HB3721
View on ILGAINS OUT-OF-NETWORK EMERGENCY
What this bill does
Amends the Illinois Insurance Code. Provides that any group or individual policy of accident and health insurance or managed care plan amended, delivered, issued, or renewed on or after January 1, 2027 shall provide coverage for emergency medical services delivered by an out-of-network provider on the same terms as coverage that would be provided for an in-network provider. Provides that this requirement does not apply if the services rendered are not covered for in-network providers. Amends the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, the Limited Health Service Organization Act, the Voluntary Health Services Plans Act, and the Illinois Public Aid Code to require coverage under those provisions.
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Pipeline Progress
Current stage: Floor Vote · Last action 547 days ago · STAGNANT
How does a bill become law in Illinois?
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Introduction of Bill
A member of the Senate or the House introduces a bill, which is assigned a unique identifying number (e.g., "H.B. ___" for House bills and "S.B. ___" for Senate bills). If not enacted, it must be reintroduced in the next General Assembly with a new number.
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Committee Work — Hearings
The bill goes to the appropriate committee, which holds hearings to gather expert opinions and determine the need for the legislation.
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Committee Work — Markup, Amendments, Report
The committee may make amendments to the bill. If approved, a committee report endorsing the bill is issued.
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Floor Debate
The bill is debated and can be further amended. The debate transcripts are accessible online for public viewing.
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Passage and Consideration in Second Chamber
If the bill passes in the first chamber, it moves to the second chamber for a similar review process. If both chambers approve, it goes to the governor.
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Gubernatorial Action
The governor can sign the bill into law, veto it, or take no action (resulting in an automatic law after 60 days). The type of veto can be total or amendatory. Once signed, the bill becomes a Public Act and is assigned a Public Act number.
Sponsor Context
Campaign finance
This is SBE campaign receipts to the people on this bill, not Moneyball and not earmarked to the bill.
Money is campaign receipts to matched candidate committees, not earmarked to this bill. Window 2025-01-01 – 2026-09-13.
Sponsor and voter funding
| Member | Role | Receipts | Total received | Top donors |
|---|---|---|---|---|
| Harry Benton | Chief sponsor | 116 | $145,193.89 | Bridge Structural & Reinforcing ($10,000.00); Chicago Land Operators Joint Labor-Mgmt PAC ($7,500.00); Local 444 IPAL Fund Ironworkers Local 444 ($7,500.00) |
| Camille Y. Lilly | Sponsor | 86 | $95,238.00 | Health Care Council of Illinois Political Action Comm. ($10,000.00); Liuna Chicago Laborers' District Council PAC ($7,500.00); Chicago Land Operators Joint Labor-Management PAC ($6,500.00) |
Overlapping donors
Donors who gave to more than one sponsor or voter on this bill. Still not earmarked to the bill.
| Donor | Members | Total |
|---|---|---|
| PhRMA | Camille Y. Lilly, Harry Benton | $2,500.00 |
| Teamsters Volunteers in Politics | Camille Y. Lilly, Harry Benton | $2,000.00 |
| Peoples Gas Light & Coke | Camille Y. Lilly, Harry Benton | $1,250.00 |
| Cozen O'Connor | Camille Y. Lilly, Harry Benton | $1,000.00 |
Top donors across these members
| Donor | Occupation | Employer | Receipts | Total |
|---|---|---|---|---|
| Bridge Structural & Reinforcing | — | — | 1 | $10,000.00 |
| Health Care Council of Illinois Political Action Comm. | — | — | 1 | $10,000.00 |
| Local 444 IPAL Fund Ironworkers Local 444 | — | — | 1 | $7,500.00 |
| Ironworkers District Council of Chicago & Vicinity | — | — | 1 | $7,500.00 |
| Chicago Land Operators Joint Labor-Mgmt PAC | — | — | 2 | $7,500.00 |
| Liuna Chicago Laborers' District Council PAC | — | — | 2 | $7,500.00 |
| PNC Bank | — | — | 20 | $7,343.89 |
| Chicago Land Operators Joint Labor-Management PAC | — | — | 1 | $6,500.00 |
| Ironworkers Local 395 IPAL | — | — | 1 | $5,000.00 |
| Architectural & Ornamental Iron Workers Union Local 63 IPAL PAC Fund | — | — | 1 | $5,000.00 |
| N & D Properties LLC | — | — | 1 | $5,000.00 |
| Illinois Laborers' Legislative Committee | — | — | 1 | $5,000.00 |
| ILL House Legislative Black Caucus PAC | — | — | 1 | $4,513.00 |
| Abbvie PAC | — | — | 2 | $4,500.00 |
| IHA Political Action Committee | — | — | 2 | $3,500.00 |
| LIUNA Chicago Laborers' District Council PAC | — | — | 1 | $3,000.00 |
| ABBVIE Political Action Committee | — | — | 2 | $3,000.00 |
| International Assoc of Bridge & Ornamental Iron Workers | — | — | 1 | $2,500.00 |
| Iron Workers Local Union 380 PAC | — | — | 1 | $2,500.00 |
| Iron Workers Local 498 | — | — | 1 | $2,500.00 |
| Machinery Movers Riggers & Machinery Erectors Local 136 | — | — | 1 | $2,500.00 |
| Administrative District Council 1 of Illinois | — | — | 1 | $2,500.00 |
| Illinois Laborers' Leg Comm | — | — | 1 | $2,500.00 |
| Ironworkers Local Union 111 | — | — | 1 | $2,500.00 |
| Realtor PAC | — | — | 1 | $2,500.00 |
Witness slips
9 slips filed. Proponent / opponent / no position as filed with the committee.
| Name | Organization | Representing | Position | Hearing committee | Hearing date |
|---|---|---|---|---|---|
| Aces Lira | AIDS Foundation Chicago | AIDS Foundation Chicago | Proponent | Insurance | 2025-03-20 |
| David Schwartz | Self | Self | Proponent | Insurance | 2025-03-20 |
| Jeanne Cameron | AFSCME Council 31 | AFSCME Council 31 | Proponent | Insurance | 2025-03-20 |
| Aces Lira | AIDS Foundation Chicago | AIDS Foundation Chicago | Proponent | Insurance | 2025-03-18 |
| Andrew Thornton | Illinois State Ambulance Association | Illinois State Ambulance Association | Proponent | Insurance | 2025-03-18 |
| David Schwartz | Self | Self | Proponent | Insurance | 2025-03-18 |
| Jeanne Cameron | AFSCME Council 31 | AFSCME Council 31 | Proponent | Insurance | 2025-03-18 |
| Kate Morthland | Illinois Life & Health Insurance Council | Illinois Life & Health Insurance Council | Opponent | Insurance | 2025-03-20 |
| Kate Morthland | Illinois Life & Health Insurance Council | Illinois Life & Health Insurance Council | Opponent | Insurance | 2025-03-18 |
Roll-call votes
Total votes and outcome per event. Deciding vote = margin of 1; those voters on the winning side could have changed the outcome by flipping.
| Date | Chamber | Type | Description | Yea | Nay | Present | NV | Outcome | Margin | Deciding voters |
|---|---|---|---|---|---|---|---|---|---|---|
| H | Committee | Insurance | 11 | 6 | 0 | 0 | Passed | 5 | — |
Action History
10 actions recorded. Last action: 2025-04-11 — Rule 19(a) / Re-referred toRules Committee. Each action's meaning and outcome signal are classified automatically.
All actions (table)
| Date | Chamber | Action | Category | Signal |
|---|---|---|---|---|
| 2025-02-07 | House | Filed with the Clerk byRep. Harry Benton House Rule 6(b) | Introduction & Filing | — |
| 2025-02-18 | House | First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38 | Introduction & Filing | — |
| 2025-02-18 | House | Referred toRules Committee Senate Rule 3-8(a); House Rule 18(a) | Committee Assignment | — |
| 2025-03-11 | House | Assigned toInsurance Committee Senate Rule 3-8(a); House Rule 18(b) | Committee Assignment | — |
| 2025-03-20 | House | Do Pass / Short DebateInsurance Committee; 011-006-000 Senate Rule 3-11(a)(1); House Rule 22(a)(1), 52(b) | Committee Action | Positive |
| 2025-03-21 | House | Placed on Calendar 2nd Reading - Short Debate Senate Rule 4-4(7-8)/5-2; House Rule 31(8-9)/38/52 | Floor Process | Positive |
| 2025-03-26 | House | Second Reading - Short Debate Senate Rule 3-12(a)/5-4(a); House Rule 24(a)/40(b)/52(a)(1) | Floor Process | Positive |
| 2025-03-26 | House | Held on Calendar Order of Second Reading - Short Debate Senate Rule 4-4(7-8)/5-2; House Rule 31(8-9)/38/52 | Floor Process | — |
| 2025-04-08 | House | Added Co-SponsorRep. Camille Y. Lilly Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-04-11 | House | Rule 19(a) / Re-referred toRules Committee House Rule 19(a); Senate analog: Rule 3-9(a) | Deadlines & Re-referrals | Mild − |