Bill Status of SB0177 102nd General Assembly
Short Description: PRIOR AUTHORIZATION REFORM ACT
Sen. Linda Holmes - Cristina Castro - David Koehler - Donald P. DeWitte - Jacqueline Y. Collins, Christopher Belt, Sue Rezin, Steve Stadelman, Sara Feigenholtz, Rachelle Crowe, Adriane Johnson, Laura Fine, John Connor, Mattie Hunter, Patrick J. Joyce, Laura M. Murphy, Scott M. Bennett, Emil Jones, III, Antonio Muņoz, Julie A. Morrison, Sally J. Turner, Doris Turner, Suzy Glowiak Hilton and Kimberly A. Lightford
| 2/9/2021||Senate||Referred to Assignments|
Statutes Amended In Order of Appearance
Synopsis As Introduced
Creates the Prior Authorization Reform Act. Provides requirements concerning disclosure and review of prior authorization requirements, denial of claims or coverage by a utilization review organization, and the implementation of prior authorization requirements or restrictions. Provides requirements concerning a utilization review organization's obligations with respect to prior authorizations in nonurgent circumstances, urgent health care services, and emergency health care services. Provides that a utilization review organization shall not require prior authorization under specified circumstances. Provides requirements concerning the length of prior authorizations. Provides that health care services are automatically deemed authorized if a utilization review organization fails to comply with the requirements of the Act. Provides that the Director of Insurance may impose an administrative fine not to exceed $250,000 for violations of the Act. Defines terms. Amends the Illinois Insurance Code to change the definition of "emergency medical condition". Amends the Managed Care Reform and Patient Rights Act to provide that companies that transact accident and health insurance shall comply with specified requirements of the Managed Care Reform and Patient Rights Act. Amends the Illinois Public Aid Code to provide that all managed care organizations shall comply with the requirements of the Prior Authorization Reform Act. Makes other changes. Effective January 1, 2022.