IllinoisHB3677104th General Assembly (2025–2026)HouseWALLET

COMPLEX REHAB TECH ACT

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Bill Overview

Analyzed Economic Effects

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

Stronger standards for wheelchair suppliers

Beginning January 1, 2026, sellers of complex rehabilitation technology must be accredited and employ at least one W‑2 qualified professional who is physically present for evaluations and device selection. Suppliers must be able to service and repair what they sell and must give you written repair contact information at delivery. They must offer service and repairs for the useful life of your wheelchair, with narrow exceptions for moving out of the service area, abuse or misuse when you refuse to pay, or safety threats. If a post‑service review finds a repair was not medically necessary, the supplier must pay and you and your insurer are held harmless. These rules apply to devices sold or in use on or after January 1, 2026, and violations are enforceable under the Consumer Fraud Act.

Post-mastectomy care in Medicaid and public plans

Starting January 1, 2026, Illinois Medicaid covers post‑mastectomy care and follows listed insurance protections. The Department adopts rules to ensure access. State employee plans and self‑insured county, city, and school plans must also cover post‑mastectomy care and follow the same Insurance Code sections. Home rule units must comply with every part of the law.

Quicker wheelchair repairs for Medicaid

For Medicaid managed care plans issued or renewed on or after January 1, 2027, repairs under $1,500 need no prior authorization or extra documents. For repairs of $1,500 or more, the plan must accept or deny the request within 7 days. Qualified suppliers must keep repair records and share them if the plan asks.

Faster wheelchair repairs in private plans

For plans issued or renewed on or after January 1, 2027, insurers generally cannot require prior authorization or extra paperwork for medically necessary repairs to your complex wheelchair. The rule has three limits: if the repair is under a manufacturer’s warranty, if total repairs are 75% or more of replacement cost, or if the device is within one year of a five‑year useful life. Your plan must also cover a rental device while your main device is being repaired. Starting January 1, 2026, HMOs, health service plan corporations, voluntary health services plans, and limited health service organizations must follow these rules; limited plans do not have to cover services outside their limited benefits.

Sponsors & Cosponsors

Sponsor

Nicole La Ha
Republican • House

Cosponsors

Adriane Johnson
Democratic • Senate
Amy Briel
Democratic • House
Camille Y. Lilly
Democratic • House
Craig Wilcox
Republican • Senate
Cristina Castro
Democratic • Senate
Diane Blair-Sherlock
Democratic • House
Erica Harriss
Republican • Senate
Graciela Guzmán
Democratic • Senate
Janet Yang Rohr
Democratic • House
Kelly M. Cassidy
Democratic • House
Lakesia Collins
Democratic • Senate
Laura Fine
Democratic • Senate
Michael Crawford
Democratic • House
Michelle Mussman
Democratic • House
Napoleon Harris, III
Democratic • Senate
Norine K. Hammond
Republican • House
Patrick Sheehan
Republican • House
Sally J. Turner
Republican • Senate
Sara Feigenholtz
Democratic • Senate
Seth Lewis
Republican • Senate
Suzanne M. Ness
Democratic • House
Terri Bryant
Republican • Senate

Roll Call Votes

All Roll Calls

Yes: 328 • No: 0

House vote • 5/30/2025

Senate Committee Amendment No. 1 House Concurs

Yes: 116 • No: 0

House vote • 5/29/2025

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

Yes: 9 • No: 0

Senate vote • 5/22/2025

Third Reading - Passed;

Yes: 58 • No: 0

Senate vote • 5/7/2025

Do Pass as Amended Insurance;

Yes: 12 • No: 0

House vote • 4/9/2025

Third Reading - Short Debate - Passed

Yes: 116 • No: 0

House vote • 4/8/2025

House Floor Amendment No. 1 Recommends Be Adopted Consumer Protection Committee;

Yes: 8 • No: 0

House vote • 3/18/2025

Do Pass / Short Debate Consumer Protection Committee;