Fabio
102 lines
7.5 KiB
Markdown
102 lines
7.5 KiB
Markdown
---
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type: "Bill"
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title: "INSURANCE-PROVIDER PANELS"
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description: "Amends the Managed Care Reform and Patient Rights Act. Sets forth requirements for carriers that offer a provider panel. Requires notice of the development of a provider panel to be filed with Department of Public Health prior to establishment. Provides that a carrier that uses a provider panel shall establish procedure for notifying an enrollee of the termination of a health care provider. Sets forth provisions permitting, under certain circumstances, a health care provider to continue to render health care services following termination from the carrier's provider panel. Requires a carrier to provide a list of members in the carrier's provider panel. Establishes notice requirements for benefit reductions and termination of health care providers from the carrier's provider panel. Requires any carrier requiring preauthorization for medical treatment to have personnel available to provide preauthorization at all times when the preauthorization is required. Provides that no contract between a health care provider and a carrier shall include provisions that require a health care provider to deny covered services that the provider knows to be medically necessary and appropriate that are provided with respect to a specific enrollee or group of enrollees with similar medical conditions. Sets forth prohibited provisions in a contract between a carrier and a health care provider. Defines terms. Makes other and conforming changes."
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jurisdiction: "us/states/il"
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legislature: "Illinois General Assembly"
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session: "104th"
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identifier: "HB 3796"
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citation: "Illinois HB 3796 (104th)"
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classification: ["bill"]
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subjects: []
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status: "enacted"
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primary_sponsors: ["Hoan Huynh", "Rachel Ventura"]
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version_count: 5
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action_count: 36
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vote_count: 5
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first_action: "2025-02-07"
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last_action: "2025-08-15"
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source: "openstates"
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source_identifier: "ocd-bill/ead20ab5-421f-4155-8200-9da9215047b6"
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source_url: "https://ilga.gov/Legislation/BillStatus?DocNum=3796&GAID=18&DocTypeID=HB&LegId=162665&SessionID=114"
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source_hash: "006d4a8db05498548b70bed0e878dc91fab8b379105ce0798ef1b901c02f5431"
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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 3796 (104th) — INSURANCE-PROVIDER PANELS
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Amends the Managed Care Reform and Patient Rights Act. Sets forth requirements for carriers that offer a provider panel. Requires notice of the development of a provider panel to be filed with Department of Public Health prior to establishment. Provides that a carrier that uses a provider panel shall establish procedure for notifying an enrollee of the termination of a health care provider. Sets forth provisions permitting, under certain circumstances, a health care provider to continue to render health care services following termination from the carrier's provider panel. Requires a carrier to provide a list of members in the carrier's provider panel. Establishes notice requirements for benefit reductions and termination of health care providers from the carrier's provider panel. Requires any carrier requiring preauthorization for medical treatment to have personnel available to provide preauthorization at all times when the preauthorization is required. Provides that no contract between a health care provider and a carrier shall include provisions that require a health care provider to deny covered services that the provider knows to be medically necessary and appropriate that are provided with respect to a specific enrollee or group of enrollees with similar medical conditions. Sets forth prohibited provisions in a contract between a carrier and a health care provider. Defines terms. Makes other and conforming changes.
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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://ilga.gov/documents/legislation/104/HB/PDF/10400HB3796.pdf)
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2. **Engrossed** (committee substitute) — [source](https://ilga.gov/documents/legislation/104/HB/PDF/10400HB3796eng.pdf)
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3. **House Amendment 001** (committee substitute) — [source](https://ilga.gov/documents/legislation/104/HB/PDF/10400HB3796ham001.pdf)
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4. **House Amendment 002** (committee substitute) — [source](https://ilga.gov/documents/legislation/104/HB/PDF/10400HB3796ham002.pdf)
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5. **Enrolled** (enrolled) — [source](https://ilga.gov/documents/legislation/104/HB/PDF/10400HB3796enr.pdf)
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## Votes
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- Insurance — **11–6** (pass) · lower
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- Third Reading — **58–0** (pass) · upper
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- Insurance, Amendment 1 — **14–0** (pass) · lower
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- Third Reading — **115–0** (pass) · lower
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- Insurance — **12–0** (pass) · upper
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## Sponsors
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- Hoan Huynh — primary (person)
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- Rachel Ventura — primary (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2025-02-07** Filed with the Clerk by Rep. Hoan Huynh `filing`
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- **2025-02-18** First Reading `reading-1`
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- **2025-02-18** Referred to Rules Committee
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- **2025-03-11** Assigned to Insurance Committee `referral-committee`
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- **2025-03-20** Do Pass / Short Debate Insurance Committee; 011-006-000
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- **2025-03-21** Placed on Calendar 2nd Reading - Short Debate `reading-2`
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- **2025-03-26** Second Reading - Short Debate `reading-2`
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- **2025-03-26** Held on Calendar Order of Second Reading - Short Debate `reading-2`
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- **2025-04-02** House Floor Amendment No. 1 Filed with Clerk by Rep. Hoan Huynh `amendment-introduction`
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- **2025-04-02** House Floor Amendment No. 1 Referred to Rules Committee
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- **2025-04-07** House Floor Amendment No. 1 Rules Refers to Insurance Committee
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- **2025-04-07** House Floor Amendment No. 2 Filed with Clerk by Rep. Hoan Huynh `amendment-introduction`
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- **2025-04-07** House Floor Amendment No. 2 Referred to Rules Committee
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- **2025-04-08** House Floor Amendment No. 2 Rules Refers to Insurance Committee
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- **2025-04-08** House Floor Amendment No. 1 Recommends Be Adopted Insurance Committee; 014-000-000 `committee-passage-favorable`
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- **2025-04-11** House Floor Amendment No. 1 Adopted `amendment-passage`
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- **2025-04-11** Placed on Calendar Order of 3rd Reading - Short Debate
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- **2025-04-11** Third Reading - Short Debate - Passed 115-000-000 `passage, reading-3`
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- **2025-04-11** House Floor Amendment No. 2 Tabled `amendment-failure`
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- **2025-04-14** Arrive in Senate `introduction`
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- **2025-04-14** Placed on Calendar Order of First Reading `reading-1`
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- **2025-04-14** Chief Senate Sponsor Sen. Rachel Ventura
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- **2025-04-14** First Reading `reading-1`
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- **2025-04-14** Referred to Assignments
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- **2025-04-29** Assigned to Insurance `referral-committee`
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- **2025-05-07** Do Pass Insurance; 012-000-000
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- **2025-05-07** Placed on Calendar Order of 2nd Reading May 8, 2025 `reading-2`
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- **2025-05-08** Second Reading `reading-2`
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- **2025-05-08** Placed on Calendar Order of 3rd Reading May 13, 2025
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- **2025-05-20** Placed on Calendar Order of 3rd Reading **
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- **2025-05-22** Third Reading - Passed; 058-000-000 `passage, reading-3`
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- **2025-05-22** Passed Both Houses
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- **2025-06-20** Sent to the Governor `executive-receipt`
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- **2025-08-15** Governor Approved `executive-signature`
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- **2025-08-15** Effective Date January 1, 2027
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- **2025-08-15** Public Act . . . . . . . . . 104-0333 `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/ead20ab5-421f-4155-8200-9da9215047b6`. Confidence: reported (aggregated from official Illinois legislature records).
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