Illinois legislation · 104th General Assembly
Illinois HB5393: LIMITED HEALTH SERVICE ORGS
Status: Signed into law, July 10, 2026
Amends the Limited Health Service Organization Act. Makes changes to defined terms. In provisions concerning the offering of a point-of-sale contract by a limited health service organization (LHSO), removes a provision requiring the LHSO to include an annual maximum benefit allowance not to exceed $2,500 per year that is separate from any limits or allowances applied to in-plan services. Provides that, if an LHSO expends in any calendar quarter more than 20% of its total limited health services expenditures for all its members for out-of-plan covered services, then specified limitations shall not apply subject to the LHSO minimum capital and surplus requirements applicable to a life, accident, and health insurance company. Makes other changes.
What the bill says
A bill FOR 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026HB5393Introduced 2/10/2026, by Rep. Ann M. WilliamsSYNOPSIS AS INTRODUCED: ILCS 130/1002from Ch. 73, par. 1501-2215 ILCS 130/3009from Ch. 73, par. 1503-9 215 ILCS 130/1002 from Ch. 73, par. 1501-2 215 ILCS 130/3009 from Ch. 73, par. 1503-9 ILCS 130/1002 from Ch. 73, par. 1501-2 ILCS 130/3009 from Ch. 73, par. 1503-9 Amends the Limited Health Service Organization Act. Makes changes todefined terms…
From the introduced text, February 6, 2026:
A BILL FOR 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026HB5393Introduced 2/10/2026, by Rep. Ann M. WilliamsSYNOPSIS AS INTRODUCED: ILCS 130/1002from Ch. 73, par. 1501-2215 ILCS 130/3009from Ch. 73, par. 1503-9 215 ILCS 130/1002 from Ch. 73, par. 1501-2 215 ILCS 130/3009 from Ch. 73, par. 1503-9 ILCS 130/1002 from Ch. 73, par. 1501-2 ILCS 130/3009 from Ch. 73, par. 1503-9 Amends the Limited Health Service Organization Act. Makes changes todefined terms. In provisions concerning the offering of a point-of-salecontract by a limited health service organization (LHSO), removes aprovision requiring the LHSO to include an annual maximum benefitallowance not to exceed $2,500 per year that is separate from any limits orallowances applied to in-plan services. Provides that, if an LHSO expendsin any calendar quarter more than 20% of its total limited health servicesexpenditures for all its members for out-of-plan covered services, thenspecified limitations shall not apply subject to the LHSO minimum capitaland surplus requirements applicable to a life, accident, and healthinsurance company. Makes other changes. LRB104 18114 BAB 31553 b LRB104 18114 BAB 31553 b LRB104 18114 BAB 31553 b A BILL FOR HB5393LRB104 18114 BAB 31553 b HB5393 LRB104 18114 BAB 31553 b HB5393 LRB104 18114 BAB 31553 b AN ACT concerning regulation. Be it enacted by the People of the State of Illinois, represented in the General …
Sponsors
- Ann M. Williams (D, 11) · primary sponsor
- Daniel Didech (D, 59)
- Bob Morgan (D, 58)
- Cristina Castro (D, 22) · primary sponsor
Latest actions
- : Public Act . . . . . . . . . 104-0562
- : Effective Date January 1, 2027
- : Governor Approved
- : Sent to the Governor
- : Passed Both Houses
- : House Concurs
- : Senate Floor Amendment No. 1 House Concurs 116-000-000
- : Senate Floor Amendment No. 1 Motion to Concur Recommends Be Adopted Insurance Committee; 016-000-000
- : Added Chief Co-Sponsor Rep. Bob Morgan
- : Senate Floor Amendment No. 1 Motion to Concur Rules Referred to Insurance Committee
Votes
- Senate Floor Amendment No. 1 House Concurs (May 31, 2026): 116 yea, 0 nay, passed
- Senate Floor Amendment No. 1 Motion to Concur Recommends Be Adopted Insurance Committee (May 29, 2026): 16 yea, 0 nay, passed
- Third Reading - Passed (May 28, 2026): 58 yea, 0 nay, passed
- Do Pass Insurance (April 29, 2026): 9 yea, 0 nay, passed
- Third Reading - Short Debate - Passed (April 9, 2026): 98 yea, 0 nay, passed
- Do Pass / Short Debate Insurance Committee (March 24, 2026): 15 yea, 0 nay, passed
Subjects: ILCS 215 - Insurance
Common questions
- What is HB5393?
- HB5393 is a bill in the Illinois Legislature (104th General Assembly): LIMITED HEALTH SERVICE ORGS.
- What does HB5393 do?
- In its own words: A bill FOR 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026HB5393Introduced 2/10/2026, by Rep. Ann M. WilliamsSYNOPSIS AS INTRODUCED: ILCS 130/1002from Ch. 73, par. 1501-2215 ILCS 130/3009from Ch. 73, par. 1503-9 215 ILCS 130/1002 from Ch. 73, par. 1501-2 215 ILCS 130/3009 from Ch. 73, par. 1503-9 ILCS 130/1002 from Ch. 73, par. 1501-2 ILCS 130/3009 from Ch. 73, par. 1503-9 Amends the Limited Health Service Organization Act. Makes changes todefined terms…
- What is the status of HB5393?
- Signed into law as of July 10, 2026. Latest action: Public Act . . . . . . . . . 104-0562 (July 10, 2026).
- Who sponsored HB5393?
- Ann M. Williams (D, 11), with 3 co-sponsors.
- Where is the official record for HB5393?
- On the Illinois Legislature website: https://www.ilga.gov/Legislation/BillStatus?DocNum=5393&GAID=18&DocTypeID=HB&SessionID=114
Source: official Illinois record. Tracked by Delilah, AI for legislation across all 50 states and Congress.