Illinois HB 3782: PRIOR AUTHORIZATION APPROVAL

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
HB3782

Introduced 2/18/2025, by Rep. Sonya M. Harper 

SYNOPSIS AS INTRODUCED:

215 ILCS 200/65

 Amends the Prior Authorization Reform Act. Provides that a chronic health condition is a condition that is expected to last on year or more and requires ongoing medical attention to effectively manage the condition or prevent an adverse health event limits one or more activities of daily living. Replaces "chronic or long-term condition" with "chronic health condition". Provides that, if a health insurance issuer requires a prior authorization for a recurring health care service or maintenance medication for the treatment of a chronic health condition, the approval shall remain valid from the date the health care professional or health care provider receives the prior authorization approval for the duration of the chronic health condition or the length of the treatment, as determined by the patient's health care professional, unless the standard of treatment for that health condition changes.

LRB104 09217 BAB 19274 b

A BILL FOR

HB3782LRB104 09217 BAB 19274 b

1 AN ACT concerning regulation.

2 Be it enacted by the People of the State of Illinois, 

3represented in the General Assembly:

4 Section 5. The Prior Authorization Reform Act is amended 

5by changing Section 65 as follows:

6 (215 ILCS 200/65)

7 Sec. 65. Length of prior authorization approval for 

8treatment for chronic health or long-term conditions. A 

9chronic health condition is a condition that is expected to 

10last one year or more and: (1) requires ongoing medical 

11attention to effectively manage the condition or prevent an 

12adverse health event; or (2) li