HB1864 - 104th General Assembly (2025-2026)

DENTAL CARE-ELECTRONIC BILLING
Last Action
08/15/2025 - House: Public Act . . . . . . . . . 104-0203
Statutes Amended In Order of Appearance
215 ILCS 111/15  
215 ILCS 111/20  
215 ILCS 111/25  
215 ILCS 111/30 new  
215 ILCS 111/35 new  
215 ILCS 111/40 new  
215 ILCS 111/45 new  
Synopsis As Introduced
Amends the Uniform Electronic Transactions in Dental Care Billing Act. Provides that beginning January 1, 2028 (instead of 2026), no dental plan carrier is required to accept from a dental care provider eligibility for a dental plan transaction or dental care claims or equivalent encounter information transaction. Sets forth exemptions from the requirements of the Act, and requires a dental care provider who is exempt from the requirements of the Act to file a form with the Department of Insurance indicating the applicable exemption. Requires each dental plan carrier to establish a portal that provides certain benefit and billing information. Requires a dental plan carrier to establish an electronic portal that allows dental care providers to submit claims electronically and directly to the dental care provider; accept attachments in an electronic format with the initial electronic claim's submission; and provide remittance advice with the corresponding payment. Provides that nothing in the Act requires a dental care provider to only accept electronic payment from a dental plan carrier. Provides that dental plan carriers shall allow alternative forms of payment, without additional fees or charges, to a dental care provider, if requested. Effective immediately.

House Floor Amendment No. 1
Deletes reference to:
215 ILCS 111/45 new  
Adds reference to:
215 ILCS 111/5  
Replaces everything after the enacting clause with the provisions of the introduced bill with the following changes. Provides that, beginning January 1, 2027 (rather than 2028), no dental plan carrier is required to accept from a dental care provider eligibility for a dental plan transaction or dental care claims or equivalent encounter information transaction except as provided. Provides that all dental plan carriers and dental care providers must comply with applicable State and federal privacy and security laws and regulations when conducting the exchange of information under the Act. Requires the Department of Insurance to provide a specified exemption form no later than January 1, 2027 (rather than 2028). Establishes additional requirements for the eligibility and benefit verification portal. Removes language requiring dental plan carriers to allow alternative forms of payment, without additional fees or charges, to a dental care provider, if requested. Makes changes to defined terms and makes other changes. Effective immediately, except that provisions concerning exemptions, requirements for the eligibility and benefit verification portal, and payments accepted by dental care providers are effective Janaury 1, 2027.

Senate Committee Amendment No. 1
In provisions concerning circumstances in which a dental care provider shall not be required to submit claims electronically, includes a dental care provider that works less than 16 (rather than 20) hours per week and is a solo practitioner. Removes the dental care provider planning to retire prior to January 1, 2031 from the list of circumstances.
Actions
DateChamberAction
01/29/2025HouseFiled with the Clerk by Rep. Robert "Bob" Rita
01/29/2025HouseFirst Reading
01/29/2025HouseReferred to Rules Committee
02/25/2025HouseAssigned to Insurance Committee
03/18/2025HouseDo Pass / Short Debate Insurance Committee; 010-005-000
03/19/2025HousePlaced on Calendar 2nd Reading - Short Debate
03/26/2025HouseSecond Reading - Short Debate
03/26/2025HouseHeld on Calendar Order of Second Reading - Short Debate
04/02/2025HouseHouse Floor Amendment No. 1 Filed with Clerk by Rep. Robert "Bob" Rita
04/02/2025HouseHouse Floor Amendment No. 1 Referred to Rules Committee
04/07/2025HouseHouse Floor Amendment No. 1 Rules Refers to Insurance Committee
04/08/2025HouseHouse Floor Amendment No. 1 Recommends Be Adopted Insurance Committee; 014-000-000
04/09/2025HouseHouse Floor Amendment No. 1 Adopted
04/09/2025HousePlaced on Calendar Order of 3rd Reading - Short Debate
04/09/2025HouseThird Reading - Short Debate - Passed 116-000-000
04/10/2025HouseAdded Co-Sponsor Rep. Hoan Huynh
04/10/2025SenateArrive in Senate
04/10/2025SenatePlaced on Calendar Order of First Reading
04/10/2025SenateChief Senate Sponsor Sen. Javier L. Cervantes
04/10/2025SenateFirst Reading
04/10/2025SenateReferred to Assignments
04/10/2025HouseAdded Co-Sponsor Rep. Camille Y. Lilly
05/01/2025SenateAdded as Alternate Co-Sponsor Sen. Dave Syverson
05/06/2025SenateAssigned to Insurance
05/09/2025SenateRule 2-10 Committee Deadline Established As May 23, 2025
05/12/2025SenateSenate Committee Amendment No. 1 Filed with Secretary by Sen. Javier L. Cervantes
05/12/2025SenateSenate Committee Amendment No. 1 Referred to Assignments
05/13/2025SenateSenate Committee Amendment No. 1 Assignments Refers to Insurance
05/13/2025SenateSenate Committee Amendment No. 1 Adopted
05/14/2025SenateDo Pass as Amended Insurance; 010-000-000
05/14/2025SenatePlaced on Calendar Order of 2nd Reading May 15, 2025
05/15/2025SenateSecond Reading
05/15/2025SenatePlaced on Calendar Order of 3rd Reading May 20, 2025
05/21/2025SenateThird Reading - Passed; 058-000-000
05/21/2025HouseArrived in House
05/21/2025HousePlaced on Calendar Order of Concurrence Senate Amendment(s) 1
05/21/2025HouseSenate Committee Amendment No. 1 Motion Filed Concur Rep. Robert "Bob" Rita
05/21/2025HouseSenate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee
05/28/2025HouseSenate Committee Amendment No. 1 Motion to Concur Rules Referred to Insurance Committee
05/29/2025HouseSenate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Insurance Committee; 015-000-000
05/31/2025HouseSenate Committee Amendment No. 1 House Concurs 117-000-000
05/31/2025HouseHouse Concurs
05/31/2025HousePassed Both Houses
06/24/2025HouseSent to the Governor
08/15/2025HouseGovernor Approved
08/15/2025HouseEffective Date August 15, 2025; some provisions
08/15/2025HouseEffective Date January 1, 2027; some provisions
08/15/2025HousePublic Act . . . . . . . . . 104-0203