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IL HB1331

IL HB1331
NETWORK ADEQUACY-GENETIC MED


summary

Introduced
01/14/2025
In Committee
04/30/2025
Crossed Over
04/09/2025
Passed
08/15/2025
Dead
Signed/Enacted/Adopted
08/15/2025

Introduced Session

104th General Assembly

Bill Summary

Amends the Network Adequacy and Transparency Act. Provides that the Department of Insurance shall consider establishing ratios for providers of genetic medicine and genetic counseling.

AI Summary

This bill amends the Network Adequacy and Transparency Act to add Genetic Medicine and Genetic Counseling to the list of medical specialties that the Department of Insurance shall consider establishing provider ratios for when evaluating health insurance network plans. Specifically, the bill modifies an existing section of law that requires insurance companies to demonstrate a minimum ratio of providers to plan beneficiaries across various medical specialties. By adding Genetic Medicine and Genetic Counseling as a new category (labeled as item DD in the list), the bill aims to ensure that health insurance networks adequately represent these specialized medical fields. This change requires insurance companies to potentially adjust their provider networks to include an appropriate number of genetic medicine and genetic counseling professionals relative to their plan's beneficiary population, helping to improve access to these increasingly important medical services. The modification is part of a broader effort to ensure that health insurance networks provide comprehensive and accessible healthcare coverage across a wide range of medical specialties.

Committee Categories

Business and Industry

Sponsors (4)

Last Action

Public Act . . . . . . . . . 104-0175 (on 08/15/2025)

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