HB3796 - 104th General Assembly (2025-2026)

INSURANCE-PROVIDER PANELS
Last Action
08/15/2025 - House: Public Act . . . . . . . . . 104-0333
House Sponsors
Rep. Hoan Huynh

Senate Sponsors
(Sen. Rachel Ventura)
Statutes Amended In Order of Appearance
215 ILCS 134/20  
215 ILCS 134/62 new  
Synopsis As Introduced
Amends the Managed Care Reform and Patient Rights Act. Sets forth requirements for carriers that offer a provider panel. Requires notice of the development of a provider panel to be filed with Department of Public Health prior to establishment. Provides that a carrier that uses a provider panel shall establish procedure for notifying an enrollee of the termination of a health care provider. Sets forth provisions permitting, under certain circumstances, a health care provider to continue to render health care services following termination from the carrier's provider panel. Requires a carrier to provide a list of members in the carrier's provider panel. Establishes notice requirements for benefit reductions and termination of health care providers from the carrier's provider panel. Requires any carrier requiring preauthorization for medical treatment to have personnel available to provide preauthorization at all times when the preauthorization is required. Provides that no contract between a health care provider and a carrier shall include provisions that require a health care provider to deny covered services that the provider knows to be medically necessary and appropriate that are provided with respect to a specific enrollee or group of enrollees with similar medical conditions. Sets forth prohibited provisions in a contract between a carrier and a health care provider. Defines terms. Makes other and conforming changes.

House Floor Amendment No. 1
Deletes reference to:
215 ILCS 134/20  
215 ILCS 134/62 new  
Adds reference to:
215 ILCS 124/20  
Replaces everything after the enacting clause. Amends the Network Adequacy and Transparency Act. In provisions concerning continuity of care for beneficiaries, provides that the network plan shall permit the beneficiary to continue an ongoing course of treatment with that provider during a transitional period for 90 days from the date of the notice to the beneficiary of the provider's disaffiliation from the network plan if the beneficiary has a confirmed appointment and the provider attests that the appointment was scheduled prior to the date of notification. Requires a network plan to provide for continuity of care for new beneficiaries during a transition period of 90 days from the effective date of enrollment if the beneficiary has a confirmed appointment and the current provider attests that the appointment was scheduled prior to the effective date of enrollment. Limits the applicability of continuity of care requirements if the provider or beneficiary reschedules an appointment or schedules any follow up appointments after 90 days from the effective date of enrollment. Effective January 1, 2027.
Actions
DateChamberAction
02/07/2025HouseFiled with the Clerk by Rep. Hoan Huynh
02/18/2025HouseFirst Reading
02/18/2025HouseReferred to Rules Committee
03/11/2025HouseAssigned to Insurance Committee
03/20/2025HouseDo Pass / Short Debate Insurance Committee; 011-006-000
03/21/2025HousePlaced 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. Hoan Huynh
04/02/2025HouseHouse Floor Amendment No. 1 Referred to Rules Committee
04/07/2025HouseHouse Floor Amendment No. 1 Rules Refers to Insurance Committee
04/07/2025HouseHouse Floor Amendment No. 2 Filed with Clerk by Rep. Hoan Huynh
04/07/2025HouseHouse Floor Amendment No. 2 Referred to Rules Committee
04/08/2025HouseHouse Floor Amendment No. 2 Rules Refers to Insurance Committee
04/08/2025HouseHouse Floor Amendment No. 1 Recommends Be Adopted Insurance Committee; 014-000-000
04/11/2025HouseHouse Floor Amendment No. 1 Adopted
04/11/2025HousePlaced on Calendar Order of 3rd Reading - Short Debate
04/11/2025HouseThird Reading - Short Debate - Passed 115-000-000
04/11/2025HouseHouse Floor Amendment No. 2 Tabled
04/14/2025SenateArrive in Senate
04/14/2025SenatePlaced on Calendar Order of First Reading
04/14/2025SenateChief Senate Sponsor Sen. Rachel Ventura
04/14/2025SenateFirst Reading
04/14/2025SenateReferred to Assignments
04/29/2025SenateAssigned to Insurance
05/07/2025SenateDo Pass Insurance; 012-000-000
05/07/2025SenatePlaced on Calendar Order of 2nd Reading May 8, 2025
05/08/2025SenateSecond Reading
05/08/2025SenatePlaced on Calendar Order of 3rd Reading May 13, 2025
05/20/2025SenatePlaced on Calendar Order of 3rd Reading **
05/22/2025SenateThird Reading - Passed; 058-000-000
05/22/2025HousePassed Both Houses
06/20/2025HouseSent to the Governor
08/15/2025HouseGovernor Approved
08/15/2025HouseEffective Date January 1, 2027
08/15/2025HousePublic Act . . . . . . . . . 104-0333