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IL SB1912

IL SB1912
INS-HEALTH CARE/RATE APPROVAL


summary

Introduced
02/09/2023
In Committee
03/31/2023
Crossed Over
Passed
Dead
01/08/2025

Introduced Session

Potential new amendment
103rd General Assembly

Bill Summary

Amends the Department of Insurance Law. Provides that the Department of Insurance shall establish the Office of the Healthcare Advocate. Provides that the Office shall be administered by the Chief Health Care Advocate, who shall report to the Director of Insurance. Amends the Illinois Insurance Code and the Health Maintenance Organization Act. Provides that all individual and small group accident and health policies written subject to certain federal standards must file rates with the Department for approval. Provides that unreasonable rate increases or inadequate rates shall be modified or disapproved. Provides that when an insurer files a schedule or table of premium rates for individual or small group health benefit plans, the insurer shall post notice of the premium rate filings and a filing summary in plain language on the insurer's website. Provides that the Department shall post all insurers' rate filings and summaries on the Department's website. Provides that the Department shall open a 30-day public comment period on the date that a rate filing is posted on the website. Provides that the Department shall hold a public hearing during the 30-day comment period. Provides that the Director shall adopt affordability standards that must be considered in any decision to approve, disapprove, or modify rate filings. Provides that after the close of the public comment period, the Department shall issue a decision to approve, disapprove, or modify a rate filing, and post the decision on the Department's website. Provides that the Department shall adopt rules implementing specified procedures. Defines "inadequate rate", "plain language", and "unreasonable rate increase".

AI Summary

This bill establishes the Office of the Healthcare Advocate within the Department of Insurance, which will be led by a Chief Health Care Advocate. The Advocate will evaluate individual and small group health benefit plan rate filings, networks, and affordability, and represent the interests of individuals and small business owners in public hearings. The bill also requires all individual and small group accident and health insurance policies subject to federal standards to file rates with the Department for approval, and allows the Department to modify or disapprove unreasonable rate increases or inadequate rates. The bill mandates public disclosure and comment periods for rate filings, and requires the Department to adopt affordability standards to consider in rate approval decisions.

Committee Categories

Business and Industry

Sponsors (5)

Last Action

Session Sine Die (on 01/07/2025)

bill text


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