Greg Harris
- Democratic
Primary
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.
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Rule 19(b) / Re-referred to Rules Committee
Added Co-Sponsor Rep. John M. Cabello
Added Co-Sponsor Rep. Andrew S. Chesney
Added Co-Sponsor Rep. Kelly M. Cassidy
Added Co-Sponsor Rep. Patrick Windhorst
Added Co-Sponsor Rep. Jonathan "Yoni" Pizer
Added Co-Sponsor Rep. Kambium Buckner
Added Co-Sponsor Rep. Sonya M. Harper
Added Co-Sponsor Rep. Carol Ammons
Added Co-Sponsor Rep. Jawaharial Williams
Added Co-Sponsor Rep. Marcus C. Evans, Jr.
Added Co-Sponsor Rep. Robyn Gabel
Added Co-Sponsor Rep. Lawrence Walsh, Jr.
Added Co-Sponsor Rep. Maurice A. West, II
Added Co-Sponsor Rep. Arthur Turner
Assigned to Human Services Committee
Added Co-Sponsor Rep. Keith P. Sommer
Added Co-Sponsor Rep. Norine K. Hammond
Added Co-Sponsor Rep. Justin Slaughter
Added Co-Sponsor Rep. William Davis
First Reading
Added Co-Sponsor Rep. Michael J. Zalewski
Added Co-Sponsor Rep. Keith R. Wheeler
Added Co-Sponsor Rep. Martin J. Moylan
Added Co-Sponsor Rep. Bob Morgan
Referred to Rules Committee
Added Co-Sponsor Rep. Nicholas K. Smith
Filed with the Clerk by Rep. Gregory Harris
Co-Sponsor Rep. Theresa Mah
Co-Sponsor Rep. Grant Wehrli
Co-Sponsor Rep. Mike Murphy
Co-Sponsor Rep. Margo McDermed
Co-Sponsor Rep. Ann M. Williams
Co-Sponsor Rep. Deb Conroy
Co-Sponsor Rep. Michelle Mussman
Co-Sponsor Rep. Anna Moeller
Co-Sponsor Rep. John Connor
Co-Sponsor Rep. Jonathan Carroll
Co-Sponsor Rep. Elizabeth Hernandez
Co-Sponsor Rep. Michael T. Marron
Co-Sponsor Rep. Jeff Keicher
Co-Sponsor Rep. Emanuel Chris Welch
Chief Co-Sponsor Rep. Ryan Spain
Chief Co-Sponsor Rep. Frances Ann Hurley
Chief Co-Sponsor Rep. André Thapedi
Chief Co-Sponsor Rep. Tom Demmer
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