5941153bb7
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
126 lines
8.9 KiB
Markdown
126 lines
8.9 KiB
Markdown
---
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type: "Bill"
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title: "HEALTH CARRIER EXTERNAL REVIEW"
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description: "Amends the Health Carrier External Review Act in the provision concerning standard external review. Provides that whenever a request is eligible for external review (1) the health carrier shall, within 2 (instead of 5) business days, request the Director of Insurance to assign an independent review organization (now, from the list of approved independent review organizations compiled and maintained by the Director) and (2) within 3 business days after receiving the health carrier's request, the Director shall assign, on a rotating basis, an independent review organization from the list of approved independent review organizations compiled and maintained by the Director. Includes the health carrier among those to be notified in writing by the Director of the request's eligibility and acceptance for external review. Effective immediately."
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jurisdiction: "us/states/il"
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legislature: "Illinois General Assembly"
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session: "97th"
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identifier: "HB 224"
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citation: "Illinois HB 224 (97th)"
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classification: ["bill"]
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subjects: []
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status: "enacted"
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primary_sponsors: []
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version_count: 3
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action_count: 65
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vote_count: 3
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first_action: "2011-01-20"
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last_action: "2011-08-26"
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source: "openstates"
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source_identifier: "ocd-bill/86364727-8206-4b8f-a536-f01c855c15a0"
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source_url: "http://ilga.gov/legislation/BillStatus.asp?DocNum=224&GAID=11&DocTypeID=HB&LegId=54837&SessionID=84&GA=97"
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source_hash: "9838c2875c07f41489166ed3f8c8695b04a1e6118c7ce91a6ee7e291347fe788"
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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 224 (97th) — HEALTH CARRIER EXTERNAL REVIEW
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Amends the Health Carrier External Review Act in the provision concerning standard external review. Provides that whenever a request is eligible for external review (1) the health carrier shall, within 2 (instead of 5) business days, request the Director of Insurance to assign an independent review organization (now, from the list of approved independent review organizations compiled and maintained by the Director) and (2) within 3 business days after receiving the health carrier's request, the Director shall assign, on a rotating basis, an independent review organization from the list of approved independent review organizations compiled and maintained by the Director. Includes the health carrier among those to be notified in writing by the Director of the request's eligibility and acceptance for external review. Effective immediately.
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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](http://ilga.gov/legislation/fulltext.asp?DocName=09700HB0224&GA=97&SessionId=84&DocTypeId=HB&LegID=54837&DocNum=224&GAID=11&Session=&print=true)
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2. **Engrossed** (committee substitute) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09700HB0224eng&GA=97&SessionId=84&DocTypeId=HB&LegID=54837&DocNum=224&GAID=11&Session=&print=true)
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3. **Enrolled** (enrolled) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09700HB0224enr&GA=97&SessionId=84&DocTypeId=HB&LegID=54837&DocNum=224&GAID=11&Session=&print=true)
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## Votes
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- Third Reading — **57–0** (pass) · upper
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- Third Reading — **71–45** (pass) · lower
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- Concurrence, Amendment 3 — **87–25** (pass) · lower
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## Sponsors
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- Mary E. Flowers — primary (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2011-01-20** Filed with the Clerk by Rep. Mary E. Flowers `filing`
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- **2011-01-21** First Reading `reading-1`
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- **2011-01-21** Referred to Rules Committee `referral-committee`
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- **2011-02-08** Assigned to Health Care Availability and Accessibility Committee `referral-committee`
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- **2011-03-08** Do Pass / Short Debate Health Care Availability and Accessibility Committee; 008-004-000 `committee-passage`
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- **2011-03-09** Placed on Calendar 2nd Reading - Short Debate
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- **2011-03-10** Added Chief Co-Sponsor Rep. Monique D. Davis
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- **2011-04-04** House Floor Amendment No. 1 Filed with Clerk by Rep. Mary E. Flowers `amendment-introduction`
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- **2011-04-04** House Floor Amendment No. 1 Referred to Rules Committee `referral-committee`
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- **2011-04-06** House Floor Amendment No. 1 Rules Refers to Health Care Availability and Accessibility Committee
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- **2011-04-06** House Floor Amendment No. 1 Recommends Be Adopted Health Care Availability and Accessibility Committee; 010-002-000 `committee-passage-favorable`
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- **2011-04-07** House Floor Amendment No. 1 Fiscal Note Requested as Amended by Rep. Dennis M. Reboletti
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- **2011-04-07** House Floor Amendment No. 1 State Mandates Fiscal Note Requested as Amended by Rep. Dennis M. Reboletti
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- **2011-04-12** House Floor Amendment No. 1 Fiscal Note Filed as Amended
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- **2011-04-12** House Floor Amendment No. 1 State Mandates Fiscal Note Filed as Amended
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- **2011-04-12** Added Chief Co-Sponsor Rep. Linda Chapa LaVia
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- **2011-04-12** Second Reading - Short Debate `reading-2`
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- **2011-04-12** House Floor Amendment No. 1 Adopted by Voice Vote `amendment-passage`
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- **2011-04-12** Placed on Calendar Order of 3rd Reading - Short Debate
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- **2011-04-13** Third Reading - Consideration Postponed `reading-3`
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- **2011-04-13** Placed on Calendar - Consideration Postponed April 13, 2011
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- **2011-04-13** Third Reading - Short Debate - Passed 071-045-000 `reading-3, passage`
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- **2011-04-14** Arrive in Senate `introduction`
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- **2011-04-14** Placed on Calendar Order of First Reading April 15, 2011 `reading-1`
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- **2011-04-14** Chief Senate Sponsor Sen. Heather A. Steans
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- **2011-04-14** First Reading `reading-1`
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- **2011-04-14** Referred to Assignments `referral-committee`
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- **2011-04-27** Assigned to Insurance `referral-committee`
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- **2011-05-10** Senate Committee Amendment No. 1 Filed with Secretary by Sen. Heather A. Steans `amendment-introduction`
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- **2011-05-10** Senate Committee Amendment No. 1 Referred to Assignments `referral-committee`
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- **2011-05-12** Added as Alternate Chief Co-Sponsor Sen. Jacqueline Y. Collins
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- **2011-05-13** Rule 2-10 Committee Deadline Established As May 31, 2011
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- **2011-05-14** Senate Committee Amendment No. 1 Pursuant to Senate Rule 3-8(c-1) - Referred to Insurance `referral-committee`
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- **2011-05-16** Senate Committee Amendment No. 1 Postponed - Insurance
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- **2011-05-16** Do Pass Insurance; 009-000-000 `committee-passage`
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- **2011-05-16** Placed on Calendar Order of 2nd Reading May 17, 2011
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- **2011-05-18** Second Reading `reading-2`
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- **2011-05-18** Placed on Calendar Order of 3rd Reading May 19, 2011
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- **2011-05-19** Senate Floor Amendment No. 2 Filed with Secretary by Sen. Heather A. Steans `amendment-introduction`
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- **2011-05-19** Senate Floor Amendment No. 2 Referred to Assignments `referral-committee`
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- **2011-05-23** Senate Floor Amendment No. 3 Filed with Secretary by Sen. Heather A. Steans `amendment-introduction`
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- **2011-05-23** Senate Floor Amendment No. 3 Referred to Assignments `referral-committee`
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- **2011-05-24** Senate Floor Amendment No. 2 Assignments Refers to Insurance
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- **2011-05-24** Senate Floor Amendment No. 3 Assignments Refers to Insurance
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- **2011-05-24** Senate Floor Amendment No. 2 Postponed - Insurance
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- **2011-05-24** Senate Floor Amendment No. 3 Recommend Do Adopt Insurance; 007-001-000
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- **2011-05-25** Recalled to Second Reading `reading-2`
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- **2011-05-25** Senate Floor Amendment No. 3 Adopted; Steans `amendment-passage`
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- **2011-05-25** Placed on Calendar Order of 3rd Reading
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- **2011-05-25** Added as Alternate Chief Co-Sponsor Sen. Michael Noland
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- **2011-05-25** Third Reading - Passed; 057-000-000 `reading-3, passage`
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- **2011-05-25** Senate Committee Amendment No. 1 Tabled Pursuant to Rule 5-4(a) `amendment-failure`
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- **2011-05-25** Senate Floor Amendment No. 2 Tabled Pursuant to Rule 5-4(a) `amendment-failure`
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- **2011-05-25** Arrived in House `introduction`
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- **2011-05-25** Placed on Calendar Order of Concurrence Senate Amendment(s) 3
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- **2011-05-25** Senate Floor Amendment No. 3 Motion Filed Concur Rep. Mary E. Flowers
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- **2011-05-25** Senate Floor Amendment No. 3 Motion to Concur Referred to Rules Committee `referral-committee`
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- **2011-05-29** Senate Floor Amendment No. 3 Motion to Concur Recommends Be Adopted Rules Committee; 004-000-000
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- **2011-05-29** Senate Floor Amendment No. 3 House Concurs 087-025-000
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- **2011-05-29** Passed Both Houses
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- **2011-05-29** Added Co-Sponsor Rep. Camille Y. Lilly
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- **2011-06-27** Sent to the Governor `executive-receipt`
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- **2011-08-26** Governor Approved `executive-signature`
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- **2011-08-26** Effective Date August 26, 2011
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- **2011-08-26** Public Act . . . . . . . . . 97-0574 `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/86364727-8206-4b8f-a536-f01c855c15a0`. Confidence: reported (aggregated from official Illinois legislature records).
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