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IL HB3020

IL HB3020
INS CD-PRIOR AUTHORIZATION


summary

Introduced
02/06/2025
In Committee
03/21/2025
Crossed Over
Passed
Dead

Introduced Session

104th General Assembly

Bill Summary

Amends the Illinois Insurance Code. Provides that an individual or group health benefit plan shall not impose any prior authorization requirements on outpatient services for the prevention, screening, diagnosis, or treatment of mental, emotional, nervous, or substance use disorders or conditions.

AI Summary

This bill amends the Illinois Insurance Code to prohibit individual and group health benefit plans from imposing prior authorization requirements on outpatient services related to the prevention, screening, diagnosis, or treatment of mental, emotional, nervous, or substance use disorders. Specifically, the bill adds a new provision that directly prevents health insurers from requiring prior authorization for these types of mental health and substance use disorder services, which means patients can access these services more quickly without needing advance approval from their insurance company. The bill builds upon existing Illinois law that already provides protections for mental health and substance use disorder treatment, such as requiring coverage for medically necessary treatment and ensuring that these services are covered in a manner consistent with coverage for physical health conditions. By eliminating prior authorization requirements, the legislation aims to reduce barriers to mental health and substance use disorder care, making it easier for individuals to seek and receive timely treatment. The change applies to health benefit plans amended, delivered, issued, or renewed on or after the effective date of the bill.

Committee Categories

Business and Industry

Sponsors (2)

Last Action

Rule 19(a) / Re-referred to Rules Committee (on 03/21/2025)

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