summary
Introduced
02/07/2025
02/07/2025
In Committee
03/21/2025
03/21/2025
Crossed Over
Passed
Dead
Introduced Session
104th General Assembly
Bill Summary
Amends the Illinois Insurance Code. Provides that any health insurance issuer carrying on business in this State on or after January 1, 2027 shall develop a plan to provide adequate coverage of and access to a broad spectrum of pain management services, including, but not limited to, nonopioid, nonnarcotic medication for pain management and nonmedication pain management services that serve as alternatives to the prescribing of opioid or narcotic drugs in accordance with guidelines that will be developed by the Department of Insurance. Provides that the Department shall review the plans and consider the adequacy of access to a broad spectrum of pain management services under the issuers plans and whether any policies adopted by the issuer may create unduly preferential coverage of and access to prescription opioids for pain management, without consideration of other pain management services. Provides that Any health insurance issuer carrying on business in the State of Illinois shall distribute educational materials to participating providers about any pain management access plan and post information about the plan on the issuer's publicly accessible website. 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 Health Services Plans Act, and the Illinois Public Aid Code to require coverage under those provisions.
AI Summary
This bill addresses nonopioid pain management coverage in health insurance plans across Illinois. Starting January 1, 2027, the bill requires all health insurance issuers to develop comprehensive plans that provide adequate coverage and access to a broad spectrum of pain management services, including nonopioid medications and non-medication alternatives to opioid drugs. The Department of Insurance will review these plans, focusing on ensuring that insurers do not unduly preferentially cover prescription opioids while neglecting other pain management options. Health insurance issuers must distribute educational materials to healthcare providers about their pain management access plans and post information about these plans on their public websites. The bill amends multiple existing state laws, including the State Employees Group Insurance Act, Counties Code, Illinois Municipal Code, School Code, and various health insurance-related acts, to mandate this coverage across different types of health insurance programs. By requiring insurers to consider a wider range of pain management strategies, the bill aims to provide patients with more diverse and potentially less addictive treatment options while addressing potential biases in current pain management coverage.
Committee Categories
Business and Industry
Sponsors (1)
Last Action
Rule 19(a) / Re-referred to Rules Committee (on 03/21/2025)
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=3456&GAID=18&DocTypeID=HB&SessionID=114&GA=104 |
| BillText | https://www.ilga.gov/legislation/104/HB/10400HB3456.htm |
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