Illinois 102nd Regular Session Status: In Committee 16 D cosponsors

SB 697 — INSURANCE-MENTAL HEALTH

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This bill is no longer active — its legislative session has ended, so there are no live odds of enactment.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

Amends the Illinois Insurance Code. Provides that every insurer that amends, delivers, issues, or renews a group or individual policy of accident and health insurance or a qualified health plan offered through the health insurance marketplace in the State and Medicaid managed care organizations providing coverage for hospital or medical treatment shall provide coverage for medically necessary treatment of mental, emotional, nervous, or substance use disorders or conditions. Provides that an insurer shall not limit benefits or coverage for medically necessary services on the basis that those services should be or could be covered by a public program. Provides that an insurer shall base any medical necessity determination or the utilization review criteria on current generally accepted standards of mental, emotional, nervous, or substance use disorder or condition care. Provides that in conducting utilization review of covered health care services and benefits for the diagnosis, prevention, and treatment of mental, emotional, and nervous disorders or conditions in children, adolescents, and adults, an insurer shall exclusively apply the criteria and guidelines set forth in the most recent versions of the treatment criteria developed by the nonprofit professional association for the relevant clinical specialty. Provides that an insurer shall not apply different, additional, conflicting, or more restrictive utilization review criteria than the criteria and guidelines set forth in the treatment criteria. Provides that the Director may, after appropriate notice and opportunity for hearing, assess a civil penalty between $5,000 and $20,000 for each violation. Amends the Health Carrier External Review Act. Provides that the independent review organization shall comply with specified requirements for an adverse determination or final adverse determination involving mental, emotional, nervous, or substance use disorders or conditions. Makes other changes. Effective immediately.

Bill Text

Action History

  1. Session Sine Die

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

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

  4. Added as Co-Sponsor Sen. Celina Villanueva

  5. Added as Co-Sponsor Sen. David Koehler

  6. Added as Co-Sponsor Sen. Christopher Belt

  7. Added as Co-Sponsor Sen. Mattie Hunter

  8. Added as Co-Sponsor Sen. Melinda Bush

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

  10. Added as Co-Sponsor Sen. Ram Villivalam

  11. Added as Chief Co-Sponsor Sen. Kimberly A. Lightford

  12. Added as Co-Sponsor Sen. Mike Simmons

  13. Added as Co-Sponsor Sen. Karina Villa

  14. Added as Co-Sponsor Sen. Robert Peters

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

  16. Added as Co-Sponsor Sen. Doris Turner

  17. Added as Chief Co-Sponsor Sen. Adriane Johnson

  18. Added as Chief Co-Sponsor Sen. Sara Feigenholtz

  19. Referred to Assignments

  20. First Reading

  21. Filed with Secretary by Sen. Laura Fine

Sponsors

Sponsorship breakdown

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1 sponsors · 16 co-sponsors · 166 not signed on

Sponsors (1)

Co-sponsors (16)

Not signed on (166)

166 members have not signed on to this bill.

Show all 166 →

"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 697 do?
Amends the Illinois Insurance Code. Provides that every insurer that amends, delivers, issues, or renews a group or individual policy of accident and health insurance or a qualified health plan offered through the health insurance marketplace in the State and Medicaid managed care organizations providing coverage for hospital or medical treatment shall provide coverage for medically necessary treatment of mental, emotional, nervous, or substance use disorders or conditions. Provides that an insurer shall not limit benefits or coverage for medically necessary services on the basis that those services should be or could be covered by a public program. Provides that an insurer shall base any medical necessity determination or the utilization review criteria on current generally accepted standards of mental, emotional, nervous, or substance use disorder or condition care. Provides that in conducting utilization review of covered health care services and benefits for the diagnosis, prevention, and treatment of mental, emotional, and nervous disorders or conditions in children, adolescents, and adults, an insurer shall exclusively apply the criteria and guidelines set forth in the most recent versions of the treatment criteria developed by the nonprofit professional association for the relevant clinical specialty. Provides that an insurer shall not apply different, additional, conflicting, or more restrictive utilization review criteria than the criteria and guidelines set forth in the treatment criteria. Provides that the Director may, after appropriate notice and opportunity for hearing, assess a civil penalty between $5,000 and $20,000 for each violation. Amends the Health Carrier External Review Act. Provides that the independent review organization shall comply with specified requirements for an adverse determination or final adverse determination involving mental, emotional, nervous, or substance use disorders or conditions. Makes other changes. Effective immediately.
Who sponsors SB 697?
SB 697 is sponsored by Lakesia Collins (Democrat), Laura Fine (Democrat), Sara Feigenholtz (Democrat), Adriane L. Johnson (Democrat), Kimberly A. Lightford (Democrat), Doris Turner (Democrat), Robert Peters (Democrat), Karina Villa (Democrat), Ram Villivalam (Democrat), Melinda Bush, Mattie Hunter (Democrat), Christopher Belt (Democrat), David Koehler (Democrat), Celina Villanueva (Democrat), Julie A. Morrison (Democrat), Laura M. Murphy (Democrat), and Mike Simmons (Democrat).
What is the current status of SB 697?
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 697?
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