---
type: "Bill"
title: "MCO-DISENROLLMENT REQUIREMENTS"
description: "Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that disenrollment of a Medicaid enrollee from a managed care organization under contract with the Department of Healthcare and Family Services shall be in accordance with specified federal requirements whenever a contract is terminated between a Medicaid managed care health plan and a primary care provider that results in a disruption to the Medicaid enrollee's provider-beneficiary relationship. Effective immediately."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "100th"
identifier: "HB 4383"
citation: "Illinois HB 4383 (100th)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: []
version_count: 3
action_count: 74
vote_count: 2
first_action: "2018-01-30"
last_action: "2018-08-19"
source: "openstates"
source_identifier: "ocd-bill/34fac368-394d-4b52-942c-4f34c7754149"
source_url: "http://ilga.gov/legislation/BillStatus.asp?DocNum=4383&GAID=14&DocTypeID=HB&LegId=109128&SessionID=91&GA=100"
source_hash: "7fafad015d8db9d5e2f82cacbeb37ddf2d4d31b70bcc013de9475cfa628ffe97"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-il"]
---

# Illinois HB 4383 (100th) — MCO-DISENROLLMENT REQUIREMENTS

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that disenrollment of a Medicaid enrollee from a managed care organization under contract with the Department of Healthcare and Family Services shall be in accordance with specified federal requirements whenever a contract is terminated between a Medicaid managed care health plan and a primary care provider that results in a disruption to the Medicaid enrollee's provider-beneficiary relationship. Effective immediately.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Introduced** (filed) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=10000HB4383&GA=100&SessionId=91&DocTypeId=HB&LegID=109128&DocNum=4383&GAID=14&Session=&print=true)
2. **Engrossed** (committee substitute) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=10000HB4383eng&GA=100&SessionId=91&DocTypeId=HB&LegID=109128&DocNum=4383&GAID=14&Session=&print=true)
3. **Enrolled** (enrolled) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=10000HB4383enr&GA=100&SessionId=91&DocTypeId=HB&LegID=109128&DocNum=4383&GAID=14&Session=&print=true)

## Votes

- Third Reading — **102–0** (pass) · lower
- Third Reading — **58–0** (pass) · upper

## Sponsors

- Andy Manar — cosponsor (person)
- Antonio Muñoz — cosponsor (person)
- Chris Nybo — cosponsor (person)
- Dale A. Righter — cosponsor (person)
- Dale Fowler — cosponsor (person)
- Daniel Biss — cosponsor (person)
- David Koehler — cosponsor (person)
- Don Harmon — cosponsor (person)
- Elgie R. Sims, Jr. — cosponsor (person)
- Ira I. Silverstein — cosponsor (person)
- James F. Clayborne, Jr. — cosponsor (person)
- Jil Tracy — cosponsor (person)
- John F. Curran — cosponsor (person)
- John G. Mulroe — cosponsor (person)
- Julie A. Morrison — cosponsor (person)
- Karen McConnaughay — cosponsor (person)
- Kimberly A. Lightford — cosponsor (person)
- Kwame Raoul — cosponsor (person)
- Laura M. Murphy — cosponsor (person)
- Linda Holmes — cosponsor (person)
- Martin A. Sandoval — cosponsor (person)
- Mattie Hunter — cosponsor (person)
- Melinda Bush — cosponsor (person)
- Michael Connelly — cosponsor (person)
- Michael E. Hastings — cosponsor (person)
- Neil Anderson — cosponsor (person)
- Pamela J. Althoff — cosponsor (person)
- Pat McGuire — cosponsor (person)
- Patricia Van Pelt — cosponsor (person)
- Paul Schimpf — cosponsor (person)
- Sara Feigenholtz — primary (person)
- Scott M. Bennett — cosponsor (person)
- Steve Stadelman — cosponsor (person)
- Terry Link — cosponsor (person)
- Thomas Cullerton — cosponsor (person)
- Tim Bivins — cosponsor (person)
- Toi W. Hutchinson — cosponsor (person)
- Tom Rooney — cosponsor (person)
- Wm. Sam McCann — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2018-01-30** Filed with the Clerk by Rep. Sara Feigenholtz `filing`
- **2018-01-30** First Reading `reading-1`
- **2018-01-30** Referred to Rules Committee `referral-committee`
- **2018-02-02** Added Chief Co-Sponsor Rep. Robyn Gabel
- **2018-02-12** Assigned to Human Services Committee `referral-committee`
- **2018-02-13** House Committee Amendment No. 1 Filed with Clerk by Rep. Sara Feigenholtz `amendment-introduction`
- **2018-02-13** House Committee Amendment No. 1 Referred to Rules Committee `referral-committee`
- **2018-02-21** House Committee Amendment No. 1 Rules Refers to Human Services Committee
- **2018-02-28** Do Pass / Short Debate Human Services Committee; 012-000-000 `committee-passage`
- **2018-02-28** House Committee Amendment No. 1 Tabled Pursuant to Rule 40 `amendment-failure`
- **2018-02-28** Placed on Calendar 2nd Reading - Short Debate
- **2018-02-28** Added Co-Sponsor Rep. Norine K. Hammond
- **2018-03-01** Second Reading - Short Debate `reading-2`
- **2018-03-01** Placed on Calendar Order of 3rd Reading - Short Debate
- **2018-03-07** Third Reading - Short Debate - Passed 102-000-001 `reading-3, passage`
- **2018-03-07** Added Co-Sponsor Rep. Laura Fine
- **2018-03-09** Arrive in Senate `introduction`
- **2018-03-09** Placed on Calendar Order of First Reading `reading-1`
- **2018-03-09** Chief Senate Sponsor Sen. Heather A. Steans
- **2018-03-09** First Reading `reading-1`
- **2018-03-09** Referred to Assignments `referral-committee`
- **2018-03-12** Added as Alternate Co-Sponsor Sen. Andy Manar
- **2018-03-12** Added as Alternate Chief Co-Sponsor Sen. Iris Y. Martinez
- **2018-03-13** Added as Alternate Co-Sponsor Sen. Daniel Biss
- **2018-03-13** Added as Alternate Co-Sponsor Sen. Scott M. Bennett
- **2018-03-13** Added as Alternate Chief Co-Sponsor Sen. Cristina Castro
- **2018-03-13** Added as Alternate Chief Co-Sponsor Sen. Omar Aquino
- **2018-03-14** Added as Alternate Co-Sponsor Sen. Elgie R. Sims, Jr.
- **2018-03-14** Added as Alternate Co-Sponsor Sen. John F. Curran
- **2018-03-15** Added as Alternate Co-Sponsor Sen. Michael E. Hastings
- **2018-03-16** Added as Alternate Co-Sponsor Sen. Pat McGuire
- **2018-04-10** Added as Alternate Chief Co-Sponsor Sen. Jacqueline Y. Collins
- **2018-04-10** Added as Alternate Co-Sponsor Sen. Michael Connelly
- **2018-04-10** Added as Alternate Co-Sponsor Sen. Dale A. Righter
- **2018-04-11** Added as Alternate Co-Sponsor Sen. Neil Anderson
- **2018-04-12** Added as Alternate Co-Sponsor Sen. Dale Fowler
- **2018-04-12** Added as Alternate Co-Sponsor Sen. Paul Schimpf
- **2018-04-16** Added as Alternate Co-Sponsor Sen. Jil Tracy
- **2018-04-17** Added as Alternate Co-Sponsor Sen. Pamela J. Althoff
- **2018-04-19** Added as Alternate Co-Sponsor Sen. Melinda Bush
- **2018-04-24** Added as Alternate Co-Sponsor Sen. Patricia Van Pelt
- **2018-04-25** Added as Alternate Co-Sponsor Sen. Terry Link
- **2018-04-25** Added as Alternate Co-Sponsor Sen. Don Harmon
- **2018-04-25** Added as Alternate Co-Sponsor Sen. Linda Holmes
- **2018-04-25** Added as Alternate Co-Sponsor Sen. Karen McConnaughay
- **2018-04-25** Added as Alternate Co-Sponsor Sen. Steve Stadelman
- **2018-04-25** Added as Alternate Co-Sponsor Sen. James F. Clayborne, Jr.
- **2018-04-25** Added as Alternate Co-Sponsor Sen. Tom Rooney
- **2018-04-25** Added as Alternate Co-Sponsor Sen. Wm. Sam McCann
- **2018-04-25** Added as Alternate Co-Sponsor Sen. Chris Nybo
- **2018-04-25** Added as Alternate Co-Sponsor Sen. Tim Bivins
- **2018-04-25** Added as Alternate Co-Sponsor Sen. Kwame Raoul
- **2018-04-25** Added as Alternate Co-Sponsor Sen. John G. Mulroe
- **2018-04-25** Added as Alternate Co-Sponsor Sen. Toi W. Hutchinson
- **2018-04-25** Added as Alternate Co-Sponsor Sen. David Koehler
- **2018-04-25** Added as Alternate Co-Sponsor Sen. Mattie Hunter
- **2018-04-25** Added as Alternate Co-Sponsor Sen. Thomas Cullerton
- **2018-04-25** Added as Alternate Co-Sponsor Sen. Ira I. Silverstein
- **2018-04-25** Assigned to Human Services `referral-committee`
- **2018-04-26** Added as Alternate Co-Sponsor Sen. Laura M. Murphy
- **2018-04-26** Added as Alternate Co-Sponsor Sen. Kimberly A. Lightford
- **2018-05-01** Added as Alternate Co-Sponsor Sen. Martin A. Sandoval
- **2018-05-01** Added as Alternate Co-Sponsor Sen. Julie A. Morrison
- **2018-05-02** Do Pass Human Services; 009-000-000 `committee-passage`
- **2018-05-02** Placed on Calendar Order of 2nd Reading May 3, 2018
- **2018-05-15** Added as Alternate Co-Sponsor Sen. Antonio Muñoz
- **2018-05-16** Second Reading `reading-2`
- **2018-05-16** Placed on Calendar Order of 3rd Reading May 17, 2018
- **2018-05-23** Third Reading - Passed; 058-000-000 `reading-3, passage`
- **2018-05-23** Passed Both Houses
- **2018-06-21** Sent to the Governor `executive-receipt`
- **2018-08-19** Governor Approved `executive-signature`
- **2018-08-19** Effective Date August 19, 2018
- **2018-08-19** Public Act . . . . . . . . . 100-0950 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/34fac368-394d-4b52-942c-4f34c7754149`. Confidence: reported (aggregated from official Illinois legislature records).