Fabio
141 lines
10 KiB
Markdown
141 lines
10 KiB
Markdown
---
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type: "Bill"
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title: "INSURANCE-BILLING"
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description: "Amends the Illinois Insurance Code. Provides that when an insured receives emergency services or covered ancillary services from a nonparticipating provider or a nonparticipating facility, the health insurance issuer shall ensure that cost-sharing requirements are applied as though the services had been received from a participating provider or facility, and that the insured or any group policyholder or plan sponsor shall not be liable to or billed by the health insurance issuer, the nonparticipating provider, or the facility beyond the cost-sharing amount. Contains provisions concerning a notice and consent process for out-of-network coverage; billing for reasonable administrative fees; assignment of benefits to nonparticipating providers; and cost-sharing amounts and deductibles. Amends the Illinois Insurance Code and the Health Maintenance Organization Act to make a change in provisions concerning disclosure of nonparticipating provider benefits. Amends the Network Adequacy and Transparency Act. Provides that a beneficiary who receives care at a participating health care facility shall not be required to search for participating providers under certain circumstances. Amends the Managed Care Reform and Patient Rights Act. Provides that prior authorization or approval by the plan shall not be required for post-stabilization services that constitute emergency services. Amends the Health Maintenance Organization Act and the Voluntary Health Services Plans Act to provide that health maintenance organizations and voluntary health services plans are subject to provisions of the Illinois Insurance Code concerning billing and cost sharing. Makes other changes. Effective July 1, 2022, except that certain changes take effect January 1, 2023."
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jurisdiction: "us/states/il"
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legislature: "Illinois General Assembly"
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session: "102nd"
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identifier: "HB 4703"
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citation: "Illinois HB 4703 (102nd)"
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classification: ["bill"]
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subjects: []
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status: "enacted"
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primary_sponsors: ["Ann Gillespie", "Bob Morgan"]
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version_count: 4
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action_count: 55
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vote_count: 2
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first_action: "2022-01-21"
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last_action: "2022-07-01"
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source: "openstates"
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source_identifier: "ocd-bill/1ff2810a-3700-43f4-ac89-599684ba89de"
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source_url: "https://ilga.gov/legislation/BillStatus.asp?DocNum=4703&GAID=16&DocTypeID=HB&LegId=138969&SessionID=110&GA=102"
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source_hash: "770c6a2b01e4bc62fde61936ccdfcab487e716d3302fb0edf7e7431600ff3df0"
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vintage: "2026-07-01"
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source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
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retrieved_at: "2026-07-06"
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confidence: "reported"
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tags: ["legislation", "bill", "us-il"]
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---
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# Illinois HB 4703 (102nd) — INSURANCE-BILLING
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Amends the Illinois Insurance Code. Provides that when an insured receives emergency services or covered ancillary services from a nonparticipating provider or a nonparticipating facility, the health insurance issuer shall ensure that cost-sharing requirements are applied as though the services had been received from a participating provider or facility, and that the insured or any group policyholder or plan sponsor shall not be liable to or billed by the health insurance issuer, the nonparticipating provider, or the facility beyond the cost-sharing amount. Contains provisions concerning a notice and consent process for out-of-network coverage; billing for reasonable administrative fees; assignment of benefits to nonparticipating providers; and cost-sharing amounts and deductibles. Amends the Illinois Insurance Code and the Health Maintenance Organization Act to make a change in provisions concerning disclosure of nonparticipating provider benefits. Amends the Network Adequacy and Transparency Act. Provides that a beneficiary who receives care at a participating health care facility shall not be required to search for participating providers under certain circumstances. Amends the Managed Care Reform and Patient Rights Act. Provides that prior authorization or approval by the plan shall not be required for post-stabilization services that constitute emergency services. Amends the Health Maintenance Organization Act and the Voluntary Health Services Plans Act to provide that health maintenance organizations and voluntary health services plans are subject to provisions of the Illinois Insurance Code concerning billing and cost sharing. Makes other changes. Effective July 1, 2022, except that certain changes take effect January 1, 2023.
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## Version chain
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The bill's text revisions, in order — the diff chain from filing to enrollment.
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1. **Introduced** (filed) — [source](https://ilga.gov/legislation/102/HB/PDF/10200HB4703.pdf)
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2. **Engrossed** (committee substitute) — [source](https://ilga.gov/legislation/102/HB/PDF/10200HB4703eng.pdf)
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3. **House Amendment 001** (committee substitute) — [source](https://ilga.gov/legislation/102/HB/PDF/10200HB4703ham001.pdf)
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4. **Enrolled** (enrolled) — [source](https://ilga.gov/legislation/102/HB/PDF/10200HB4703enr.pdf)
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## Votes
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- Third Reading — **55–0** (pass) · upper
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- Third Reading — **105–0** (pass) · lower
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## Sponsors
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- Ann Gillespie — primary (person)
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- Bob Morgan — primary (person)
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- Bill Cunningham — cosponsor (person)
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- Celina Villanueva — cosponsor (person)
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- Christopher Belt — cosponsor (person)
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- Cristina Castro — cosponsor (person)
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- Diane Pappas — cosponsor (person)
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- Doris Turner — cosponsor (person)
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- Eric Mattson — cosponsor (person)
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- John Connor — cosponsor (person)
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- Karina Villa — cosponsor (person)
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- Kimberly A. Lightford — cosponsor (person)
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- Laura Fine — cosponsor (person)
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- Mary E. Flowers — cosponsor (person)
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- Mattie Hunter — cosponsor (person)
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- Meg Loughran Cappel — cosponsor (person)
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- Michael E. Hastings — cosponsor (person)
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- Michael Kelly — cosponsor (person)
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- Mike Simmons — cosponsor (person)
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- Napoleon Harris, III — cosponsor (person)
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- Omar Aquino — cosponsor (person)
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- Ram Villivalam — cosponsor (person)
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- Robert F. Martwick — cosponsor (person)
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- Scott M. Bennett — cosponsor (person)
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- Steve Stadelman — cosponsor (person)
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- Suzy Glowiak Hilton — cosponsor (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2022-01-21** Filed with the Clerk by Rep. Bob Morgan `filing`
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- **2022-01-27** First Reading `reading-1`
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- **2022-01-27** Referred to Rules Committee `referral-committee`
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- **2022-02-01** Assigned to Insurance Committee `referral-committee`
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- **2022-02-10** Do Pass / Short Debate Insurance Committee; 017-000-000 `committee-passage`
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- **2022-02-15** Placed on Calendar 2nd Reading - Short Debate
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- **2022-02-15** Added Chief Co-Sponsor Rep. Michael Kelly
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- **2022-02-25** House Floor Amendment No. 1 Filed with Clerk by Rep. Bob Morgan `amendment-introduction`
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- **2022-02-25** House Floor Amendment No. 1 Referred to Rules Committee `referral-committee`
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- **2022-03-01** House Floor Amendment No. 1 Rules Refers to Insurance Committee
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- **2022-03-02** House Floor Amendment No. 1 Recommends Be Adopted Insurance Committee; 012-000-000 `committee-passage-favorable`
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- **2022-03-02** Second Reading - Short Debate `reading-2`
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- **2022-03-02** Held on Calendar Order of Second Reading - Short Debate `reading-2`
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- **2022-03-03** House Floor Amendment No. 1 Adopted `amendment-passage`
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- **2022-03-03** Placed on Calendar Order of 3rd Reading - Short Debate
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- **2022-03-03** Third Reading - Short Debate - Passed 105-000-000 `passage, reading-3`
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- **2022-03-03** Added Chief Co-Sponsor Rep. Mary E. Flowers
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- **2022-03-04** Arrive in Senate `introduction`
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- **2022-03-04** Placed on Calendar Order of First Reading `reading-1`
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- **2022-03-04** Chief Senate Sponsor Sen. Ann Gillespie
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- **2022-03-04** First Reading `reading-1`
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- **2022-03-04** Referred to Assignments `referral-committee`
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- **2022-03-16** Assigned to Insurance `referral-committee`
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- **2022-03-23** Do Pass Insurance; 011-000-000 `committee-passage`
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- **2022-03-23** Placed on Calendar Order of 2nd Reading
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- **2022-03-23** Second Reading `reading-2`
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- **2022-03-23** Placed on Calendar Order of 3rd Reading March 24, 2022
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- **2022-03-24** Added as Alternate Co-Sponsor Sen. John Connor
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- **2022-03-29** Added as Alternate Co-Sponsor Sen. Cristina Castro
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- **2022-03-29** Added as Alternate Co-Sponsor Sen. Napoleon Harris, III
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- **2022-03-29** Added as Alternate Co-Sponsor Sen. Suzy Glowiak Hilton
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- **2022-03-29** Added as Alternate Co-Sponsor Sen. Mattie Hunter
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- **2022-03-30** Added as Alternate Co-Sponsor Sen. Karina Villa
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- **2022-03-30** Added as Alternate Co-Sponsor Sen. Diane Pappas
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- **2022-03-30** Added as Alternate Co-Sponsor Sen. Steve Stadelman
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- **2022-03-30** Third Reading - Passed; 055-000-000 `passage, reading-3`
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- **2022-03-30** Passed Both Houses
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- **2022-03-30** Added as Alternate Chief Co-Sponsor Sen. Mike Simmons
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- **2022-03-30** Added as Alternate Chief Co-Sponsor Sen. Laura Fine
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- **2022-03-31** Added as Alternate Co-Sponsor Sen. Kimberly A. Lightford
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- **2022-04-08** Added as Alternate Co-Sponsor Sen. Robert F. Martwick
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- **2022-04-28** Sent to the Governor `executive-receipt`
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- **2022-05-25** Added as Alternate Co-Sponsor Sen. Meg Loughran Cappel
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- **2022-05-25** Added as Alternate Co-Sponsor Sen. Celina Villanueva
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- **2022-05-25** Added as Alternate Co-Sponsor Sen. Ram Villivalam
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- **2022-05-25** Added as Alternate Co-Sponsor Sen. Christopher Belt
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- **2022-05-25** Added as Alternate Co-Sponsor Sen. Eric Mattson
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- **2022-05-25** Added as Alternate Co-Sponsor Sen. Scott M. Bennett
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- **2022-05-25** Added as Alternate Co-Sponsor Sen. Michael E. Hastings
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- **2022-05-25** Added as Alternate Co-Sponsor Sen. Omar Aquino
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- **2022-05-26** Governor Approved `executive-signature`
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- **2022-05-26** Effective Date July 1, 2022; - Some Provisions Effective January 1, 2023
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- **2022-05-26** Public Act . . . . . . . . . 102-0901 `became-law`
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- **2022-06-03** Added as Alternate Co-Sponsor Sen. Bill Cunningham
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- **2022-07-01** Added as Alternate Co-Sponsor Sen. Doris Turner
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## Source
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OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/1ff2810a-3700-43f4-ac89-599684ba89de`. Confidence: reported (aggregated from official Illinois legislature records).
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