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SB2405Introduced in the Senate

INS-SURPRISE BILL PROTECT

IntroducedSenate Assignments

Introduced by Ram Villivalam, District 8

What does this bill do?

Plain-English breakdown

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Official description

Amends the Illinois Insurance Code to create the Consumer Protection from Surprise Health Care Billing Act. Provides that, on or after July 1, 2025, notwithstanding any other applicable provision, when a beneficiary, insured, or enrollee receives services from a nonparticipating ground ambulance service provider, the health insurance issuer shall ensure that the beneficiary, insured, or enrollee shall incur no greater out-of-pocket costs than the beneficiary, insured, or enrollee would have incurred with a participating ground ambulance service provider. Provides that any cost-sharing requirements shall be applied as though the services provided by the nonparticipating ground ambulance service provider had been provided by a participating ground ambulance service provider. Sets forth provisions concerning payment for ground ambulance services; calculating the recognized amount; limitations for the cost sharing amount for any occurrence in which a ground ambulance service is provided to a beneficiary; appeals for payments made by health insurance issuers; the maximum allowable payment amounts, by individual service types, for nonparticipating ground ambulance service providers owned, operated, or controlled by a private organization; and payments to nonparticipating ground ambulance service providers owned, operated, or controlled, by a unit of government which participates in the Ground Emergency Medical Transportation program administered by the Department of Healthcare and Family Services. Makes conforming changes. Provides that the failure by a health insurance issuer to comply with the specified requirements constitutes an unlawful practice under the Consumer Fraud and Deceptive Business Practices Act and enforcement authority is granted to the Attorney General. Amends the Health Maintenance Organization Act and the Consumer Fraud and Deceptive Business Practices Act to make corresponding changes. Effective July 1, 2025.

Where it stands

Senate Floor Amendment No. 3 Pursuant to Senate Rule 3-9(b) / Referred to Assignments

July 2, 2025

How did lawmakers vote?

SenateStage: Senate Insurance Committee · May 20, 2025

13

Yes

0

No

1

Absent or Not Voting

14 senators recorded in this Senate vote. Colors show vote categories only, not whether a vote was good or bad.

What do people think?

Citizen Voice

How would you vote on this bill?

An unofficial public opinion poll. It does not affect the bill or the official vote.

One response per device. Location is self-reported and not verified. Results are informal and not a scientific survey.

See how each senator voted

Bill history

  1. Filed with Secretary by Sen. Ram Villivalam

  2. First Reading

  3. Referred to Assignments

  4. Added as Chief Co-Sponsor Sen. Graciela Guzmán

  5. Assigned to Insurance

  6. Added as Co-Sponsor Sen. Laura Fine

  7. Added as Co-Sponsor Sen. Cristina Castro

  8. Postponed - Insurance

  9. Added as Co-Sponsor Sen. Sara Feigenholtz

  10. Added as Co-Sponsor Sen. Bill Cunningham

  11. Added as Co-Sponsor Sen. Willie Preston

  12. Added as Co-Sponsor Sen. Robert Peters

  13. Rule 2-10 Committee Deadline Established As April 4, 2025

  14. Added as Co-Sponsor Sen. Suzy Glowiak Hilton

  15. Added as Co-Sponsor Sen. Napoleon Harris III

  16. Do Pass Insurance; 012-000-000

  17. Placed on Calendar Order of 2nd Reading April 3, 2025

  18. Added as Chief Co-Sponsor Sen. Willie Preston

  19. Added as Co-Sponsor Sen. Mike Porfirio

  20. Added as Co-Sponsor Sen. Celina Villanueva

  21. Added as Co-Sponsor Sen. Javier L. Cervantes

  22. Added as Co-Sponsor Sen. Mike Simmons

  23. Added as Co-Sponsor Sen. Mary Edly-Allen

  24. Added as Co-Sponsor Sen. Adriane L. Johnson

  25. Added as Co-Sponsor Sen. Rachel Ventura

  26. Added as Co-Sponsor Sen. Karina Villa

  27. Added as Co-Sponsor Sen. Robert F. Martwick

  28. Added as Co-Sponsor Sen. Linda Holmes

  29. Added as Co-Sponsor Sen. David Koehler

  30. Senate Floor Amendment No. 1 Filed with Secretary by Sen. Ram Villivalam

  31. Senate Floor Amendment No. 1 Referred to Assignments

  32. Second Reading

  33. Placed on Calendar Order of 3rd Reading April 10, 2025

  34. Added as Co-Sponsor Sen. Doris Turner

  35. Added as Co-Sponsor Sen. Michael W. Halpin

  36. Added as Co-Sponsor Sen. Michael E. Hastings

  37. Added as Co-Sponsor Sen. Mattie Hunter

  38. Added as Co-Sponsor Sen. Chapin Rose

  39. Rule 2-10 Third Reading Deadline Established As May 9, 2025

  40. Added as Co-Sponsor Sen. Erica Harriss

  41. Senate Floor Amendment No. 1 Assignments Refers to Insurance

  42. Added as Co-Sponsor Sen. Lakesia Collins

  43. Senate Floor Amendment No. 2 Filed with Secretary by Sen. Ram Villivalam

  44. Senate Floor Amendment No. 2 Referred to Assignments

  45. Rule 2-10 Third Reading Deadline Established As May 23, 2025

  46. Senate Floor Amendment No. 2 Assignments Refers to Insurance

  47. Senate Floor Amendment No. 3 Filed with Secretary by Sen. Ram Villivalam

  48. Senate Floor Amendment No. 3 Referred to Assignments

  49. Senate Floor Amendment No. 3 Assignments Refers to Insurance

  50. Added as Co-Sponsor Sen. Terri Bryant

  51. Added as Co-Sponsor Sen. John F. Curran

  52. Senate Floor Amendment No. 3 Recommend Do Adopt Insurance; 013-000-000

  53. Added as Co-Sponsor Sen. Seth Lewis

  54. Rule 2-10 Third Reading Deadline Established As June 1, 2025

  55. Added as Co-Sponsor Sen. Chris Balkema

  56. Rule 3-9(a) / Re-referred to Assignments

  57. Senate Floor Amendment No. 1 Pursuant to Senate Rule 3-9(b) / Referred to Assignments

  58. Senate Floor Amendment No. 2 Pursuant to Senate Rule 3-9(b) / Referred to Assignments

  59. Senate Floor Amendment No. 3 Pursuant to Senate Rule 3-9(b) / Referred to Assignments

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