IL
Illinois House Bill HB2088

Illinois 2023-2024 Regular Session

Illinois House Bill HB2088 Compare Versions

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1-HB2088 EngrossedLRB103 04781 BMS 49791 b HB2088 Engrossed LRB103 04781 BMS 49791 b
2- HB2088 Engrossed LRB103 04781 BMS 49791 b
1+103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2088 Introduced , by Rep. Thaddeus Jones SYNOPSIS AS INTRODUCED: 215 ILCS 5/155.49 new 215 ILCS 110/25 from Ch. 32, par. 690.25 215 ILCS 125/5-3 from Ch. 111 1/2, par. 1411.2 215 ILCS 130/4003 from Ch. 73, par. 1504-3 Amends the Illinois Insurance Code. Provides that every company authorized to do business in the State or accredited by the State with assets of at least $50,000,000 shall submit a report on its voluntary supplier diversity program, or the company's procurement program if there is no supplier diversity program, to the Department of Insurance. Provides that the voluntary supplier diversity report shall set forth specified information. Provides that each company is required to submit a report to the Department on or before April 1, 2024, and on or before April 1 every year thereafter. Provides that the Department shall publish the results of supplier diversity reports on its Internet website for 5 years after submission. Provides that the Department shall hold an annual insurance company supplier diversity workshop in July of 2024 and every July thereafter to discuss the reports with representatives of the companies and vendors. Provides that the Department shall prepare a one-page template for the voluntary supplier diversity reports. Provides that the Department may adopt rules necessary to implement the provisions. Makes conforming changes in the Dental Service Plan Act, the Health Maintenance Organization Act, and the Limited Health Service Organization Act. LRB103 04781 BMS 49791 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2088 Introduced , by Rep. Thaddeus Jones SYNOPSIS AS INTRODUCED: 215 ILCS 5/155.49 new 215 ILCS 110/25 from Ch. 32, par. 690.25 215 ILCS 125/5-3 from Ch. 111 1/2, par. 1411.2 215 ILCS 130/4003 from Ch. 73, par. 1504-3 215 ILCS 5/155.49 new 215 ILCS 110/25 from Ch. 32, par. 690.25 215 ILCS 125/5-3 from Ch. 111 1/2, par. 1411.2 215 ILCS 130/4003 from Ch. 73, par. 1504-3 Amends the Illinois Insurance Code. Provides that every company authorized to do business in the State or accredited by the State with assets of at least $50,000,000 shall submit a report on its voluntary supplier diversity program, or the company's procurement program if there is no supplier diversity program, to the Department of Insurance. Provides that the voluntary supplier diversity report shall set forth specified information. Provides that each company is required to submit a report to the Department on or before April 1, 2024, and on or before April 1 every year thereafter. Provides that the Department shall publish the results of supplier diversity reports on its Internet website for 5 years after submission. Provides that the Department shall hold an annual insurance company supplier diversity workshop in July of 2024 and every July thereafter to discuss the reports with representatives of the companies and vendors. Provides that the Department shall prepare a one-page template for the voluntary supplier diversity reports. Provides that the Department may adopt rules necessary to implement the provisions. Makes conforming changes in the Dental Service Plan Act, the Health Maintenance Organization Act, and the Limited Health Service Organization Act. LRB103 04781 BMS 49791 b LRB103 04781 BMS 49791 b A BILL FOR
2+103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2088 Introduced , by Rep. Thaddeus Jones SYNOPSIS AS INTRODUCED:
3+215 ILCS 5/155.49 new 215 ILCS 110/25 from Ch. 32, par. 690.25 215 ILCS 125/5-3 from Ch. 111 1/2, par. 1411.2 215 ILCS 130/4003 from Ch. 73, par. 1504-3 215 ILCS 5/155.49 new 215 ILCS 110/25 from Ch. 32, par. 690.25 215 ILCS 125/5-3 from Ch. 111 1/2, par. 1411.2 215 ILCS 130/4003 from Ch. 73, par. 1504-3
4+215 ILCS 5/155.49 new
5+215 ILCS 110/25 from Ch. 32, par. 690.25
6+215 ILCS 125/5-3 from Ch. 111 1/2, par. 1411.2
7+215 ILCS 130/4003 from Ch. 73, par. 1504-3
8+Amends the Illinois Insurance Code. Provides that every company authorized to do business in the State or accredited by the State with assets of at least $50,000,000 shall submit a report on its voluntary supplier diversity program, or the company's procurement program if there is no supplier diversity program, to the Department of Insurance. Provides that the voluntary supplier diversity report shall set forth specified information. Provides that each company is required to submit a report to the Department on or before April 1, 2024, and on or before April 1 every year thereafter. Provides that the Department shall publish the results of supplier diversity reports on its Internet website for 5 years after submission. Provides that the Department shall hold an annual insurance company supplier diversity workshop in July of 2024 and every July thereafter to discuss the reports with representatives of the companies and vendors. Provides that the Department shall prepare a one-page template for the voluntary supplier diversity reports. Provides that the Department may adopt rules necessary to implement the provisions. Makes conforming changes in the Dental Service Plan Act, the Health Maintenance Organization Act, and the Limited Health Service Organization Act.
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314 1 AN ACT concerning regulation.
415 2 Be it enacted by the People of the State of Illinois,
516 3 represented in the General Assembly:
617 4 Section 5. The Illinois Insurance Code is amended by
718 5 adding Section 155.49 as follows:
819 6 (215 ILCS 5/155.49 new)
920 7 Sec. 155.49. Insurance company supplier diversity report.
1021 8 (a) Every company authorized to do business in this State
1122 9 or accredited by this State with assets of at least
1223 10 $50,000,000 shall submit a 2-page report on its voluntary
1324 11 supplier diversity program, or the company's procurement
1425 12 program if there is no supplier diversity program, to the
1526 13 Department. The report shall set forth all of the following:
1627 14 (1) The name, address, phone number, and email address
1728 15 of the point of contact for the supplier diversity program
1829 16 for vendors to register with the program.
1930 17 (2) Local and State certifications the company accepts
2031 18 or recognizes for minority-owned, women-owned, LGBT-owned,
2132 19 or veteran-owned business status.
2233 20 (3) On the second page, a narrative explaining the
2334 21 results of the program and the tactics to be employed to
2435 22 achieve the goals of its voluntary supplier diversity
2536 23 program.
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40+103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2088 Introduced , by Rep. Thaddeus Jones SYNOPSIS AS INTRODUCED:
41+215 ILCS 5/155.49 new 215 ILCS 110/25 from Ch. 32, par. 690.25 215 ILCS 125/5-3 from Ch. 111 1/2, par. 1411.2 215 ILCS 130/4003 from Ch. 73, par. 1504-3 215 ILCS 5/155.49 new 215 ILCS 110/25 from Ch. 32, par. 690.25 215 ILCS 125/5-3 from Ch. 111 1/2, par. 1411.2 215 ILCS 130/4003 from Ch. 73, par. 1504-3
42+215 ILCS 5/155.49 new
43+215 ILCS 110/25 from Ch. 32, par. 690.25
44+215 ILCS 125/5-3 from Ch. 111 1/2, par. 1411.2
45+215 ILCS 130/4003 from Ch. 73, par. 1504-3
46+Amends the Illinois Insurance Code. Provides that every company authorized to do business in the State or accredited by the State with assets of at least $50,000,000 shall submit a report on its voluntary supplier diversity program, or the company's procurement program if there is no supplier diversity program, to the Department of Insurance. Provides that the voluntary supplier diversity report shall set forth specified information. Provides that each company is required to submit a report to the Department on or before April 1, 2024, and on or before April 1 every year thereafter. Provides that the Department shall publish the results of supplier diversity reports on its Internet website for 5 years after submission. Provides that the Department shall hold an annual insurance company supplier diversity workshop in July of 2024 and every July thereafter to discuss the reports with representatives of the companies and vendors. Provides that the Department shall prepare a one-page template for the voluntary supplier diversity reports. Provides that the Department may adopt rules necessary to implement the provisions. Makes conforming changes in the Dental Service Plan Act, the Health Maintenance Organization Act, and the Limited Health Service Organization Act.
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55+215 ILCS 5/155.49 new
56+215 ILCS 110/25 from Ch. 32, par. 690.25
57+215 ILCS 125/5-3 from Ch. 111 1/2, par. 1411.2
58+215 ILCS 130/4003 from Ch. 73, par. 1504-3
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3477 1 (4) The voluntary goals for the calendar year for
3578 2 which the report is made in each category for the entire
3679 3 budget of the company and the commodity codes or a
3780 4 description of particular goods and services for the area
3881 5 of procurement in which the company expects most of those
3982 6 goals to focus on in that year.
4083 7 Each company is required to submit a searchable report, in
4184 8 Portable Document Format (PDF), to the Department on or before
4285 9 April 1, 2024 and on or before April 1 every year thereafter.
4386 10 (b) For each report submitted under subsection (a), the
4487 11 Department shall publish the results on its Internet website
4588 12 for 5 years after submission. The Department is not
4689 13 responsible for collecting the reports or for the content of
4790 14 the reports.
4891 15 (c) The Department shall hold an annual insurance company
4992 16 supplier diversity workshop in July of 2024 and every July
5093 17 thereafter to discuss the reports with representatives of the
5194 18 companies and vendors.
5295 19 (d) The Department shall prepare a one-page template, not
5396 20 including the narrative section, for the voluntary supplier
5497 21 diversity reports.
5598 22 (e) The Department may adopt such rules as it deems
5699 23 necessary to implement this Section.
57100 24 Section 10. The Dental Service Plan Act is amended by
58101 25 changing Section 25 as follows:
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69112 1 (215 ILCS 110/25) (from Ch. 32, par. 690.25)
70113 2 Sec. 25. Application of Insurance Code provisions. Dental
71114 3 service plan corporations and all persons interested therein
72115 4 or dealing therewith shall be subject to the provisions of
73116 5 Articles IIA, XI, and XII 1/2 and Sections 3.1, 133, 136, 139,
74117 6 140, 143, 143c, 149, 155.49, 355.2, 355.3, 367.2, 401, 401.1,
75118 7 402, 403, 403A, 408, 408.2, and 412, and subsection (15) of
76119 8 Section 367 of the Illinois Insurance Code.
77120 9 (Source: P.A. 99-151, eff. 7-28-15.)
78121 10 Section 15. The Health Maintenance Organization Act is
79122 11 amended by changing Section 5-3 as follows:
80123 12 (215 ILCS 125/5-3) (from Ch. 111 1/2, par. 1411.2)
81124 13 Sec. 5-3. Insurance Code provisions.
82125 14 (a) Health Maintenance Organizations shall be subject to
83126 15 the provisions of Sections 133, 134, 136, 137, 139, 140,
84127 16 141.1, 141.2, 141.3, 143, 143c, 147, 148, 149, 151, 152, 153,
85128 17 154, 154.5, 154.6, 154.7, 154.8, 155.04, 155.22a, 155.49,
86129 18 355.2, 355.3, 355b, 355c, 356g.5-1, 356m, 356q, 356v, 356w,
87130 19 356x, 356y, 356z.2, 356z.3a, 356z.4, 356z.4a, 356z.5, 356z.6,
88131 20 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13, 356z.14,
89132 21 356z.15, 356z.17, 356z.18, 356z.19, 356z.21, 356z.22, 356z.25,
90133 22 356z.26, 356z.29, 356z.30, 356z.30a, 356z.32, 356z.33,
91134 23 356z.35, 356z.36, 356z.40, 356z.41, 356z.46, 356z.47, 356z.48,
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102145 1 356z.50, 356z.51, 256z.53, 356z.54, 356z.56, 356z.57, 356z.59,
103146 2 364, 364.01, 364.3, 367.2, 367.2-5, 367i, 368a, 368b, 368c,
104147 3 368d, 368e, 370c, 370c.1, 401, 401.1, 402, 403, 403A, 408,
105148 4 408.2, 409, 412, 444, and 444.1, paragraph (c) of subsection
106149 5 (2) of Section 367, and Articles IIA, VIII 1/2, XII, XII 1/2,
107150 6 XIII, XIII 1/2, XXV, XXVI, and XXXIIB of the Illinois
108151 7 Insurance Code.
109152 8 (b) For purposes of the Illinois Insurance Code, except
110153 9 for Sections 444 and 444.1 and Articles XIII and XIII 1/2,
111154 10 Health Maintenance Organizations in the following categories
112155 11 are deemed to be "domestic companies":
113156 12 (1) a corporation authorized under the Dental Service
114157 13 Plan Act or the Voluntary Health Services Plans Act;
115158 14 (2) a corporation organized under the laws of this
116159 15 State; or
117160 16 (3) a corporation organized under the laws of another
118161 17 state, 30% or more of the enrollees of which are residents
119162 18 of this State, except a corporation subject to
120163 19 substantially the same requirements in its state of
121164 20 organization as is a "domestic company" under Article VIII
122165 21 1/2 of the Illinois Insurance Code.
123166 22 (c) In considering the merger, consolidation, or other
124167 23 acquisition of control of a Health Maintenance Organization
125168 24 pursuant to Article VIII 1/2 of the Illinois Insurance Code,
126169 25 (1) the Director shall give primary consideration to
127170 26 the continuation of benefits to enrollees and the
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138181 1 financial conditions of the acquired Health Maintenance
139182 2 Organization after the merger, consolidation, or other
140183 3 acquisition of control takes effect;
141184 4 (2)(i) the criteria specified in subsection (1)(b) of
142185 5 Section 131.8 of the Illinois Insurance Code shall not
143186 6 apply and (ii) the Director, in making his determination
144187 7 with respect to the merger, consolidation, or other
145188 8 acquisition of control, need not take into account the
146189 9 effect on competition of the merger, consolidation, or
147190 10 other acquisition of control;
148191 11 (3) the Director shall have the power to require the
149192 12 following information:
150193 13 (A) certification by an independent actuary of the
151194 14 adequacy of the reserves of the Health Maintenance
152195 15 Organization sought to be acquired;
153196 16 (B) pro forma financial statements reflecting the
154197 17 combined balance sheets of the acquiring company and
155198 18 the Health Maintenance Organization sought to be
156199 19 acquired as of the end of the preceding year and as of
157200 20 a date 90 days prior to the acquisition, as well as pro
158201 21 forma financial statements reflecting projected
159202 22 combined operation for a period of 2 years;
160203 23 (C) a pro forma business plan detailing an
161204 24 acquiring party's plans with respect to the operation
162205 25 of the Health Maintenance Organization sought to be
163206 26 acquired for a period of not less than 3 years; and
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174217 1 (D) such other information as the Director shall
175218 2 require.
176219 3 (d) The provisions of Article VIII 1/2 of the Illinois
177220 4 Insurance Code and this Section 5-3 shall apply to the sale by
178221 5 any health maintenance organization of greater than 10% of its
179222 6 enrollee population (including without limitation the health
180223 7 maintenance organization's right, title, and interest in and
181224 8 to its health care certificates).
182225 9 (e) In considering any management contract or service
183226 10 agreement subject to Section 141.1 of the Illinois Insurance
184227 11 Code, the Director (i) shall, in addition to the criteria
185228 12 specified in Section 141.2 of the Illinois Insurance Code,
186229 13 take into account the effect of the management contract or
187230 14 service agreement on the continuation of benefits to enrollees
188231 15 and the financial condition of the health maintenance
189232 16 organization to be managed or serviced, and (ii) need not take
190233 17 into account the effect of the management contract or service
191234 18 agreement on competition.
192235 19 (f) Except for small employer groups as defined in the
193236 20 Small Employer Rating, Renewability and Portability Health
194237 21 Insurance Act and except for medicare supplement policies as
195238 22 defined in Section 363 of the Illinois Insurance Code, a
196239 23 Health Maintenance Organization may by contract agree with a
197240 24 group or other enrollment unit to effect refunds or charge
198241 25 additional premiums under the following terms and conditions:
199242 26 (i) the amount of, and other terms and conditions with
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210253 1 respect to, the refund or additional premium are set forth
211254 2 in the group or enrollment unit contract agreed in advance
212255 3 of the period for which a refund is to be paid or
213256 4 additional premium is to be charged (which period shall
214257 5 not be less than one year); and
215258 6 (ii) the amount of the refund or additional premium
216259 7 shall not exceed 20% of the Health Maintenance
217260 8 Organization's profitable or unprofitable experience with
218261 9 respect to the group or other enrollment unit for the
219262 10 period (and, for purposes of a refund or additional
220263 11 premium, the profitable or unprofitable experience shall
221264 12 be calculated taking into account a pro rata share of the
222265 13 Health Maintenance Organization's administrative and
223266 14 marketing expenses, but shall not include any refund to be
224267 15 made or additional premium to be paid pursuant to this
225268 16 subsection (f)). The Health Maintenance Organization and
226269 17 the group or enrollment unit may agree that the profitable
227270 18 or unprofitable experience may be calculated taking into
228271 19 account the refund period and the immediately preceding 2
229272 20 plan years.
230273 21 The Health Maintenance Organization shall include a
231274 22 statement in the evidence of coverage issued to each enrollee
232275 23 describing the possibility of a refund or additional premium,
233276 24 and upon request of any group or enrollment unit, provide to
234277 25 the group or enrollment unit a description of the method used
235278 26 to calculate (1) the Health Maintenance Organization's
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246289 1 profitable experience with respect to the group or enrollment
247290 2 unit and the resulting refund to the group or enrollment unit
248291 3 or (2) the Health Maintenance Organization's unprofitable
249292 4 experience with respect to the group or enrollment unit and
250293 5 the resulting additional premium to be paid by the group or
251294 6 enrollment unit.
252295 7 In no event shall the Illinois Health Maintenance
253296 8 Organization Guaranty Association be liable to pay any
254297 9 contractual obligation of an insolvent organization to pay any
255298 10 refund authorized under this Section.
256299 11 (g) Rulemaking authority to implement Public Act 95-1045,
257300 12 if any, is conditioned on the rules being adopted in
258301 13 accordance with all provisions of the Illinois Administrative
259302 14 Procedure Act and all rules and procedures of the Joint
260303 15 Committee on Administrative Rules; any purported rule not so
261304 16 adopted, for whatever reason, is unauthorized.
262305 17 (Source: P.A. 101-13, eff. 6-12-19; 101-81, eff. 7-12-19;
263306 18 101-281, eff. 1-1-20; 101-371, eff. 1-1-20; 101-393, eff.
264307 19 1-1-20; 101-452, eff. 1-1-20; 101-461, eff. 1-1-20; 101-625,
265308 20 eff. 1-1-21; 102-30, eff. 1-1-22; 102-34, eff. 6-25-21;
266309 21 102-203, eff. 1-1-22; 102-306, eff. 1-1-22; 102-443, eff.
267310 22 1-1-22; 102-589, eff. 1-1-22; 102-642, eff. 1-1-22; 102-665,
268311 23 eff. 10-8-21; 102-731, eff. 1-1-23; 102-775, eff. 5-13-22;
269312 24 102-804, eff. 1-1-23; 102-813, eff. 5-13-22; 102-816, eff.
270313 25 1-1-23; 102-860, eff. 1-1-23; 102-901, eff. 7-1-22; 102-1093,
271314 26 eff. 1-1-23; revised 12-13-22.)
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282325 1 Section 20. The Limited Health Service Organization Act is
283326 2 amended by changing Section 4003 as follows:
284327 3 (215 ILCS 130/4003) (from Ch. 73, par. 1504-3)
285328 4 Sec. 4003. Illinois Insurance Code provisions. Limited
286329 5 health service organizations shall be subject to the
287330 6 provisions of Sections 133, 134, 136, 137, 139, 140, 141.1,
288331 7 141.2, 141.3, 143, 143c, 147, 148, 149, 151, 152, 153, 154,
289332 8 154.5, 154.6, 154.7, 154.8, 155.04, 155.37, 155.49, 355.2,
290333 9 355.3, 355b, 356q, 356v, 356z.10, 356z.21, 356z.22, 356z.25,
291334 10 356z.26, 356z.29, 356z.30a, 356z.32, 356z.33, 356z.41,
292335 11 356z.46, 356z.47, 356z.51, 356z.53, 356z.54, 356z.57, 356z.59,
293336 12 364.3, 368a, 401, 401.1, 402, 403, 403A, 408, 408.2, 409, 412,
294337 13 444, and 444.1 and Articles IIA, VIII 1/2, XII, XII 1/2, XIII,
295338 14 XIII 1/2, XXV, and XXVI of the Illinois Insurance Code. For
296339 15 purposes of the Illinois Insurance Code, except for Sections
297340 16 444 and 444.1 and Articles XIII and XIII 1/2, limited health
298341 17 service organizations in the following categories are deemed
299342 18 to be domestic companies:
300343 19 (1) a corporation under the laws of this State; or
301344 20 (2) a corporation organized under the laws of another
302345 21 state, 30% or more of the enrollees of which are residents
303346 22 of this State, except a corporation subject to
304347 23 substantially the same requirements in its state of
305348 24 organization as is a domestic company under Article VIII
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316359 1 1/2 of the Illinois Insurance Code.
317360 2 (Source: P.A. 101-81, eff. 7-12-19; 101-281, eff. 1-1-20;
318361 3 101-393, eff. 1-1-20; 101-625, eff. 1-1-21; 102-30, eff.
319362 4 1-1-22; 102-203, eff. 1-1-22; 102-306, eff. 1-1-22; 102-642,
320363 5 eff. 1-1-22; 102-731, eff. 1-1-23; 102-775, eff. 5-13-22;
321364 6 102-813, eff. 5-13-22; 102-816, eff. 1-1-23; 102-860, eff.
322365 7 1-1-23; 102-1093, eff. 1-1-23; revised 12-13-22.)
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328- HB2088 Engrossed - 10 - LRB103 04781 BMS 49791 b
371+ HB2088 - 10 - LRB103 04781 BMS 49791 b