NETWORK ADEQUACY-SPECIALISTS Senate SponsorsSen. Linda Holmes-Laura Fine-Cristina Castro, Bill Cunningham-Julie A. Morrison, Mattie Hunter, Mary Edly-Allen, Laura M. Murphy, Christopher Belt and Sally J. Turner House Sponsors(Rep. Natalie A. Manley-William E Hauter-Sue Scherer, Camille Y. Lilly, Anna Moeller and Stephanie A. Kifowit) 8/9/2024SenatePublic Act . . . . . . . . . 103-0906 215 ILCS 124/10Amends the Network Adequacy and Transparency Act. Provides that the Department of Insurance shall determine whether the network plan at each in-network hospital and facility has a sufficient number of hospital-based medical specialists to ensure that covered persons have reasonable and timely access to such in-network physicians and the services they direct or supervise. Defines "hospital-based medical specialists".Senate Floor Amendment No. 1 Replaces everything after the enacting clause. Amends the Network Adequacy and Transparency Act. Provides that an insurer providing a network plan must file with the Director of Insurance a description of the process for monitoring health plan beneficiaries' timely in-network access to physician specialist services. Provides that an insurer providing a network plan shall file an insurer's monitoring report for each network hospital and facility, which shall include, but is not limited to, the number and percentage of physician providers under contract in each of the specialties of emergency medicine, anesthesiology, radiology, and pathology practicing in the in-network hospital or facility when such providers are not employees of the hospital or facility. Requires every insurer to demonstrate to the Director that each in-network hospital and facility has a sufficient number of hospital-based medical specialists to ensure that covered persons have reasonable and timely access to such in-network physicians and the services they direct or supervise. Defines "hospital-based medical specialists".House Floor Amendment No. 1 Replaces everything after the enacting clause. Amends the Network Adequacy and Transparency Act. Provides that, beginning January 1, 2026, every insurer shall demonstrate to the Director of Insurance that each in-network hospital has at least one radiologist, pathologist, anesthesiologist, and emergency room physician as a preferred provider in a network plan. Provides that the Department of Insurance may, by rule, require additional types of hospital-based medical specialists to be included as preferred providers in each in-network hospital in a network plan. 11/8/2023SenateFiled with Secretary by Sen. Linda Holmes 11/8/2023SenateFirst Reading 11/8/2023SenateReferred to Assignments 1/24/2024SenateAssigned to Insurance 3/13/2024SenateDo Pass Insurance; 008-000-000 3/13/2024SenatePlaced on Calendar Order of 2nd Reading March 14, 2024 4/4/2024SenateSenate Floor Amendment No. 1 Filed with Secretary by Sen. Linda Holmes 4/4/2024SenateSenate Floor Amendment No. 1 Referred to Assignments 4/9/2024SenateSenate Floor Amendment No. 1 Assignments Refers to Insurance 4/10/2024SenateSenate Floor Amendment No. 1 Recommend Do Adopt Insurance; 008-001-000 4/10/2024SenateSecond Reading 4/10/2024SenateSenate Floor Amendment No. 1 Adopted 4/10/2024SenatePlaced on Calendar Order of 3rd Reading April 11, 2024 4/10/2024SenateAdded as Chief Co-Sponsor Sen. Laura Fine 4/10/2024SenateAdded as Chief Co-Sponsor Sen. Cristina Castro 4/10/2024SenateAdded as Co-Sponsor Sen. Bill Cunningham 4/11/2024SenateAdded as Chief Co-Sponsor Sen. Julie A. Morrison 4/11/2024SenateThird Reading - Passed; 053-004-000 4/11/2024SenateAdded as Co-Sponsor Sen. Mattie Hunter 4/11/2024SenateAdded as Co-Sponsor Sen. Mary Edly-Allen 4/11/2024SenateAdded as Co-Sponsor Sen. Laura M. Murphy 4/11/2024SenateAdded as Co-Sponsor Sen. Christopher Belt 4/11/2024HouseArrived in House 4/12/2024HouseChief House Sponsor Rep. William E Hauter 4/12/2024HouseFirst Reading 4/12/2024HouseReferred to Rules Committee 4/24/2024HouseAssigned to Insurance Committee 4/30/2024HouseAlternate Chief Sponsor Changed to Rep. Natalie A. Manley 4/30/2024HouseDo Pass / Short Debate Insurance Committee; 012-003-000 5/1/2024HousePlaced on Calendar 2nd Reading - Short Debate 5/13/2024HouseAdded Alternate Co-Sponsor Rep. Camille Y. Lilly 5/13/2024HouseHouse Floor Amendment No. 1 Filed with Clerk by Rep. Natalie A. Manley 5/13/2024HouseHouse Floor Amendment No. 1 Referred to Rules Committee 5/14/2024HouseAdded Alternate Chief Co-Sponsor Rep. William E Hauter 5/14/2024HouseHouse Floor Amendment No. 1 Rules Refers to Insurance Committee 5/14/2024HouseHouse Floor Amendment No. 1 Recommends Be Adopted Insurance Committee; 012-000-000 5/16/2024HouseSecond Reading - Short Debate 5/16/2024HouseHeld on Calendar Order of Second Reading - Short Debate 5/17/2024HouseThird Reading/Final Action Deadline Extended-9(b) May 24, 2024 5/21/2024HouseHouse Floor Amendment No. 1 Adopted 5/21/2024HousePlaced on Calendar Order of 3rd Reading - Short Debate 5/21/2024HouseAdded Alternate Co-Sponsor Rep. Anna Moeller 5/21/2024HouseThird Reading - Short Debate - Passed 113-000-000 5/21/2024HouseAdded Alternate Chief Co-Sponsor Rep. Sue Scherer 5/21/2024HouseAdded Alternate Co-Sponsor Rep. Stephanie A. Kifowit 5/21/2024SenateSecretary's Desk - Concurrence House Amendment(s) 1 5/21/2024SenatePlaced on Calendar Order of Concurrence House Amendment(s) 1 - May 21, 2024 5/23/2024SenateHouse Floor Amendment No. 1 Motion to Concur Filed with Secretary Sen. Linda Holmes 5/23/2024SenateHouse Floor Amendment No. 1 Motion to Concur Referred to Assignments 5/23/2024SenateHouse Floor Amendment No. 1 Motion to Concur Assignments Referred to Insurance 5/23/2024SenateHouse Floor Amendment No. 1 Motion To Concur Recommended Do Adopt Insurance; 007-000-000 5/24/2024SenateHouse Floor Amendment No. 1 Senate Concurs 059-000-000 5/24/2024SenateSenate Concurs 5/24/2024SenatePassed Both Houses 5/24/2024SenateAdded as Co-Sponsor Sen. Javier L. Cervantes 6/21/2024SenateSent to the Governor 8/9/2024SenateGovernor Approved 8/9/2024SenateEffective Date January 1, 2025 8/9/2024SenatePublic Act . . . . . . . . . 103-0906