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---
type: "Bill"
title: "INS CD-HEALTH-EMERGENCY SERVIC"
description: "Amends the Department of Insurance Law of the Civil Administrative Code of Illinois. Provides that the Department of Insurance shall study the frequency and economic impact of nonparticipating facility-based physician and provider claims concerning the issue of when a beneficiary, insured, or enrollee utilizes a participating network hospital or a participating network ambulatory surgery center and, due to any reason, in-network services for radiology, anesthesiology, pathology, emergency physician, or neonatology are unavailable and are provided by a nonparticipating facility-based physician or provider and the insurer's or health plan's responsibility to ensure that the beneficiary, insured, or enrollee incurs no greater out-of-pocket costs than the beneficiary, insured, or enrollee would have incurred with a participating physician or provider for covered services. Provides that the Department shall report its findings and recommendations to the General Assembly no later than October 1, 2012. Amends the Illinois Insurance Code to provide that nothing in the provision concerning nonparticipating facility-based physicians and providers shall be interpreted to change the prudent layperson provisions with respect to emergency services under the Managed Care Reform and Patient Rights Act. Effective immediately."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "97th"
identifier: "SB 3233"
citation: "Illinois SB 3233 (97th)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: []
version_count: 3
action_count: 64
vote_count: 5
first_action: "2012-02-01"
last_action: "2013-01-24"
source: "openstates"
source_identifier: "ocd-bill/8f9d4d1a-7431-498c-89a3-f2386bbcaf46"
source_url: "http://ilga.gov/legislation/BillStatus.asp?DocNum=3233&GAID=11&DocTypeID=SB&LegId=64278&SessionID=84&GA=97"
source_hash: "b7ebbeef627e3463482eceb7e42164d0b3710c19ea1003e60854bac8db80cb24"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-il"]
---
# Illinois SB 3233 (97th) — INS CD-HEALTH-EMERGENCY SERVIC
Amends the Department of Insurance Law of the Civil Administrative Code of Illinois. Provides that the Department of Insurance shall study the frequency and economic impact of nonparticipating facility-based physician and provider claims concerning the issue of when a beneficiary, insured, or enrollee utilizes a participating network hospital or a participating network ambulatory surgery center and, due to any reason, in-network services for radiology, anesthesiology, pathology, emergency physician, or neonatology are unavailable and are provided by a nonparticipating facility-based physician or provider and the insurer's or health plan's responsibility to ensure that the beneficiary, insured, or enrollee incurs no greater out-of-pocket costs than the beneficiary, insured, or enrollee would have incurred with a participating physician or provider for covered services. Provides that the Department shall report its findings and recommendations to the General Assembly no later than October 1, 2012. Amends the Illinois Insurance Code to provide that nothing in the provision concerning nonparticipating facility-based physicians and providers shall be interpreted to change the prudent layperson provisions with respect to emergency services under the Managed Care Reform and Patient Rights Act. Effective immediately.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Introduced** (filed) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09700SB3233&GA=97&SessionId=84&DocTypeId=SB&LegID=64278&DocNum=3233&GAID=11&Session=&print=true)
2. **Engrossed** (committee substitute) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09700SB3233eng&GA=97&SessionId=84&DocTypeId=SB&LegID=64278&DocNum=3233&GAID=11&Session=&print=true)
3. **Enrolled** (enrolled) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09700SB3233enr&GA=97&SessionId=84&DocTypeId=SB&LegID=64278&DocNum=3233&GAID=11&Session=&print=true)
## Votes
- Concurrence — **510** (pass) · upper
- Third Reading — **520** (pass) · upper
- Third Reading — **8427** (pass) · lower
- Concurrence, Amendment 3 — **510** (pass) · upper
- Concurrence, Amendment 2 — **510** (pass) · upper
## Sponsors
- William R. Haine — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2012-02-01** Filed with Secretary by Sen. William R. Haine `filing`
- **2012-02-01** First Reading `reading-1`
- **2012-02-01** Referred to Assignments `referral-committee`
- **2012-02-07** Assigned to Insurance `referral-committee`
- **2012-02-24** Postponed - Insurance
- **2012-03-01** Postponed - Insurance
- **2012-03-02** Senate Committee Amendment No. 1 Filed with Secretary by Sen. William R. Haine `amendment-introduction`
- **2012-03-02** Senate Committee Amendment No. 1 Referred to Assignments `referral-committee`
- **2012-03-06** Senate Committee Amendment No. 1 Assignments Refers to Insurance
- **2012-03-07** Senate Committee Amendment No. 1 Adopted `amendment-passage`
- **2012-03-08** Do Pass as Amended Insurance; 009-000-000 `committee-passage`
- **2012-03-08** Placed on Calendar Order of 2nd Reading March 21, 2012
- **2012-03-21** Second Reading `reading-2`
- **2012-03-21** Placed on Calendar Order of 3rd Reading March 22, 2012
- **2012-03-22** Third Reading - Passed; 052-000-000 `reading-3, passage`
- **2012-03-22** Arrived in House `introduction`
- **2012-03-22** Placed on Calendar Order of First Reading `reading-1`
- **2012-03-22** Chief House Sponsor Rep. Frank J. Mautino
- **2012-03-23** First Reading `reading-1`
- **2012-03-23** Referred to Rules Committee `referral-committee`
- **2012-11-09** Final Action Deadline Extended-9(b) January 8, 2013
- **2012-11-09** Assigned to Executive Committee `referral-committee`
- **2012-11-26** House Committee Amendment No. 1 Filed with Clerk by Rep. Frank J. Mautino `amendment-introduction`
- **2012-11-26** House Committee Amendment No. 1 Referred to Rules Committee `referral-committee`
- **2012-11-26** House Committee Amendment No. 1 Rules Refers to Executive Committee
- **2012-11-27** House Committee Amendment No. 1 Adopted in Executive Committee; by Voice Vote `amendment-passage`
- **2012-11-27** Do Pass as Amended / Short Debate Executive Committee; 011-000-000 `committee-passage`
- **2012-11-27** Placed on Calendar 2nd Reading - Short Debate
- **2012-11-27** Second Reading - Short Debate `reading-2`
- **2012-11-27** Held on Calendar Order of Second Reading - Short Debate `reading-2`
- **2012-11-28** House Floor Amendment No. 2 Filed with Clerk by Rep. Frank J. Mautino `amendment-introduction`
- **2012-11-28** House Floor Amendment No. 2 Referred to Rules Committee `referral-committee`
- **2012-12-03** Added Alternate Chief Co-Sponsor Rep. Barbara Flynn Currie
- **2012-12-03** House Floor Amendment No. 2 Recommends Be Adopted Rules Committee; 004-000-000 `committee-passage-favorable`
- **2012-12-04** House Floor Amendment No. 3 Filed with Clerk by Rep. Frank J. Mautino `amendment-introduction`
- **2012-12-04** House Floor Amendment No. 3 Referred to Rules Committee `referral-committee`
- **2012-12-05** House Floor Amendment No. 3 Recommends Be Adopted Rules Committee; 005-000-000 `committee-passage-favorable`
- **2012-12-05** House Floor Amendment No. 2 Adopted by Voice Vote `amendment-passage`
- **2012-12-05** House Floor Amendment No. 3 Adopted by Voice Vote `amendment-passage`
- **2012-12-05** Placed on Calendar Order of 3rd Reading - Short Debate
- **2012-12-05** 3/5 Vote Required
- **2012-12-05** Third Reading - Short Debate - Passed 084-027-000 `reading-3, passage`
- **2012-12-05** Secretary's Desk - Concurrence House Amendment(s) 1, 2, 3
- **2012-12-05** Placed on Calendar Order of Concurrence House Amendment(s) 2, 1, 3 - January 2, 2013
- **2012-12-05** House Committee Amendment No. 1 Motion to Concur Filed with Secretary Sen. William R. Haine `filing`
- **2012-12-05** House Committee Amendment No. 1 Motion to Concur Referred to Assignments `referral-committee`
- **2012-12-05** House Floor Amendment No. 2 Motion to Concur Filed with Secretary Sen. William R. Haine `filing`
- **2012-12-05** House Floor Amendment No. 2 Motion to Concur Referred to Assignments `referral-committee`
- **2012-12-05** House Floor Amendment No. 3 Motion to Concur Filed with Secretary Sen. William R. Haine `filing`
- **2012-12-05** House Floor Amendment No. 3 Motion to Concur Referred to Assignments `referral-committee`
- **2013-01-02** House Committee Amendment No. 1 Motion to Concur Assignments Referred to Insurance `referral-committee`
- **2013-01-02** House Floor Amendment No. 2 Motion to Concur Assignments Referred to Insurance `referral-committee`
- **2013-01-02** House Floor Amendment No. 3 Motion to Concur Assignments Referred to Insurance `referral-committee`
- **2013-01-03** House Committee Amendment No. 1 Motion To Concur Recommended Do Adopt Insurance; 008-000-000
- **2013-01-03** House Floor Amendment No. 2 Motion To Concur Recommended Do Adopt Insurance; 008-000-000
- **2013-01-03** House Floor Amendment No. 3 Motion To Concur Recommended Do Adopt Insurance; 008-000-000
- **2013-01-03** House Committee Amendment No. 1 Senate Concurs 051-000-001
- **2013-01-03** House Floor Amendment No. 2 Senate Concurs 051-000-001
- **2013-01-03** House Floor Amendment No. 3 Senate Concurs 051-000-001
- **2013-01-03** Passed Both Houses
- **2013-01-15** Sent to the Governor `executive-receipt`
- **2013-01-24** Governor Approved `executive-signature`
- **2013-01-24** Effective Date January 24, 2013
- **2013-01-24** Public Act . . . . . . . . . 97-1148 `became-law`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/8f9d4d1a-7431-498c-89a3-f2386bbcaf46`. Confidence: reported (aggregated from official Illinois legislature records).