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Illinois · HB2472 · 2023 session

INS-ADVERSE DETERMINATION

EnactedPublic Act . . . . . . . . . 103-0656 · Jul 19, 2024

In plain language

Requires that when a health plan's utilization review program uses an algorithmic automated process to evaluate medical necessity, only a clinical peer may make the resulting adverse determination and handle any subsequent appeal. Sets additional accreditation and evidence-based criteria requirements for utilization review programs that use such automated processes.

Summary generated by AI from the official bill text — may contain errors. Read the official text ↗ (opens in new tab)

Legislative history

40 actions · newest first
  1. Jul 19, 2024HousePublic Act . . . . . . . . . 103-0656
  2. Jul 19, 2024HouseEffective Date January 1, 2025
  3. Jul 19, 2024HouseGovernor Approved
  4. Jun 13, 2024HouseSent to the Governor
  5. May 15, 2024HousePassed Both Houses
  6. May 15, 2024SenateThird Reading - Passed; 057-000-000