HB5317eng 103RD GENERAL ASSEMBLY

HB5317 Engrossed LRB103 38524 RPS 68660 b

AN ACT concerning regulation.

Be it enacted by the People of the State of Illinois, represented in the General Assembly:

Section 5. The Uniform Electronic Transactions in Dental Care Billing Act is amended by changing Section 20 as follows:

(215 ILCS 111/20)

Sec. 20. Uniform electronic claims and eligibility transactions required.

(a) Beginning January 1, 2026 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 except as provided in this Act.

(b) All dental plan carriers and dental care providers must exchange claims and eligibility information electronically using the standard electronic data interchange transactions for claims submissions, payments, and verification of benefits required under the Health Insurance Portability and Accountability Act in order to be compensable by the dental plan carrier.

(Source: P.A. 102-146, eff. 7-23-21.)

Section 99. Effective date. This Act takes effect upon becoming law.