PRIOR AUTHORIZATION REFORM ACT Senate SponsorsSen. Linda Holmes, Christopher Belt, Sue Rezin-Cristina Castro, Steve Stadelman-David Koehler-Donald P. DeWitte, Sara Feigenholtz, Rachelle Crowe, Adriane Johnson, Laura Fine-Jacqueline Y. Collins, 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 1/10/2023SenateSession Sine Die New Act215 ILCS 5/370gfrom Ch. 73, par. 982g215 ILCS 134/10215 ILCS 134/65305 ILCS 5/5-5.12d newCreates 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. 2/9/2021SenateFiled with Secretary by Sen. Linda Holmes 2/9/2021SenateFirst Reading 2/9/2021SenateReferred to Assignments 2/11/2021SenateAdded as Co-Sponsor Sen. Christopher Belt 2/11/2021SenateAdded as Co-Sponsor Sen. Sue Rezin 2/11/2021SenateAdded as Chief Co-Sponsor Sen. Cristina Castro 2/11/2021SenateAdded as Co-Sponsor Sen. Steve Stadelman 2/17/2021SenateAdded as Chief Co-Sponsor Sen. David Koehler 2/17/2021SenateAdded as Chief Co-Sponsor Sen. Donald P. DeWitte 2/18/2021SenateAdded as Co-Sponsor Sen. Sara Feigenholtz 2/18/2021SenateAdded as Co-Sponsor Sen. Rachelle Crowe 2/18/2021SenateAdded as Co-Sponsor Sen. Adriane Johnson 2/18/2021SenateAdded as Co-Sponsor Sen. Laura Fine 2/19/2021SenateAdded as Chief Co-Sponsor Sen. Jacqueline Y. Collins 2/19/2021SenateAdded as Co-Sponsor Sen. John Connor 2/19/2021SenateAdded as Co-Sponsor Sen. Mattie Hunter 2/24/2021SenateAdded as Co-Sponsor Sen. Patrick J. Joyce 3/2/2021SenateAdded as Co-Sponsor Sen. Laura M. Murphy 3/2/2021SenateAdded as Co-Sponsor Sen. Scott M. Bennett 3/4/2021SenateAdded as Co-Sponsor Sen. Emil Jones, III 3/4/2021SenateAdded as Co-Sponsor Sen. Antonio Muņoz 3/15/2021SenateAdded as Co-Sponsor Sen. Julie A. Morrison 3/16/2021SenateAdded as Co-Sponsor Sen. Sally J. Turner 3/25/2021SenateAdded as Co-Sponsor Sen. Doris Turner 3/26/2021SenateAdded as Co-Sponsor Sen. Suzy Glowiak Hilton 3/26/2021SenateAdded as Co-Sponsor Sen. Kimberly A. Lightford 1/10/2023SenateSession Sine Die