---
type: "Bill"
title: "INS-HMO/REFERRAL SYSTEM"
description: "Amends the Health Maintenance Organization Act. Provides that the powers of a health maintenance organization include the voluntary use of a referral system for enrollees to access providers under contract with or employed by the health maintenance organization. Provides that the provisions shall not be construed as requiring the use of a referral system to obtain a certificate of authority. Changes the definition of \"health care plan\". Defines \"referral system\". Effective January 1, 2024."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "103rd"
identifier: "HB 1186"
citation: "Illinois HB 1186 (103rd)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Laura Fine", "Margaret Croke"]
version_count: 4
action_count: 34
vote_count: 5
first_action: "2023-01-17"
last_action: "2023-06-27"
source: "openstates"
source_identifier: "ocd-bill/52332ee8-1ec8-49c9-8b7b-4aae7081add2"
source_url: "https://beta.ilga.gov/Legislation/BillStatus?DocNum=1186&GAID=17&DocTypeID=HB&LegId=143256&SessionID=112"
source_hash: "7d9139e00dfc69aeb7aaf8c747fad474d85d2a62aaeca865d0372979df7d8898"
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 1186 (103rd) — INS-HMO/REFERRAL SYSTEM

Amends the Health Maintenance Organization Act. Provides that the powers of a health maintenance organization include the voluntary use of a referral system for enrollees to access providers under contract with or employed by the health maintenance organization. Provides that the provisions shall not be construed as requiring the use of a referral system to obtain a certificate of authority. Changes the definition of "health care plan". Defines "referral system". Effective January 1, 2024.

## 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/HB/PDF/10300HB1186.pdf)
2. **Engrossed** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB1186eng.pdf)
3. **House Amendment 001** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB1186ham001.pdf)
4. **Enrolled** (enrolled) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB1186enr.pdf)

## Votes

- Insurance — **11–0** (pass) · lower
- Third Reading — **56–0** (pass) · lower
- Health Care Availability & Access, Amendment 1 — **7–0** (pass) · lower
- Health Care Availability & Access — **9–0** (pass) · lower
- Third Reading — **111–0** (pass) · lower

## Sponsors

- Laura Fine — primary (person)
- Margaret Croke — primary (person)
- Janet Yang Rohr — cosponsor (person)
- Laura M. Murphy — cosponsor (person)
- Willie Preston — cosponsor (person)

## Timeline

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

- **2023-01-17** Filed with the Clerk by Rep. Margaret Croke `filing`
- **2023-01-31** First Reading `reading-1`
- **2023-01-31** Referred to Rules Committee
- **2023-02-07** Assigned to Health Care Availability & Accessibility Committee `referral-committee`
- **2023-02-14** Added Chief Co-Sponsor Rep. Janet Yang Rohr
- **2023-02-14** Do Pass / Short Debate Health Care Availability & Accessibility Committee; 009-000-000
- **2023-02-15** Placed on Calendar 2nd Reading - Short Debate `reading-2`
- **2023-03-08** House Floor Amendment No. 1 Filed with Clerk by Rep. Margaret Croke `amendment-introduction`
- **2023-03-08** House Floor Amendment No. 1 Referred to Rules Committee
- **2023-03-09** House Floor Amendment No. 1 Rules Refers to Health Care Availability & Accessibility Committee
- **2023-03-14** House Floor Amendment No. 1 Recommends Be Adopted Health Care Availability & Accessibility Committee; 007-000-000 `committee-passage-favorable`
- **2023-03-16** House Floor Amendment No. 1 Adopted `amendment-passage`
- **2023-03-16** Second Reading - Short Debate `reading-2`
- **2023-03-16** Placed on Calendar Order of 3rd Reading - Short Debate
- **2023-03-23** Third Reading - Short Debate - Passed 111-000-000 `passage, reading-3`
- **2023-03-23** Arrive in Senate `introduction`
- **2023-03-23** Placed on Calendar Order of First Reading `reading-1`
- **2023-03-23** Chief Senate Sponsor Sen. Laura Fine
- **2023-03-23** First Reading `reading-1`
- **2023-03-23** Referred to Assignments
- **2023-04-12** Assigned to Insurance `referral-committee`
- **2023-04-19** Do Pass Insurance; 011-000-000
- **2023-04-19** Placed on Calendar Order of 2nd Reading April 20, 2023 `reading-2`
- **2023-04-20** Second Reading `reading-2`
- **2023-04-20** Placed on Calendar Order of 3rd Reading April 25, 2023
- **2023-04-24** Added as Alternate Co-Sponsor Sen. Willie Preston
- **2023-05-05** Placed on Calendar Order of 3rd Reading ** May 8, 2023
- **2023-05-10** Added as Alternate Co-Sponsor Sen. Laura M. Murphy
- **2023-05-11** Third Reading - Passed; 056-000-000 `passage, reading-3`
- **2023-05-11** Passed Both Houses
- **2023-06-09** Sent to the Governor `executive-receipt`
- **2023-06-27** Governor Approved `executive-signature`
- **2023-06-27** Effective Date January 1, 2024
- **2023-06-27** Public Act . . . . . . . . . 103-0104 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/52332ee8-1ec8-49c9-8b7b-4aae7081add2`. Confidence: reported (aggregated from official Illinois legislature records).