Fabio
118 lines
6.4 KiB
Markdown
118 lines
6.4 KiB
Markdown
---
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type: "Bill"
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title: "PRIOR AUTHORIZATION-EMERGENCY"
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description: "Amends the Prior Authorization Reform Act. Changes the definition of \"emergency services\" to provide that for the purposes of the provisions, emergency services are not required to be provided in the emergency department of a hospital. Provides that notwithstanding any other provision of law, a health insurance issuer or a contracted utilization review organization may not require prior authorization or approval by the health plan for emergency services."
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jurisdiction: "us/states/il"
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legislature: "Illinois General Assembly"
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session: "103rd"
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identifier: "HB 4055"
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citation: "Illinois HB 4055 (103rd)"
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classification: ["bill"]
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subjects: []
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status: "enacted"
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primary_sponsors: ["David Koehler", "William E Hauter"]
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version_count: 5
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action_count: 44
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vote_count: 5
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first_action: "2023-04-27"
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last_action: "2024-07-19"
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source: "openstates"
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source_identifier: "ocd-bill/d52b491d-6f1c-45cc-ba5e-873214a59eb9"
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source_url: "https://beta.ilga.gov/Legislation/BillStatus?DocNum=4055&GAID=17&DocTypeID=HB&LegId=149849&SessionID=112"
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source_hash: "e101b77aa7421e91c78c2d001a46faa6857f7b445966eef85dd6e55513f66a88"
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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 4055 (103rd) — PRIOR AUTHORIZATION-EMERGENCY
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Amends the Prior Authorization Reform Act. Changes the definition of "emergency services" to provide that for the purposes of the provisions, emergency services are not required to be provided in the emergency department of a hospital. Provides that notwithstanding any other provision of law, a health insurance issuer or a contracted utilization review organization may not require prior authorization or approval by the health plan for emergency services.
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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://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB4055.pdf)
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2. **Engrossed** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB4055eng.pdf)
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3. **House Amendment 001** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB4055ham001.pdf)
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4. **House Amendment 002** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB4055ham002.pdf)
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5. **Enrolled** (enrolled) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB4055enr.pdf)
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## Votes
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- Insurance — **10–0** (pass) · lower
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- Insurance — **15–0** (pass) · lower
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- Third Reading — **106–0** (pass) · lower
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- Third Reading — **56–0** (pass) · lower
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- Insurance, Amendment 2 — **15–0** (pass) · lower
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## Sponsors
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- David Koehler — primary (person)
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- William E Hauter — primary (person)
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- Brandun Schweizer — cosponsor (person)
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- Dave Severin — cosponsor (person)
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- Jason Bunting — cosponsor (person)
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- Jed Davis — cosponsor (person)
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- Kevin Schmidt — cosponsor (person)
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- Martin McLaughlin — cosponsor (person)
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- Patrick Sheehan — cosponsor (person)
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- Paul Jacobs — cosponsor (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2023-04-27** Filed with the Clerk by Rep. William E Hauter `filing`
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- **2023-04-27** First Reading `reading-1`
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- **2023-04-27** Referred to Rules Committee
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- **2024-02-01** Added Co-Sponsor Rep. Kevin Schmidt
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- **2024-03-05** Assigned to Insurance Committee `referral-committee`
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- **2024-04-02** House Committee Amendment No. 1 Filed with Clerk by Rep. William E Hauter `amendment-introduction`
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- **2024-04-02** House Committee Amendment No. 1 Referred to Rules Committee
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- **2024-04-02** Do Pass / Short Debate Insurance Committee; 015-000-000
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- **2024-04-02** House Committee Amendment No. 1 Tabled `amendment-failure`
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- **2024-04-03** Placed on Calendar 2nd Reading - Short Debate `reading-2`
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- **2024-04-09** House Floor Amendment No. 2 Filed with Clerk by Rep. William E Hauter `amendment-introduction`
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- **2024-04-09** House Floor Amendment No. 2 Referred to Rules Committee
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- **2024-04-15** House Floor Amendment No. 2 Rules Refers to Insurance Committee
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- **2024-04-15** House Floor Amendment No. 2 Rules Refers to Insurance Committee
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- **2024-04-17** House Floor Amendment No. 2 Recommends Be Adopted Insurance Committee; 015-000-000 `committee-passage-favorable`
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- **2024-04-17** Second Reading - Short Debate `reading-2`
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- **2024-04-17** Held on Calendar Order of Second Reading - Short Debate `reading-2`
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- **2024-04-19** House Floor Amendment No. 2 Adopted `amendment-passage`
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- **2024-04-19** Placed on Calendar Order of 3rd Reading - Short Debate
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- **2024-04-19** Third Reading - Short Debate - Passed 106-000-000 `passage, reading-3`
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- **2024-04-19** Added Co-Sponsor Rep. Jason Bunting
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- **2024-04-19** Added Co-Sponsor Rep. Patrick Sheehan
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- **2024-04-19** Added Co-Sponsor Rep. Dave Severin
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- **2024-04-19** Added Chief Co-Sponsor Rep. Martin McLaughlin
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- **2024-04-19** Added Chief Co-Sponsor Rep. Paul Jacobs
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- **2024-04-19** Added Chief Co-Sponsor Rep. Brandun Schweizer
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- **2024-04-19** Added Chief Co-Sponsor Rep. Jed Davis
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- **2024-04-24** Arrive in Senate `introduction`
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- **2024-04-24** Placed on Calendar Order of First Reading `reading-1`
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- **2024-04-24** Chief Senate Sponsor Sen. David Koehler
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- **2024-04-24** First Reading `reading-1`
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- **2024-04-24** Referred to Assignments
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- **2024-04-30** Assigned to Insurance `referral-committee`
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- **2024-04-30** Rule 2-10 Committee Deadline Established As May 10, 2024
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- **2024-05-08** Do Pass Insurance; 010-000-000
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- **2024-05-08** Placed on Calendar Order of 2nd Reading May 9, 2024 `reading-2`
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- **2024-05-09** Second Reading `reading-2`
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- **2024-05-09** Placed on Calendar Order of 3rd Reading
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- **2024-05-15** Third Reading - Passed; 056-000-000 `passage, reading-3`
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- **2024-05-15** Passed Both Houses
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- **2024-06-13** Sent to the Governor `executive-receipt`
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- **2024-07-19** Governor Approved `executive-signature`
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- **2024-07-19** Effective Date January 1, 2026
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- **2024-07-19** Public Act . . . . . . . . . 103-0659 `became-law`
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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/d52b491d-6f1c-45cc-ba5e-873214a59eb9`. Confidence: reported (aggregated from official Illinois legislature records).
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