Illinois 102nd Regular Session Status: In Committee Bipartisan · 17 D · 3 R cosponsors

SB 177 — PRIOR AUTHORIZATION REFORM ACT

Last action — Session Sine Die

  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed Senate
  4. 4
    Passed House
  5. 5
    To Executive
  6. 6
    Enacted

This bill died with 102nd Regular Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there are no live odds of enactment. It would have to be reintroduced in the current session to move again.

Summary

Creates the Prior Authorization Reform Act. Provides requirements concerning disclosure and review of prior authorization requirements, denial of claims or coverage by a utilization review organization, and the implementation of prior authorization requirements or restrictions. Provides requirements concerning a utilization review organization's obligations with respect to prior authorizations in nonurgent circumstances, urgent health care services, and emergency health care services. Provides that a utilization review organization shall not require prior authorization under specified circumstances. Provides requirements concerning the length of prior authorizations. Provides that health care services are automatically deemed authorized if a utilization review organization fails to comply with the requirements of the Act. Provides that the Director of Insurance may impose an administrative fine not to exceed $250,000 for violations of the Act. Defines terms. Amends the Illinois Insurance Code to change the definition of "emergency medical condition". Amends the Managed Care Reform and Patient Rights Act to provide that companies that transact accident and health insurance shall comply with specified requirements of the Managed Care Reform and Patient Rights Act. Amends the Illinois Public Aid Code to provide that all managed care organizations shall comply with the requirements of the Prior Authorization Reform Act. Makes other changes. Effective January 1, 2022.

Bill Text

Action History

  1. Session Sine Die

  2. Added as Co-Sponsor Sen. Kimberly A. Lightford

  3. Added as Co-Sponsor Sen. Suzy Glowiak Hilton

  4. Added as Co-Sponsor Sen. Doris Turner

  5. Added as Co-Sponsor Sen. Sally J. Turner

  6. Added as Co-Sponsor Sen. Julie A. Morrison

  7. Added as Co-Sponsor Sen. Antonio Muñoz

  8. Added as Co-Sponsor Sen. Emil Jones, III

  9. Added as Co-Sponsor Sen. Scott M. Bennett

  10. Added as Co-Sponsor Sen. Laura M. Murphy

  11. Added as Co-Sponsor Sen. Patrick J. Joyce

  12. Added as Co-Sponsor Sen. Mattie Hunter

  13. Added as Co-Sponsor Sen. John Connor

  14. Added as Chief Co-Sponsor Sen. Jacqueline Y. Collins

  15. Added as Co-Sponsor Sen. Laura Fine

  16. Added as Co-Sponsor Sen. Adriane Johnson

  17. Added as Co-Sponsor Sen. Rachelle Crowe

  18. Added as Co-Sponsor Sen. Sara Feigenholtz

  19. Added as Chief Co-Sponsor Sen. Donald P. DeWitte

  20. Added as Chief Co-Sponsor Sen. David Koehler

  21. Added as Co-Sponsor Sen. Steve Stadelman

  22. Added as Chief Co-Sponsor Sen. Cristina Castro

  23. Added as Co-Sponsor Sen. Sue Rezin

  24. Added as Co-Sponsor Sen. Christopher Belt

  25. Referred to Assignments

  26. First Reading

  27. Filed with Secretary by Sen. Linda Holmes

Sponsors

Sponsorship breakdown

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1 sponsors · 23 co-sponsors · 159 not signed on

Sponsors (1)

Co-sponsors (23)

Not signed on (159)

159 members have not signed on to this bill.

Show all 159 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does SB 177 do?
Creates the Prior Authorization Reform Act. Provides requirements concerning disclosure and review of prior authorization requirements, denial of claims or coverage by a utilization review organization, and the implementation of prior authorization requirements or restrictions. Provides requirements concerning a utilization review organization's obligations with respect to prior authorizations in nonurgent circumstances, urgent health care services, and emergency health care services. Provides that a utilization review organization shall not require prior authorization under specified circumstances. Provides requirements concerning the length of prior authorizations. Provides that health care services are automatically deemed authorized if a utilization review organization fails to comply with the requirements of the Act. Provides that the Director of Insurance may impose an administrative fine not to exceed $250,000 for violations of the Act. Defines terms. Amends the Illinois Insurance Code to change the definition of "emergency medical condition". Amends the Managed Care Reform and Patient Rights Act to provide that companies that transact accident and health insurance shall comply with specified requirements of the Managed Care Reform and Patient Rights Act. Amends the Illinois Public Aid Code to provide that all managed care organizations shall comply with the requirements of the Prior Authorization Reform Act. Makes other changes. Effective January 1, 2022.
Who sponsors SB 177?
SB 177 is sponsored by Patrick J. Joyce (Democrat), Laura M. Murphy (Democrat), Scott M. Bennett, Emil Jones, III (Democrat), Antonio Muñoz, Julie A. Morrison (Democrat), Sally J. Turner (Republican), Doris Turner (Democrat), Kimberly A. Lightford (Democrat), Linda Holmes (Democrat), Cristina Castro (Democrat), David Koehler (Democrat), Donald P. DeWitte (Republican), Christopher Belt (Democrat), Sue Rezin (Republican), Steve Stadelman (Democrat), Sara Feigenholtz (Democrat), Rachelle Crowe, Adriane L. Johnson (Democrat), Laura Fine (Democrat), John Connor, Mattie Hunter (Democrat), Lakesia Collins (Democrat), and Suzy Glowiak Hilton (Democrat).
What is the current status of SB 177?
This bill died with 102nd Regular Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track SB 177?
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