---
type: "Bill"
title: "NETWORK ADEQUACY-SPECIALISTS"
description: "Amends the Network Adequacy and Transparency Act. Provides that the Department of Insurance shall determine whether the network plan at each in-network hospital and facility has a sufficient number of hospital-based medical specialists to ensure that covered persons have reasonable and timely access to such in-network physicians and the services they direct or supervise. Defines \"hospital-based medical specialists\"."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "103rd"
identifier: "SB 2641"
citation: "Illinois SB 2641 (103rd)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Linda Holmes", "Natalie A. Manley"]
version_count: 5
action_count: 59
vote_count: 8
first_action: "2023-11-08"
last_action: "2024-08-09"
source: "openstates"
source_identifier: "ocd-bill/bc3f2811-31ea-42bd-b02c-8527bf9ce193"
source_url: "https://beta.ilga.gov/Legislation/BillStatus?DocNum=2641&GAID=17&DocTypeID=SB&LegId=150951&SessionID=112"
source_hash: "39933b2c4701747d3e4a0aeac4df3d7eb81753776b85e57312399c153a465f76"
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 SB 2641 (103rd) — NETWORK ADEQUACY-SPECIALISTS

Amends the Network Adequacy and Transparency Act. Provides that the Department of Insurance shall determine whether the network plan at each in-network hospital and facility has a sufficient number of hospital-based medical specialists to ensure that covered persons have reasonable and timely access to such in-network physicians and the services they direct or supervise. Defines "hospital-based medical specialists".

## Version chain

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

1. **Introduced** (filed) — [source](https://beta.ilga.gov/documents/legislation/103/SB/PDF/10300SB2641.pdf)
2. **Engrossed** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/SB/PDF/10300SB2641eng.pdf)
3. **House Amendment 001** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/SB/PDF/10300SB2641ham001.pdf)
4. **Senate Amendment 001** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/SB/PDF/10300SB2641sam001.pdf)
5. **Enrolled** (enrolled) — [source](https://beta.ilga.gov/documents/legislation/103/SB/PDF/10300SB2641enr.pdf)

## Votes

- Concurrence, Amendment 1 — **59–0** (pass) · lower
- Insurance — **8–0** (pass) · lower
- Third Reading — **53–4** (pass) · lower
- Insurance, Amendment 1 — **8–1** (pass) · lower
- Third Reading — **113–0** (pass) · lower
- Insurance, Amendment 1 — **12–0** (pass) · lower
- Insurance, Amendment 1 — **7–0** (pass) · lower
- Insurance — **12–3** (pass) · lower

## Sponsors

- Linda Holmes — primary (person)
- Natalie A. Manley — primary (person)
- Anna Moeller — cosponsor (person)
- Bill Cunningham — cosponsor (person)
- Camille Y. Lilly — cosponsor (person)
- Christopher Belt — cosponsor (person)
- Cristina Castro — cosponsor (person)
- Julie A. Morrison — cosponsor (person)
- Laura Fine — cosponsor (person)
- Laura M. Murphy — cosponsor (person)
- Mary Edly-Allen — cosponsor (person)
- Mattie Hunter — cosponsor (person)
- Sally J. Turner — cosponsor (person)
- Stephanie A. Kifowit — cosponsor (person)
- Sue Scherer — cosponsor (person)
- William E Hauter — cosponsor (person)

## Timeline

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

- **2023-11-08** Filed with Secretary by Sen. Linda Holmes `filing`
- **2023-11-08** First Reading `reading-1`
- **2023-11-08** Referred to Assignments
- **2024-01-24** Assigned to Insurance `referral-committee`
- **2024-03-13** Do Pass Insurance; 008-000-000
- **2024-03-13** Placed on Calendar Order of 2nd Reading March 14, 2024 `reading-2`
- **2024-04-04** Senate Floor Amendment No. 1 Filed with Secretary by Sen. Linda Holmes `amendment-introduction`
- **2024-04-04** Senate Floor Amendment No. 1 Referred to Assignments
- **2024-04-09** Senate Floor Amendment No. 1 Assignments Refers to Insurance
- **2024-04-10** Senate Floor Amendment No. 1 Recommend Do Adopt Insurance; 008-001-000
- **2024-04-10** Senate Floor Amendment No. 1 Adopted `amendment-passage`
- **2024-04-10** Second Reading `reading-2`
- **2024-04-10** Placed on Calendar Order of 3rd Reading April 11, 2024
- **2024-04-10** Added as Chief Co-Sponsor Sen. Laura Fine
- **2024-04-10** Added as Chief Co-Sponsor Sen. Cristina Castro
- **2024-04-10** Added as Co-Sponsor Sen. Bill Cunningham
- **2024-04-11** Added as Chief Co-Sponsor Sen. Julie A. Morrison
- **2024-04-11** Third Reading - Passed; 053-004-000 `passage, reading-3`
- **2024-04-11** Added as Co-Sponsor Sen. Mattie Hunter
- **2024-04-11** Added as Co-Sponsor Sen. Mary Edly-Allen
- **2024-04-11** Added as Co-Sponsor Sen. Laura M. Murphy
- **2024-04-11** Added as Co-Sponsor Sen. Christopher Belt
- **2024-04-11** Arrived in House `introduction`
- **2024-04-12** Chief House Sponsor Rep. William E Hauter
- **2024-04-12** First Reading `reading-1`
- **2024-04-12** Referred to Rules Committee
- **2024-04-24** Assigned to Insurance Committee `referral-committee`
- **2024-04-30** Alternate Chief Sponsor Changed to Rep. Natalie A. Manley
- **2024-04-30** Do Pass / Short Debate Insurance Committee; 012-003-000
- **2024-05-01** Placed on Calendar 2nd Reading - Short Debate `reading-2`
- **2024-05-13** Added Alternate Co-Sponsor Rep. Camille Y. Lilly
- **2024-05-13** House Floor Amendment No. 1 Filed with Clerk by Rep. Natalie A. Manley `amendment-introduction`
- **2024-05-13** House Floor Amendment No. 1 Referred to Rules Committee
- **2024-05-14** Added Alternate Chief Co-Sponsor Rep. William E Hauter
- **2024-05-14** House Floor Amendment No. 1 Rules Refers to Insurance Committee
- **2024-05-14** House Floor Amendment No. 1 Recommends Be Adopted Insurance Committee; 012-000-000 `committee-passage-favorable`
- **2024-05-16** Second Reading - Short Debate `reading-2`
- **2024-05-16** Held on Calendar Order of Second Reading - Short Debate `reading-2`
- **2024-05-17** Third Reading/Final Action Deadline Extended-9(b) May 24, 2024
- **2024-05-21** House Floor Amendment No. 1 Adopted `amendment-passage`
- **2024-05-21** Placed on Calendar Order of 3rd Reading - Short Debate
- **2024-05-21** Added Alternate Co-Sponsor Rep. Anna Moeller
- **2024-05-21** Third Reading - Short Debate - Passed 113-000-000 `passage, reading-3`
- **2024-05-21** Added Alternate Chief Co-Sponsor Rep. Sue Scherer
- **2024-05-21** Added Alternate Co-Sponsor Rep. Stephanie A. Kifowit
- **2024-05-21** Secretary's Desk - Concurrence House Amendment(s) 1
- **2024-05-21** Placed on Calendar Order of Concurrence House Amendment(s) 1 - May 21, 2024
- **2024-05-23** House Floor Amendment No. 1 Motion to Concur Filed with Secretary Sen. Linda Holmes `filing`
- **2024-05-23** House Floor Amendment No. 1 Motion to Concur Referred to Assignments
- **2024-05-23** House Floor Amendment No. 1 Motion to Concur Assignments Referred to Insurance
- **2024-05-23** House Floor Amendment No. 1 Motion To Concur Recommended Do Adopt Insurance; 007-000-000
- **2024-05-24** House Floor Amendment No. 1 Senate Concurs 059-000-000
- **2024-05-24** Senate Concurs
- **2024-05-24** Passed Both Houses
- **2024-05-24** Added as Co-Sponsor Sen. Javier L. Cervantes
- **2024-06-21** Sent to the Governor `executive-receipt`
- **2024-08-09** Governor Approved `executive-signature`
- **2024-08-09** Effective Date January 1, 2025
- **2024-08-09** Public Act . . . . . . . . . 103-0906 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/bc3f2811-31ea-42bd-b02c-8527bf9ce193`. Confidence: reported (aggregated from official Illinois legislature records).