Illinois General Assembly - Bill Status for HB2595
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 Bill Status of HB2595  102nd General Assembly


Short Description:  INSURANCE-MENTAL HEALTH

House Sponsors
Rep. Deb Conroy - Jennifer Gong-Gershowitz, Jonathan Carroll, Terra Costa Howard, Maura Hirschauer, Robyn Gabel, Bob Morgan, Will Guzzardi, Maurice A. West, II, Kelly M. Cassidy, Mary E. Flowers, Nicholas K. Smith, Katie Stuart, Angelica Guerrero-Cuellar, Natalie A. Manley, Lindsey LaPointe, Marcus C. Evans, Jr., William Davis, Margaret Croke, Barbara Hernandez, Ryan Spain, Frances Ann Hurley, Amy Grant, Joyce Mason, Anna Moeller, Greg Harris and Mark L. Walker

Last Action
DateChamber Action
  4/14/2021HousePlaced on Calendar Order of 3rd Reading - Short Debate

Statutes Amended In Order of Appearance
215 ILCS 5/370cfrom Ch. 73, par. 982c
215 ILCS 180/35
215 ILCS 180/40


Synopsis As Introduced
Amends the Illinois Insurance Code. Provides that every insurer that amends, delivers, issues, or renews a group or individual policy of accident and health insurance or a qualified health plan offered through the health insurance marketplace in the State and Medicaid managed care organizations providing coverage for hospital or medical treatment shall provide coverage for medically necessary treatment of mental, emotional, nervous, or substance use disorders or conditions. Provides that an insurer shall not limit benefits or coverage for medically necessary services on the basis that those services should be or could be covered by a public program. Provides that an insurer shall base any medical necessity determination or the utilization review criteria on current generally accepted standards of mental, emotional, nervous, or substance use disorder or condition care. Provides that in conducting utilization review of covered health care services and benefits for the diagnosis, prevention, and treatment of mental, emotional, and nervous disorders or conditions in children, adolescents, and adults, an insurer shall exclusively apply the criteria and guidelines set forth in the most recent versions of the treatment criteria developed by the nonprofit professional association for the relevant clinical specialty. Provides that an insurer shall not apply different, additional, conflicting, or more restrictive utilization review criteria than the criteria and guidelines set forth in the treatment criteria. Provides that the Director may, after appropriate notice and opportunity for hearing, assess a civil penalty between $5,000 and $20,000 for each violation. Amends the Health Carrier External Review Act. Provides that independent review organization shall comply with specified requirements for an adverse determination or final adverse determination involving mental, emotional, nervous, or substance use disorders or conditions. Makes other changes. Effective immediately.

Actions 
DateChamber Action
  2/17/2021HouseFiled with the Clerk by Rep. Deb Conroy
  2/19/2021HouseAdded Chief Co-Sponsor Rep. Jennifer Gong-Gershowitz
  2/19/2021HouseFirst Reading
  2/19/2021HouseReferred to Rules Committee
  2/23/2021HouseAdded Co-Sponsor Rep. Jonathan Carroll
  2/26/2021HouseAdded Co-Sponsor Rep. Terra Costa Howard
  3/1/2021HouseAdded Co-Sponsor Rep. Maura Hirschauer
  3/2/2021HouseAdded Co-Sponsor Rep. Robyn Gabel
  3/9/2021HouseAssigned to Mental Health & Addiction Committee
  3/11/2021HouseAdded Co-Sponsor Rep. Bob Morgan
  3/12/2021HouseAdded Co-Sponsor Rep. Will Guzzardi
  3/17/2021HouseAdded Co-Sponsor Rep. Maurice A. West, II
  3/18/2021HouseAdded Co-Sponsor Rep. Kelly M. Cassidy
  3/18/2021HouseAdded Co-Sponsor Rep. Mary E. Flowers
  3/18/2021HouseAdded Co-Sponsor Rep. Nicholas K. Smith
  3/23/2021HouseAdded Co-Sponsor Rep. Katie Stuart
  3/24/2021HouseAdded Co-Sponsor Rep. Angelica Guerrero-Cuellar
  3/24/2021HouseAdded Co-Sponsor Rep. Natalie A. Manley
  3/25/2021HouseAdded Co-Sponsor Rep. Lindsey LaPointe
  3/26/2021HouseAdded Co-Sponsor Rep. Marcus C. Evans, Jr.
  3/26/2021HouseDo Pass / Short Debate Mental Health & Addiction Committee; 016-000-000
  3/26/2021HouseAdded Co-Sponsor Rep. William Davis
  4/6/2021HouseAdded Co-Sponsor Rep. Margaret Croke
  4/7/2021HouseAdded Co-Sponsor Rep. Barbara Hernandez
  4/8/2021HousePlaced on Calendar 2nd Reading - Short Debate
  4/8/2021HouseAdded Co-Sponsor Rep. Ryan Spain
  4/12/2021HouseAdded Co-Sponsor Rep. Frances Ann Hurley
  4/12/2021HouseAdded Co-Sponsor Rep. Amy Grant
  4/12/2021HouseAdded Co-Sponsor Rep. Joyce Mason
  4/12/2021HouseAdded Co-Sponsor Rep. Anna Moeller
  4/13/2021HouseAdded Co-Sponsor Rep. Greg Harris
  4/13/2021HouseAdded Co-Sponsor Rep. Mark L. Walker
  4/14/2021HouseSecond Reading - Short Debate
  4/14/2021HousePlaced on Calendar Order of 3rd Reading - Short Debate

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