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Bill

HB 4391

INS-PEDIATRIC THERAPY

104th Regular Session Introduced by Diane Blair-Sherlock and 2 co-sponsors

HB 4391 expands Illinois insurance mandates requiring coverage for pediatric therapy services, potentially increasing access but raising insurer cost concerns.

Rule 19(a) / Re-referred to Rules Committee
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Bill Summary · HB 4391

Legislative bill overview

HB 4391 addresses insurance coverage for pediatric therapy services in Illinois. The bill appears to mandate or expand insurance requirements for covering therapeutic treatments for children, though specific coverage details, age limits, and therapy types are not provided in the available documentation.

Why is this important

Pediatric therapy coverage directly affects families' access to essential services like speech, occupational, and physical therapy for children with developmental delays or disabilities. Insurance coverage requirements can significantly reduce out-of-pocket costs that often prevent families from accessing these time-sensitive interventions.

Potential points of contention

  • Insurance cost implications: Insurers may argue expanded coverage mandates increase premiums for all policyholders, while advocates contend current coverage gaps create barriers to necessary care
  • Scope and coverage limits: Disagreement likely exists over which therapies qualify, visit frequency caps, age eligibility, and whether coverage applies to all insurance types (individual, group, Medicaid)
  • Provider network and access: Questions about whether mandates ensure adequate provider availability and whether insurance reimbursement rates support therapist participation in networks

Compiled from official sources — confirm details with the bill’s official record.

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