IllinoisHB2785104th General Assembly (2025–2026)HouseWALLET

CREDIT UNIONS-VARIOUS

Sponsored By: Sponsor information unavailable

Signed by Governor

Summary

Amends the Illinois Credit Union Act. Authorizes a credit union to furnish information to any person on a list submitted and periodically updated by a member who is an elderly person or person with a disability or to specified other persons, if there is suspicion by the credit union that the member has been or may become a victim of financial exploitation. Provides that the board of directors of a credit union with a composite rating of either 1 or 2 under the Uniform Financial Institutions Rating System known as the CAMELS supervisory rating system and a management rating under such composite rating of either 1 or 2 may meet not less than 4 (instead of 6) times annually. Provides that the supervisory committee of a credit union with assets of less than $10,000,000 may, at its option, engage (instead of a credit union with assets of $5,000,000 or more, but less than $10,000,000 shall engage) a licensed certified public accountant or licensed certified public accounting firm to perform specified auditing and other services. Permits the merger of credit unions, without meeting certain voting and notice requirements, where supervisory concerns exist and upon agreement of the boards of directors of the merging and continuing credit unions, as confirmed by a majority vote of the directors present at a meeting of each board at which a quorum is present. Makes other changes.

financial institutions and licensingassignmentsexecutiveinsurance

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 2 benefits, 0 costs, 1 mixed.

Direct ambulance payments limit patient bills

Beginning January 1, 2027, insurers must pay out-of-network ground ambulance providers that reasonably request payment, after subtracting patient cost sharing. Where local government has jurisdiction, its set or approved rate applies. Otherwise, payment is the lowest of the negotiated rate, 85% of billed charges, or the applicable average gross charge filed with the state health department. Providers accepting payment cannot collect more from patients than their deductible, copayment, or coinsurance. Covered benefits are assigned and paid directly to the provider or its facility, with a written explanation showing proposed reimbursement and patient costs. Illinois home rule governments cannot impose ground ambulance payment rules that conflict with this law.

More coverage and ambulance cost protections

Group and individual health policies amended, delivered, issued, or renewed starting January 1, 2027, must cover emergency and urgent ground ambulance services. A health professional must certify urgent rides as medically necessary and needed within 12 hours after certification. For out-of-network rides, patient costs cannot exceed in-network costs. Unless state or federal law provides otherwise, cost sharing is the lower of the policy’s emergency-room copayment or coinsurance and 10% of the recognized amount. A flat in-network copayment applies when applicable, unless the provider’s total bill is lower. These rules exclude air ambulances, excepted-benefit policies, and short-term, limited-duration health plans.

Public ambulance rates bring reporting duties

Beginning October 1, 2026, out-of-network ground ambulance providers must report average gross charges annually to Illinois’ health department. Reports cover specified base service charges and loaded mileage, plus any other information the department requires. The department must make the rates public by January 1, 2027, and every January 1 afterward. It may charge providers fees capped at the administrative cost of reporting and publication.

Sponsors & Cosponsors

Sponsors

There is no primary sponsor on record.

Cosponsors

  • Anthony DeLuca

    Democratic • House

  • Dave Vella

    Democratic • House

  • Hoan Huynh

    Democratic • House

  • Jay Hoffman

    Democratic • House

  • Joyce Mason

    Democratic • House

  • Linda Holmes

    Democratic • Senate

  • Margaret Croke

    Democratic • House

  • Martin J. Moylan

    Democratic • House

  • Mary Gill

    Democratic • House

  • Michael J. Kelly

    Democratic • House

  • Natalie A. Manley

    Democratic • House

  • Ram Villivalam

    Democratic • Senate

  • Rick Ryan

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 471 • No: 4

House vote • 5/31/2025

Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Insurance Committee;

Yes: 17 • No: 0

House vote • 5/31/2025

Senate Floor Amendment No. 3 House Concurs

Yes: 116 • No: 0

House vote • 5/31/2025

Senate Committee Amendment No. 1 House Concurs

Yes: 116 • No: 0

House vote • 5/31/2025

Senate Floor Amendment No. 3 Motion to Concur Recommends Be Adopted Insurance Committee;

Yes: 17 • No: 0

Senate vote • 5/30/2025

Third Reading - Passed;

Yes: 57 • No: 0

Senate vote • 5/29/2025

Senate Floor Amendment No. 3 Recommend Do Adopt Executive;

Yes: 12 • No: 0

Senate vote • 5/15/2025

Do Pass as Amended Executive;

Yes: 9 • No: 4

House vote • 4/11/2025

Third Reading - Short Debate - Passed

Yes: 115 • No: 0

House vote • 3/11/2025

Do Pass as Amended / Short Debate Financial Institutions and Licensing Committee;

Yes: 12 • No: 0

Actions Timeline

  1. Public Act . . . . . . . . . 104-0248

    8/15/2025House
  2. Effective Date August 15, 2025

    8/15/2025House
  3. Governor Approved

    8/15/2025House
  4. Sent to the Governor

    6/24/2025House
  5. Passed Both Houses

    5/31/2025House
  6. House Concurs

    5/31/2025House
  7. Senate Floor Amendment No. 3 House Concurs 116-000-000

    5/31/2025House
  8. Senate Committee Amendment No. 1 House Concurs 116-000-000

    5/31/2025House
  9. Senate Floor Amendment No. 3 Motion to Concur Recommends Be Adopted Insurance Committee; 017-000-000

    5/31/2025House
  10. Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Insurance Committee; 017-000-000

    5/31/2025House
  11. Senate Floor Amendment No. 3 Motion to Concur Rules Referred to Insurance Committee

    5/31/2025House
  12. Senate Committee Amendment No. 1 Motion to Concur Rules Referred to Insurance Committee

    5/31/2025House
  13. Senate Floor Amendment No. 3 Motion to Concur Referred to Rules Committee

    5/30/2025House
  14. Senate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee

    5/30/2025House
  15. Senate Floor Amendment No. 3 Motion Filed Concur Rep. Martin J. Moylan

    5/30/2025House
  16. Senate Committee Amendment No. 1 Motion Filed Concur Rep. Martin J. Moylan

    5/30/2025House
  17. Placed on Calendar Order of Concurrence Senate Amendment(s) 1, 3

    5/30/2025House
  18. Arrived in House

    5/30/2025House
  19. Senate Floor Amendment No. 2 Tabled Pursuant to Rule 5-4(a)

    5/30/2025Senate
  20. Third Reading - Passed; 057-000-000

    5/30/2025Senate
  21. Placed on Calendar Order of 3rd Reading

    5/30/2025Senate
  22. Senate Floor Amendment No. 3 Adopted; Villivalam

    5/30/2025Senate
  23. Recalled to Second Reading

    5/30/2025Senate
  24. Senate Floor Amendment No. 3 Recommend Do Adopt Executive; 012-000-000

    5/29/2025Senate
  25. Added as Alternate Chief Co-Sponsor Sen. Linda Holmes

    5/29/2025Senate

Bill Text

  • Engrossed

  • Enrolled

  • House Amendment 1

  • Introduced

  • Senate Amendment 1

  • Senate Amendment 2

  • Senate Amendment 3

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