All Roll Calls
Yes: 260 • No: 0
Sponsored By: Laura Fine (Democratic)
Became Law
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3 provisions identified: 3 benefits, 0 costs, 0 mixed.
The Department of Insurance runs an Office of Consumer Health Insurance. It helps you understand marketing and coverage, your rights, and how to file grievances and appeals. It runs a toll‑free 800 line and offers information in other languages. The Office posts an annual report by January 31, 2026, and every January 31 after that. Starting January 31, 2027, the report also lists State health insurance benefit laws passed the prior year. The Office operates based on funds the legislature appropriates.
Health plans must give you, at enrollment and every year, a plain summary and a current in‑network provider list. It must cover service area, covered benefits and exclusions, precertification, referrals, emergency and out‑of‑area care, your costs, continuity of care, appeals, and required benefits. Plans must highlight new State benefit laws, except for Medicaid plans, and may use the latest checklist filed with the Department. When you shop on the State marketplace, you can see each plan’s up‑to‑date drug list with tiers and cost‑sharing and the provider directory, all tied to the exact plan. Insurers must post this info on their websites and offer a non‑internet way to get it. On written request, plans must describe financial ties with providers and show how copays, deductibles, and premiums are split between health care and other costs (not exact provider rates). Participating providers must share their training, specialty, board status, facility privileges, and license/education status when asked. The Department sets the disclosure format, and State sites must link clearly to consumer decision tools. Most rules took effect June 30, 2023; marketplace display rules have applied since January 1, 2015.
Health plans must give you a uniform ID card when they issue coverage cards. The front shows key items like your ID, group number, help phone number and website, the regulator (not for dental), and your deductible and out‑of‑pocket max (not for dental). The back lists claims submission names and addresses and help desk numbers. Dental cards must also state if the dental plan is self‑insured or fully funded and whether it is regulated by the Department of Insurance; medical assistance plans list the Department of Healthcare and Family Services. Plans must give you a new card at enrollment and any time a coverage change affects required card data. Discount health service plans must give a card with a website for providers, a toll‑free help number, the network name/logo, needed IDs, and a clear “not insurance” statement. These card rules take effect January 1, 2024.
Laura Fine
Democratic • Senate
Bob Morgan
Democratic • House
Camille Y. Lilly
Democratic • House
Christopher Belt
Democratic • Senate
Graciela Guzmán
Democratic • Senate
Gregg Johnson
Democratic • House
Hoan Huynh
Democratic • House
Julie A. Morrison
Democratic • Senate
Lindsey LaPointe
Democratic • House
Sara Feigenholtz
Democratic • Senate
All Roll Calls
Yes: 260 • No: 0
Senate vote • 5/31/2025
House Committee Amendment No. 1 Senate Concurs
Yes: 57 • No: 0
Senate vote • 5/27/2025
House Committee Amendment No. 1 Motion To Concur Recommended Do Adopt Insurance;
Yes: 12 • No: 0
House vote • 5/21/2025
Third Reading - Short Debate - Passed
Yes: 109 • No: 0
House vote • 5/6/2025
Do Pass as Amended / Short Debate Insurance Committee;
Yes: 12 • No: 0
Senate vote • 4/10/2025
Third Reading - Passed;
Yes: 56 • No: 0
Senate vote • 3/19/2025
Do Pass as Amended Insurance;
Yes: 14 • No: 0
Public Act . . . . . . . . . 104-0375
Effective Date January 1, 2026
Governor Approved
Sent to the Governor
Passed Both Houses
Senate Concurs
House Committee Amendment No. 1 Senate Concurs 057-000-000
Added as Chief Co-Sponsor Sen. Sara Feigenholtz
House Committee Amendment No. 1 Motion To Concur Recommended Do Adopt Insurance; 012-000-000
House Committee Amendment No. 1 Motion to Concur Assignments Referred to Insurance
House Committee Amendment No. 1 Motion to Concur Referred to Assignments
House Committee Amendment No. 1 Motion to Concur Filed with Secretary Sen. Laura Fine
Added Alternate Co-Sponsor Rep. Hoan Huynh
Placed on Calendar Order of Concurrence House Amendment(s) 1 - May 22, 2025
Secretary's Desk - Concurrence House Amendment(s) 1
Third Reading - Short Debate - Passed 109-000-000
Placed on Calendar Order of 3rd Reading - Short Debate
Second Reading - Short Debate
Added Alternate Chief Co-Sponsor Rep. Gregg Johnson
Added Alternate Chief Co-Sponsor Rep. Lindsey LaPointe
Added Alternate Chief Co-Sponsor Rep. Camille Y. Lilly
Placed on Calendar 2nd Reading - Short Debate
Do Pass as Amended / Short Debate Insurance Committee; 012-000-000
House Committee Amendment No. 1 Adopted in Insurance Committee; by Voice Vote
House Committee Amendment No. 1 Rules Refers to Insurance Committee
Engrossed
Enrolled
House Amendment 1
Introduced
Senate Amendment 1