HB5327 Summary

• Creates an All Payer Claims Database administered by the Department of Insurance to collect and share de-identified health care price data from all health care payers in Illinois, excluding personal identifiers and complying with HIPAA requirements.

• Requires the Department to publish a publicly accessible, searchable dataset on its website with current health care pricing information in consumer-friendly format, with comparative analysis by geography, demographics, economic factors, and institutional size.

• Mandates all health care payers (insurers, self-insured plans, HMOs, Medicaid, CHIP, and other coverage programs) to submit annual claims data without personally identifying information to the Department.

• Requires hospitals to provide patients with written good faith estimates of charges for nonemergency services within 7 business days of recommending treatment, with charges capped at 110% of the estimate.

• Imposes $1,000 daily fines (up to $10,000 maximum) on hospitals that fail to provide timely estimates and requires hospitals to establish charge dispute appeal processes with 7-business-day response requirements.