summary
Introduced
01/29/2026
01/29/2026
In Committee
02/10/2026
02/10/2026
Crossed Over
Passed
Dead
Introduced Session
104th General Assembly
Bill Summary
Amends the Illinois Insurance Code. Provides that a group health plan or an accident and health insurer offering group or individual health insurance coverage shall not discriminate with respect to participation under the plan or coverage against any health care provider who is acting within the scope of that provider's license or certification under applicable State law. Provides that nothing in the provisions shall be construed as preventing a group health plan, an accident and health insurer, or the Director of Insurance from establishing varying reimbursement rates based on quality or performance measures.
AI Summary
This bill amends the Illinois Insurance Code to prohibit group health plans and accident and health insurers, which provide group or individual health insurance, from discriminating against any healthcare provider who is acting within their licensed or certified scope of practice. This means these plans and insurers cannot unfairly exclude or disadvantage providers based on their professional status. However, the bill clarifies that this does not prevent plans, insurers, or the Director of Insurance (the state official overseeing insurance matters) from setting different payment rates for providers based on the quality of care they provide or their performance metrics.
Committee Categories
Business and Industry
Sponsors (1)
Last Action
Assigned to Insurance (on 02/10/2026)
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