Illinois · House Bill 5313 · 103rd General Assembly
INS-NETWORK ADEQUACY-DIRECTORY
HB 5313Sponsored by
Margaret CrokePassed one chamber, then died
IntroducedFeb 9, 2024
In committeeFeb 9, 2024
Passed the HouseApr 17, 2024
Died
To the governor
Became law
What it does
The legislature's own summary of the bill, or its official long title.
Amends the Network Adequacy and Transparency Act. Provides that a network plan shall, at least annually, audit (instead of audit periodically) at least 25% of its provider directories for accuracy, make any corrections necessary, and retain documentation of the audit. Provides that the network plan shall submit the audit to the Department of Insurance (instead of to the Director of Insurance upon request). Provides…
Read the full title (273 words)
Amends the Network Adequacy and Transparency Act. Provides that a network plan shall, at least annually, audit (instead of audit periodically) at least 25% of its provider directories for accuracy, make any corrections necessary, and retain documentation of the audit. Provides that the network plan shall submit the audit to the Department of Insurance (instead of to the Director of Insurance upon request). Provides that the Department shall make the audit publicly available. Provides that a network plan shall include in the print format provider directory (i) a detailed description of the process to dispute charges for out-of-network providers or facilities that were incorrectly listed as in-network prior to the provision of care and (ii) a telephone number and email address to dispute those charges. Makes changes to the information that must be provided in a network plan's electronic and print directory. Requires the Director to conduct random audits of the accuracy of provider directories for at least 10% of plans each year. Provides that a consumer who incurs a cost for inappropriate out-of-network charges for a provider, facility, or hospital that was listed as in-network prior to the provision of services may file a verified complaint with the Department, and the Department shall conduct an investigation of the verified complaint and determine whether the complaint is sufficient. Provides that, upon a finding of sufficiency, the Director shall have the authority to levy a fine for not less than the cost incurred by the consumer for inappropriate out-of-network charges for a provider, facility, or hospital that was listed in-network. Provides that the fines collected by the Director shall be remitted to the consumer.
Every action
49 steps, oldest first, as the legislature records them.
Show the 41 earlier steps
HouseFiled with the Clerk by Rep. Margaret Croke
HouseFirst Reading
CommitteeReferred to Rules Committee · House Rules
HouseAdded Chief Co-Sponsor Rep. Lindsey LaPointe
HouseAdded Chief Co-Sponsor Rep. Maurice A. West, II
CommitteeAssigned to Mental Health & Addiction Committee · House Mental Health & Addiction
HouseHouse Committee Amendment No. 1 Filed with Clerk by Rep. Margaret Croke
CommitteeHouse Committee Amendment No. 1 Referred to Rules Committee · House Rules
HouseAdded Co-Sponsor Rep. Bob Morgan
HouseAdded Co-Sponsor Rep. Terra Costa Howard
CommitteeDo Pass / Short Debate Mental Health & Addiction Committee; 021-000-000 · House Mental Health & Addiction
HouseHouse Committee Amendment No. 1 Tabled
HousePlaced on Calendar 2nd Reading - Short Debate
HouseAdded Co-Sponsor Rep. Gregg Johnson
HouseAdded Co-Sponsor Rep. Kelly M. Cassidy
HouseAdded Chief Co-Sponsor Rep. William E Hauter
HouseAdded Co-Sponsor Rep. Daniel Didech
HouseAdded Co-Sponsor Rep. Ann M. Williams
HouseAdded Co-Sponsor Rep. Camille Y. Lilly
HouseRemoved Co-Sponsor Rep. Camille Y. Lilly
HouseAdded Co-Sponsor Rep. Sue Scherer
HouseAdded Co-Sponsor Rep. Emanuel "Chris" Welch
HouseHouse Floor Amendment No. 2 Filed with Clerk by Rep. Margaret Croke
CommitteeHouse Floor Amendment No. 2 Referred to Rules Committee · House Rules
HouseSecond Reading - Short Debate
HousePlaced on Calendar Order of 3rd Reading - Short Debate
CommitteeHouse Floor Amendment No. 2 Rules Refers to Mental Health & Addiction Committee · House Mental Health & Addiction
HouseHouse Floor Amendment No. 2 Motion Filed to Table Rep. Margaret Croke
HouseThird Reading - Short Debate - Passed 107-005-000
HouseHouse Floor Amendment No. 2 Tabled
HouseAdded Co-Sponsor Rep. Dagmara Avelar
HouseAdded Co-Sponsor Rep. Yolonda Morris
HouseAdded Co-Sponsor Rep. Jaime M. Andrade, Jr.
HouseAdded Co-Sponsor Rep. Stephanie A. Kifowit
HouseAdded Chief Co-Sponsor Rep. Camille Y. Lilly
HouseChief Co-Sponsor Changed to Rep. Camille Y. Lilly
SenateArrive in Senate
SenatePlaced on Calendar Order of First Reading
SenateChief Senate Sponsor Sen. Cristina Castro
SenateFirst Reading
CommitteeReferred to Assignments · Senate Assignments
CommitteeAssigned to Insurance · Senate Insurance
CommitteePostponed - Insurance · Senate Insurance
SenateRule 2-10 Committee Deadline Established As May 10, 2024
SenateRule 2-10 Committee Deadline Established As May 17, 2024
SenateAdded as Alternate Co-Sponsor Sen. Christopher Belt
SenateAdded as Alternate Co-Sponsor Sen. Lakesia Collins
CommitteeRule 3-9(a) / Re-referred to Assignments · Senate Assignments
HouseSession Sine Die
Roll calls
2 recorded votes: 1 on the floor, 1 in committee. Each shows how every member voted.
