Illinois General Assembly - Bill Status for SB3130
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 Bill Status of SB3130  103rd General Assembly


Short Description:  INSURANCE-VARIOUS

Senate Sponsors
Sen. Laura Fine

House Sponsors
(Rep. Robyn Gabel)

Last Action
DateChamber Action
  8/2/2024SenatePublic Act . . . . . . . . . 103-0777

Statutes Amended In Order of Appearance
215 ILCS 5/356z.40a new
215 ILCS 97/30
215 ILCS 97/50
215 ILCS 97/60
215 ILCS 124/3
215 ILCS 124/5
215 ILCS 124/10
215 ILCS 124/25
215 ILCS 134/45.3


Synopsis As Introduced
Amends the Illinois Insurance Code. Provides that beginning with the operation of a State-based exchange in plan year 2026, a pregnant individual has the right to enroll in a qualified health plan through a special enrollment period at any time after a qualified health care professional certifies that the individual is pregnant. Amends the Illinois Health Insurance Portability and Accountability Act. Provides that notice of a health insurance issuer's election to uniformly modify coverage, uniformly terminate coverage, or discontinue coverage in a marketplace shall be sent by certified mail to the Department of Insurance 45 days (instead of 90 days) in advance of any notification of the company's actions sent to plan sponsors, participants, beneficiaries, and covered individuals. Makes conforming changes. Amends the Managed Care Reform and Patient Rights Act. Makes changes in provisions concerning flat-dollar copayment structures for prescription drug benefits. Amends the Network Adequacy and Transparency Act. Provides that the Act does not apply to an individual or group policy for excepted benefits or short-term, limited-duration health insurance coverage (instead of an individual or group policy for dental or vision insurance or a limited health service organization) with a network plan, except to the extent that federal law establishes network adequacy and transparency standards for stand-alone dental plans, which the Department shall enforce. Provides that if the Centers for Medicare and Medicaid Services establishes minimum provider ratios for stand-alone dental plans in the type of exchange in use in this State for a given plan year, the Department shall enforce those standards for stand-alone dental plans for that plan year. Requires the Department of Insurance to enforce certain appointment wait-time standards, time and distance standards, and other standards if the Centers for Medicare and Medicaid Services establishes those standards for plans in the type of exchange in use in this State. Makes other changes.

Senate Floor Amendment No. 2
Adds reference to:
20 ILCS 1405/1405-50
215 ILCS 125/5-3from Ch. 111 1/2, par. 1411.2

Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill with the following changes. Amends the Department of Insurance Law of the Civil Administrative Code of Illinois. Provides that the Marketplace Director of the Illinois Health Benefits Exchange shall serve for a term of 2 years, and until a successor is appointed and qualified; except that the term of the first Marketplace Director appointed shall expire on the third Monday in January 2027. Provides that the Marketplace Director may serve for more than one term. Removes language providing that the Marketplace Director may be an existing employee with other duties. Provides that the Marketplace Director shall (instead of shall not) be subject to the Personnel Code. In the Illinois Insurance Code, provides that a pregnant individual has the right to enroll in a qualified health plan through a special enrollment period within 60 days (instead of at any time) after any qualified health care professional certifies that the individual is pregnant. In the Managed Care Reform and Patient Rights Act, provides that each level of coverage that a health insurance carrier offers of a standardized option in each applicable service area shall be deemed to satisfy (instead of shall satisfy) the requirements for a flat-dollar copay structure. Amends the Health Maintenance Organization Act. Provides that health maintenance organizations shall comply with the Illinois Insurance Code's requirements concerning pregnancy as a qualifying life event. Effective immediately, except that the changes to the Network Adequacy and Transparency Act take effect January 1, 2025.

Actions 
DateChamber Action
  2/2/2024SenateFiled with Secretary by Sen. Ann Gillespie
  2/2/2024SenateFirst Reading
  2/2/2024SenateReferred to Assignments
  2/14/2024SenateAssigned to Insurance
  3/1/2024SenateSenate Committee Amendment No. 1 Filed with Secretary by Sen. Ann Gillespie
  3/1/2024SenateSenate Committee Amendment No. 1 Referred to Assignments
  3/5/2024SenateSenate Committee Amendment No. 1 Pursuant to Senate Rule 3-8 (b-1) this amendment will stay in Assignments
  3/6/2024SenateDo Pass Insurance; 010-000-000
  3/6/2024SenatePlaced on Calendar Order of 2nd Reading March 7, 2024
  3/12/2024SenateSenate Floor Amendment No. 2 Filed with Secretary by Sen. Ann Gillespie
  3/12/2024SenateSenate Floor Amendment No. 2 Referred to Assignments
  3/20/2024SenateSenate Floor Amendment No. 2 Assignments Refers to Insurance
  4/10/2024SenateSenate Floor Amendment No. 2 Recommend Do Adopt Insurance; 008-000-000
  4/10/2024SenateChief Sponsor Changed to Sen. Laura Fine
  4/11/2024SenateSenate Floor Amendment No. 2 Adopted; Gillespie
  4/11/2024SenateSecond Reading
  4/11/2024SenatePlaced on Calendar Order of 3rd Reading April 12, 2024
  4/12/2024SenateRule 2-10 Third Reading Deadline Established As April 19, 2024
  4/17/2024SenateSenate Committee Amendment No. 1 Tabled Pursuant to Rule 5-4a
  4/17/2024SenateThird Reading - Passed; 055-000-000
  4/17/2024HouseArrived in House
  4/17/2024HouseChief House Sponsor Rep. Robyn Gabel
  4/17/2024HouseFirst Reading
  4/17/2024HouseReferred to Rules Committee
  4/24/2024HouseAssigned to Insurance Committee
  4/30/2024HouseDo Pass / Short Debate Insurance Committee; 014-000-000
  5/1/2024HousePlaced on Calendar 2nd Reading - Short Debate
  5/7/2024HouseSecond Reading - Short Debate
  5/7/2024HousePlaced on Calendar Order of 3rd Reading - Short Debate
  5/16/2024HouseThird Reading - Short Debate - Passed 107-000-000
  5/16/2024SenatePassed Both Houses
  6/14/2024SenateSent to the Governor
  8/2/2024SenateGovernor Approved
  8/2/2024SenateEffective Date August 2, 2024; ; Some Provisions.
  8/2/2024SenateEffective Date January 1, 2025; ; Some Provisions.
  8/2/2024SenatePublic Act . . . . . . . . . 103-0777

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