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IL HB2464

IL HB2464
INS-HEALTH/NEONATAL COST SHARE


summary

Introduced
02/03/2025
In Committee
05/07/2025
Crossed Over
04/11/2025
Passed
08/01/2025
Dead
Signed/Enacted/Adopted
08/01/2025

Introduced Session

104th General Assembly

Bill Summary

Amends the Accident and Health Article of the Illinois Insurance Code. Provides that if a beneficiary, insured, or enrollee receives neonatal intensive care from a nonparticipating provider or nonparticipating facility, a health insurance issuer shall ensure that the beneficiary, insured, or enrollee shall incur no greater out-of-pocket costs than he or she would have incurred with a participating provider or a participating facility, as long as the nonparticipating provider or nonparticipating facility bills the neonatal intensive care as emergency services.

AI Summary

This bill amends the Illinois Insurance Code to protect families with newborns receiving neonatal intensive care by ensuring that if a patient receives such care from a nonparticipating healthcare provider or facility, their out-of-pocket costs will be the same as if they had received care from a participating provider or facility, specifically when the neonatal intensive care is billed as emergency services. This means that parents whose newborns require intensive care will not face additional financial burdens if they are treated at a hospital or by medical professionals that are not part of their insurance network. The bill builds upon existing provisions in the Illinois Insurance Code that already protect patients from unexpected high costs when receiving emergency medical services from out-of-network providers, and specifically extends these protections to neonatal intensive care scenarios. By requiring health insurance issuers to treat neonatal intensive care services similarly to other emergency services, the bill aims to reduce potential financial stress for families during what can already be a challenging medical situation.

Committee Categories

Business and Industry, Health and Social Services

Sponsors (14)

Last Action

Public Act . . . . . . . . . 104-0060 (on 08/01/2025)

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