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republic-os/legislation/us/states/il/96th/hb-3923.md
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Fabio 5941153bb7 Legislation: batch B — IL IN KS KY LA MA MD ME MI MN 
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
2026-07-06 17:27:20 -04:00

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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 RATE FAIRNESS Creates the Individual Market Fairness Reform Law. Provides that a managed care entity shall (1) fairly and affirmatively offer all of its managed care plans that are sold to all individuals in each service area in which the managed care entity provides or arranges for the provision of health care services and (2) may not reject an application for an individual managed care plan if certain requirements are met. Provides that the Division of Insurance of the Department of Financial and Professional Regulation shall develop a system to categorize all managed care plans offered and sold to individuals pursuant to this Law into 5 coverage choice categories. Creates the Minimum Medical Loss Ratio Law. Provides that any company selling a health benefit plan in the individual or small group market shall expend in the form of health care benefits no less than 85 percent of the aggregate dues, fees, and premiums received by the company. Creates the Health Sure Illinois Law to establish a program for the purpose of making managed care plans affordable and accessible to small employers and individuals. Provides that the program is limited to active managed care entities. Amends the Illinois Insurance Code. Creates new Articles in the Code establishing the Office of Patient Protection and the Illinois Health Carrier External Review Law. Amends the Small Employer Health Insurance Rating Act, Illinois Health Insurance Portability and Accountability Act, and Managed Care Reform and Patient Rights Act in provisions concerning small employers, individuals, review, and rates. Repeals a provision of the Small Employer Health Insurance Rating Act concerning establishment of a class of business. Makes other changes. us/states/il Illinois General Assembly 96th HB 3923 Illinois HB 3923 (96th)
bill
enacted
3 190 4 2009-02-26 2010-01-05 openstates ocd-bill/7504450f-f84e-4edc-b7ac-76ee8ff4396e http://ilga.gov/legislation/BillStatus.asp?DocNum=3923&GAID=10&DocTypeID=HB&LegId=46751&SessionID=76&GA=96 52fb892ea85f68d94f39b2239b125394cf4ab2b0b7cf98e07fe913d76174bca5 2026-07-01 https://data.openstates.org/daily/2026-07-01/public.pgdump 2026-07-06 reported
legislation
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us-il

Illinois HB 3923 (96th) — INS RATE FAIRNESS

Creates the Individual Market Fairness Reform Law. Provides that a managed care entity shall (1) fairly and affirmatively offer all of its managed care plans that are sold to all individuals in each service area in which the managed care entity provides or arranges for the provision of health care services and (2) may not reject an application for an individual managed care plan if certain requirements are met. Provides that the Division of Insurance of the Department of Financial and Professional Regulation shall develop a system to categorize all managed care plans offered and sold to individuals pursuant to this Law into 5 coverage choice categories. Creates the Minimum Medical Loss Ratio Law. Provides that any company selling a health benefit plan in the individual or small group market shall expend in the form of health care benefits no less than 85 percent of the aggregate dues, fees, and premiums received by the company. Creates the Health Sure Illinois Law to establish a program for the purpose of making managed care plans affordable and accessible to small employers and individuals. Provides that the program is limited to active managed care entities. Amends the Illinois Insurance Code. Creates new Articles in the Code establishing the Office of Patient Protection and the Illinois Health Carrier External Review Law. Amends the Small Employer Health Insurance Rating Act, Illinois Health Insurance Portability and Accountability Act, and Managed Care Reform and Patient Rights Act in provisions concerning small employers, individuals, review, and rates. Repeals a provision of the Small Employer Health Insurance Rating Act concerning establishment of a class of business. Makes other changes.

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. Enrolled (enrolled) — source

Votes

  • Third Reading — 54–1 (pass) · upper
  • Third Reading — 62–45 (pass) · lower
  • Concurrence — 106–10 (pass) · lower
  • Motion — 67–47 (fail) · lower

Sponsors

  • Antonio Muñoz — cosponsor (person)
  • Dale A. Righter — cosponsor (person)
  • Dan Kotowski — cosponsor (person)
  • David Koehler — cosponsor (person)
  • Deanna Demuzio — cosponsor (person)
  • Don Harmon — cosponsor (person)
  • Donne E. Trotter — cosponsor (person)
  • Edward D. Maloney — cosponsor (person)
  • Emil Jones, III — cosponsor (person)
  • Gary Forby — cosponsor (person)
  • Greg Harris — primary (person)
  • Ira I. Silverstein — cosponsor (person)
  • Iris Y. Martinez — cosponsor (person)
  • Jacqueline Y. Collins — cosponsor (person)
  • James A. DeLeo — cosponsor (person)
  • James F. Clayborne, Jr. — cosponsor (person)
  • James T. Meeks — cosponsor (person)
  • Jeffrey M. Schoenberg — cosponsor (person)
  • Kimberly A. Lightford — cosponsor (person)
  • Kwame Raoul — cosponsor (person)
  • Linda Holmes — cosponsor (person)
  • Louis S. Viverito — cosponsor (person)
  • Martin A. Sandoval — cosponsor (person)
  • Michael Bond — cosponsor (person)
  • Michael W. Frerichs — cosponsor (person)
  • Rickey R. Hendon — cosponsor (person)
  • Susan Garrett — cosponsor (person)
  • Terry Link — cosponsor (person)
  • Toi W. Hutchinson — cosponsor (person)

Timeline

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

  • 2009-02-26 Filed with the Clerk by Rep. Greg Harris filing
  • 2009-02-26 Added Co-Sponsor Rep. Susana A. Mendoza
  • 2009-02-26 Added Co-Sponsor Rep. LaShawn K. Ford
  • 2009-02-26 First Reading reading-1
  • 2009-02-26 Referred to Rules Committee referral-committee
  • 2009-02-27 Added Chief Co-Sponsor Rep. Mary E. Flowers
  • 2009-03-03 Added Chief Co-Sponsor Rep. Karen May
  • 2009-03-03 Added Co-Sponsor Rep. Lou Lang
  • 2009-03-03 Added Chief Co-Sponsor Rep. Lou Lang
  • 2009-03-03 Removed Co-Sponsor Rep. Lou Lang
  • 2009-03-03 Assigned to Health Care Availability and Accessibility Committee referral-committee
  • 2009-03-04 Added Co-Sponsor Rep. Deborah Mell
  • 2009-03-05 Added Co-Sponsor Rep. Kevin Joyce
  • 2009-03-09 Added Co-Sponsor Rep. Maria Antonia Berrios
  • 2009-03-10 House Committee Amendment No. 1 Filed with Clerk by Health Care Availability and Accessibility Committee amendment-introduction
  • 2009-03-10 House Committee Amendment No. 1 Adopted in Health Care Availability and Accessibility Committee; by Voice Vote amendment-passage
  • 2009-03-10 Remains in Health Care Availability and Accessibility Committee
  • 2009-03-11 House Committee Amendment No. 2 Filed with Clerk by Health Care Availability and Accessibility Committee amendment-introduction
  • 2009-03-11 House Committee Amendment No. 2 Adopted in Health Care Availability and Accessibility Committee; by Voice Vote amendment-passage
  • 2009-03-11 Do Pass as Amended / Standard Debate Health Care Availability and Accessibility Committee; 007-005-000 committee-passage
  • 2009-03-12 Placed on Calendar 2nd Reading - Standard Debate
  • 2009-03-18 Added Co-Sponsor Rep. Esther Golar
  • 2009-03-31 House Floor Amendment No. 3 Filed with Clerk by Rep. Greg Harris amendment-introduction
  • 2009-03-31 House Floor Amendment No. 3 Referred to Rules Committee referral-committee
  • 2009-03-31 Added Co-Sponsor Rep. Eddie Washington
  • 2009-03-31 Added Chief Co-Sponsor Rep. Julie Hamos
  • 2009-03-31 Added Co-Sponsor Rep. Sara Feigenholtz
  • 2009-03-31 Added Co-Sponsor Rep. Kathleen A. Ryg
  • 2009-03-31 Added Co-Sponsor Rep. Linda Chapa LaVia
  • 2009-03-31 Added Co-Sponsor Rep. Annazette Collins
  • 2009-03-31 Added Co-Sponsor Rep. Arthur L. Turner
  • 2009-03-31 Added Co-Sponsor Rep. Daniel J. Burke
  • 2009-04-01 Added Co-Sponsor Rep. Mike Boland
  • 2009-04-01 Added Co-Sponsor Rep. William Davis
  • 2009-04-01 Added Co-Sponsor Rep. Al Riley
  • 2009-04-01 House Floor Amendment No. 4 Filed with Clerk by Rep. Greg Harris amendment-introduction
  • 2009-04-01 House Floor Amendment No. 4 Referred to Rules Committee referral-committee
  • 2009-04-01 Added Co-Sponsor Rep. Jay C. Hoffman
  • 2009-04-01 Added Co-Sponsor Rep. Dan Reitz
  • 2009-04-01 Added Co-Sponsor Rep. Marlow H. Colvin
  • 2009-04-01 House Floor Amendment No. 3 Rules Refers to Health Care Availability and Accessibility Committee
  • 2009-04-01 Added Co-Sponsor Rep. Edward J. Acevedo
  • 2009-04-01 Added Co-Sponsor Rep. Michael K. Smith
  • 2009-04-01 Added Co-Sponsor Rep. Kenneth Dunkin
  • 2009-04-01 Added Co-Sponsor Rep. David E. Miller
  • 2009-04-01 Added Co-Sponsor Rep. Elizabeth Hernandez
  • 2009-04-01 Second Reading - Standard Debate reading-2
  • 2009-04-01 Held on Calendar Order of Second Reading - Standard Debate reading-2
  • 2009-04-01 House Floor Amendment No. 3 Recommends Be Adopted Health Care Availability and Accessibility Committee; 007-001-001 committee-passage-favorable
  • 2009-04-02 House Floor Amendment No. 4 Recommends Be Adopted Rules Committee; 005-000-000 committee-passage-favorable
  • 2009-04-02 Added Co-Sponsor Rep. Patrick J. Verschoore
  • 2009-04-02 Added Co-Sponsor Rep. Brandon W. Phelps
  • 2009-04-02 Added Co-Sponsor Rep. Harry Osterman
  • 2009-04-02 Added Co-Sponsor Rep. John E. Bradley
  • 2009-04-02 Added Co-Sponsor Rep. Robert F. Flider
  • 2009-04-02 Added Co-Sponsor Rep. Eddie Lee Jackson, Sr.
  • 2009-04-02 Added Co-Sponsor Rep. Charles E. Jefferson
  • 2009-04-02 Added Co-Sponsor Rep. Cynthia Soto
  • 2009-04-02 House Floor Amendment No. 3 Adopted by Voice Vote amendment-passage
  • 2009-04-02 House Floor Amendment No. 4 Adopted by Voice Vote amendment-passage
  • 2009-04-02 Held on Calendar Order of Second Reading - Standard Debate reading-2
  • 2009-04-02 House Floor Amendment No. 3 Fiscal Note Requested as Amended by Rep. JoAnn D. Osmond
  • 2009-04-02 House Floor Amendment No. 4 Fiscal Note Requested as Amended by Rep. JoAnn D. Osmond
  • 2009-04-02 Added Co-Sponsor Rep. Jehan A. Gordon
  • 2009-04-02 Removed Co-Sponsor Rep. Dan Reitz
  • 2009-04-02 Removed Co-Sponsor Rep. Michael K. Smith
  • 2009-04-02 Removed Co-Sponsor Rep. Patrick J. Verschoore
  • 2009-04-02 Removed Co-Sponsor Rep. Brandon W. Phelps
  • 2009-04-02 Removed Co-Sponsor Rep. Robert F. Flider
  • 2009-04-02 Removed Co-Sponsor Rep. Jehan A. Gordon
  • 2009-04-03 House Floor Amendment No. 3 Fiscal Note Filed as Amended
  • 2009-04-03 House Floor Amendment No. 4 Fiscal Note Filed as Amended
  • 2009-04-03 House Floor Amendment No. 3 State Mandates Fiscal Note Requested as Amended by Rep. JoAnn D. Osmond
  • 2009-04-03 House Floor Amendment No. 4 State Mandates Fiscal Note Requested as Amended by Rep. JoAnn D. Osmond
  • 2009-04-03 Held on Calendar Order of Second Reading - Standard Debate reading-2
  • 2009-04-03 Note / Motion Filed - Note Act Does Not Apply Rep. Greg Harris
  • 2009-04-03 Motion Prevailed 067-047-000
  • 2009-04-03 State Mandates Fiscal Note Request is Inapplicable
  • 2009-04-03 Placed on Calendar Order of 3rd Reading - Standard Debate
  • 2009-04-03 Third Reading - Standard Debate - Passed 062-045-001 reading-3, passage
  • 2009-04-03 Verified
  • 2009-04-03 Added Co-Sponsor Rep. Jehan A. Gordon
  • 2009-04-15 Arrive in Senate introduction
  • 2009-04-15 Placed on Calendar Order of First Reading reading-1
  • 2009-04-15 Chief Senate Sponsor Sen. Heather Steans
  • 2009-04-15 First Reading reading-1
  • 2009-04-15 Referred to Assignments referral-committee
  • 2009-04-21 Added as Alternate Chief Co-Sponsor Sen. M. Maggie Crotty
  • 2009-04-21 Added as Alternate Chief Co-Sponsor Sen. Michael Noland
  • 2009-04-21 Added as Alternate Chief Co-Sponsor Sen. Mattie Hunter
  • 2009-04-22 Added as Alternate Chief Co-Sponsor Sen. William Delgado
  • 2009-04-22 Added as Alternate Co-Sponsor Sen. Jacqueline Y. Collins
  • 2009-04-22 Added as Alternate Co-Sponsor Sen. Susan Garrett
  • 2009-04-22 Assigned to Executive referral-committee
  • 2009-04-22 Added as Alternate Co-Sponsor Sen. Gary Forby
  • 2009-04-22 Added as Alternate Co-Sponsor Sen. Rickey R. Hendon
  • 2009-04-22 Added as Alternate Co-Sponsor Sen. Don Harmon
  • 2009-04-22 Added as Alternate Co-Sponsor Sen. Kwame Raoul
  • 2009-04-22 Added as Alternate Co-Sponsor Sen. David Koehler
  • 2009-04-23 Added as Alternate Co-Sponsor Sen. Donne E. Trotter
  • 2009-04-24 Added as Alternate Co-Sponsor Sen. Toi W. Hutchinson
  • 2009-04-24 Added as Alternate Co-Sponsor Sen. Dan Kotowski
  • 2009-04-28 Added as Alternate Co-Sponsor Sen. Ira I. Silverstein
  • 2009-04-28 Added as Alternate Co-Sponsor Sen. Iris Y. Martinez
  • 2009-04-29 Added as Alternate Co-Sponsor Sen. Kimberly A. Lightford
  • 2009-04-29 Added as Alternate Co-Sponsor Sen. Jeffrey M. Schoenberg
  • 2009-04-29 Added as Alternate Co-Sponsor Sen. Emil Jones, III
  • 2009-04-30 Postponed - Executive
  • 2009-04-30 Added as Alternate Co-Sponsor Sen. Deanna Demuzio
  • 2009-04-30 Added as Alternate Co-Sponsor Sen. Antonio Muñoz
  • 2009-04-30 Rule 2-10 Committee Deadline Established As May 31, 2009
  • 2009-04-30 Rule 2-10 Third Reading Deadline Established As May 31, 2009 reading-3
  • 2009-05-06 Added as Alternate Co-Sponsor Sen. James F. Clayborne, Jr.
  • 2009-05-06 Added as Alternate Co-Sponsor Sen. Terry Link
  • 2009-05-06 Added as Alternate Co-Sponsor Sen. Michael Bond
  • 2009-05-06 Added as Alternate Co-Sponsor Sen. Martin A. Sandoval
  • 2009-05-07 Postponed - Executive
  • 2009-05-07 Added as Alternate Co-Sponsor Sen. Edward D. Maloney
  • 2009-05-11 Added as Alternate Co-Sponsor Sen. James A. DeLeo
  • 2009-05-12 Added as Alternate Co-Sponsor Sen. Louis S. Viverito
  • 2009-05-12 Added as Alternate Co-Sponsor Sen. James T. Meeks
  • 2009-05-12 Sponsor Removed Sen. Kimberly A. Lightford
  • 2009-05-13 Added as Alternate Co-Sponsor Sen. Kimberly A. Lightford
  • 2009-05-15 Rule 2-10 Committee Deadline Established As May 31, 2009
  • 2009-05-15 Rule 2-10 Third Reading Deadline Established As May 31, 2009 reading-3
  • 2009-05-18 Senate Committee Amendment No. 1 Filed with Secretary by Sen. William R. Haine amendment-introduction
  • 2009-05-18 Senate Committee Amendment No. 1 Referred to Assignments referral-committee
  • 2009-05-26 Senate Committee Amendment No. 2 Filed with Secretary by Sen. Heather Steans amendment-introduction
  • 2009-05-26 Senate Committee Amendment No. 2 Referred to Assignments referral-committee
  • 2009-05-27 Senate Committee Amendment No. 2 Assignments Refers to Executive
  • 2009-05-27 Added as Alternate Co-Sponsor Sen. Dale A. Righter
  • 2009-05-27 Senate Committee Amendment No. 3 Filed with Secretary by Sen. Heather Steans amendment-introduction
  • 2009-05-27 Senate Committee Amendment No. 3 Referred to Assignments referral-committee
  • 2009-05-27 Senate Committee Amendment No. 3 Assignments Refers to Executive
  • 2009-05-27 Waive Posting Notice
  • 2009-05-28 Senate Committee Amendment No. 4 Filed with Secretary by Sen. Heather Steans amendment-introduction
  • 2009-05-28 Senate Committee Amendment No. 4 Referred to Assignments referral-committee
  • 2009-05-28 Senate Committee Amendment No. 4 Assignments Refers to Executive
  • 2009-05-28 Senate Committee Amendment No. 3 Adopted amendment-passage
  • 2009-05-28 Senate Committee Amendment No. 4 Adopted amendment-passage
  • 2009-05-28 Do Pass as Amended Executive; 013-000-000 committee-passage
  • 2009-05-28 Placed on Calendar Order of 2nd Reading May 29, 2009
  • 2009-05-28 Senate Floor Amendment No. 5 Filed with Secretary by Sen. Heather Steans amendment-introduction
  • 2009-05-28 Senate Floor Amendment No. 5 Referred to Assignments referral-committee
  • 2009-05-29 Senate Floor Amendment No. 5 Be Approved for Consideration Assignments
  • 2009-05-29 Second Reading reading-2
  • 2009-05-29 Senate Floor Amendment No. 5 Adopted; Steans amendment-passage
  • 2009-05-29 Placed on Calendar Order of 3rd Reading May 30, 2009
  • 2009-05-30 Added as Alternate Co-Sponsor Sen. Michael W. Frerichs
  • 2009-05-30 Added as Alternate Co-Sponsor Sen. Linda Holmes
  • 2009-05-30 Third Reading - Passed; 054-001-000 reading-3, passage
  • 2009-05-30 Senate Committee Amendment No. 1 Tabled Pursuant to Rule 5-4(a) amendment-failure
  • 2009-05-30 Senate Committee Amendment No. 2 Tabled Pursuant to Rule 5-4(a) amendment-failure
  • 2009-05-30 Arrived in House introduction
  • 2009-05-30 Placed on Calendar Order of Concurrence Senate Amendment(s) 3, 4, 5
  • 2009-05-30 Senate Committee Amendment No. 3 Motion Filed Concur Rep. Greg Harris; Motion #1
  • 2009-05-30 Senate Committee Amendment No. 4 Motion Filed Concur Rep. Greg Harris; Motion #1
  • 2009-05-30 Senate Floor Amendment No. 5 Motion Filed Concur Rep. Greg Harris; Motion #1
  • 2009-05-30 Senate Committee Amendment No. 3 Motion to Concur Referred to Rules Committee; Motion #1 referral-committee
  • 2009-05-30 Senate Committee Amendment No. 4 Motion to Concur Referred to Rules Committee; Motion #1 referral-committee
  • 2009-05-30 Senate Floor Amendment No. 5 Motion to Concur Referred to Rules Committee; Motion #1 referral-committee
  • 2009-05-31 Final Action Deadline Extended-9(b) November 30, 2009
  • 2009-10-08 Senate Committee Amendment No. 3 Motion to Concur Rules Referred to Health Care Availability and Accessibility Committee; Motion #1 referral-committee
  • 2009-10-08 Senate Committee Amendment No. 4 Motion to Concur Rules Referred to Health Care Availability and Accessibility Committee; Motion #1 referral-committee
  • 2009-10-08 Senate Floor Amendment No. 5 Motion to Concur Rules Referred to Health Care Availability and Accessibility Committee; Motion #1 referral-committee
  • 2009-10-29 Added Co-Sponsor Rep. Joseph M. Lyons
  • 2009-10-29 Senate Committee Amendment No. 3 Motion Filed Concur Rep. Greg Harris; Motion #2
  • 2009-10-29 Senate Committee Amendment No. 4 Motion Filed Concur Rep. Greg Harris; Motion #2
  • 2009-10-29 Senate Floor Amendment No. 5 Motion Filed Concur Rep. Greg Harris; Motion #2
  • 2009-10-29 Senate Committee Amendment No. 3 Motion to Concur Referred to Rules Committee; Motion #2 referral-committee
  • 2009-10-29 Senate Committee Amendment No. 4 Motion to Concur Referred to Rules Committee; Motion #2 referral-committee
  • 2009-10-29 Senate Floor Amendment No. 5 Motion to Concur Referred to Rules Committee; Motion #2 referral-committee
  • 2009-10-29 Senate Committee Amendment No. 3 Motion to Concur Rules Referred to Executive Committee; Motion #2 referral-committee
  • 2009-10-29 Senate Committee Amendment No. 4 Motion to Concur Rules Referred to Executive Committee; Motion #2 referral-committee
  • 2009-10-29 Senate Floor Amendment No. 5 Motion to Concur Rules Referred to Executive Committee; Motion #2 referral-committee
  • 2009-10-29 Remove Chief Co-Sponsor Rep. Mary E. Flowers
  • 2009-10-29 Senate Committee Amendment No. 3 Motion to Concur Recommends Be Adopted Executive Committee; 011-000-000; Motion #2
  • 2009-10-29 Senate Committee Amendment No. 4 Motion to Concur Recommends Be Adopted Executive Committee; 011-000-000; Motion #2
  • 2009-10-29 Senate Floor Amendment No. 5 Motion to Concur Recommends Be Adopted Executive Committee; 011-000-000; Motion #2
  • 2009-10-29 Added Chief Co-Sponsor Rep. Arthur L. Turner
  • 2009-10-29 Removed Co-Sponsor Rep. Arthur L. Turner
  • 2009-10-29 Added Co-Sponsor Rep. Fred Crespo
  • 2009-10-29 Senate Committee Amendment No. 3 House Concurs 106-010-000; Motion #2
  • 2009-10-29 Senate Committee Amendment No. 4 House Concurs 106-010-000; Motion #2
  • 2009-10-29 Senate Floor Amendment No. 5 House Concurs 106-010-000; Motion #2
  • 2009-10-29 Passed Both Houses
  • 2009-11-25 Sent to the Governor executive-receipt
  • 2010-01-05 Governor Approved executive-signature
  • 2010-01-05 Effective Date January 5, 2010
  • 2010-01-05 Public Act . . . . . . . . . 96-0857 became-law

Source

OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/7504450f-f84e-4edc-b7ac-76ee8ff4396e. Confidence: reported (aggregated from official Illinois legislature records).

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