NETWORK ADEQUACY/TRANSPARENCY Senate SponsorsSen. Laura Fine, Laura M. Murphy, Mattie Hunter and Patrick J. Joyce House Sponsors(Rep. Lindsey LaPointe) 7/23/2021SenatePublic Act . . . . . . . . . 102-0144 215 ILCS 5/370cfrom Ch. 73, par. 982cAmends the Illinois Insurance Code. Provides that an insurer that amends, delivers, issues, or renews group accident and health policies providing coverage for hospital or medical treatment or services for illness entered into on or after January 1, 2022 shall ensure that the insured have timely and proximate access to treatment for mental, emotional, nervous, or substance use disorders or conditions. Provides that network adequacy standards for timely and proximate access to treatment for mental, emotional, nervous, or substance use disorders or conditions must satisfy specified minimum requirements. Provides that if there is no in-network facility or provider available for an insured to receive timely and proximate access to treatment for mental, emotional, nervous, or substance use disorders or conditions in accordance with the minimum network adequacy standards, the insurer shall provide necessary exceptions to its network to ensure admission and treatment with a provider or at a treatment facility in accordance with those network adequacy standards. Effective immediately.Senate Committee Amendment No. 1 Deletes reference to:215 ILCS 5/370cAdds reference to:215 ILCS 124/10305 ILCS 5/5-16.8305 ILCS 5/5-30.1Replaces everything after the enacting clause. Amends the Network Adequacy and Transparency Act. Sets forth provisions concerning timely and proximate access to treatment for mental, emotional, nervous, or substance use disorders or conditions. Provides that network adequacy standards for timely and proximate access to treatment for mental, emotional, nervous, or substance use disorders or conditions must satisfy specified minimum requirements. Provides that if there is no in-network facility or provider available for an insured to receive timely and proximate access to treatment for mental, emotional, nervous, or substance use disorders or conditions in accordance with the minimum network adequacy standards, the insurer shall provide necessary exceptions to its network to ensure admission and treatment with a provider or at a treatment facility in accordance with those network adequacy standards. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the medical assistance program shall be subject to provisions of the Network Adequacy and Transparency Act concerning timely and proximate access to treatment for mental, emotional, nervous, or substance use disorders or conditions. In provisions concerning network adequacy and transparency, provides that the Department of Healthcare and Family Services shall require managed care organizations to comply with provisions of the Network Adequacy and Transparency Act concerning timely and proximate access to treatment for mental, emotional, nervous, or substance use disorders or conditions. Effective immediately. 2/23/2021SenateFiled with Secretary by Sen. Laura Fine 2/23/2021SenateFirst Reading 2/23/2021SenateReferred to Assignments 3/3/2021SenateAssigned to Insurance 3/9/2021SenateAdded as Co-Sponsor Sen. Laura M. Murphy 3/9/2021SenateAdded as Co-Sponsor Sen. Mattie Hunter 3/10/2021SenateAdded as Co-Sponsor Sen. Patrick J. Joyce 4/6/2021SenateSenate Committee Amendment No. 1 Filed with Secretary by Sen. Laura Fine 4/6/2021SenateSenate Committee Amendment No. 1 Referred to Assignments 4/13/2021SenateSenate Committee Amendment No. 1 Assignments Refers to Insurance 4/14/2021SenateSenate Committee Amendment No. 1 Adopted 4/15/2021SenateDo Pass as Amended Insurance; 010-000-000 4/15/2021SenatePlaced on Calendar Order of 2nd Reading April 20, 2021 4/20/2021SenateSecond Reading 4/20/2021SenatePlaced on Calendar Order of 3rd Reading ** April 21, 2021 4/23/2021SenateThird Reading - Passed; 058-000-000 4/26/2021HouseArrived in House 4/26/2021HouseChief House Sponsor Rep. Lindsey LaPointe 4/27/2021HouseFirst Reading 4/27/2021HouseReferred to Rules Committee 5/4/2021HouseAssigned to Insurance Committee 5/11/2021HouseDo Pass / Consent Calendar Insurance Committee; 017-000-000 5/12/2021HousePlaced on Calendar 2nd Reading - Consent Calendar 5/13/2021HouseSecond Reading - Consent Calendar 5/13/2021HouseHeld on Calendar Order of Second Reading - Consent Calendar 5/14/2021HousePlaced on Calendar Order of 3rd Reading - Consent Calendar 5/21/2021HouseThird Reading - Consent Calendar - First Day 5/26/2021HouseThird Reading - Consent Calendar - Passed 112-000-000 5/26/2021SenatePassed Both Houses 6/24/2021SenateSent to the Governor 7/23/2021SenateGovernor Approved 7/23/2021SenateEffective Date January 1, 2022 7/23/2021SenatePublic Act . . . . . . . . . 102-0144