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IL SB3307

Bill

Status

Failed

1/7/2025

Primary Sponsor

Linda Holmes

Click for details

Origin

Senate

103rd General Assembly

AI Summary

  • Amends the Illinois Insurance Code to require health insurance issuers to include expenditures for covered items or health care services that fall within essential health benefits categories when calculating annual out-of-pocket cost-sharing limitations, regardless of whether the issuer classifies them as essential health benefits.

  • Applies this requirement to both ancillary services provided by nonparticipating providers at participating health care facilities and non-emergency covered health care services when notice and consent criteria are not satisfied.

  • Requires the same calculation methodology for annual cost-sharing limitations under 42 U.S.C. 18022(c) and 42 U.S.C. 300gg-6(b), ensuring consistent treatment of covered services.

  • Takes effect immediately upon enactment.

Legislative Description

INS-NONPARTICIPATING PROVIDERS

Last Action

Session Sine Die

1/7/2025

Committee Referrals

Assignments3/15/2024
Insurance2/20/2024
Assignments2/7/2024

Full Bill Text

No bill text available