Illinois 2023-2024 Regular Session

Illinois House Bill HB1229 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1		-	HB1229 EngrossedLRB103 24799 BMS 51128 b HB1229 Engrossed LRB103 24799 BMS 51128 b
2		-	HB1229 Engrossed LRB103 24799 BMS 51128 b
	1	+	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB1229 Introduced , by Rep. Thaddeus Jones SYNOPSIS AS INTRODUCED: 215 ILCS 122/5-5215 ILCS 122/5-30 new215 ILCS 122/5-35 new215 ILCS 122/5-40 new215 ILCS 122/5-45 new Amends the Illinois Health Benefits Exchange Law. Provides that the Department of Insurance has the authority to operate the Illinois Health Benefits Exchange. Provides that the Director of Insurance may require plans in the individual market to be made available for comparison on the exchange, but may not require all plans be purchased exclusively on the exchange. Provides that the Director may require that plans offered on the exchange conform with standardized plan designs. Provides that the Director may apply a monthly assessment to each health benefits plan sold in the Illinois Health Benefits Exchange according to specified rates. Provides that the Director shall establish an advisory committee to provide advice to the Director concerning the operation of the exchange and that the advisory committee shall include specified members. Provides that the Department shall also have the authority to coordinate the operations of the exchange with the operations of the State Medicaid program and the FamilyCare Program to determine eligibility for those programs as soon as practicable. Provides that the Department shall adopt rules. Removes provisions concerning small employer health insurance coverage and markets. Makes other changes. Effective January 1, 2024. LRB103 24799 BMS 51128 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB1229 Introduced , by Rep. Thaddeus Jones SYNOPSIS AS INTRODUCED: 215 ILCS 122/5-5215 ILCS 122/5-30 new215 ILCS 122/5-35 new215 ILCS 122/5-40 new215 ILCS 122/5-45 new 215 ILCS 122/5-5 215 ILCS 122/5-30 new 215 ILCS 122/5-35 new 215 ILCS 122/5-40 new 215 ILCS 122/5-45 new Amends the Illinois Health Benefits Exchange Law. Provides that the Department of Insurance has the authority to operate the Illinois Health Benefits Exchange. Provides that the Director of Insurance may require plans in the individual market to be made available for comparison on the exchange, but may not require all plans be purchased exclusively on the exchange. Provides that the Director may require that plans offered on the exchange conform with standardized plan designs. Provides that the Director may apply a monthly assessment to each health benefits plan sold in the Illinois Health Benefits Exchange according to specified rates. Provides that the Director shall establish an advisory committee to provide advice to the Director concerning the operation of the exchange and that the advisory committee shall include specified members. Provides that the Department shall also have the authority to coordinate the operations of the exchange with the operations of the State Medicaid program and the FamilyCare Program to determine eligibility for those programs as soon as practicable. Provides that the Department shall adopt rules. Removes provisions concerning small employer health insurance coverage and markets. Makes other changes. Effective January 1, 2024. LRB103 24799 BMS 51128 b LRB103 24799 BMS 51128 b A BILL FOR
	2	+	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB1229 Introduced , by Rep. Thaddeus Jones SYNOPSIS AS INTRODUCED:
	3	+	215 ILCS 122/5-5215 ILCS 122/5-30 new215 ILCS 122/5-35 new215 ILCS 122/5-40 new215 ILCS 122/5-45 new 215 ILCS 122/5-5 215 ILCS 122/5-30 new 215 ILCS 122/5-35 new 215 ILCS 122/5-40 new 215 ILCS 122/5-45 new
	4	+	215 ILCS 122/5-5
	5	+	215 ILCS 122/5-30 new
	6	+	215 ILCS 122/5-35 new
	7	+	215 ILCS 122/5-40 new
	8	+	215 ILCS 122/5-45 new
	9	+	Amends the Illinois Health Benefits Exchange Law. Provides that the Department of Insurance has the authority to operate the Illinois Health Benefits Exchange. Provides that the Director of Insurance may require plans in the individual market to be made available for comparison on the exchange, but may not require all plans be purchased exclusively on the exchange. Provides that the Director may require that plans offered on the exchange conform with standardized plan designs. Provides that the Director may apply a monthly assessment to each health benefits plan sold in the Illinois Health Benefits Exchange according to specified rates. Provides that the Director shall establish an advisory committee to provide advice to the Director concerning the operation of the exchange and that the advisory committee shall include specified members. Provides that the Department shall also have the authority to coordinate the operations of the exchange with the operations of the State Medicaid program and the FamilyCare Program to determine eligibility for those programs as soon as practicable. Provides that the Department shall adopt rules. Removes provisions concerning small employer health insurance coverage and markets. Makes other changes. Effective January 1, 2024.
	10	+	LRB103 24799 BMS 51128 b LRB103 24799 BMS 51128 b
	11	+	LRB103 24799 BMS 51128 b
	12	+	A BILL FOR
	13	+	HB1229LRB103 24799 BMS 51128 b HB1229 LRB103 24799 BMS 51128 b
	14	+	HB1229 LRB103 24799 BMS 51128 b
3	15		1 AN ACT concerning regulation.
4	16		2 Be it enacted by the People of the State of Illinois,
5	17		3 represented in the General Assembly:
6	18		4 Section 5. The Illinois Health Benefits Exchange Law is
7	19		5 amended by changing Section 5-5 and by adding Sections 5-30,
8	20		6 5-35, 5-40, and 5-45 as follows:
9	21		7 (215 ILCS 122/5-5)
10	22		8 Sec. 5-5. State health benefits exchange. It is declared
11	23		9 that this State, beginning October 1, 2013, in accordance with
12	24		10 Section 1311 of the federal Patient Protection and Affordable
13	25		11 Care Act, shall establish a State health benefits exchange to
14	26		12 be known as the Illinois Health Benefits Exchange in order to
15	27		13 help individuals and small employers with no more than 50
16	28		14 employees shop for, select, and enroll in qualified,
17	29		15 affordable private health plans that fit their needs at
18	30		16 competitive prices. The Exchange shall separate coverage pools
19	31		17 for individuals and small employers and shall supplement and
20	32		18 not supplant any existing private health insurance market for
21	33		19 individuals and small employers. The Department of Insurance
22	34		20 has the authority to operate the Illinois Health Benefits
23	35		21 Exchange. The Director of Insurance may require that all plans
24	36		22 in the individual market be made available for comparison on
25	37		23 the Illinois Health Benefits Exchange, but may not require
26	38
27	39
28	40
29		-	HB1229 Engrossed LRB103 24799 BMS 51128 b
	41	+	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB1229 Introduced , by Rep. Thaddeus Jones SYNOPSIS AS INTRODUCED:
	42	+	215 ILCS 122/5-5215 ILCS 122/5-30 new215 ILCS 122/5-35 new215 ILCS 122/5-40 new215 ILCS 122/5-45 new 215 ILCS 122/5-5 215 ILCS 122/5-30 new 215 ILCS 122/5-35 new 215 ILCS 122/5-40 new 215 ILCS 122/5-45 new
	43	+	215 ILCS 122/5-5
	44	+	215 ILCS 122/5-30 new
	45	+	215 ILCS 122/5-35 new
	46	+	215 ILCS 122/5-40 new
	47	+	215 ILCS 122/5-45 new
	48	+	Amends the Illinois Health Benefits Exchange Law. Provides that the Department of Insurance has the authority to operate the Illinois Health Benefits Exchange. Provides that the Director of Insurance may require plans in the individual market to be made available for comparison on the exchange, but may not require all plans be purchased exclusively on the exchange. Provides that the Director may require that plans offered on the exchange conform with standardized plan designs. Provides that the Director may apply a monthly assessment to each health benefits plan sold in the Illinois Health Benefits Exchange according to specified rates. Provides that the Director shall establish an advisory committee to provide advice to the Director concerning the operation of the exchange and that the advisory committee shall include specified members. Provides that the Department shall also have the authority to coordinate the operations of the exchange with the operations of the State Medicaid program and the FamilyCare Program to determine eligibility for those programs as soon as practicable. Provides that the Department shall adopt rules. Removes provisions concerning small employer health insurance coverage and markets. Makes other changes. Effective January 1, 2024.
	49	+	LRB103 24799 BMS 51128 b LRB103 24799 BMS 51128 b
	50	+	LRB103 24799 BMS 51128 b
	51	+	A BILL FOR
30	52
31	53
32		-	HB1229 Engrossed- 2 -LRB103 24799 BMS 51128 b HB1229 Engrossed - 2 - LRB103 24799 BMS 51128 b
33		-	HB1229 Engrossed - 2 - LRB103 24799 BMS 51128 b
	54	+
	55	+
	56	+
	57	+	215 ILCS 122/5-5
	58	+	215 ILCS 122/5-30 new
	59	+	215 ILCS 122/5-35 new
	60	+	215 ILCS 122/5-40 new
	61	+	215 ILCS 122/5-45 new
	62	+
	63	+
	64	+
	65	+	LRB103 24799 BMS 51128 b
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	75	+	HB1229 LRB103 24799 BMS 51128 b
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	78	+	HB1229- 2 -LRB103 24799 BMS 51128 b HB1229 - 2 - LRB103 24799 BMS 51128 b
	79	+	HB1229 - 2 - LRB103 24799 BMS 51128 b
34	80		1 that all plans in the individual market be purchased
35	81		2 exclusively on the Illinois Health Benefits Exchange. The
36	82		3 Director of Insurance has the authority to require that plans
37	83		4 offered on the exchange conform with standardized plan designs
38	84		5 that provide for standardized cost-sharing for covered health
39	85		6 services.
40	86		7 (Source: P.A. 97-142, eff. 7-14-11.)
41	87		8 (215 ILCS 122/5-30 new)
42	88		9 Sec. 5-30. Monthly assessments.
43	89		10 (a) The Director of Insurance may apply a monthly
44	90		11 assessment to each health benefits plan sold in the Illinois
45	91		12 Health Benefits Exchange. The assessment shall be paid by the
46	92		13 insurer and to the Department of Insurance and shall be used
47	93		14 only for the purpose of supporting the exchange through
48	94		15 exchange operations, outreach, enrollment, and other means of
49	95		16 supporting the exchange, including any efforts that can
50	96		17 increase market stabilization and that may result in a net
51	97		18 benefit to policyholders. The assessment may be applied at a
52	98		19 rate of:
53	99		20 (1) 1% of the total monthly premium charged by an
54	100		21 insurer for each health benefits plan during any period
55	101		22 that the State is on a State-based exchange using the
56	102		23 federal platform; or
57	103		24 (2) 2.75% of the total monthly premium charged by an
58	104		25 insurer for each health benefits plan during any period
59	105
60	106
61	107
62	108
63	109
64		-	HB1229 ~~Engrossed~~ - 2 - LRB103 24799 BMS 51128 b
	110	+	HB1229 - 2 - LRB103 24799 BMS 51128 b
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	113	+	HB1229- 3 -LRB103 24799 BMS 51128 b HB1229 - 3 - LRB103 24799 BMS 51128 b
	114	+	HB1229 - 3 - LRB103 24799 BMS 51128 b
69	115		1 that the State is on the Illinois Health Benefits
70	116		2 Exchange. The Director of Insurance may adjust this rate
71	117		3 to ensure that the Illinois Health Benefits Exchange is
72	118		4 fully funded, but shall not apply the assessment at a rate
73	119		5 that exceeds 4% of the total monthly premium charged by an
74	120		6 insurer. If the Director of Insurance determines it is
75	121		7 necessary to adjust the rate above 2.75% pursuant to this
76	122		8 paragraph (2), the Director of Insurance shall, in advance
77	123		9 of the adjustment, post on the Department of Insurance's
78	124		10 website a report describing the reasons and justifications
79	125		11 for the adjustment, which shall be consistent with the
80	126		12 purposes of supporting the exchange as provided in this
81	127		13 Section.
82	128		14 (b) The Director of Insurance shall notify an insurer of
83	129		15 its assessment rate for the subsequent year at least 20 days
84	130		16 before the date the insurer is required to file its rate filing
85	131		17 with the Department of Insurance. In the case of an assessment
86	132		18 for the 2023 plan year, the Director of Insurance shall notify
87	133		19 insurers as soon as is practicable of the assessment amount.
88	134		20 (c) The Director of Insurance shall consider any amount of
89	135		21 assessments unexpended from a previous year when calculating
90	136		22 the monthly assessment.
91	137		23 (215 ILCS 122/5-35 new)
92	138		24 Sec. 5-35. Health benefits exchange advisory committee.
93	139		25 The Director of Insurance shall establish an advisory
94	140
95	141
96	142
97	143
98	144
99		-	HB1229 ~~Engrossed~~ - 3 - LRB103 24799 BMS 51128 b
	145	+	HB1229 - 3 - LRB103 24799 BMS 51128 b
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101	147
102		-	HB1229 ~~Engrossed~~- 4 -LRB103 24799 BMS 51128 b HB1229 ~~Engrossed~~ - 4 - LRB103 24799 BMS 51128 b
103		-	HB1229 ~~Engrossed~~ - 4 - LRB103 24799 BMS 51128 b
	148	+	HB1229- 4 -LRB103 24799 BMS 51128 b HB1229 - 4 - LRB103 24799 BMS 51128 b
	149	+	HB1229 - 4 - LRB103 24799 BMS 51128 b
104	150		1 committee to provide advice to the Director of Insurance
105	151		2 concerning the operation of the exchange. The advisory
106	152		3 committee shall include at least 9 members, as follows:
107	153		4 (1) The Director of Insurance, or a designee, who
108	154		5 shall serve ex officio.
109	155		6 (2) The Director of Healthcare and Family Services, or
110	156		7 a designee, who shall serve ex officio.
111	157		8 (3) The Director of Public Health, or a designee, who
112	158		9 shall serve ex officio.
113	159		10 (4) Six public members, who shall be residents of the
114	160		11 State, appointed by the Director of Insurance. Each public
115	161		12 member shall have demonstrated experience in one or more
116	162		13 of the following areas: health insurance consumer
117	163		14 advocacy, individual health insurance coverage, health
118	164		15 benefits plan marketing, the provision of health care
119	165		16 services, or academic or professional research relating to
120	166		17 health insurance.
121	167		18 (215 ILCS 122/5-40 new)
122	168		19 Sec. 5-40. State Medicaid program coordination. The
123	169		20 Department of Insurance shall also have the authority to
124	170		21 coordinate the operations of the exchange with the operations
125	171		22 of the State Medicaid program and the FamilyCare Program to
126	172		23 determine eligibility for those programs as soon as
127	173		24 practicable.
128	174
129	175
130	176
131	177
132	178
133		-	HB1229 ~~Engrossed~~ - 4 - LRB103 24799 BMS 51128 b
	179	+	HB1229 - 4 - LRB103 24799 BMS 51128 b
134	180
135	181
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137		-	HB1229 ~~Engrossed~~ - 5 - LRB103 24799 BMS 51128 b
	182	+	HB1229- 5 -LRB103 24799 BMS 51128 b HB1229 - 5 - LRB103 24799 BMS 51128 b
	183	+	HB1229 - 5 - LRB103 24799 BMS 51128 b
138	184		1 (215 ILCS 122/5-45 new)
139	185		2 Sec. 5-45. Rulemaking. The Department of Insurance shall
140	186		3 adopt rules implementing this Law.
141	187		4 Section 99. Effective date. This Act takes effect January
142	188		5 1, 2024.
143	189
144	190
145	191
146	192
147	193
148		-	HB1229 ~~Engrossed~~ - 5 - LRB103 24799 BMS 51128 b
	194	+	HB1229 - 5 - LRB103 24799 BMS 51128 b