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<title>Illinois General Assembly - Bill Status for HB 5510         </title>
<shortdesc>PRIOR AUTHORIZATION REFORM ACT</shortdesc>
<sponsor>
<sponsorhead1>House Sponsors</sponsorhead1><sponsors>Rep. Gregory Harris-Tom Demmer-André Thapedi-Frances Ann Hurley-Ryan Spain, Emanuel Chris Welch, Jeff Keicher, Michael T. Marron, Elizabeth Hernandez, Jonathan Carroll, John Connor, Anna Moeller, Michelle Mussman, Deb Conroy, Ann M. Williams, Margo McDermed, Mike Murphy, Grant Wehrli, Theresa Mah, Michael J. Zalewski, Keith R. Wheeler, Martin J. Moylan, Bob Morgan, Nicholas K. Smith, Norine K. Hammond, William Davis, Justin Slaughter, Keith P. Sommer, Arthur Turner, Lawrence Walsh, Jr., Maurice A. West, II, Robyn Gabel, Marcus C. Evans, Jr., Jawaharial Williams, Carol Ammons, Sonya M. Harper, Kambium Buckner, Patrick Windhorst, Kelly M. Cassidy, Andrew S. Chesney, John M. Cabello and Jonathan "Yoni" Pizer</sponsors>
</sponsor>
<lastaction>
<statusdate>1/13/2021</statusdate><chamber>House</chamber><action>Session Sine Die</action>
</lastaction>
<synopsis>
<synopsistitle></synopsistitle>
<reference>New Act</reference><aliasreference></aliasreference><reference>215 ILCS 134/45.2</reference><aliasreference></aliasreference><reference>215 ILCS 134/70</reference><aliasreference></aliasreference><reference>305 ILCS 5/5-5.12d new</reference><aliasreference></aliasreference><SynopsisText>     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 program, and the implementation of prior authorization requirements or restrictions. Provides requirements concerning a utilization review program's obligations with respect to prior authorizations in nonurgent circumstances, urgent health care services, and emergency health care services. Provides that a utilization review program 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 program 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 Managed Care Reform and Patient Rights Act to provide that an insurer that provides prescription drug benefits must comply with the requirements of the Prior Authorization Reform Act. Provides that if prior authorization for covered post-stabilization services is required by a health care plan, the plan shall comply with the requirements of the Prior Authorization Reform 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, 2021.</SynopsisText></synopsis>
<actions>
<statusdate>2/14/2020</statusdate><chamber>House</chamber><action>Filed with the Clerk by Rep. Gregory Harris</action>
<statusdate>2/14/2020</statusdate><chamber>House</chamber><action>Chief Co-Sponsor Rep. Tom Demmer</action>
<statusdate>2/14/2020</statusdate><chamber>House</chamber><action>Chief Co-Sponsor Rep. André Thapedi</action>
<statusdate>2/14/2020</statusdate><chamber>House</chamber><action>Chief Co-Sponsor Rep. Frances Ann Hurley</action>
<statusdate>2/14/2020</statusdate><chamber>House</chamber><action>Chief Co-Sponsor Rep. Ryan Spain</action>
<statusdate>2/14/2020</statusdate><chamber>House</chamber><action>Co-Sponsor Rep. Emanuel Chris Welch</action>
<statusdate>2/14/2020</statusdate><chamber>House</chamber><action>Co-Sponsor Rep. Jeff Keicher</action>
<statusdate>2/14/2020</statusdate><chamber>House</chamber><action>Co-Sponsor Rep. Michael T. Marron</action>
<statusdate>2/14/2020</statusdate><chamber>House</chamber><action>Co-Sponsor Rep. Elizabeth Hernandez</action>
<statusdate>2/14/2020</statusdate><chamber>House</chamber><action>Co-Sponsor Rep. Jonathan Carroll</action>
<statusdate>2/14/2020</statusdate><chamber>House</chamber><action>Co-Sponsor Rep. John Connor</action>
<statusdate>2/14/2020</statusdate><chamber>House</chamber><action>Co-Sponsor Rep. Anna Moeller</action>
<statusdate>2/14/2020</statusdate><chamber>House</chamber><action>Co-Sponsor Rep. Michelle Mussman</action>
<statusdate>2/14/2020</statusdate><chamber>House</chamber><action>Co-Sponsor Rep. Deb Conroy</action>
<statusdate>2/14/2020</statusdate><chamber>House</chamber><action>Co-Sponsor Rep. Ann M. Williams</action>
<statusdate>2/14/2020</statusdate><chamber>House</chamber><action>Co-Sponsor Rep. Margo McDermed</action>
<statusdate>2/14/2020</statusdate><chamber>House</chamber><action>Co-Sponsor Rep. Mike Murphy</action>
<statusdate>2/14/2020</statusdate><chamber>House</chamber><action>Co-Sponsor Rep. Grant Wehrli</action>
<statusdate>2/14/2020</statusdate><chamber>House</chamber><action>Co-Sponsor Rep. Theresa Mah</action>
<statusdate>2/18/2020</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Michael J. Zalewski</action>
<statusdate>2/18/2020</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Keith R. Wheeler</action>
<statusdate>2/18/2020</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Martin J. Moylan</action>
<statusdate>2/18/2020</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Bob Morgan</action>
<statusdate>2/18/2020</statusdate><chamber>House</chamber><action>First Reading</action>
<statusdate>2/18/2020</statusdate><chamber>House</chamber><action>Referred to Rules Committee</action>
<statusdate>2/18/2020</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Nicholas K. Smith</action>
<statusdate>2/19/2020</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Norine K. Hammond</action>
<statusdate>2/19/2020</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. William Davis</action>
<statusdate>2/19/2020</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Justin Slaughter</action>
<statusdate>2/20/2020</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Keith P. Sommer</action>
<statusdate>2/25/2020</statusdate><chamber>House</chamber><action>Assigned to Human Services Committee</action>
<statusdate>2/26/2020</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Arthur Turner</action>
<statusdate>2/26/2020</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Lawrence Walsh, Jr.</action>
<statusdate>2/26/2020</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Maurice A. West, II</action>
<statusdate>2/27/2020</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Robyn Gabel</action>
<statusdate>3/4/2020</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Marcus C. Evans, Jr.</action>
<statusdate>3/4/2020</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Jawaharial Williams</action>
<statusdate>3/4/2020</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Carol Ammons</action>
<statusdate>3/4/2020</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Sonya M. Harper</action>
<statusdate>3/5/2020</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Kambium Buckner</action>
<statusdate>3/5/2020</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Patrick Windhorst</action>
<statusdate>3/5/2020</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Kelly M. Cassidy</action>
<statusdate>3/5/2020</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Andrew S. Chesney</action>
<statusdate>3/5/2020</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. John M. Cabello</action>
<statusdate>3/5/2020</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Jonathan "Yoni" Pizer</action>
<statusdate>6/23/2020</statusdate><chamber>House</chamber><action>Rule 19(b) / Re-referred to Rules Committee</action>
<statusdate>1/13/2021</statusdate><chamber>House</chamber><action>Session Sine Die</action>
</actions>
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