Illinois HB 3721: INS OUT-OF-NETWORK EMERGENCY

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
HB3721

Introduced 2/18/2025, by Rep. Harry Benton 

SYNOPSIS AS INTRODUCED:

5 ILCS 375/6.11

55 ILCS 5/5-1069.3

65 ILCS 5/10-4-2.3

105 ILCS 5/10-22.3f

215 ILCS 5/356z.80 new

215 ILCS 125/5-3 from Ch. 111 1/2, par. 1411.2

215 ILCS 130/4003 from Ch. 73, par. 1504-3

215 ILCS 165/10 from Ch. 32, par. 604

305 ILCS 5/5-16.8

 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.

LRB104 09690 BAB 19756 b

A BILL FOR

HB3721LRB104 09690 BAB 19756 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 State Employees Group Insurance Act of 1971 

5is amended by changing Section 6.11 as follows:

6 (5 ILCS 375/6.11)

7 Sec. 6.11. Required health benefits; Illinois Insurance 

8Code requirements. The program of health benefits shall 

9provide the post-mastectomy care benefits required to be 

10covered by a policy of accident and health