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HB1085 - 104th General Assembly
INS CD-MENTAL HEALTH PARITY
Last Action
House Sponsors
Rep. Lindsey LaPointe - Maurice A. West, II - Bob Morgan, Dagmara Avelar, Maura Hirschauer, Michelle Mussman, Terra Costa Howard, Anna Moeller, Theresa Mah, Kevin John Olickal, Lilian Jiménez, Jay Hoffman, Kelly M. Cassidy, Lisa Davis, Stephanie A. Kifowit, Katie Stuart, Yolonda Morris, Norma Hernandez, Sharon Chung, Michael J. Kelly, Laura Faver Dias, Mary Gill, Will Guzzardi, Nicolle Grasse, Anne Stava-Murray, Janet Yang Rohr, Michael Crawford, Robyn Gabel, Nabeela Syed, Barbara Hernandez, Martha Deuter, Abdelnasser Rashid, Mary Beth Canty, Hoan Huynh, Ryan Spain, Harry Benton, Ann M. Williams, La Shawn K. Ford, Brad Stephens, Nicole La Ha, John M. Cabello, Kevin Schmidt, Angelica Guerrero-Cuellar, Matt Hanson, Sonya M. Harper, Gregg Johnson, Suzanne M. Ness, Anthony DeLuca, Rick Ryan, Lawrence "Larry" Walsh, Jr., Emanuel "Chris" Welch and Robert "Bob" Rita
Statutes Amended In Order of Appearance
215 ILCS 5/370c.3 new
215 ILCS 125/5-3from Ch. 111 1/2, par. 1411.2
Synopsis As Introduced
Amends the Illinois Insurance Code. Establishes reimbursement rates for mental health and substance use disorder treatment services for all group or individual policies of accident and health insurance or managed care plans that are amended, delivered, issued, or renewed on or after January 1, 2027 or for any contracted third party administering the behavioral health benefits for the insurer. Requires a group or individual policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2026 or any contracted third party administering the behavioral health benefits for the insurer to cover certain medically necessary mental health and substance use disorder treatment services. Provides that, if the Department of Insurance determines that an insurer or a contracted third party administering the behavioral health benefits for the insurer has violated a provision concerning mental health and substance use parity, the Department shall by order assess a civil penalty of $1,000 for each violation. Excludes certain health care plans serving Medicaid populations who are enrolled under the Illinois Public Aid Code or under the Children's Health Insurance Program Act from provisions concerning mental health and substance use parity. Requires the Department to review the impact of the proposed mental health and substance abuse mandate on network adequacy for mental health and substance use disorder treatment and access to affordable mental health and substance use care. Permits the Department to examine out-of-network utilization and out-of-pocket costs for insureds for mental health and substance use treatment and services for all plans to compare with in-network utilization. Amends the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, and the School Code to require coverage under those provisions. Effective immediately.
House Committee Amendment No. 1
Deletes reference to:
Replaces everything after the enacting clause with the provisions of the introduced bill with the following changes: Removes provisions amending the State Employees Group Insurance Act of 1971. In provisions concerning mental health and substance abuse parity, removes provision limiting the applicability of parity requirements for mental health or substance use disorder services provided by a hospital when the hospital has a contract with the insurer that provides for reimbursement for such services based on achieving specified patient health outcomes and other quality measures and includes shared savings from lower health care costs. Makes conforming changes.
Actions
| Date | Chamber | Action |
|---|---|---|
| 01/02/2025 | House | Prefiled with Clerk by Rep. Lindsey LaPointe |
| 01/09/2025 | House | First Reading |
| 01/09/2025 | House | Referred to Rules Committee |
| 01/29/2025 | House | Added Chief Co-Sponsor Rep. Maurice A. West, II |
| 01/29/2025 | House | Added Chief Co-Sponsor Rep. Bob Morgan |
| 01/29/2025 | House | Added Co-Sponsor Rep. Dagmara Avelar |
| 01/29/2025 | House | Added Co-Sponsor Rep. Maura Hirschauer |
| 01/29/2025 | House | Added Co-Sponsor Rep. Michelle Mussman |
| 02/03/2025 | House | Added Co-Sponsor Rep. Terra Costa Howard |
| 02/03/2025 | House | Added Co-Sponsor Rep. Anna Moeller |
| 02/03/2025 | House | Added Co-Sponsor Rep. Theresa Mah |
| 02/04/2025 | House | Assigned to Mental Health & Addiction Committee |
| 02/04/2025 | House | Added Co-Sponsor Rep. Kevin John Olickal |
| 02/04/2025 | House | Added Co-Sponsor Rep. Lilian Jiménez |
| 02/04/2025 | House | Added Co-Sponsor Rep. Jay Hoffman |
| 02/06/2025 | House | Added Co-Sponsor Rep. Kelly M. Cassidy |
| 02/06/2025 | House | Added Co-Sponsor Rep. Lisa Davis |
| 02/06/2025 | House | Added Co-Sponsor Rep. Stephanie A. Kifowit |
| 02/06/2025 | House | Added Co-Sponsor Rep. Katie Stuart |
| 02/06/2025 | House | Added Co-Sponsor Rep. Yolonda Morris |
| 02/06/2025 | House | Added Co-Sponsor Rep. Norma Hernandez |
| 02/06/2025 | House | Added Co-Sponsor Rep. Sharon Chung |
| 02/06/2025 | House | Added Co-Sponsor Rep. Michael J. Kelly |
| 02/07/2025 | House | Added Co-Sponsor Rep. Laura Faver Dias |
| 02/07/2025 | House | Added Co-Sponsor Rep. Mary Gill |
| 02/10/2025 | House | Added Co-Sponsor Rep. Will Guzzardi |
| 02/10/2025 | House | Added Co-Sponsor Rep. Nicolle Grasse |
| 02/10/2025 | House | Added Co-Sponsor Rep. Anne Stava-Murray |
| 02/11/2025 | House | Added Co-Sponsor Rep. Janet Yang Rohr |
| 02/14/2025 | House | Added Co-Sponsor Rep. Michael Crawford |
| 02/19/2025 | House | Added Co-Sponsor Rep. Robyn Gabel |
| 02/20/2025 | House | Added Co-Sponsor Rep. Nabeela Syed |
| 02/21/2025 | House | Added Co-Sponsor Rep. Barbara Hernandez |
| 02/21/2025 | House | Added Co-Sponsor Rep. Martha Deuter |
| 02/27/2025 | House | Added Co-Sponsor Rep. Abdelnasser Rashid |
| 02/27/2025 | House | Added Co-Sponsor Rep. Mary Beth Canty |
| 02/27/2025 | House | Added Co-Sponsor Rep. Hoan Huynh |
| 02/27/2025 | House | Added Co-Sponsor Rep. Ryan Spain |
| 02/28/2025 | House | Added Co-Sponsor Rep. Harry Benton |
| 03/03/2025 | House | Added Co-Sponsor Rep. Ann M. Williams |
| 03/03/2025 | House | House Committee Amendment No. 1 Filed with Clerk by Rep. Lindsey LaPointe |
| 03/03/2025 | House | House Committee Amendment No. 1 Referred to Rules Committee |
| 03/03/2025 | House | Added Co-Sponsor Rep. La Shawn K. Ford |
| 03/04/2025 | House | House Committee Amendment No. 1 Rules Refers to Mental Health & Addiction Committee |
| 03/05/2025 | House | Added Co-Sponsor Rep. Brad Stephens |
| 03/05/2025 | House | Added Co-Sponsor Rep. Nicole La Ha |
| 03/05/2025 | House | Added Co-Sponsor Rep. John M. Cabello |
| 03/06/2025 | House | House Committee Amendment No. 1 Adopted in Mental Health & Addiction Committee; by Voice Vote |
| 03/06/2025 | House | Do Pass as Amended / Short Debate Mental Health & Addiction Committee; 017-005-000 |
| 03/06/2025 | House | Placed on Calendar 2nd Reading - Short Debate |
| 03/06/2025 | House | Added Co-Sponsor Rep. Kevin Schmidt |
| 03/06/2025 | House | Added Co-Sponsor Rep. Angelica Guerrero-Cuellar |
| 03/10/2025 | House | Added Co-Sponsor Rep. Matt Hanson |
| 03/10/2025 | House | Added Co-Sponsor Rep. Sonya M. Harper |
| 03/10/2025 | House | Added Co-Sponsor Rep. Gregg Johnson |
| 03/10/2025 | House | Added Co-Sponsor Rep. Suzanne M. Ness |
| 03/12/2025 | House | Added Co-Sponsor Rep. Anthony DeLuca |
| 03/12/2025 | House | Added Co-Sponsor Rep. Rick Ryan |
| 03/17/2025 | House | Added Co-Sponsor Rep. Lawrence "Larry" Walsh, Jr. |
| 03/18/2025 | House | Second Reading - Short Debate |
| 03/18/2025 | House | Placed on Calendar Order of 3rd Reading - Short Debate |
| 03/18/2025 | House | Added Co-Sponsor Rep. Emanuel "Chris" Welch |
| 03/19/2025 | House | Added Co-Sponsor Rep. Robert "Bob" Rita |