Bill Status of HB5580  103rd General Assembly


Short Description:  INSURANCE-PROVIDER PANELS

House Sponsors
Rep. Hoan Huynh - Norma Hernandez - Kevin John Olickal

Last Action
DateChamber Action
  2/9/2024HouseReferred to Rules Committee

Statutes Amended In Order of Appearance
215 ILCS 134/20
215 ILCS 134/62 new


Synopsis As Introduced
Amends the Managed Care Reform and Patient Rights Act. Sets forth requirements for carriers that offer a provider panel. Requires notice of the development of a provider panel to be filed with Department of Public Health prior to establishment. Provides that a carrier that uses a provider panel shall establish procedure for notifying an enrollee of the termination of a health care provider. Sets forth provisions permitting, under certain circumstances, a health care provider to continue to render health care services following termination from the carrier's provider panel. Requires a carrier to provide a list of members in the carrier's provider panel. Establishes notice requirements for benefit reductions and termination of health care providers from the carrier's provider panel. Requires any carrier requiring preauthorization for medical treatment to have personnel available to provide preauthorization at all times when the preauthorization is required. Provides that no contract between a health care provider and a carrier shall include provisions that require a health care provider to deny covered services that the provider knows to be medically necessary and appropriate that are provided with respect to a specific enrollee or group of enrollees with similar medical conditions. Sets forth prohibited provisions in a contract between a carrier and a health care provider. Defines terms. Makes other and conforming changes.

Actions 
DateChamber Action
  2/9/2024HouseFiled with the Clerk by Rep. Hoan Huynh
  2/9/2024HouseFirst Reading
  2/9/2024HouseReferred to Rules Committee
  3/6/2024HouseAdded Chief Co-Sponsor Rep. Norma Hernandez
  3/6/2024HouseAdded Chief Co-Sponsor Rep. Kevin John Olickal