HB5493 Summary

• Modifies health insurance coverage requirements across multiple acts by updating references from "woman's principal health care provider" to "access to obstetrical and gynecological care" to align with federal regulations under 45 CFR 147.138 and 149.310.

• Eliminates Section 356z.30a from the Illinois Insurance Code and removes references to it throughout various health insurance laws affecting state employees, counties, municipalities, schools, HMOs, and voluntary health service plans.

• Updates the definition of "stop-loss insurance" in the Illinois Insurance Code to clarify that it applies only to employer self-funded plans and explicitly excludes coverage of employees, members, or participants.

• Increases filing fees for certain insurance transactions: plan of division filings increase from $10,000 to $100,000 and insurance business transfer plan filings increase from $25,000 to $100,000.

• Modifies the Network Adequacy and Transparency Act to remove outdated terminology and clarify requirements for 24/7 access to obstetrical and gynecological health care professionals in insurance network plans.