republic-os/legislation/us/states/il/103rd/hb-2472.md

type, title, description, jurisdiction, legislature, session, identifier, citation, classification, subjects, status, primary_sponsors, version_count, action_count, vote_count, first_action, last_action, source, source_identifier, source_url, source_hash, vintage, source_snapshot, retrieved_at, confidence, tags

type	title	description	jurisdiction	legislature	session	identifier	citation	classification	subjects	status	primary_sponsors	version_count	action_count	vote_count	first_action	last_action	source	source_identifier	source_url	source_hash	vintage	source_snapshot	retrieved_at	confidence	tags
Bill	INS-ADVERSE DETERMINATION	Amends the Managed Care Reform and Patient Rights Act. Provides that if a health care plan uses an automated process to make an initial adverse determination or relies on a utilization review organization's automated process for an initial adverse determination, the health care plan shall ensure that any appeal is processed as required by the provisions, including the restriction that only a clinical peer may review an appeal. Provides that an automated process of a health care plan or registered utilization review program may make an initial adverse determination for services not included under specified provisions. Provides that utilization review programs that use automated processes to render an adverse determination shall base all adverse determinations on objective, evidence-based criteria that have been accredited by the American Accreditation Healthcare Commission or by the National Committee for Quality Assurance and shall provide proof of such accreditation to the Department of Insurance with any required registration. Provides that the utilization review program shall include with its registration materials attachments that contain specified policies and procedures. Amends the Health Carrier External Review Act. Changes the definition of "adverse determination". Amends the Prior Authorization Reform Act. Provides that if a health insurance issuer imposes a penalty for the failure to obtain any form of prior authorization for any health care service, the penalty may not exceed the lesser of the actual cost of the health care service or $1,000 per occurrence in addition to the plan cost-sharing provisions. Provides that a health insurance issuer may not require both the enrollee and the health care professional or health care provider to obtain any form of prior authorization for the same instance of a health care service, nor otherwise require more than one prior authorization for the same instance of a health care service. Makes conforming changes in the Illinois Insurance Code and the Network Adequacy and Transparency Act. Effective January 1, 2024.	us/states/il	Illinois General Assembly	103rd	HB 2472	Illinois HB 2472 (103rd)	bill		enacted	Bob Morgan Laura Fine	5	40	5	2023-02-15	2024-07-19	openstates	ocd-bill/8dc02985-9a02-4f27-97f0-99d5f8e7c843	https://beta.ilga.gov/Legislation/BillStatus?DocNum=2472&GAID=17&DocTypeID=HB&LegId=147556&SessionID=112	2002c126de7ea60c696f45481bca38402b5333cf64c08ccd782133289b46bd65	2026-07-01	https://data.openstates.org/daily/2026-07-01/public.pgdump	2026-07-06	reported	legislation bill us-il

Illinois HB 2472 (103rd) — INS-ADVERSE DETERMINATION

Amends the Managed Care Reform and Patient Rights Act. Provides that if a health care plan uses an automated process to make an initial adverse determination or relies on a utilization review organization's automated process for an initial adverse determination, the health care plan shall ensure that any appeal is processed as required by the provisions, including the restriction that only a clinical peer may review an appeal. Provides that an automated process of a health care plan or registered utilization review program may make an initial adverse determination for services not included under specified provisions. Provides that utilization review programs that use automated processes to render an adverse determination shall base all adverse determinations on objective, evidence-based criteria that have been accredited by the American Accreditation Healthcare Commission or by the National Committee for Quality Assurance and shall provide proof of such accreditation to the Department of Insurance with any required registration. Provides that the utilization review program shall include with its registration materials attachments that contain specified policies and procedures. Amends the Health Carrier External Review Act. Changes the definition of "adverse determination". Amends the Prior Authorization Reform Act. Provides that if a health insurance issuer imposes a penalty for the failure to obtain any form of prior authorization for any health care service, the penalty may not exceed the lesser of the actual cost of the health care service or $1,000 per occurrence in addition to the plan cost-sharing provisions. Provides that a health insurance issuer may not require both the enrollee and the health care professional or health care provider to obtain any form of prior authorization for the same instance of a health care service, nor otherwise require more than one prior authorization for the same instance of a health care service. Makes conforming changes in the Illinois Insurance Code and the Network Adequacy and Transparency Act. Effective January 1, 2024.

Version chain

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

1. Introduced (filed) — source
2. Engrossed (committee substitute) — source
3. House Amendment 001 (committee substitute) — source
4. House Amendment 002 (committee substitute) — source
5. Enrolled (enrolled) — source

Votes

• Insurance, Amendment 2 — 15–0 (pass) · lower
• Third Reading — 106–0 (pass) · lower
• Insurance — 13–0 (pass) · lower
• Insurance — 10–0 (pass) · lower
• Third Reading — 57–0 (pass) · lower

Sponsors

• Bob Morgan — primary (person)
• Laura Fine — primary (person)
• Lilian Jiménez — cosponsor (person)

Timeline

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

• 2023-02-15 Filed with the Clerk by Rep. Bob Morgan filing
• 2023-02-15 First Reading reading-1
• 2023-02-15 Referred to Rules Committee
• 2023-02-21 Assigned to Insurance Committee referral-committee
• 2023-03-10 Rule 19(a) / Re-referred to Rules Committee
• 2023-03-10 Rule 19(a) / Re-referred to Rules Committee
• 2024-02-29 Assigned to Insurance Committee referral-committee
• 2024-03-14 House Committee Amendment No. 1 Filed with Clerk by Rep. Bob Morgan amendment-introduction
• 2024-03-14 House Committee Amendment No. 1 Referred to Rules Committee
• 2024-03-20 House Committee Amendment No. 1 Rules Refers to Insurance Committee
• 2024-03-20 House Committee Amendment No. 1 Adopted in Insurance Committee; by Voice Vote amendment-passage
• 2024-03-20 Do Pass as Amended / Short Debate Insurance Committee; 013-000-000
• 2024-03-21 Placed on Calendar 2nd Reading - Short Debate reading-2
• 2024-03-22 Added Co-Sponsor Rep. Lilian Jiménez
• 2024-04-16 House Floor Amendment No. 2 Filed with Clerk by Rep. Bob Morgan amendment-introduction
• 2024-04-16 House Floor Amendment No. 2 Referred to Rules Committee
• 2024-04-17 House Floor Amendment No. 2 Rules Refers to Insurance Committee
• 2024-04-17 Second Reading - Short Debate reading-2
• 2024-04-17 Held on Calendar Order of Second Reading - Short Debate reading-2
• 2024-04-18 House Floor Amendment No. 2 Recommends Be Adopted Insurance Committee; 015-000-000 committee-passage-favorable
• 2024-04-19 House Floor Amendment No. 2 Adopted amendment-passage
• 2024-04-19 Placed on Calendar Order of 3rd Reading - Short Debate
• 2024-04-19 Third Reading - Short Debate - Passed 106-000-000 passage, reading-3
• 2024-04-24 Arrive in Senate introduction
• 2024-04-24 Placed on Calendar Order of First Reading reading-1
• 2024-04-24 Chief Senate Sponsor Sen. Laura Fine
• 2024-04-24 First Reading reading-1
• 2024-04-24 Referred to Assignments
• 2024-04-30 Assigned to Insurance referral-committee
• 2024-04-30 Rule 2-10 Committee Deadline Established As May 10, 2024
• 2024-05-08 Do Pass Insurance; 010-000-000
• 2024-05-08 Placed on Calendar Order of 2nd Reading May 9, 2024 reading-2
• 2024-05-09 Second Reading reading-2
• 2024-05-09 Placed on Calendar Order of 3rd Reading
• 2024-05-15 Third Reading - Passed; 057-000-000 passage, reading-3
• 2024-05-15 Passed Both Houses
• 2024-06-13 Sent to the Governor executive-receipt
• 2024-07-19 Governor Approved executive-signature
• 2024-07-19 Effective Date January 1, 2025
• 2024-07-19 Public Act . . . . . . . . . 103-0656 became-law

Source

OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/8dc02985-9a02-4f27-97f0-99d5f8e7c843. Confidence: reported (aggregated from official Illinois legislature records).