Illinois General Assembly - Bill Status for HB5317
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 Bill Status of HB5317  103rd General Assembly


Short Description:  DENTAL CARE-ELECTRONIC BILLING

House Sponsors
Rep. Robert "Bob" Rita

Senate Sponsors
(Sen. Dave Syverson and Dale Fowler)

Last Action
DateChamber Action
  7/19/2024HousePublic Act . . . . . . . . . 103-0705

Statutes Amended In Order of Appearance
215 ILCS 111/15
215 ILCS 111/20
215 ILCS 111/25
215 ILCS 111/30 new
215 ILCS 111/35 new
215 ILCS 111/40 new
215 ILCS 111/45 new


Synopsis As Introduced
Amends the Uniform Electronic Transactions in Dental Care Billing Act. Provides that beginning January 1, 2027 (instead of 2025), no dental plan carrier is required to accept from a dental care provider eligibility for a dental plan transaction or dental care claims or equivalent encounter information transaction. Sets forth exemptions from the requirements of the Act, and requires a dental care provider who is exempt from the requirements of the Act to file a form with the Department of Insurance indicating the applicable exemption. Requires each dental plan carrier to establish a portal that provides certain benefit and billing information. Requires a dental plan carrier to establish an electronic portal that allows dental care providers to submit claims electronically and directly to the dental care provider; accept attachments in an electronic format with the initial electronic claim's submission; and provide remittance advice with the corresponding payment. Provides that nothing in the Act requires a dental care provider to only accept electronic payment from a dental plan carrier. Provides that dental plan carriers shall allow alternative forms of payment, without additional fees or charges, to a dental care provider, if requested. Effective immediately.

House Committee Amendment No. 1
Deletes reference to:
215 ILCS 111/15
215 ILCS 111/25
215 ILCS 111/30 new
215 ILCS 111/35 new
215 ILCS 111/40 new
215 ILCS 111/45 new
Adds reference to:
215 ILCS 111/20

Replaces everything after the enacting clause. Amends the Uniform Electronic Transactions in Dental Care Billing Act. Provides that beginning January 1, 2027 (instead of 2025), no dental plan carrier is required to accept from a dental care provider eligibility for a dental plan transaction or dental care claims or equivalent encounter information transaction. Effective immediately.

House Floor Amendment No. 2
Replaces everything after the enacting clause. Reinserts the provisions of the bill, as amended by House Amendment No. 1, with the following change. Provides that beginning January 1, 2026 (rather than January 1, 2027), no dental plan carrier is required to accept from a dental care provider eligibility for a dental plan transaction or dental care claims or equivalent encounter information transaction. Effective immediately.

Actions 
DateChamber Action
  2/9/2024HouseFiled with the Clerk by Rep. Robert "Bob" Rita
  2/9/2024HouseFirst Reading
  2/9/2024HouseReferred to Rules Committee
  3/12/2024HouseAssigned to Insurance Committee
  3/19/2024HouseHouse Committee Amendment No. 1 Filed with Clerk by Rep. Robert "Bob" Rita
  3/19/2024HouseHouse Committee Amendment No. 1 Referred to Rules Committee
  3/20/2024HouseHouse Committee Amendment No. 1 Rules Refers to Insurance Committee
  3/20/2024HouseHouse Committee Amendment No. 1 Adopted in Insurance Committee; by Voice Vote
  3/20/2024HouseDo Pass as Amended / Short Debate Insurance Committee; 013-000-000
  3/21/2024HousePlaced on Calendar 2nd Reading - Short Debate
  4/12/2024HouseSecond Reading - Short Debate
  4/12/2024HousePlaced on Calendar Order of 3rd Reading - Short Debate
  4/19/2024HouseHouse Floor Amendment No. 2 Filed with Clerk by Rep. Robert "Bob" Rita
  4/19/2024HouseHouse Floor Amendment No. 2 Referred to Rules Committee
  4/19/2024HouseHouse Floor Amendment No. 2 Recommends Be Adopted Rules Committee; 005-000-000
  4/19/2024HouseRecalled to 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 098-000-000
  4/24/2024SenateArrive in Senate
  4/24/2024SenatePlaced on Calendar Order of First Reading
  4/24/2024SenateChief Senate Sponsor Sen. Dave Syverson
  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
  5/14/2024SenateSecond Reading
  5/14/2024SenatePlaced on Calendar Order of 3rd Reading
  5/16/2024SenateThird Reading - Passed; 056-002-000
  5/16/2024HousePassed Both Houses
  5/16/2024SenateAdded as Alternate Co-Sponsor Sen. Dale Fowler
  6/13/2024HouseSent to the Governor
  7/19/2024HouseGovernor Approved
  7/19/2024HouseEffective Date July 19, 2024
  7/19/2024HousePublic Act . . . . . . . . . 103-0705

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