summary
Introduced
01/09/2025
01/09/2025
In Committee
04/30/2025
04/30/2025
Crossed Over
04/07/2025
04/07/2025
Passed
08/01/2025
08/01/2025
Dead
Signed/Enacted/Adopted
08/01/2025
08/01/2025
Introduced Session
104th General Assembly
Bill Summary
Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2026 shall provide coverage for medically necessary general anesthesia, regardless of the duration, for any procedure covered by the policy, and that medical necessity shall be determined by the attending anesthesiologist or licensed anesthesia provider. Provides that an individual or group policy of accident and health insurance is prohibited from denying payment or reimbursement for anesthesia services solely because the duration of care exceeded a preset time limit. Amends the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, the Limited Health Service Organization Act, the Voluntary Services Plans Act, and the Illinois Public Aid Code to require coverage under those provisions. Effective immediately.
AI Summary
This bill mandates comprehensive coverage for general anesthesia services across various health insurance policies in Illinois, effective January 1, 2026. The legislation requires group and individual health insurance policies, managed care plans, and other health coverage programs to provide medically necessary anesthesia services for any covered procedure, regardless of the duration of care. Specifically, the bill prohibits insurance providers from denying payment or reimbursement for anesthesia services solely because the duration exceeded a preset time limit, with medical necessity to be determined by the attending anesthesiologist or licensed anesthesia provider. The bill amends multiple state codes, including the State Employees Group Insurance Act, Counties Code, Illinois Municipal Code, School Code, Health Maintenance Organization Act, Limited Health Service Organization Act, Voluntary Health Services Plans Act, and Illinois Public Aid Code to ensure consistent coverage across different types of health insurance plans. By establishing this requirement, the bill aims to ensure patients receive appropriate anesthesia care without arbitrary time restrictions, potentially improving patient safety and medical treatment outcomes.
Committee Categories
Business and Industry
Sponsors (54)
Bill Hauter (R)*,
Doris Turner (D)*,
Li Arellano (R),
Dee Avelar (D),
Christopher Belt (D),
Harry Benton (D),
Diane Blair-Sherlock (D),
Amy Briel (D),
Jason Bunting (R),
John Cabello (R),
Mary Beth Canty (D),
Javier Cervantes (D),
Sharon Chung (D),
Mike Coffey (R),
Lisa Davis (D),
Anthony DeLuca (D),
Martha Deuter (D),
Mary Edly-Allen (D),
Amy Elik (R),
Laura Faver Dias (D),
Suzy Glowiak Hilton (D),
Amy Grant (R),
Nicolle Grasse (D),
Will Guzzardi (D),
Jackie Haas (R),
Mike Halpin (D),
Matt Hanson (D),
Michael Hastings (D),
Norma Hernandez (D),
Maura Hirschauer (D),
Lilian Jiménez (D),
Adriane Johnson (D),
Tracy Katz Muhl (D),
Jeff Keicher (R),
Nicole La Ha (R),
Kimberly Lightford (D),
Camille Lilly (D),
Debbie Meyers-Martin (D),
Yolonda Morris (D),
Laura Murphy (D),
Michelle Mussman (D),
Adam Niemerg (R),
Abdelnasser Rashid (D),
Steve Reick (R),
Rick Ryan (D),
Jennifer Sanalitro (R),
Kevin Schmidt (R),
Dave Severin (R),
Nabeela Syed (D),
Dennis Tipsword (R),
Travis Weaver (R),
Chris Welch (D),
Maurice West (D),
Omar Williams (D),
Last Action
Public Act . . . . . . . . . 104-0042 (on 08/01/2025)
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.ilga.gov/legislation/BillStatus.asp?DocNum=1141&GAID=18&DocTypeID=HB&SessionID=114&GA=104 |
| BillText | https://www.ilga.gov/legislation/104/HB/10400HB1141enr.htm |
| BillText | https://www.ilga.gov/legislation/104/HB/10400HB1141eng.htm |
| House Amendment 002 | https://www.ilga.gov/legislation/104/HB/10400HB1141ham002.htm |
| House Amendment 001 | https://www.ilga.gov/legislation/104/HB/10400HB1141ham001.htm |
| BillText | https://www.ilga.gov/legislation/104/HB/10400HB1141.htm |
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