IllinoisHB1141104th General Assembly (2025–2026)HouseWALLET

GENERAL ANESTHESIA COVERAGE

Sponsored By: Sponsor information unavailable

Signed by Governor

Summary

Amends the Illinois Insurance Code. Provides that 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 shall provide coverage for medically necessary general anesthesia, regardless of the duration, for any procedure covered by the policy, and that medical necessity shall be determined by the attending anesthesiologist or licensed anesthesia provider. Provides that an individual or group policy of accident and health insurance is prohibited from denying payment or reimbursement for anesthesia services solely because the duration of care exceeded a preset time limit. Amends the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, the Limited Health Service Organization Act, the Voluntary Services Plans Act, and the Illinois Public Aid Code to require coverage under those provisions. Effective immediately.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Patients gain anesthesia coverage beyond time limits

Affected Illinois health plans must cover medically necessary anesthesia for covered procedures, regardless of how long it lasts. They cannot deny payment or reimbursement solely because anesthesia exceeds a preset time limit. This applies to policies and managed care plans amended, delivered, issued, or renewed on or after January 1, 2026. It includes specified public employee plans, health maintenance organizations, limited health service organizations, and voluntary health services plans. Limited plans still do not have to cover services outside their limited benefits. Plans under contract with the Illinois Department of Healthcare and Family Services are exempt. The Illinois Department of Insurance enforces the anesthesia requirement.

Sponsors & Cosponsors

Sponsors

There is no primary sponsor on record.

Cosponsors

  • Abdelnasser Rashid

    Democratic • House

  • Adam M. Niemerg

    Republican • House

  • Adriane L. Johnson

    Democratic • Senate

  • Amy Briel

    Democratic • House

  • Amy Elik

    Republican • House

  • Amy L. Grant

    Republican • House

  • Anthony DeLuca

    Democratic • House

  • Camille Y. Lilly

    Democratic • House

  • Christopher Belt

    Democratic • Senate

  • Dagmara Avelar

    Democratic • House

  • Dave Severin

    Republican • House

  • Debbie Meyers-Martin

    Democratic • House

  • Dennis Tipsword

    Republican • House

  • Diane Blair-Sherlock

    Democratic • House

  • Doris Turner

    Democratic • Senate

  • Emanuel "Chris" Welch

    Democratic • House

  • Harry Benton

    Democratic • House

  • Jackie Haas

    Republican • House

  • Jason R. Bunting

    Republican • House

  • Javier L. Cervantes

    Democratic • Senate

  • Jawaharial Williams

    Democratic • House

  • Jeff Keicher

    Republican • House

  • Jennifer Sanalitro

    Republican • House

  • John M. Cabello

    Republican • House

  • Kevin Schmidt

    Republican • House

  • Kimberly A. Lightford

    Democratic • Senate

  • Laura Faver Dias

    Democratic • House

  • Laura M. Murphy

    Democratic • Senate

  • Li Arellano, Jr.

    Republican • Senate

  • Lilian Jiménez

    Democratic • House

  • Lisa Davis

    Democratic • House

  • Martha Deuter

    Democratic • House

  • Mary Beth Canty

    Democratic • House

  • Mary Edly-Allen

    Democratic • Senate

  • Matt Hanson

    Democratic • House

  • Maura Hirschauer

    Democratic • House

  • Maurice A. West, II

    Democratic • House

  • Michael E. Hastings

    Democratic • Senate

  • Michael J. Coffey, Jr.

    Republican • House

  • Michael W. Halpin

    Democratic • Senate

  • Michelle Mussman

    Democratic • House

  • Nabeela Syed

    Democratic • House

  • Nicole La Ha

    Republican • House

  • Nicolle Grasse

    Democratic • House

  • Norma Hernandez

    Democratic • House

  • Rick Ryan

    Democratic • House

  • Sharon Chung

    Democratic • House

  • Steven Reick

    Republican • House

  • Suzy Glowiak Hilton

    Democratic • Senate

  • Tracy Katz Muhl

    Democratic • House

  • Travis Weaver

    Republican • House

  • Will Guzzardi

    Democratic • House

  • William E Hauter

    Republican • House

  • Yolonda Morris

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 204 • No: 0

Senate vote • 5/22/2025

Third Reading - Passed;

Yes: 58 • No: 0

Senate vote • 4/30/2025

Do Pass Insurance;

Yes: 9 • No: 0

House vote • 4/7/2025

Third Reading - Short Debate - Passed

Yes: 107 • No: 0

House vote • 3/4/2025

House Floor Amendment No. 2 Recommends Be Adopted Insurance Committee;

Yes: 14 • No: 0

House vote • 2/25/2025

Do Pass / Short Debate Insurance Committee;

Yes: 16 • No: 0

Actions Timeline

  1. Public Act . . . . . . . . . 104-0042

    8/1/2025House
  2. Effective Date August 1, 2025

    8/1/2025House
  3. Governor Approved

    8/1/2025House
  4. Sent to the Governor

    6/20/2025House
  5. Added as Alternate Co-Sponsor Sen. Laura M. Murphy

    5/29/2025Senate
  6. Added as Alternate Co-Sponsor Sen. Christopher Belt

    5/27/2025Senate
  7. Added as Alternate Co-Sponsor Sen. Suzy Glowiak Hilton

    5/27/2025Senate
  8. Added as Alternate Co-Sponsor Sen. Kimberly A. Lightford

    5/26/2025Senate
  9. Passed Both Houses

    5/22/2025House
  10. Added as Alternate Co-Sponsor Sen. Javier L. Cervantes

    5/22/2025Senate
  11. Third Reading - Passed; 058-000-000

    5/22/2025Senate
  12. Added as Alternate Co-Sponsor Sen. Mary Edly-Allen

    5/22/2025Senate
  13. Added as Alternate Co-Sponsor Sen. Michael E. Hastings

    5/22/2025Senate
  14. Added as Alternate Co-Sponsor Sen. Adriane L. Johnson

    5/22/2025Senate
  15. Added as Alternate Co-Sponsor Sen. Michael W. Halpin

    5/22/2025Senate
  16. Placed on Calendar Order of 3rd Reading **

    5/20/2025Senate
  17. Added Co-Sponsor Rep. Jawaharial Williams

    5/1/2025House
  18. Placed on Calendar Order of 3rd Reading May 6, 2025

    5/1/2025Senate
  19. Second Reading

    5/1/2025Senate
  20. Placed on Calendar Order of 2nd Reading May 1, 2025

    4/30/2025Senate
  21. Do Pass Insurance; 009-000-000

    4/30/2025Senate
  22. Assigned to Insurance

    4/23/2025Senate
  23. Added Co-Sponsor Rep. Maurice A. West, II

    4/16/2025House
  24. Added as Alternate Chief Co-Sponsor Sen. Li Arellano, Jr.

    4/11/2025Senate
  25. Referred to Assignments

    4/8/2025Senate

Bill Text

  • Engrossed

  • Enrolled

  • House Amendment 1

  • House Amendment 2

  • Introduced

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