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IL HB1331

Bill

Status

Passed

8/15/2025

Primary Sponsor

Sonya Harper

Click for details

Origin

House of Representatives

104th General Assembly

AI Summary

  • Adds "Genetic Medicine and Genetic Counseling" to the list of physician and provider specialties for which the Illinois Department of Insurance must consider establishing provider-to-beneficiary ratios in network health plans

  • Amends Section 10 of the Network Adequacy and Transparency Act (215 ILCS 124/10) to include genetic medicine and genetic counseling alongside 29 other existing specialty categories such as primary care, cardiology, behavioral health, and oncology

  • Requires network plans to demonstrate minimum ratios of providers to plan beneficiaries across listed specialties, with standards established by the Department in consultation with the Department of Public Health based on federal CMS guidance

  • Applies to network adequacy requirements that insurers must file with the Director of Insurance before issuing, delivering, or renewing network health plans in Illinois

Legislative Description

NETWORK ADEQUACY-GENETIC MED

Last Action

Public Act . . . . . . . . . 104-0175

8/15/2025

Committee Referrals

Insurance4/23/2025
Assignments4/9/2025
Insurance2/11/2025
Rules1/28/2025

Full Bill Text

No bill text available