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SB0055 - 104th General Assembly
INS CD-MENTAL HEALTH PARITY
Last Action
Senate Sponsors
Sen. Karina Villa - Graciela Guzmán - Mattie Hunter - Bill Cunningham, Sara Feigenholtz, Mary Edly-Allen, Adriane Johnson, Javier L. Cervantes, Christopher Belt, Ram Villivalam, Patrick J. Joyce, Mark L. Walker, Rachel Ventura, Michael E. Hastings, Laura Fine, Mike Simmons, Celina Villanueva, Robert Peters, Robert F. Martwick, Mike Porfirio, Lakesia Collins, Steve Stadelman, Laura M. Murphy, David Koehler, Terri Bryant, Erica Harriss, Cristina Castro, Doris Turner, Seth Lewis, Paul Faraci, Julie A. Morrison and Sally J. TurnerStatutes Amended In Order of Appearance
215 ILCS 125/5-3from Ch. 111 1/2, par. 1411.2
Synopsis As Introduced
Amends the Illinois Insurance Code. Establishes reimbursement rates for mental health and substance use disorder treatment services for all group or individual policies of accident and health insurance or managed care plans that are amended, delivered, issued, or renewed on or after January 1, 2027 or for any contracted third party administering the behavioral health benefits for the insurer. Requires a group or individual policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2026 or any contracted third party administering the behavioral health benefits for the insurer to cover certain medically necessary mental health and substance use disorder treatment services. Provides that, if the Department of Insurance determines that an insurer or a contracted third party administering the behavioral health benefits for the insurer has violated a provision concerning mental health and substance use parity, the Department shall by order assess a civil penalty of $1,000 for each violation. Excludes certain health care plans serving Medicaid populations who are enrolled under the Illinois Public Aid Code or under the Children's Health Insurance Program Act from provisions concerning mental health and substance use parity. Requires the Department to review the impact of the proposed mental health and substance abuse mandate on network adequacy for mental health and substance use disorder treatment and access to affordable mental health and substance use care. Permits the Department to examine out-of-network utilization and out-of-pocket costs for insureds for mental health and substance use treatment and services for all plans to compare with in-network utilization. Amends the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, and the School Code to require coverage under those provisions. Effective immediately.
Actions
| Date | Chamber | Action |
|---|---|---|
| 1/13/2025 | Senate | Filed with Secretary by Sen. Karina Villa |
| 1/13/2025 | Senate | First Reading |
| 1/13/2025 | Senate | Referred to Assignments |
| 1/21/2025 | Senate | Added as Co-Sponsor Sen. Sara Feigenholtz |
| 1/30/2025 | Senate | Added as Chief Co-Sponsor Sen. Graciela Guzmán |
| 2/03/2025 | Senate | Added as Chief Co-Sponsor Sen. Mattie Hunter |
| 2/03/2025 | Senate | Added as Co-Sponsor Sen. Mary Edly-Allen |
| 2/03/2025 | Senate | Added as Co-Sponsor Sen. Adriane Johnson |
| 2/04/2025 | Senate | Added as Co-Sponsor Sen. Javier L. Cervantes |
| 2/04/2025 | Senate | Added as Co-Sponsor Sen. Christopher Belt |
| 2/04/2025 | Senate | Added as Co-Sponsor Sen. Ram Villivalam |
| 2/04/2025 | Senate | Added as Co-Sponsor Sen. Patrick J. Joyce |
| 2/04/2025 | Senate | Added as Co-Sponsor Sen. Mark L. Walker |
| 2/04/2025 | Senate | Added as Co-Sponsor Sen. Rachel Ventura |
| 2/05/2025 | Senate | Added as Co-Sponsor Sen. Michael E. Hastings |
| 2/05/2025 | Senate | Added as Co-Sponsor Sen. Laura Fine |
| 2/05/2025 | Senate | Added as Co-Sponsor Sen. Mike Simmons |
| 2/05/2025 | Senate | Added as Co-Sponsor Sen. Celina Villanueva |
| 2/05/2025 | Senate | Added as Co-Sponsor Sen. Robert Peters |
| 2/05/2025 | Senate | Added as Co-Sponsor Sen. Robert F. Martwick |
| 2/05/2025 | Senate | Added as Co-Sponsor Sen. Mike Porfirio |
| 2/06/2025 | Senate | Added as Co-Sponsor Sen. Lakesia Collins |
| 2/06/2025 | Senate | Added as Co-Sponsor Sen. Steve Stadelman |
| 2/06/2025 | Senate | Added as Co-Sponsor Sen. Laura M. Murphy |
| 2/19/2025 | Senate | Added as Co-Sponsor Sen. David Koehler |
| 2/20/2025 | Senate | Added as Co-Sponsor Sen. Terri Bryant |
| 2/20/2025 | Senate | Added as Co-Sponsor Sen. Erica Harriss |
| 2/26/2025 | Senate | Added as Co-Sponsor Sen. Cristina Castro |
| 2/26/2025 | Senate | Added as Chief Co-Sponsor Sen. Bill Cunningham |
| 3/04/2025 | Senate | Added as Co-Sponsor Sen. Doris Turner |
| 3/06/2025 | Senate | Added as Co-Sponsor Sen. Seth Lewis |
| 3/12/2025 | Senate | Added as Co-Sponsor Sen. Paul Faraci |
| 3/14/2025 | Senate | Added as Co-Sponsor Sen. Julie A. Morrison |
| 3/20/2025 | Senate | Added as Co-Sponsor Sen. Sally J. Turner |