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<title>Illinois General Assembly - Bill Status for HB 5395         </title>
<shortdesc>NETWORK ADEQUACY-STANDARDS</shortdesc>
<sponsor>
<sponsorhead1>House Sponsors</sponsorhead1><sponsors>Rep. Anna Moeller-Robyn Gabel-Eva-Dina Delgado-Bob Morgan-Camille Y. Lilly, William E Hauter, Jenn Ladisch Douglass, Yolonda Morris, Sue Scherer, Kelly M. Cassidy, Marcus C. Evans, Jr., Sonya M. Harper, Mark L. Walker, Mary Beth Canty, Will Guzzardi, Ann M. Williams, Nabeela Syed, Natalie A. Manley, Nicholas K. Smith, Elizabeth "Lisa" Hernandez, Lindsey LaPointe, Dagmara Avelar, Suzanne M. Ness, Matt Hanson, Terra Costa Howard, Katie Stuart, Jaime M. Andrade, Jr., Joyce Mason, Jehan Gordon-Booth, Martin J. Moylan, Diane Blair-Sherlock, Maura Hirschauer, Maurice A. West, II, Michael J. Kelly, Tracy Katz Muhl, Margaret Croke, Kimberly Du Buclet, Theresa Mah, Rita Mayfield, Michelle Mussman, Kevin John Olickal, Abdelnasser Rashid, Robert "Bob" Rita, Sharon Chung, Kam Buckner, La Shawn K. Ford, Emanuel "Chris" Welch, Stephanie A. Kifowit, Janet Yang Rohr, Anne Stava-Murray, Laura Faver Dias, Jennifer Gong-Gershowitz, Gregg Johnson, Harry Benton, Norma Hernandez, Lilian Jiménez, Debbie Meyers-Martin and Hoan Huynh</sponsors>
<sponsorhead2>Senate Sponsors</sponsorhead2><altsponsors>(Sen. Robert Peters, Kimberly A. Lightford, Karina Villa-Laura Fine-Rachel Ventura-Willie Preston, Mike Simmons-Patrick J. Joyce, Ram Villivalam, Sara Feigenholtz, Steve Stadelman, Julie A. Morrison, Laura Ellman, Christopher Belt, Javier L. Cervantes, Adriane Johnson, Lakesia Collins, Mike Porfirio, Mary Edly-Allen, Natalie Toro, Mattie Hunter, Napoleon Harris, III, Doris Turner, Laura M. Murphy and Meg Loughran Cappel)</altsponsors>
</sponsor>
<lastaction>
<statusdate>7/10/2024</statusdate><chamber>House</chamber><action>Public Act . . . . . . . . . 103-0650</action>
</lastaction>
<synopsis>
<synopsistitle></synopsistitle>
<reference>5 ILCS 100/5-45.55 new</reference><aliasreference></aliasreference><reference>215 ILCS 124/3</reference><aliasreference></aliasreference><reference>215 ILCS 124/5</reference><aliasreference></aliasreference><reference>215 ILCS 124/10</reference><aliasreference></aliasreference><reference>215 ILCS 124/15</reference><aliasreference></aliasreference><reference>215 ILCS 124/20</reference><aliasreference></aliasreference><reference>215 ILCS 124/25</reference><aliasreference></aliasreference><reference>215 ILCS 124/30</reference><aliasreference></aliasreference><reference>215 ILCS 124/35 new</reference><aliasreference></aliasreference><reference>215 ILCS 124/40 new</reference><aliasreference></aliasreference><reference>215 ILCS 124/50 new</reference><aliasreference></aliasreference><reference>215 ILCS 134/20</reference><aliasreference></aliasreference><reference>215 ILCS 134/25</reference><aliasreference></aliasreference><SynopsisText>     Amends the Network Adequacy and Transparency Act. Adds definitions. Provides that the minimum ratio for each provider type shall be no less than any such ratio established for qualified health plans in Federally-Facilitated Exchanges by federal law or by the federal Centers for Medicare and Medicaid Services. Provides that the maximum travel time and distance standards and appointment wait time standards shall be no greater than any such standards established for qualified health plans in Federally-Facilitated Exchanges by federal law or by the federal Centers for Medicare and Medicaid Services. Makes changes to provisions concerning network adequacy, notice of nonrenewal or termination, transition of services, network transparency, administration and enforcement, provider requirements, and provider directory information. Amends the Managed Care Reform and Patient Rights Act. Makes changes to provisions concerning notice of nonrenewal or termination and transition of services. Amends the Illinois Administrative Procedure Act to authorize the Department of Insurance to adopt emergency rules implementing federal standards for provider ratios, time and distance, or appointment wait times when such standards apply to health insurance coverage regulated by the Department of Insurance and are more stringent than the State standards extant at the time the final federal standards are published. Amends the Illinois Administrative Procedure Act to make a conforming change. Effective immediately.</SynopsisText><synopsistitle>House Committee Amendment No. 1</synopsistitle>
<reftype>Adds reference to:</reftype><reference>215 ILCS 5/355</reference><aliasreference>from Ch. 73, par. 967</aliasreference><reference>215 ILCS 125/4-12</reference><aliasreference>from Ch. 111 1/2, par. 1409.5</aliasreference><reference>215 ILCS 130/3006</reference><aliasreference>from Ch. 73, par. 1503-6</aliasreference><reference>215 ILCS 5/121-2.05</reference><aliasreference>from Ch. 73, par. 733-2.05</aliasreference><reference>215 ILCS 5/352c new</reference><aliasreference></aliasreference><reference>215 ILCS 5/356z.18</reference><aliasreference></aliasreference><reference>215 ILCS 5/367.3</reference><aliasreference>from Ch. 73, par. 979.3</aliasreference><reference>215 ILCS 5/367a</reference><aliasreference>from Ch. 73, par. 979a</aliasreference><reference>215 ILCS 5/368f</reference><aliasreference></aliasreference><reference>215 ILCS 125/5-3</reference><aliasreference>from Ch. 111 1/2, par. 1411.2</aliasreference><reference>215 ILCS 130/4003</reference><aliasreference>from Ch. 73, par. 1504-3</aliasreference><reference>215 ILCS 190/Act rep.</reference><aliasreference></aliasreference><reference>215 ILCS 5/155.36</reference><aliasreference></aliasreference><reference>215 ILCS 5/155.37</reference><aliasreference></aliasreference><reference>215 ILCS 5/356z.40</reference><aliasreference></aliasreference><reference>215 ILCS 5/370c</reference><aliasreference>from Ch. 73, par. 982c</aliasreference><reference>215 ILCS 134/10</reference><aliasreference></aliasreference><reference>215 ILCS 134/45.1</reference><aliasreference></aliasreference><reference>215 ILCS 134/85</reference><aliasreference></aliasreference><reference>215 ILCS 134/87 new</reference><aliasreference></aliasreference><reference>215 ILCS 180/10</reference><aliasreference></aliasreference><reference>215 ILCS 200/20</reference><aliasreference></aliasreference><SynopsisText>Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill with the following changes. Provides that the amendatory Act may be referred to as the Health Care Consumer Access and Protection Act. Amends the Illinois Insurance Code. Provides that, unless prohibited under federal law, for plan year 2026 and thereafter, for each insurer proposing to offer a qualified health plan issued in the individual market through the Illinois Health Benefits Exchange, the insurer's rate filing must apply a cost-sharing reduction defunding adjustment factor within a range that is uniform across all insurers; is consistent with the total adjustment expected to be needed to cover actual cost-sharing reduction costs across all silver plans on the Illinois Health Benefits Exchange statewide; and makes certain assumptions. Provides that the rate filing must apply an induced demand factor based on a specified formula. Provides that certain provisions concerning filing of premium rates for group accident and health insurance for approval by the Department of Insurance do not apply to group policies issued to large employers. Removes language providing that certain provisions do not apply to the large group market. Provides that for large employer group policies issued, delivered, amended, or renewed on or after January 1, 2026, the premium rates and risk classifications must be filed with the Department annually for approval. Amends the Limited Health Service Organization Act to provide that pharmaceutical policies are subject to the provisions of the amendatory Act. Sets forth provisions concerning short-term, limited-duration insurance. Provides that no company shall issue, deliver, amend, or renew short-term, limited-duration insurance. Provides that the Department may adopt rules as deemed necessary that prescribe specific standards for or restrictions on policy provisions, benefit design, disclosures, and sales and marketing practices for excepted benefits. Provides that the Director of Insurance's authority under specified provisions is extended to group and blanket excepted benefits. Makes conforming changes in the Health Maintenance Organization Act. Repeals the Short-Term, Limited-Duration Health Insurance Coverage Act. Provides that no later than July 1, 2025, insurance companies that use a drug formulary shall post the formulary on their websites. Makes changes concerning utilization reviews and step therapy requirements. Provides that beginning January 1, 2026, coverage for inpatient mental health treatment at participating hospitals or other licensed facilities shall comply with specified requirements concerning prior authorization, coverage, and concurrent review. Makes other changes. Further amends the Managed Care Reform and Patient Rights Act. Removes provisions concerning step therapy. Provides that only a clinical peer may make an adverse determination. Sets forth certain requirements for utilization review programs. Provides that no utilization review program or any policy, contract, certificate, evidence of coverage, or formulary shall impose step therapy requirements for any health care service, including prescription drugs. Amends the Health Carrier External Review Act. Requires a health insurance issuer to publish on its public website a list of services for which prior authorization is required. Effective January 1, 2025.</SynopsisText><synopsistitle>Balanced Budget Note (Office of Management and Budget)</synopsistitle>
<SynopsisText>Please be advised that the Balanced Budget Note Act does not apply to House Bill 5395, as amended by House Amendment 1, as it is not a supplemental appropriation that increases or decreases appropriations. Under the Act, a balanced budget note must be prepared only for bills that change a general funds appropriation for the fiscal year in which the new bill is enacted. </SynopsisText><synopsistitle>Fiscal Note (Dept. of Healthcare &amp; Family Services)</synopsistitle>
<SynopsisText>Expected expenditures for the Illinois Department of Healthcare and Family Services, based on the provisions in HB 5395, are estimated at approximately $30 million per year, beginning January 1, 2026 (the anticipated effective date of the provisions regarding prior approval for inpatient treatment). This estimate assumes a static number of inpatient mental health admissions and does not account for any fluctuations in admissions that may result from changes in provider behavior or from the implementation of other, less-intensive interventions.</SynopsisText><synopsistitle>House Floor Amendment No. 4</synopsistitle>
<reftype>Adds reference to:</reftype><reference>215 ILCS 124/55 new</reference><aliasreference></aliasreference><reference>215 ILCS 122/5-5</reference><aliasreference></aliasreference><reference>215 ILCS 200/15</reference><aliasreference></aliasreference><reference>305 ILCS 5/5-16.12</reference><aliasreference></aliasreference><SynopsisText>Replaces everything after the enacting clause. Reinserts the provisions of the bill, as amended by House Amendment No. 1, with changes that include the following. Provides that the amendatory Act may be referred to as the Health Care Protection Act. In the Network Adequacy and Transparency Act, provides that the Department of Insurance shall enforce certain network adequacy and transparency standards for stand-alone dental plans for plans amended, delivered, issued, or renewed on or after January 1, 2025. Provides that for the Department to enforce any new or modified federal standard before the Department adopts the standard by rule, the Department must, no later than May 15 before the start of the plan year, give public notice to the affected health insurance issuers through a bulletin. Further amends the Illinois Insurance Code, makes changes concerning provider directories. Creates the Uniform Electronic Provider Directory Information Form Task Force. Requires the Department of Insurance, with input from the Uniform Electronic Provider Directory Information Form Task Force, to develop and publish a uniform electronic provider directory information form that issuers shall make available to providers to notify the issuer of the provider's currently accurate provider directory information. Provides that certain provisions concerning prosthetic and customized orthotic devices do not apply to certain other fixed indemnities. Requires the Department to create a template for drug formularies by March 31, 2025. With regard to a prohibition on certain step therapy requirements, removes an exception for the Department of Healthcare and Family services. Makes changes concerning the calculation of a cost-sharing reduction defunding adjustment factor; retrospective review of coverage for inpatient mental health treatment at participating hospitals; the definition of "step therapy requirement"; concurrent review; and standards for utilization review criteria. Makes other changes. Amends the Illinois Health Benefits Exchange Law. Provides that beginning for plan year 2026, if a health insurance issuer offers a product as defined under federal regulations at the gold or silver level through the Illinois Health Benefits Exchange, the issuer must offer that product at both the gold and silver levels. Provides that no later than October 1, 2025 (rather than July 1, 2025), insurance companies that use a drug formulary shall post the formulary on their websites. Amends the Managed Care Reform and Patient Rights Act. Makes changes concerning definitions and utilization review programs. Further amends the Prior Authorization Reform Act. Changes the definition of "medically necessary". Amends the Illinois Public Aid Code. Makes changes concerning the applicability of the Managed Care Reform and Patient Rights Act to the Code. Effective January 1, 2025.</SynopsisText><synopsistitle>Senate Committee Amendment No. 2</synopsistitle>
<reftype>Deletes reference to:</reftype><reference>215 ILCS 5/121-2.05</reference><aliasreference></aliasreference><reference>215 ILCS 5/352c new</reference><aliasreference></aliasreference><reference>215 ILCS 5/356z.18</reference><aliasreference></aliasreference><reference>215 ILCS 5/367.3</reference><aliasreference></aliasreference><reference>215 ILCS 5/367a</reference><aliasreference></aliasreference><reference>215 ILCS 5/368f</reference><aliasreference></aliasreference><reference>215 ILCS 125/5-3</reference><aliasreference></aliasreference><reference>215 ILCS 130/4003</reference><aliasreference></aliasreference><reference>215 ILCS 190/Act rep.</reference><aliasreference></aliasreference><reftype>Adds reference to:</reftype><reference>215 ILCS 124/36 new</reference><aliasreference></aliasreference><SynopsisText>Replaces everything after the enacting clause. Reinserts the provisions of the engrossed bill with changes that include the following. Requires the issuer of a network plan to submit a self-audit of its provider directory and a summary to the Department of Insurance, which the Department shall make publicly available. Makes changes to the information that must be provided in a network plan directory. Sets forth required actions if an issuer or the Department identifies a provider incorrectly listed in the provider directory. Removes provisions repealing the Short-Term, Limited-Duration Health Insurance Coverage Act and the related changes. Makes changes to provisions concerning confidentiality; transition of services; unreasonable and inadequate rates; the definitions of "excepted benefits" and "step therapy requirement"; off-formulary exception requests; algorithmic automated review processes; utilization review criteria; and adverse determinations. Makes other changes. Effective January 1, 2025, except that certain changes to the Managed Care Reform and Patient Rights Act take effect January 1, 2026.</SynopsisText><synopsistitle>Senate Floor Amendment No. 3</synopsistitle>
<SynopsisText>Provides that specified provisions do not apply to group policies issued in the large group market as defined in the Illinois Health Insurance Portability and Accountability Act. Defines "administrator" and "plan sponsor". Makes other and conforming changes.</SynopsisText></synopsis>
<actions>
<statusdate>2/9/2024</statusdate><chamber>House</chamber><action>Filed with the Clerk by Rep. Anna Moeller</action>
<statusdate>2/9/2024</statusdate><chamber>House</chamber><action>First Reading</action>
<statusdate>2/9/2024</statusdate><chamber>House</chamber><action>Referred to Rules Committee</action>
<statusdate>2/20/2024</statusdate><chamber>House</chamber><action>Added Chief Co-Sponsor Rep. Robyn Gabel</action>
<statusdate>2/22/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Jenn Ladisch Douglass</action>
<statusdate>2/22/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Yolonda Morris</action>
<statusdate>2/22/2024</statusdate><chamber>House</chamber><action>Added Chief Co-Sponsor Rep. Eva-Dina Delgado</action>
<statusdate>2/22/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Sue Scherer</action>
<statusdate>2/22/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Kelly M. Cassidy</action>
<statusdate>2/22/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Marcus C. Evans, Jr.</action>
<statusdate>2/22/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Sonya M. Harper</action>
<statusdate>2/22/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Mark L. Walker</action>
<statusdate>2/22/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Mary Beth Canty</action>
<statusdate>2/22/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Will Guzzardi</action>
<statusdate>2/22/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Bob Morgan</action>
<statusdate>2/22/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Ann M. Williams</action>
<statusdate>2/22/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Nabeela Syed</action>
<statusdate>2/22/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Natalie A. Manley</action>
<statusdate>2/22/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Nicholas K. Smith</action>
<statusdate>2/22/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Elizabeth "Lisa" Hernandez</action>
<statusdate>2/22/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Lindsey LaPointe</action>
<statusdate>2/22/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Dagmara Avelar</action>
<statusdate>2/22/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Suzanne M. Ness</action>
<statusdate>2/22/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Matt Hanson</action>
<statusdate>2/22/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Terra Costa Howard</action>
<statusdate>2/22/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Katie Stuart</action>
<statusdate>2/22/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Jaime M. Andrade, Jr.</action>
<statusdate>2/22/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Joyce Mason</action>
<statusdate>2/22/2024</statusdate><chamber>House</chamber><action>Removed Co-Sponsor Rep. Bob Morgan</action>
<statusdate>2/23/2024</statusdate><chamber>House</chamber><action>Added Chief Co-Sponsor Rep. Camille Y. Lilly</action>
<statusdate>2/23/2024</statusdate><chamber>House</chamber><action>Chief Co-Sponsor Changed to Rep. Camille Y. Lilly</action>
<statusdate>2/23/2024</statusdate><chamber>House</chamber><action>Added Chief Co-Sponsor Rep. Bob Morgan</action>
<statusdate>2/23/2024</statusdate><chamber>House</chamber><action>Chief Co-Sponsor Changed to Rep. Bob Morgan</action>
<statusdate>2/23/2024</statusdate><chamber>House</chamber><action>Chief Co-Sponsor Changed to Rep. Camille Y. Lilly</action>
<statusdate>2/23/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Jehan Gordon-Booth</action>
<statusdate>2/23/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Martin J. Moylan</action>
<statusdate>2/23/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Michelle Mussman</action>
<statusdate>2/23/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Maura Hirschauer</action>
<statusdate>3/4/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Maurice A. West, II</action>
<statusdate>3/4/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Michael J. Kelly</action>
<statusdate>3/4/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Tracy Katz Muhl</action>
<statusdate>3/5/2024</statusdate><chamber>House</chamber><action>Assigned to Human Services Committee</action>
<statusdate>3/6/2024</statusdate><chamber>House</chamber><action>House Committee Amendment No. 1 Filed with Clerk by Rep. Anna Moeller</action>
<statusdate>3/6/2024</statusdate><chamber>House</chamber><action>House Committee Amendment No. 1 Referred to Rules Committee</action>
<statusdate>3/7/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Margaret Croke</action>
<statusdate>3/7/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Kimberly Du Buclet</action>
<statusdate>3/7/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Theresa Mah</action>
<statusdate>3/7/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Rita Mayfield</action>
<statusdate>3/7/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Michelle Mussman</action>
<statusdate>3/7/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Kevin John Olickal</action>
<statusdate>3/7/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Abdelnasser Rashid</action>
<statusdate>3/7/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Robert "Bob" Rita</action>
<statusdate>3/7/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. William E Hauter</action>
<statusdate>3/7/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Sharon Chung</action>
<statusdate>3/12/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Kam Buckner</action>
<statusdate>3/12/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. La Shawn K. Ford</action>
<statusdate>3/12/2024</statusdate><chamber>House</chamber><action>House Committee Amendment No. 1 Rules Refers to Human Services Committee</action>
<statusdate>3/21/2024</statusdate><chamber>House</chamber><action>House Committee Amendment No. 1 Adopted in Human Services Committee;  by Voice Vote</action>
<statusdate>3/21/2024</statusdate><chamber>House</chamber><action>Do Pass as Amended / Short Debate Human Services Committee;  006-003-000</action>
<statusdate>3/21/2024</statusdate><chamber>House</chamber><action>Fiscal Note Requested by Rep. Ryan Spain</action>
<statusdate>3/21/2024</statusdate><chamber>House</chamber><action>State Mandates Fiscal Note Requested by Rep. Ryan Spain</action>
<statusdate>3/21/2024</statusdate><chamber>House</chamber><action>Balanced Budget Note Requested by Rep. Ryan Spain</action>
<statusdate>3/21/2024</statusdate><chamber>House</chamber><action>Placed on Calendar 2nd Reading - Short Debate</action>
<statusdate>3/22/2024</statusdate><chamber>House</chamber><action>Balanced Budget Note Requested by Rep. Robyn Gabel</action>
<statusdate>3/22/2024</statusdate><chamber>House</chamber><action>Correctional Note Requested by Rep. Robyn Gabel</action>
<statusdate>3/22/2024</statusdate><chamber>House</chamber><action>Fiscal Note Requested by Rep. Robyn Gabel</action>
<statusdate>3/22/2024</statusdate><chamber>House</chamber><action>Home Rule Note Requested by Rep. Robyn Gabel</action>
<statusdate>3/22/2024</statusdate><chamber>House</chamber><action>Housing Affordability Impact Note Requested by Rep. Robyn Gabel</action>
<statusdate>3/22/2024</statusdate><chamber>House</chamber><action>Judicial Note Requested by Rep. Robyn Gabel</action>
<statusdate>3/22/2024</statusdate><chamber>House</chamber><action>Land Conveyance Appraisal Note Requested by Rep. Robyn Gabel</action>
<statusdate>3/22/2024</statusdate><chamber>House</chamber><action>Pension Note Requested by Rep. Robyn Gabel</action>
<statusdate>3/22/2024</statusdate><chamber>House</chamber><action>Racial Impact Note Requested by Rep. Robyn Gabel</action>
<statusdate>3/22/2024</statusdate><chamber>House</chamber><action>State Debt Impact Note Requested by Rep. Robyn Gabel</action>
<statusdate>3/22/2024</statusdate><chamber>House</chamber><action>State Mandates Fiscal Note Requested by Rep. Robyn Gabel</action>
<statusdate>3/22/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Emanuel "Chris" Welch</action>
<statusdate>3/26/2024</statusdate><chamber>House</chamber><action>Balanced Budget Note Filed</action>
<statusdate>4/1/2024</statusdate><chamber>House</chamber><action>Fiscal Note Filed</action>
<statusdate>4/5/2024</statusdate><chamber>House</chamber><action>House Floor Amendment No. 2 Filed with Clerk by Rep. Anna Moeller</action>
<statusdate>4/5/2024</statusdate><chamber>House</chamber><action>House Floor Amendment No. 2 Referred to Rules Committee</action>
<statusdate>4/15/2024</statusdate><chamber>House</chamber><action>House Floor Amendment No. 2 Rules Refers to Human Services Committee</action>
<statusdate>4/15/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Stephanie A. Kifowit</action>
<statusdate>4/16/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Janet Yang Rohr</action>
<statusdate>4/16/2024</statusdate><chamber>House</chamber><action>House Floor Amendment No. 3 Filed with Clerk by Rep. Anna Moeller</action>
<statusdate>4/16/2024</statusdate><chamber>House</chamber><action>House Floor Amendment No. 3 Referred to Rules Committee</action>
<statusdate>4/16/2024</statusdate><chamber>House</chamber><action>Second Reading - Short Debate</action>
<statusdate>4/16/2024</statusdate><chamber>House</chamber><action>Held on Calendar Order of Second Reading - Short Debate</action>
<statusdate>4/17/2024</statusdate><chamber>House</chamber><action>House Floor Amendment No. 4 Filed with Clerk by Rep. Anna Moeller</action>
<statusdate>4/17/2024</statusdate><chamber>House</chamber><action>House Floor Amendment No. 4 Referred to Rules Committee</action>
<statusdate>4/17/2024</statusdate><chamber>House</chamber><action>House Floor Amendment No. 3 Rules Refers to Human Services Committee</action>
<statusdate>4/17/2024</statusdate><chamber>House</chamber><action>House Floor Amendment No. 4 Rules Refers to Human Services Committee</action>
<statusdate>4/18/2024</statusdate><chamber>House</chamber><action>House Floor Amendment No. 4 Recommends Be Adopted Human Services Committee;  009-000-000</action>
<statusdate>4/18/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Anne Stava-Murray</action>
<statusdate>4/18/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Laura Faver Dias</action>
<statusdate>4/18/2024</statusdate><chamber>House</chamber><action>House Floor Amendment No. 4 Adopted</action>
<statusdate>4/18/2024</statusdate><chamber>House</chamber><action>Correctional Note Requested - Withdrawn by Rep. Robyn Gabel</action>
<statusdate>4/18/2024</statusdate><chamber>House</chamber><action>Home Rule Note Requested - Withdrawn by Rep. Robyn Gabel</action>
<statusdate>4/18/2024</statusdate><chamber>House</chamber><action>Housing Affordability Impact Note Requested - Withdrawn by Rep. Robyn Gabel</action>
<statusdate>4/18/2024</statusdate><chamber>House</chamber><action>Judicial Note Requested - Withdrawn by Rep. Robyn Gabel</action>
<statusdate>4/18/2024</statusdate><chamber>House</chamber><action>Land Conveyance Appraisal Note Requested - Withdrawn by Rep. Robyn Gabel</action>
<statusdate>4/18/2024</statusdate><chamber>House</chamber><action>Pension Note Requested - Withdrawn by Rep. Robyn Gabel</action>
<statusdate>4/18/2024</statusdate><chamber>House</chamber><action>Racial Impact Note Requested - Withdrawn by Rep. Robyn Gabel</action>
<statusdate>4/18/2024</statusdate><chamber>House</chamber><action>State Debt Impact Note Requested - Withdrawn by Rep. Robyn Gabel</action>
<statusdate>4/18/2024</statusdate><chamber>House</chamber><action>State Mandates Fiscal Note Requested - Withdrawn by Rep. Ryan Spain</action>
<statusdate>4/18/2024</statusdate><chamber>House</chamber><action>Placed on Calendar Order of 3rd Reading - Short Debate</action>
<statusdate>4/18/2024</statusdate><chamber>House</chamber><action>Third Reading - Short Debate - Passed 081-025-002</action>
<statusdate>4/18/2024</statusdate><chamber>House</chamber><action>House Floor Amendment No. 2 Tabled</action>
<statusdate>4/18/2024</statusdate><chamber>House</chamber><action>House Floor Amendment No. 3 Tabled</action>
<statusdate>4/18/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Jennifer Gong-Gershowitz</action>
<statusdate>4/18/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Gregg Johnson</action>
<statusdate>4/18/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Harry Benton</action>
<statusdate>4/18/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Norma Hernandez</action>
<statusdate>4/18/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Lilian Jiménez</action>
<statusdate>4/18/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Debbie Meyers-Martin</action>
<statusdate>4/18/2024</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Hoan Huynh</action>
<statusdate>4/19/2024</statusdate><chamber>Senate</chamber><action>Arrive in Senate</action>
<statusdate>4/19/2024</statusdate><chamber>Senate</chamber><action>Placed on Calendar Order of First Reading</action>
<statusdate>4/19/2024</statusdate><chamber>Senate</chamber><action>Chief Senate Sponsor Sen. Robert Peters</action>
<statusdate>4/19/2024</statusdate><chamber>Senate</chamber><action>First Reading</action>
<statusdate>4/19/2024</statusdate><chamber>Senate</chamber><action>Referred to Assignments</action>
<statusdate>4/23/2024</statusdate><chamber>Senate</chamber><action>Added as Alternate Co-Sponsor Sen. Kimberly A. Lightford</action>
<statusdate>4/23/2024</statusdate><chamber>Senate</chamber><action>Added as Alternate Co-Sponsor Sen. Karina Villa</action>
<statusdate>4/25/2024</statusdate><chamber>Senate</chamber><action>Added as Alternate Chief Co-Sponsor Sen. Laura Fine</action>
<statusdate>4/25/2024</statusdate><chamber>Senate</chamber><action>Added as Alternate Chief Co-Sponsor Sen. Rachel Ventura</action>
<statusdate>4/26/2024</statusdate><chamber>Senate</chamber><action>Added as Alternate Chief Co-Sponsor Sen. Willie Preston</action>
<statusdate>4/29/2024</statusdate><chamber>Senate</chamber><action>Added as Alternate Co-Sponsor Sen. Mike Simmons</action>
<statusdate>4/30/2024</statusdate><chamber>Senate</chamber><action>Assigned to Insurance</action>
<statusdate>4/30/2024</statusdate><chamber>Senate</chamber><action>Added as Alternate Chief Co-Sponsor Sen. Patrick J. Joyce</action>
<statusdate>4/30/2024</statusdate><chamber>Senate</chamber><action>Rule 2-10 Committee Deadline Established As May 10, 2024</action>
<statusdate>5/1/2024</statusdate><chamber>Senate</chamber><action>Added as Alternate Co-Sponsor Sen. Ram Villivalam</action>
<statusdate>5/1/2024</statusdate><chamber>Senate</chamber><action>Added as Alternate Co-Sponsor Sen. Sara Feigenholtz</action>
<statusdate>5/2/2024</statusdate><chamber>Senate</chamber><action>Senate Committee Amendment No. 1 Filed with Secretary by Sen. Robert Peters</action>
<statusdate>5/2/2024</statusdate><chamber>Senate</chamber><action>Senate Committee Amendment No. 1 Referred to Assignments</action>
<statusdate>5/3/2024</statusdate><chamber>Senate</chamber><action>Added as Alternate Co-Sponsor Sen. Steve Stadelman</action>
<statusdate>5/3/2024</statusdate><chamber>Senate</chamber><action>Added as Alternate Co-Sponsor Sen. Julie A. Morrison</action>
<statusdate>5/7/2024</statusdate><chamber>Senate</chamber><action>Senate Committee Amendment No. 1 Assignments Refers to Insurance</action>
<statusdate>5/7/2024</statusdate><chamber>Senate</chamber><action>Added as Alternate Co-Sponsor Sen. Laura Ellman</action>
<statusdate>5/8/2024</statusdate><chamber>Senate</chamber><action>Added as Alternate Co-Sponsor Sen. Christopher Belt</action>
<statusdate>5/10/2024</statusdate><chamber>Senate</chamber><action>Added as Alternate Co-Sponsor Sen. Javier L. Cervantes</action>
<statusdate>5/10/2024</statusdate><chamber>Senate</chamber><action>Added as Alternate Co-Sponsor Sen. Adriane Johnson</action>
<statusdate>5/10/2024</statusdate><chamber>Senate</chamber><action>Rule 2-10 Committee Deadline Established As May 17, 2024</action>
<statusdate>5/13/2024</statusdate><chamber>Senate</chamber><action>Added as Alternate Co-Sponsor Sen. Lakesia Collins</action>
<statusdate>5/14/2024</statusdate><chamber>Senate</chamber><action>Added as Alternate Co-Sponsor Sen. Mike Porfirio</action>
<statusdate>5/16/2024</statusdate><chamber>Senate</chamber><action>Added as Alternate Co-Sponsor Sen. Mary Edly-Allen</action>
<statusdate>5/17/2024</statusdate><chamber>Senate</chamber><action>Rule 2-10 Committee Deadline Established As May 24, 2024</action>
<statusdate>5/20/2024</statusdate><chamber>Senate</chamber><action>Senate Committee Amendment No. 2 Filed with Secretary by Sen. Robert Peters</action>
<statusdate>5/20/2024</statusdate><chamber>Senate</chamber><action>Senate Committee Amendment No. 2 Referred to Assignments</action>
<statusdate>5/21/2024</statusdate><chamber>Senate</chamber><action>Added as Alternate Co-Sponsor Sen. Natalie Toro</action>
<statusdate>5/21/2024</statusdate><chamber>Senate</chamber><action>Senate Committee Amendment No. 2 Assignments Refers to Insurance</action>
<statusdate>5/21/2024</statusdate><chamber>Senate</chamber><action>Added as Alternate Co-Sponsor Sen. Mattie Hunter</action>
<statusdate>5/21/2024</statusdate><chamber>Senate</chamber><action>Senate Committee Amendment No. 2 Adopted</action>
<statusdate>5/21/2024</statusdate><chamber>Senate</chamber><action>Do Pass as Amended Insurance;  007-004-000</action>
<statusdate>5/21/2024</statusdate><chamber>Senate</chamber><action>Placed on Calendar Order of 2nd Reading May 21, 2024</action>
<statusdate>5/21/2024</statusdate><chamber>Senate</chamber><action>Rule 2-10 Third Reading/Passage Deadline Established As May 24, 2024</action>
<statusdate>5/22/2024</statusdate><chamber>Senate</chamber><action>Second Reading</action>
<statusdate>5/22/2024</statusdate><chamber>Senate</chamber><action>Placed on Calendar Order of 3rd Reading May 23, 2024</action>
<statusdate>5/22/2024</statusdate><chamber>Senate</chamber><action>Senate Floor Amendment No. 3 Filed with Secretary by Sen. Robert Peters</action>
<statusdate>5/22/2024</statusdate><chamber>Senate</chamber><action>Senate Floor Amendment No. 3 Referred to Assignments</action>
<statusdate>5/23/2024</statusdate><chamber>Senate</chamber><action>Senate Floor Amendment No. 3 Be Approved for Consideration Assignments</action>
<statusdate>5/23/2024</statusdate><chamber>Senate</chamber><action>Recalled to Second Reading</action>
<statusdate>5/23/2024</statusdate><chamber>Senate</chamber><action>Senate Floor Amendment No. 3 Adopted; Peters</action>
<statusdate>5/23/2024</statusdate><chamber>Senate</chamber><action>Placed on Calendar Order of 3rd Reading</action>
<statusdate>5/23/2024</statusdate><chamber>Senate</chamber><action>Third Reading - Passed; 045-014-000</action>
<statusdate>5/23/2024</statusdate><chamber>Senate</chamber><action>Senate Committee Amendment No. 1 Tabled Pursuant to Rule 5-4(a)</action>
<statusdate>5/24/2024</statusdate><chamber>House</chamber><action>Arrived in House</action>
<statusdate>5/24/2024</statusdate><chamber>House</chamber><action>Placed on Calendar Order of Concurrence Senate Amendment(s) 2, 3</action>
<statusdate>5/24/2024</statusdate><chamber>House</chamber><action>Senate Committee Amendment No. 2 Motion Filed Concur Rep. Anna Moeller</action>
<statusdate>5/24/2024</statusdate><chamber>House</chamber><action>Senate Floor Amendment No. 3 Motion Filed Concur Rep. Anna Moeller</action>
<statusdate>5/24/2024</statusdate><chamber>House</chamber><action>Senate Committee Amendment No. 2 Motion to Concur Referred to Rules Committee</action>
<statusdate>5/24/2024</statusdate><chamber>House</chamber><action>Senate Floor Amendment No. 3 Motion to Concur Referred to Rules Committee</action>
<statusdate>5/24/2024</statusdate><chamber>House</chamber><action>Senate Committee Amendment No. 2 Motion to Concur Rules Referred to Human Services Committee</action>
<statusdate>5/24/2024</statusdate><chamber>House</chamber><action>Senate Floor Amendment No. 3 Motion to Concur Rules Referred to Human Services Committee</action>
<statusdate>5/24/2024</statusdate><chamber>Senate</chamber><action>Added as Alternate Co-Sponsor Sen. Napoleon Harris, III</action>
<statusdate>5/24/2024</statusdate><chamber>House</chamber><action>Senate Committee Amendment No. 2 Motion to Concur Recommends Be Adopted Human Services Committee;  009-000-000</action>
<statusdate>5/24/2024</statusdate><chamber>House</chamber><action>Senate Floor Amendment No. 3 Motion to Concur Recommends Be Adopted Human Services Committee;  009-000-000</action>
<statusdate>5/25/2024</statusdate><chamber>House</chamber><action>Senate Committee Amendment No. 2 House Concurs 083-023-001</action>
<statusdate>5/25/2024</statusdate><chamber>House</chamber><action>Senate Floor Amendment No. 3 House Concurs 083-023-001</action>
<statusdate>5/25/2024</statusdate><chamber>House</chamber><action>House Concurs</action>
<statusdate>5/25/2024</statusdate><chamber>House</chamber><action>Passed Both Houses</action>
<statusdate>5/26/2024</statusdate><chamber>Senate</chamber><action>Added as Alternate Co-Sponsor Sen. Doris Turner</action>
<statusdate>5/26/2024</statusdate><chamber>Senate</chamber><action>Added as Alternate Co-Sponsor Sen. Laura M. Murphy</action>
<statusdate>5/30/2024</statusdate><chamber>Senate</chamber><action>Added as Alternate Co-Sponsor Sen. Meg Loughran Cappel</action>
<statusdate>6/21/2024</statusdate><chamber>House</chamber><action>Sent to the Governor</action>
<statusdate>7/10/2024</statusdate><chamber>House</chamber><action>Governor Approved</action>
<statusdate>7/10/2024</statusdate><chamber>House</chamber><action>Effective Date January 1, 2025</action>
<statusdate>7/10/2024</statusdate><chamber>House</chamber><action>Public Act . . . . . . . . . 103-0650</action>
</actions>
</xml>

