Bill Status of HB5498  101st General Assembly

Short Description:  INS CD-MENTAL HEALTH COVERAGE

House Sponsors
Rep. Deb Conroy - Terra Costa Howard - Grant Wehrli, Jonathan "Yoni" Pizer, Jennifer Gong-Gershowitz, Robyn Gabel, Will Guzzardi and Gregory Harris

Last Action
DateChamber Action
  1/13/2021HouseSession Sine Die

Statutes Amended In Order of Appearance
215 ILCS 5/370cfrom Ch. 73, par. 982c


Synopsis As Introduced
Amends the Illinois Insurance Code. Provides that the Department of Insurance and the Department of Healthcare and Family Services shall each appoint a Mental Health and Substance Use Disorder Parity Compliance Officer to assist with the responsibilities of enforcing the requirements of the Illinois Insurance Code. Provides that group accident and health policies providing coverage for hospital or medical treatment or services for illness on an expense-incurred basis shall provide specified coverage for the diagnosis and medically necessary treatment of mental, emotional, nervous, or substance use disorders or conditions. Provides criteria and standards for the types of treatment that constitute medically necessary treatment of mental, emotional, nervous, or substance use disorders or conditions. Provides that an insurer shall not limit benefits or coverage for chronic or pervasive mental, emotional, nervous, or substance use disorders or conditions to short-term treatment or to alleviating current symptoms. Provides that insurers shall perform specified actions to ensure the proper use of medical necessity criteria. Provides that if medically necessary services for mental, emotional, nervous, or substance use disorders or conditions are not available in-network within the geography and timeliness standards, the insurer must cover out-of-network services. Provides that if the Department of Insurance determines that an insurer has failed to meet the requirements of the amendatory Act, it shall impose a penalty per product line with respect to each beneficiary. Makes other changes.

Actions 
DateChamber Action
  2/14/2020HouseFiled with the Clerk by Rep. Deb Conroy
  2/18/2020HouseFirst Reading
  2/18/2020HouseReferred to Rules Committee
  2/21/2020HouseAdded Co-Sponsor Rep. Jonathan "Yoni" Pizer
  2/25/2020HouseAssigned to Mental Health Committee
  2/26/2020HouseAdded Co-Sponsor Rep. Jennifer Gong-Gershowitz
  2/27/2020HouseAdded Co-Sponsor Rep. Robyn Gabel
  2/27/2020HouseAdded Chief Co-Sponsor Rep. Terra Costa Howard
  3/3/2020HouseAdded Co-Sponsor Rep. Will Guzzardi
  3/12/2020HouseAdded Chief Co-Sponsor Rep. Grant Wehrli
  3/12/2020HouseAdded Co-Sponsor Rep. Gregory Harris
  6/23/2020HouseRule 19(b) / Re-referred to Rules Committee
  1/13/2021HouseSession Sine Die