republic-os/legislation/us/states/il/101st/sb-174.md

---
type: "Bill"
title: "IN-OFFICE MEMBERSHIP CARE ACT"
description: "Creates the In-Office Membership Care Act. Provides the requirements for an in-office membership care agreement between a primary care provider and patient. Provides where in-office membership care services may be provided. Provides that an in-office membership care agreement is not subject to the Illinois Insurance Code and that services provided under an in-office membership care agreement shall not be submitted to an insurer for payment. Provides a disclaimer each in-office membership care agreement shall include concerning not providing health insurance coverage. Provides restrictions on the transfer of an in-office membership care agreement. Provides that the Act does not prohibit health care providers who are not primary care providers from entering into agreements with patients. Makes conforming changes in the Illinois Insurance Code. Effective immediately."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "101st"
identifier: "SB 174"
citation: "Illinois SB 174 (101st)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: []
version_count: 3
action_count: 34
vote_count: 2
first_action: "2019-01-30"
last_action: "2019-08-02"
source: "openstates"
source_identifier: "ocd-bill/42f3eb16-5cb5-476a-9425-c6d2a53639b9"
source_url: "http://ilga.gov/legislation/BillStatus.asp?DocNum=174&GAID=15&DocTypeID=SB&LegId=115989&SessionID=108&GA=101"
source_hash: "14f04eaf9bae1cd8a927e89624ea4b0fca1e34e95f3be0bda360a3eef655a2ed"
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 174 (101st) — IN-OFFICE MEMBERSHIP CARE ACT

Creates the In-Office Membership Care Act. Provides the requirements for an in-office membership care agreement between a primary care provider and patient. Provides where in-office membership care services may be provided. Provides that an in-office membership care agreement is not subject to the Illinois Insurance Code and that services provided under an in-office membership care agreement shall not be submitted to an insurer for payment. Provides a disclaimer each in-office membership care agreement shall include concerning not providing health insurance coverage. Provides restrictions on the transfer of an in-office membership care agreement. Provides that the Act does not prohibit health care providers who are not primary care providers from entering into agreements with patients. Makes conforming changes in the Illinois Insurance Code. 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=10100SB0174&GA=101&SessionId=108&DocTypeId=SB&LegID=115989&DocNum=174&GAID=15&SpecSess=&Session=&print=true)
2. **Engrossed** (committee substitute) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=10100SB0174eng&GA=101&SessionId=108&DocTypeId=SB&LegID=115989&DocNum=174&GAID=15&SpecSess=&Session=&print=true)
3. **Enrolled** (enrolled) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=10100SB0174enr&GA=101&SessionId=108&DocTypeId=SB&LegID=115989&DocNum=174&GAID=15&SpecSess=&Session=&print=true)

## Votes

- Third Reading — **116–0** (pass) · lower
- Third Reading — **54–0** (pass) · upper

## Sponsors

- Camille Y. Lilly — cosponsor (person)
- Dave Syverson — cosponsor (person)
- Deb Conroy — primary (person)
- John G. Mulroe — primary (person)

## Timeline

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

- **2019-01-30** Filed with Secretary by Sen. John G. Mulroe `filing`
- **2019-01-30** First Reading `reading-1`
- **2019-01-30** Referred to Assignments `referral-committee`
- **2019-02-05** Added as Chief Co-Sponsor Sen. Dave Syverson
- **2019-02-06** Assigned to Insurance `referral-committee`
- **2019-02-21** Senate Committee Amendment No. 1 Filed with Secretary by Sen. John G. Mulroe `amendment-introduction`
- **2019-02-21** Senate Committee Amendment No. 1 Referred to Assignments `referral-committee`
- **2019-02-26** Senate Committee Amendment No. 2 Filed with Secretary by Sen. John G. Mulroe `amendment-introduction`
- **2019-02-26** Senate Committee Amendment No. 2 Referred to Assignments `referral-committee`
- **2019-02-27** Senate Committee Amendment No. 1 Assignments Refers to Insurance
- **2019-03-05** Senate Committee Amendment No. 2 Assignments Refers to Insurance
- **2019-03-06** Senate Committee Amendment No. 1 Adopted `amendment-passage`
- **2019-03-06** Senate Committee Amendment No. 2 Adopted `amendment-passage`
- **2019-03-06** Do Pass as Amended Insurance; 016-000-000 `committee-passage`
- **2019-03-06** Placed on Calendar Order of 2nd Reading
- **2019-03-07** Second Reading `reading-2`
- **2019-03-07** Placed on Calendar Order of 3rd Reading March 12, 2019
- **2019-03-20** Third Reading - Passed; 054-000-000 `reading-3, passage`
- **2019-03-20** Arrived in House `introduction`
- **2019-03-20** Chief House Sponsor Rep. Deb Conroy
- **2019-03-21** First Reading `reading-1`
- **2019-03-21** Referred to Rules Committee `referral-committee`
- **2019-04-09** Assigned to Insurance Committee `referral-committee`
- **2019-04-30** Do Pass / Short Debate Insurance Committee; 017-000-000 `committee-passage`
- **2019-05-02** Placed on Calendar 2nd Reading - Short Debate
- **2019-05-16** Second Reading - Short Debate `reading-2`
- **2019-05-16** Placed on Calendar Order of 3rd Reading - Short Debate
- **2019-05-21** Third Reading - Short Debate - Passed 116-000-000 `reading-3, passage`
- **2019-05-21** Passed Both Houses
- **2019-05-21** Added Alternate Co-Sponsor Rep. Camille Y. Lilly
- **2019-06-19** Sent to the Governor `executive-receipt`
- **2019-08-02** Governor Approved `executive-signature`
- **2019-08-02** Effective Date August 2, 2019
- **2019-08-02** Public Act . . . . . . . . . 101-0190 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/42f3eb16-5cb5-476a-9425-c6d2a53639b9`. Confidence: reported (aggregated from official Illinois legislature records).