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HB5395 - NETWORK ADEQUACY-STANDARDS
Anna Moeller, Robyn Gabel, Eva Dina Delgado
Last updated 4 months ago
83 Co-Sponsors
Reinserts the provisions of the engrossed bill with changes that include the following. Requires the issuer of a network plan to submit a self-audit of its provider directory and a summary to the Department of Insurance, which the Department shall make publicly available. Makes changes to the information that must be provided in a network plan directory. Sets forth required actions if an issuer or the Department identifies a provider incorrectly listed in the provider directory. Removes provisions repealing the Short-Term, Limited-Duration Health Insurance Coverage Act and the related changes. Makes changes to provisions concerning confidentiality; transition of services; unreasonable and inadequate rates; the definitions of "excepted benefits" and "step therapy requirement"; off-formulary exception requests; algorithmic automated review processes; utilization review criteria; and adverse determinations. Makes other changes. Effective January 1, 2025, except that certain changes to the Managed Care Reform and Patient Rights Act take effect January 1, 2026.
STATUS
Passed
SB2764 - AUTO CONTRACT RENEWAL-NOTICE
Doris Turner, Michael E. Hastings, Mary Edly-Allen
Last updated 3 months ago
36 Co-Sponsors
Amends the Automatic Contract Renewal Act. Provides that any person, firm, partnership, association, or corporation that sells or offers to sell any products or services to a consumer pursuant to a contract that includes a free gift or a trial period of the product or service that lasts 15 days or longer, where such contract automatically renews unless the consumer cancels the contract, shall notify the consumer no less than 2 weeks before the cancellation deadline as described by the automatic renewal offer terms. Provides that if the person, firm, partnership, association, or corporation has the consumer's email address, this notice shall be sent by email.
STATUS
Passed
SB1763 - MEDICAID-REIMBURSEMENT RATES
Don Harmon, Dave Syverson, Julie A. Morrison
Last updated almost 2 years ago
28 Co-Sponsors
Amends the Hospital Services Trust Fund Article of the Illinois Public Aid Code. Increases by 20% hospital reimbursement rates for dates of service on and after January 1, 2024, for specified services, including, but not limited to: inpatient general acute care services; inpatient psychiatric services for safety-net hospitals; general acute care hospitals that are not safety-net hospitals; and outpatient general acute care services. Provides that the rates for the listed services shall be increased, beginning on January 1, 2025 and each January 1 thereafter, based on the annual increase in the national hospital market basket price proxies (DRI) hospital cost index from the midpoint of the calendar year 2 years prior to the current year, to the midpoint of the preceding calendar year. Provides that in no instance shall the adjustment result in a reduction to the rates in place at the time of the required adjustment. Provides that if the federal Centers for Medicare and Medicaid Services finds that the increases required under the amendatory Act would result in rates of reimbursement which exceed the federal maximum limits applicable to hospital payments, then the payments and assessment tax imposed on hospital providers shall be reduced as provided in the Hospital Provider Funding Article. Requires the Department of Healthcare and Family Services to promptly take all actions necessary to ensure the changes authorized in the amendatory Act are in effect for dates of service on and after January 1, 2024. Requires the Department to ensure that all necessary adjustments to the managed care organization capitation base rates necessitated by the adjustments in the amendatory Act are completed, published, and applied 90 days prior to the implementation date of the changes required under the amendatory Act. Provides that, by October 1, 2023, the Department shall by rule implement a methodology effective for dates of service beginning on and after January 1, 2024 to reimburse hospitals for extended stays in a hospital emergency department. Amends the Illinois Administrative Procedure Act. Grants the Department emergency rulemaking authority. Effective immediately.
STATUS
Introduced
HB5142 - PREGNANCY/POSTPARTUM CARE
Robyn Gabel, Anna Moeller, Mary Beth Canty
Last updated 4 months ago
67 Co-Sponsors
Reinserts the provisions of the bill as amended by House Amendment No. 1 with changes. Further amends the Illinois Insurance Code. Provides that coverage for abortion care may not impose any deductible, coinsurance, waiting period, or other cost-sharing limitation, except to the extent that the coverage would disqualify a high-deductible health plan from eligibility for a health savings account (rather than coverage for abortion care may not impose any deductible, coinsurance, waiting period, or other cost-sharing limitation that is greater than that required for other pregnancy-related benefits covered by the policy). Defines "perinatal doula" and "lactation consultant". Provides that coverage for postpartum services shall apply for all covered services rendered within the first 12 months after the end of pregnancy (rather than the coverage shall apply for at least one year after the end of pregnancy), except that a policy is not required to cover more than $8,000 for doula visits for each pregnancy and subsequent postpartum period. Provides that all outpatient coverage, other than health care services for home births, required under a provision concerning coverage for pregnancy, postpartum, and newborn care must be provided without cost sharing, except that, for mental health services, the cost-sharing prohibition does not apply to inpatient or residential services, and, for treatment of substance use disorders, the prohibition on cost-sharing applies to the levels of treatment below and not including Level 3.1 (Clinically Managed Low-Intensity Residential) established by the American Society of Addiction Medicine. Makes other changes. Effective January 1, 2026, except that certain changes to the Illinois Public Aid Code are effective January 1, 2025.
STATUS
Passed
HB5285 - PROBATION-CONVICTION-JUDGMENT
Kevin John Olickal, Lindsey LaPointe, Jaime M. Andrade
Last updated 4 months ago
23 Co-Sponsors
Reinserts the provisions of the introduced bill, except in the definition of "conviction" in the Criminal Code of 2012, restores a provision that "conviction" means a judgment of conviction or sentence (rather than a judgment of conviction and sentence) entered upon a plea of guilty or upon a verdict or finding of guilty of an offense, rendered by a legally constituted jury or by a court of competent jurisdiction authorized to try the case without a jury. In that definition, provides that if judgment is withheld, the plea, verdict, or finding of guilty is not a conviction under Illinois law unless and until judgment is entered.
STATUS
Passed
HB5070 - JUV CT-SPEEDY TRIAL-DETENTION
Justin D. Slaughter, Laura Faver Dias, Yolonda Morris
Last updated 7 months ago
10 Co-Sponsors
Reinserts the provisions of the introduced bill. Provides that if the court determines that the State, without success, has exercised due diligence to timely obtain the results of DNA testing that is material to the case, and that there are reasonable grounds to believe that the results may be obtained at a later date, the court may continue the cause on application of the State for not more than 60 days, except if the petition alleges that the minor has committed the offense of first degree murder or aggravated criminal sexual assault, the court may continue the cause on application of the State for not more than 120 days. Provides that if the court determines that the State, without success, has exercised due diligence to timely obtain the results of DNA testing that is material to the case, and that there are reasonable grounds to believe that the results may be obtained at a later date, the court may extend the period of detention of the minor to not more than 70 days, only for any matter for which the minor may be committed to the Department of Juvenile Justice. Makes technical changes in the bill.
STATUS
Engrossed
HB5537 - HEALTH FACILITY-NURSING HOME
Yolonda Morris, Maurice A. West, Carol Ammons
Last updated 7 months ago
14 Co-Sponsors
Amends the Illinois Health Facilities Planning Act. Removes an exception for skilled and intermediate long-term care facilities licensed under the Nursing Home Care Act from providing a Safety Net Impact Statement as part of its general review criteria. Includes nursing homes operated by a county in a list of safety net service providers. Provides that facilities operated by a county shall provide in the facility's Safety Net Impact Statement the number of the facility's Medicaid and Medicare certified beds for the 3 fiscal years prior to the application. Requires the State Board Staff Report to include a statement of findings regarding the project's safety net impact under specified circumstances, and that the State Board Staff's assessment shall be considered in determining whether the project fulfills the public interest requirements. Amends the County Homes Division of the Counties Code. Removes a requirement that two-thirds of the county board is required sell, dispose of, or lease for any term, any part of the home properties, and requires a referendum before selling any home (rather than requiring a referendum only for homes that were erected after referendum approval by the voters of the county). Adds referendum language for the selling, disposition of, or lease of a home.
STATUS
Engrossed
HB5431 - PREGNANT PRISONERS-RESTRAINTS
Kelly M. Cassidy, Robyn Gabel, Yolonda Morris
Last updated 4 months ago
60 Co-Sponsors
Reinserts the provisions of the introduced bill with the following changes. Further amends the County Department of Corrections Law, the Health Care Violence Prevention Act, and the County Jail Act to replace use of "prisoner" with "committed person". In the County Department of Corrections Law, the Unified Code of Corrections, and the County Jail Law, requires the Department of Public Health to provide the flyers that must be provided to pregnant committed persons, and provides that, when a person with a uterus is committed to a county jail or State correctional facility, the person shall take a pregnancy test. In the County Department of Corrections Law and the Unified Code of Corrections: (i) provides that reports a sheriff, the Department of Corrections, and the Department of Juvenile Justice must submit under the provisions must be provided to the Jail and Detention Standards Unit of the Department of Corrections (removing the requirement to submit the report to the General Assembly and the Office of the Governor in the County Department of Corrections Law); (ii) modifies the reporting requirements; (iii) and provides that other qualified medical professionals (in addition to a physician, advanced practice registered nurse, or physician assistant) may determine that the postpartum period is longer than 6 weeks. In the County Department of Corrections Law, defines "participant" as an individual placed into an electronic monitoring program and makes conforming changes. Makes other changes.
STATUS
Passed
HB5164 - NAME CHANGE-PUB CHANGES-FEES
Kevin John Olickal, Anne M. Stava-Murray, Katie Stuart
Last updated 7 months ago
35 Co-Sponsors
Amends the Clerks of the Court Act. Provides that filing fees for a petition for change name may not exceed $25, and the court may waive this fee for good cause shown. Amends the Name Change Article of the Code of Civil Procedure. Deletes the requirement that a petitioner must reside in the State for 6 months before the petitioner may file a petition under the Article. Allows a petitioner to request that the court file be impounded if public disclosure may be a hardship and have a negative impact on the petitioner's health or safety. Allows the petitioner to attach to the statement any supporting documents including relevant court orders. Allows the petitioner to request that his or her address be omitted from court documents if it would put the petitioner or petitioner's family at risk. Repeals the requirements to publish a notice of a petition to change a name.
STATUS
Engrossed
SB2984 - $PUBLIC HEALTH-CLINICS
Karina Villa, Adriane Johnson, Javier Loera Cervantes
Last updated 10 months ago
16 Co-Sponsors
Appropriates $9,000,000 from the General Revenue Fund to the Department of Public Health for continued funding to the Illinois Association of Free and Charitable Clinics. Effective July 1, 2024.
STATUS
Introduced
BIOGRAPHY
INCUMBENT
Senator from Illinois district SD-043
COMMITTEES
Illinois Senate
BIRTH
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ABOUT
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OFFICES HELD
Illinois Senate from Illinois
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