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Bill > SB3130


IL SB3130

IL SB3130
INSURANCE-VARIOUS


summary

Introduced
02/02/2024
In Committee
04/30/2024
Crossed Over
04/17/2024
Passed
05/16/2024
Dead
Signed/Enacted/Adopted
08/02/2024

Introduced Session

103rd General Assembly

Bill Summary

Reinserts the provisions of the introduced bill with the following changes. Amends the Department of Insurance Law of the Civil Administrative Code of Illinois. Provides that the Marketplace Director of the Illinois Health Benefits Exchange shall serve for a term of 2 years, and until a successor is appointed and qualified; except that the term of the first Marketplace Director appointed shall expire on the third Monday in January 2027. Provides that the Marketplace Director may serve for more than one term. Removes language providing that the Marketplace Director may be an existing employee with other duties. Provides that the Marketplace Director shall (instead of shall not) be subject to the Personnel Code. In the Illinois Insurance Code, provides that a pregnant individual has the right to enroll in a qualified health plan through a special enrollment period within 60 days (instead of at any time) after any qualified health care professional certifies that the individual is pregnant. In the Managed Care Reform and Patient Rights Act, provides that each level of coverage that a health insurance carrier offers of a standardized option in each applicable service area shall be deemed to satisfy (instead of shall satisfy) the requirements for a flat-dollar copay structure. Amends the Health Maintenance Organization Act. Provides that health maintenance organizations shall comply with the Illinois Insurance Code's requirements concerning pregnancy as a qualifying life event. Effective immediately, except that the changes to the Network Adequacy and Transparency Act take effect January 1, 2025.

AI Summary

This bill makes several changes to insurance laws in Illinois: It amends the Department of Insurance Law to establish a 2-year term for the Marketplace Director of the Illinois Health Benefits Exchange, allows the Director to serve multiple terms, and requires the Director to be subject to the Personnel Code. The bill also amends the Illinois Insurance Code to provide that a pregnant individual has the right to enroll in a qualified health plan through a special enrollment period within 60 days after a qualified healthcare professional certifies the pregnancy. Additionally, the bill makes changes to the Managed Care Reform and Patient Rights Act to deem that standardized plan options offered by health insurers satisfy the requirements for a flat-dollar copay structure for prescription drug benefits. It also amends the Health Maintenance Organization Act to require compliance with the Illinois Insurance Code's provisions on pregnancy as a qualifying life event. Lastly, the bill makes various other changes to network adequacy and transparency requirements for health insurance plans, including enforcing federal standards for stand-alone dental plans where applicable.

Committee Categories

Business and Industry

Sponsors (2)

Last Action

Public Act . . . . . . . . . 103-0777 (on 08/02/2024)

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