Fabio
107 lines
9.8 KiB
Markdown
107 lines
9.8 KiB
Markdown
---
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type: "Bill"
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title: "INSURANCE-VARIOUS"
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description: "Amends the Illinois Insurance Code. Provides that certain coverage requirements apply to an individual policy of accident and health insurance (currently, a policy of accident and health insurance). Provides that an individual or group policy of accident and health insurance or a managed care plan must not require authorization or referral by the plan, issuer, or any person, including a primary care provider, for any covered individual who seeks coverage for certain obstetrical or gynecological care. Provides that if a policy, contract, or certificate requires or allows a covered individual to designate a primary care provider and provides coverage for any obstetrical or gynecological care, the insurer shall provide the notice required under specified federal regulations in all circumstances required under those regulations. Makes changes in provisions concerning post-parturition care. Changes the language required in the disclosure of a limited benefit. Increases the fee for filing a plan of division of a domestic stock company and for filing an insurance business transfer plan. Makes changes in provisions concerning fraud reporting; coverage for epinephrine injectors; blanket accident and health insurance; authorization of policies, agreements, or arrangements with incentives or limits on reimbursement; and refunds and penalties. Repeals a provision concerning the application of certain provisions. Amends the Network Adequacy and Transparency Act. Changes references from \"woman's principal health care provider\" to \"obstetrical and gynecological health care professional\". Amends the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Limited Health Service Organization Act, and the Illinois Public Aid Code to make conforming changes. Amends the Health Maintenance Organization Act. Makes changes to the required disclosures. Provides that health maintenance organizations are subject to certain coverage requirements for pharmacy testing, screening, vaccinations, and treatment; for proton beam therapy; for children with neuromuscular, neurological, or cognitive impairment; and for no-cost mental health prevention and wellness visits. Effective immediately, except that certain provisions are effective January 1, 2025."
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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 5493"
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citation: "Illinois HB 5493 (103rd)"
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classification: ["bill"]
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subjects: []
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status: "enacted"
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primary_sponsors: ["Napoleon Harris, III", "Thaddeus Jones"]
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version_count: 6
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action_count: 40
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vote_count: 4
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first_action: "2024-02-09"
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last_action: "2024-07-19"
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source: "openstates"
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source_identifier: "ocd-bill/93cb7d7e-fc64-465c-bcc6-bad522bee5b0"
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source_url: "https://beta.ilga.gov/Legislation/BillStatus?DocNum=5493&GAID=17&DocTypeID=HB&LegId=153825&SessionID=112"
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source_hash: "ff16485698421bb6bec1aaad72f7a087a645deb942df9f64ff68eabe62b84ab1"
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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 5493 (103rd) — INSURANCE-VARIOUS
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Amends the Illinois Insurance Code. Provides that certain coverage requirements apply to an individual policy of accident and health insurance (currently, a policy of accident and health insurance). Provides that an individual or group policy of accident and health insurance or a managed care plan must not require authorization or referral by the plan, issuer, or any person, including a primary care provider, for any covered individual who seeks coverage for certain obstetrical or gynecological care. Provides that if a policy, contract, or certificate requires or allows a covered individual to designate a primary care provider and provides coverage for any obstetrical or gynecological care, the insurer shall provide the notice required under specified federal regulations in all circumstances required under those regulations. Makes changes in provisions concerning post-parturition care. Changes the language required in the disclosure of a limited benefit. Increases the fee for filing a plan of division of a domestic stock company and for filing an insurance business transfer plan. Makes changes in provisions concerning fraud reporting; coverage for epinephrine injectors; blanket accident and health insurance; authorization of policies, agreements, or arrangements with incentives or limits on reimbursement; and refunds and penalties. Repeals a provision concerning the application of certain provisions. Amends the Network Adequacy and Transparency Act. Changes references from "woman's principal health care provider" to "obstetrical and gynecological health care professional". Amends the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Limited Health Service Organization Act, and the Illinois Public Aid Code to make conforming changes. Amends the Health Maintenance Organization Act. Makes changes to the required disclosures. Provides that health maintenance organizations are subject to certain coverage requirements for pharmacy testing, screening, vaccinations, and treatment; for proton beam therapy; for children with neuromuscular, neurological, or cognitive impairment; and for no-cost mental health prevention and wellness visits. Effective immediately, except that certain provisions are effective January 1, 2025.
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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/10300HB5493.pdf)
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2. **Engrossed** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB5493eng.pdf)
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3. **House Amendment 001** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB5493ham001.pdf)
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4. **House Amendment 002** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB5493ham002.pdf)
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5. **House Amendment 003** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB5493ham003.pdf)
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6. **Enrolled** (enrolled) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB5493enr.pdf)
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## Votes
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- Insurance — **12–0** (pass) · lower
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- Third Reading — **58–0** (pass) · lower
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- Third Reading — **95–0** (pass) · lower
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- Insurance — **10–0** (pass) · lower
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## Sponsors
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- Napoleon Harris, III — primary (person)
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- Thaddeus Jones — primary (person)
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- Bob Morgan — cosponsor (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2024-02-09** Filed with the Clerk by Rep. Thaddeus Jones `filing`
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- **2024-02-09** First Reading `reading-1`
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- **2024-02-09** Referred to Rules Committee
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- **2024-02-28** Assigned to Insurance Committee `referral-committee`
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- **2024-03-08** House Committee Amendment No. 1 Filed with Clerk by Rep. Thaddeus Jones `amendment-introduction`
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- **2024-03-08** House Committee Amendment No. 1 Referred to Rules Committee
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- **2024-03-12** House Committee Amendment No. 1 Rules Refers to Insurance Committee
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- **2024-03-20** House Committee Amendment No. 2 Filed with Clerk by Rep. Thaddeus Jones `amendment-introduction`
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- **2024-03-20** House Committee Amendment No. 2 Referred to Rules Committee
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- **2024-03-21** House Committee Amendment No. 2 Rules Refers to Insurance Committee
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- **2024-03-25** House Committee Amendment No. 3 Filed with Clerk by Rep. Thaddeus Jones `amendment-introduction`
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- **2024-03-25** House Committee Amendment No. 3 Referred to Rules Committee
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- **2024-04-02** House Committee Amendment No. 3 Rules Refers to Insurance Committee
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- **2024-04-02** House Committee Amendment No. 2 Adopted in Insurance Committee; by Voice Vote `amendment-passage`
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- **2024-04-02** House Committee Amendment No. 3 Adopted in Insurance Committee; by Voice Vote `amendment-passage`
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- **2024-04-02** Do Pass as Amended / Short Debate Insurance Committee; 012-000-000
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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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- **2024-04-17** 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** Added Chief Co-Sponsor Rep. Bob Morgan
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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 095-000-000 `passage, reading-3`
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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. Napoleon Harris, III
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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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- **2024-05-16** Third Reading - Passed; 058-000-000 `passage, reading-3`
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- **2024-05-16** 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 July 19, 2024; some provisions effective 01/01/2025
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- **2024-07-19** Public Act . . . . . . . . . 103-0718 `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/93cb7d7e-fc64-465c-bcc6-bad522bee5b0`. Confidence: reported (aggregated from official Illinois legislature records).
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