Illinois · House Bill 1186 · 103rd General Assembly

INS-HMO/REFERRAL SYSTEM

  1. Introduced Jan 17, 2023
  2. In committee Jan 31, 2023
  3. Passed the House Mar 23, 2023
  4. Passed the Senate May 11, 2023
  5. To the governor Jun 9, 2023
  6. Became law Jun 27, 2023

What it does

The legislature's own summary of the bill, or its official long title.

Amends the Health Maintenance Organization Act. Provides that the powers of a health maintenance organization include the voluntary use of a referral system for enrollees to access providers under contract with or employed by the health maintenance organization. Provides that the provisions shall not be construed as requiring the use of a referral system to obtain a certificate of authority. Changes the definition of "health care plan". Defines "referral system". Effective January 1, 2024.

Every action

34 steps, oldest first, as the legislature records them.

Show the 26 earlier steps
  1. HouseFiled with the Clerk by Rep. Margaret Croke
  2. HouseFirst Reading
  3. CommitteeReferred to Rules Committee · House Rules
  4. CommitteeAssigned to Health Care Availability & Accessibility Committee · House Health Care Availability & Access
  5. HouseAdded Chief Co-Sponsor Rep. Janet Yang Rohr
  6. CommitteeDo Pass / Short Debate Health Care Availability & Accessibility Committee; 009-000-000 · House Health Care Availability & Access
  7. HousePlaced on Calendar 2nd Reading - Short Debate
  8. HouseHouse Floor Amendment No. 1 Filed with Clerk by Rep. Margaret Croke
  9. CommitteeHouse Floor Amendment No. 1 Referred to Rules Committee · House Rules
  10. CommitteeHouse Floor Amendment No. 1 Rules Refers to Health Care Availability & Accessibility Committee · House Health Care Availability & Access
  11. CommitteeHouse Floor Amendment No. 1 Recommends Be Adopted Health Care Availability & Accessibility Committee; 007-000-000 · House Health Care Availability & Access
  12. HouseHouse Floor Amendment No. 1 Adopted
  13. HouseSecond Reading - Short Debate
  14. HousePlaced on Calendar Order of 3rd Reading - Short Debate
  15. HouseThird Reading - Short Debate - Passed 111-000-000
  16. SenateArrive in Senate
  17. SenatePlaced on Calendar Order of First Reading
  18. SenateChief Senate Sponsor Sen. Laura Fine
  19. SenateFirst Reading
  20. CommitteeReferred to Assignments · Senate Assignments
  21. CommitteeAssigned to Insurance · Senate Insurance
  22. CommitteeDo Pass Insurance; 011-000-000 · Senate Insurance
  23. SenatePlaced on Calendar Order of 2nd Reading April 20, 2023
  24. SenateSecond Reading
  25. SenatePlaced on Calendar Order of 3rd Reading April 25, 2023
  26. SenateAdded as Alternate Co-Sponsor Sen. Willie Preston
  1. SenatePlaced on Calendar Order of 3rd Reading ** May 8, 2023
  2. SenateAdded as Alternate Co-Sponsor Sen. Laura M. Murphy
  3. SenateThird Reading - Passed; 056-000-000
  4. HousePassed Both Houses
  5. HouseSent to the Governor
  6. HouseGovernor Approved
  7. HouseEffective Date January 1, 2024
  8. HousePublic Act . . . . . . . . . 103-0104

Roll calls

5 recorded votes: 2 on the floor, 3 in committee. Each shows how every member voted.

Third Reading · Full House

Passed 111–0
Mar 23, 2023 · journal entry
Yes 111 No 0 Not voting 6
Democrats: 72 yes, 0 no Republicans: 39 yes, 0 no
How each member voted

Yes · 111

Not voting · 1

Absent · 1

Excused · 4

Third Reading · Full Senate

Passed 56–0
May 11, 2023 · journal entry
Yes 56 No 0 Not voting 3
Democrats: 37 yes, 0 no Republicans: 19 yes, 0 no
How each member voted

Yes · 56

Not voting · 3

Committee and other votes

DateWhereQuestionResult
Feb 14, 2023 House Health Care Availability & Access Health Care Availability & Access - Do Pass
Members

Yes · 9

Passed 9–0
Mar 14, 2023 House Health Care Availability & Access House Floor Amendment No. 1 - Health Care Availability & Access - Recommends Be Adopted
Members

Yes · 7

Not voting · 2

Passed 7–0
Apr 18, 2023 Senate Insurance Insurance - Do Pass
Members

Yes · 11

11–0

Sponsors

The member who introduced it, joined by 3 cosponsors: 3 Democrats.

All 3 cosponsors

From Illinois's official records (www.ilga.gov), checked Nov 13, 2026. Text links go to the official versions; LegiList does not copy bill text.