HB5481 - 104th General Assembly (2025-2026)

INS-CONFIDENTIAL BENEFIT FORMS
Last Action

2/24/2026 - House: Assigned to Insurance Committee
House Sponsors

Rep. Anne Stava
Statutes Amended In Order of Appearance

Synopsis As Introduced

Prohibits health insurance issuers from specifying or describing personal sensitive health care information in any explanation of benefits, summary of payments, claims history, or any other communication or record relating to payment or coverage of services or procedures involving sensitive health care information for an insured member other than the insured subscriber, unless the insured member receiving the service or procedure clearly makes a request orally or in writing to not suppress information relating to sensitive health care. Grants the Department of Insurance rulemaking authority. Provides that the Department of Insurance, in collaboration with the Department of Public Health, shall develop and implement a plan to educate health care providers and consumers regarding the rights of insured members and the responsibilities of health insurance issuers to promote compliance with the stated requirements. 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 establish the same requirements in the provisions of those Acts. Effective one year after becoming law.
Actions

DateChamberAction
2/06/2026HouseFiled with the Clerk by Rep. Barbara Hernandez
2/13/2026HouseFirst Reading
2/13/2026HouseReferred to Rules Committee
2/24/2026HouseChief Sponsor Changed to Rep. Anne Stava
2/24/2026HouseAssigned to Insurance Committee