ILL LEG Network Adequacy Specialists


On May 24, ILL LEG passed bill re network adequacy specialists.


  • ILL LEG passed Bill SB 2641 to amend the Network adequacy and transparency act.
  • Network Adequacy
  • Amends Illinois Compiled Statutes, ILL INS 215-124/10 so that as of Jan. 1, 2026, insurers will show that in-network hospital has at least one radiologist, pathologist.
  • Also anesthesiologist, emergency room physician as preferred providers in the plan.
  • The Department may require additional types of hospital-based medical specialists.
  • Legislative History
  • On Nov. 8, 2023, bill introduced in Senate; on Apr. 11, 2024, bill passed Senate.
  • On Apr. 12, 2024, bill introduced in House; on May 21, 2024, amended bill passed.
  • On May 24, 2024, Senate concurred with amendments; pending delivery to governor.
  • Effectiveness
  • Illinois bills passed before Jun. 1 take effect Jan. 1 of the next year, on Jan. 1, 2025.
  • Aug. 2024 ILL LEG Governor Approval
  • On Aug. 9, 2024, ILL LEG stated governor approved SB 2641 as Public Act 103-0906.

Regulators ILL LEG
Entity Types Ins
Reference Public Act 103-0906, 8/9/2024; Bill SB2641, 5/24/2024; Citation: ILL INS 215-124/10;
Functions Compliance; HR; Legal; Operations; Reporting
Countries United States of America
Category
State
Products Insurance; Insurance-Health
Regions Am
Rule Type Final
Rule Date 5/24/2024
Effective Date 1/1/2025
Rule Id 213532
Linked to N/A
Reg. Last Update 8/9/2024
Report Section US Insurance

Last substantive update on 08/14/2024