HB1331

NETWORK ADEQUACY-GENETIC MED

Complete·8/15/25

Illinois HB1331 establishes network adequacy standards for timely access to mental health and genetic medicine treatment.

Illinois HB1331 amends the Network Adequacy and Transparency Act to set network adequacy standards for timely access to mental health and genetic medicine treatment. Beneficiaries in certain counties must not travel more than 30 minutes or 30 miles for outpatient mental health treatment, and no more than 60 minutes or 60 miles for inpatient treatment. Insurers must ensure beneficiaries can access genetic medicine within these travel limits. The bill also mandates minimum provider ratios for various medical specialties and requires insurers to report any material changes to their network plans.

Included in complete analysis

  • Overview
  • Core Provisions
  • Implementation
  • Impact
  • Legal Framework
  • Critical Issues

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Sponsors

DDDD
4
0
Democratic CaucusRepublican Caucus

Roll Call Votes

58 Yea

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0 Nay

1 Not Voting

D

Calendar

Apr 30, 2025

11:00 AM

Insurance Committee Hearing

Mar 18, 2025

2:00 PM

Insurance Committee Hearing

History

Aug 15, 2025

House

Governor Approved

Aug 15, 2025

House

Effective Date January 1, 2026

Aug 15, 2025

House

Public Act . . . . . . . . . 104-0175