Bill > HB4703

This bill amends the Illinois Insurance Code to regulate the billing practices of health insurance providers. The key provisions are: 1. Prohibiting health insurance issuers from billing patients more than the in-network cost-sharing amount for certain services received from non-participating providers at participating facilities, such as ancillary services, services due to urgent medical needs, or services where the provider failed to provide required notice and obtain consent. 2. Requiring health insurance issuers to ensure patients pay no more out-of-pocket costs for emergency services from non-participating providers or facilities than they would have paid for such services from participating providers or facilities. 3. Establishing requirements for how health insurance issuers must handle billing and payment disputes with non-participating providers, including mandatory arbitration processes. 4. Making conforming changes to related insurance laws, such as the Health Maintenance Organization Act and Managed Care Reform and Patient Rights Act, to align with the new billing requirements. The bill aims to protect patients from unexpected, high out-of-pocket costs when they receive care from non-participating providers, particularly in emergency situations or when using in-network facilities.

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https://www.ilga.gov/legislation/BillStatus.asp?DocNum=4703&GAID=16&DocTypeID=HB&SessionID=110&GA=102