IllinoisHB3796104th General Assembly (2025–2026)HouseWALLET

INSURANCE-PROVIDER PANELS

Sponsored By: Hoan Huynh (Democratic)

Became Law

insuranceassignments

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Bill Overview

Analyzed Economic Effects

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

Keep your doctor 90 days after network change

Starting January 1, 2027, you can keep seeing your doctor for a time if they leave your plan’s network. This applies when the provider still practices in the plan’s service area and did not leave due to imminent harm or final board discipline, or when your plan’s contract ends and you lose benefits with that provider. If you are in an ongoing course of treatment, the plan covers care for 90 days from the date it notifies you. If you had a confirmed visit set before notice, you can see them within 90 days of notice. If you are in your third trimester, coverage includes postpartum care tied to the delivery. During this time, the plan authorizes care and pays the provider at the same rates and terms as before, and the provider must follow plan rules, quality checks, share needed medical records, and get preauthorizations.

New members can keep current doctor 90 days

Starting January 1, 2027, if you join a plan and your current doctor is out of network but in the plan’s service area, you can keep your ongoing treatment for a time. You or your authorized representative must choose this in writing. The plan then authorizes care for 90 days from your enrollment date, or through postpartum care if you are in your third trimester at enrollment. If you had a confirmed visit set before enrollment, you can see them within 90 days of enrollment. The provider is paid at rates the plan sets and must follow plan quality, referral, and preauthorization rules and share needed medical records.

Protections begin January 1, 2027

The law takes effect on January 1, 2027. All the rights and rules above apply to care on and after that date.

Limits and rules on keeping your doctor

Starting January 1, 2027, these transition rights end if you already switch to another in‑network provider, if you hit your plan’s benefit limits, or if the care is not medically necessary. If you or the provider schedule or reschedule care more than 90 days after the notice or enrollment date, the plan’s duty ends. The law does not make the plan cover services it does not already cover and does not change preexisting condition limits in your contract. Providers must also follow the federal continuity‑of‑care rule (42 U.S.C. 300gg‑138).

Sponsors & Cosponsors

Sponsor

  • Hoan Huynh

    Democratic • House

Cosponsors

  • Rachel Ventura

    Democratic • Senate

Roll Call Votes

All Roll Calls

Yes: 210 • No: 6

Senate vote 5/22/2025

Third Reading - Passed;

Yes: 58 • No: 0

Senate vote 5/7/2025

Do Pass Insurance;

Yes: 12 • No: 0

House vote 4/11/2025

Third Reading - Short Debate - Passed

Yes: 115 • No: 0

House vote 4/8/2025

House Floor Amendment No. 1 Recommends Be Adopted Insurance Committee;

Yes: 14 • No: 0

House vote 3/20/2025

Do Pass / Short Debate Insurance Committee;

Yes: 11 • No: 6

Actions Timeline

  1. Public Act . . . . . . . . . 104-0333

    8/15/2025House
  2. Effective Date January 1, 2027

    8/15/2025House
  3. Governor Approved

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

    6/20/2025House
  5. Passed Both Houses

    5/22/2025House
  6. Third Reading - Passed; 058-000-000

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

    5/20/2025Senate
  8. Placed on Calendar Order of 3rd Reading May 13, 2025

    5/8/2025Senate
  9. Second Reading

    5/8/2025Senate
  10. Placed on Calendar Order of 2nd Reading May 8, 2025

    5/7/2025Senate
  11. Do Pass Insurance; 012-000-000

    5/7/2025Senate
  12. Assigned to Insurance

    4/29/2025Senate
  13. Referred to Assignments

    4/14/2025Senate
  14. First Reading

    4/14/2025Senate
  15. Chief Senate Sponsor Sen. Rachel Ventura

    4/14/2025Senate
  16. Placed on Calendar Order of First Reading

    4/14/2025Senate
  17. Arrive in Senate

    4/14/2025Senate
  18. House Floor Amendment No. 2 Tabled

    4/11/2025House
  19. Third Reading - Short Debate - Passed 115-000-000

    4/11/2025House
  20. Placed on Calendar Order of 3rd Reading - Short Debate

    4/11/2025House
  21. House Floor Amendment No. 1 Adopted

    4/11/2025House
  22. House Floor Amendment No. 1 Recommends Be Adopted Insurance Committee; 014-000-000

    4/8/2025House
  23. House Floor Amendment No. 2 Rules Refers to Insurance Committee

    4/8/2025House
  24. House Floor Amendment No. 2 Referred to Rules Committee

    4/7/2025House
  25. House Floor Amendment No. 2 Filed with Clerk by Rep. Hoan Huynh

    4/7/2025House

Bill Text

  • Engrossed

  • Enrolled

  • House Amendment 1

  • House Amendment 2

  • Introduced

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