at a total cost to the Department of Insurance of approximately $283,000 for personal services and related expenses. The cost associated with these responsibilities is expected to be covered by Federal grant monies.

	State Mandates Fiscal Note, House Floor Amendment No. 1 (Dept. of Commerce & Economic Opportunity)
	HB 224 (H-AM 1) does not create a State mandate.

Senate Floor Amendment No. 3
Replaces everything after the enacting clause with the engrossed bill and the following changes. Deletes the provisions concerning the Utilization Review and Benefit Determination Law and the Health Carrier Grievance Procedure Law. Further amends the Health Carrier External Review Act. Makes changes in the provision concerning definitions. Deletes references to the Utilization Review and Benefit Determination Law and the Health Carrier Grievance Procedure Law. Makes a change in the provision concerning the exhaustion of internal appeal process. Deletes the provision repealing the Section of the Managed Care Reform and Patient Rights Act concerning Administrative complaints and Departmental review. Changes the effective date from immediate to July 1, 2011.

Actions 

Date	Chamber	Action
1/20/2011	House	Filed with the Clerk by Rep. Mary E. Flowers
1/21/2011	House	First Reading
1/21/2011	House	Referred to Rules Committee
2/8/2011	House	Assigned to Health Care Availability and Accessibility Committee
3/8/2011	House	Do Pass / Short Debate Health Care Availability and Accessibility Committee; 008-004-000
3/9/2011	House	Placed on Calendar 2nd Reading - Short Debate
3/10/2011	House	Added Chief Co-Sponsor Rep. Monique D. Davis
4/4/2011	House	House Floor Amendment No. 1 Filed with Clerk by Rep. Mary E. Flowers
4/4/2011	House	House Floor Amendment No. 1 Referred to Rules Committee
4/6/2011	House	House Floor Amendment No. 1 Rules Refers to Health Care Availability and Accessibility Committee
4/6/2011	House	House Floor Amendment No. 1 Recommends Be Adopted Health Care Availability and Accessibility Committee; 010-002-000
4/7/2011	House	House Floor Amendment No. 1 Fiscal Note Requested as Amended by Rep. Dennis M. Reboletti
4/7/2011	House	House Floor Amendment No. 1 State Mandates Fiscal Note Requested as Amended by Rep. Dennis M. Reboletti
4/12/2011	House	House Floor Amendment No. 1 Fiscal Note Filed as Amended
4/12/2011	House	House Floor Amendment No. 1 State Mandates Fiscal Note Filed as Amended
4/12/2011	House	Added Chief Co-Sponsor Rep. Linda Chapa LaVia
4/12/2011	House	Second Reading - Short Debate
4/12/2011	House	House Floor Amendment No. 1 Adopted by Voice Vote
4/12/2011	House	Placed on Calendar Order of 3rd Reading - Short Debate
4/13/2011	House	Third Reading - Consideration Postponed
4/13/2011	House	Placed on Calendar - Consideration Postponed April 13, 2011
4/13/2011	House	Third Reading - Short Debate - Passed 071-045-000
4/14/2011	Senate	Arrive in Senate
4/14/2011	Senate	Placed on Calendar Order of First Reading April 15, 2011
4/14/2011	Senate	Chief Senate Sponsor Sen. Heather A. Steans
4/14/2011	Senate	First Reading
4/14/2011	Senate	Referred to Assignments
4/27/2011	Senate	Assigned to Insurance
5/10/2011	Senate	Senate Committee Amendment No. 1 Filed with Secretary by Sen. Heather A. Steans
5/10/2011	Senate	Senate Committee Amendment No. 1 Referred to Assignments
5/12/2011	Senate	Added as Alternate Chief Co-Sponsor Sen. Jacqueline Y. Collins
5/13/2011	Senate	Rule 2-10 Committee Deadline Established As May 31, 2011
5/14/2011	Senate	Senate Committee Amendment No. 1 Pursuant to Senate Rule 3-8(c-1) - Referred to Insurance
5/16/2011	Senate	Senate Committee Amendment No. 1 Postponed - Insurance
5/16/2011	Senate	Do Pass Insurance; 009-000-000
5/16/2011	Senate	Placed on Calendar Order of 2nd Reading May 17, 2011
5/18/2011	Senate	Second Reading
5/18/2011	Senate	Placed on Calendar Order of 3rd Reading May 19, 2011
5/19/2011	Senate	Senate Floor Amendment No. 2 Filed with Secretary by Sen. Heather A. Steans
5/19/2011	Senate	Senate Floor Amendment No. 2 Referred to Assignments
5/23/2011	Senate	Senate Floor Amendment No. 3 Filed with Secretary by Sen. Heather A. Steans
5/23/2011	Senate	Senate Floor Amendment No. 3 Referred to Assignments
5/24/2011	Senate	Senate Floor Amendment No. 2 Assignments Refers to Insurance
5/24/2011	Senate	Senate Floor Amendment No. 3 Assignments Refers to Insurance
5/24/2011	Senate	Senate Floor Amendment No. 2 Postponed - Insurance
5/24/2011	Senate	Senate Floor Amendment No. 3 Recommend Do Adopt Insurance; 007-001-000
5/25/2011	Senate	Recalled to Second Reading
5/25/2011	Senate	Senate Floor Amendment No. 3 Adopted; Steans
5/25/2011	Senate	Placed on Calendar Order of 3rd Reading
5/25/2011	Senate	Added as Alternate Chief Co-Sponsor Sen. Michael Noland
5/25/2011	Senate	Third Reading - Passed; 057-000-000
5/25/2011	Senate	Senate Committee Amendment No. 1 Tabled Pursuant to Rule 5-4(a)
5/25/2011	Senate	Senate Floor Amendment No. 2 Tabled Pursuant to Rule 5-4(a)
5/25/2011	House	Arrived in House
5/25/2011	House	Placed on Calendar Order of Concurrence Senate Amendment(s) 3
5/25/2011	House	Senate Floor Amendment No. 3 Motion Filed Concur Rep. Mary E. Flowers
5/25/2011	House	Senate Floor Amendment No. 3 Motion to Concur Referred to Rules Committee
5/29/2011	House	Senate Floor Amendment No. 3 Motion to Concur Recommends Be Adopted Rules Committee; 004-000-000
5/29/2011	House	Senate Floor Amendment No. 3 House Concurs 087-025-000
5/29/2011	House	Passed Both Houses
5/29/2011	House	Added Co-Sponsor Rep. Camille Y. Lilly
6/27/2011	House	Sent to the Governor
8/26/2011	House	Governor Approved
8/26/2011	House	Effective Date August 26, 2011
8/26/2011	House	Public Act . . . . . . . . . 97-0574

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