HB 5393 Illinois House · 104th Regular Session

LIMITED HEALTH SERVICE ORGS

Summary
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.
Bill status signed all 5 stages cleared
Introduction
Apr 2026
Committee Review
May 2026
House Passage
May 2026
Senate Passage
May 2026
Signed into Law
Jul 2026
Introduced Apr 10, 2026 Signed Jul 10, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed Enrolled · 2 edits · Jul 10, 2026
MINOR
The bill was finalized as an Enrolled version, incorporating minor formatting corrections and adding 'health maintenance organization' to the definition of 'Organization' to clarify its scope. The substantive definitions regarding covered services and provider exclusions remain consistent with the previous Engrossed version.
Scope change
The scope of the bill's applicability was slightly expanded by explicitly including health maintenance organizations within the definition of 'Organization'.
DEFINITION

The definition of 'Organization' was updated to explicitly include 'health maintenance organization' alongside insurance companies and limited health service organizations.

TECHNICAL

Minor formatting adjustments were made to the page headers and line breaks throughout the text to finalize the document for printing.

Floor votes · Senate May 28, 2026 · House Apr 9, 2026

How they voted

570
Passed · 1 other
Total votes 58
May 28, 2026
D Democratic39
38 Yea 1
97% Yea
R Republican19
19 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
42
Key actions
8
Committee
10
Amendments
6
Jul 10, 2026
Signed into law
Governor Approved
lower
May 31, 2026
Lower · Passed
Passed Both Houses
lower
May 31, 2026
Introduced
Senate Floor Amendment No. 1 House Concurs 116-000-000
lower
May 29, 2026
Lower · Passed
Senate Floor Amendment No. 1 Motion to Concur Recommends Be Adopted Insurance Committee; 016-000-000
lower
May 29, 2026
Committee
Senate Floor Amendment No. 1 Motion to Concur Rules Referred to Insurance Committee
lower
May 28, 2026
Committee
Senate Floor Amendment No. 1 Motion to Concur Referred to Rules Committee
lower
May 28, 2026
Introduced
Senate Floor Amendment No. 1 Motion Filed Concur Rep. Ann M. Williams
lower
May 28, 2026
Introduced
Placed on Calendar Order of Concurrence Senate Amendment(s) 1
lower
May 28, 2026
Introduced
Arrived in House
lower
May 28, 2026
Upper · Passed
Third Reading - Passed; 058-000-000
upper
May 28, 2026
Upper · Passed
Senate Floor Amendment No. 1 Adopted; Castro
upper
May 13, 2026
Introduced
Senate Floor Amendment No. 1 Be Approved for Consideration Assignments
upper
May 12, 2026
Committee
Senate Floor Amendment No. 1 Referred to Assignments
upper
May 12, 2026
Introduced
Senate Floor Amendment No. 1 Filed with Secretary by Sen. Cristina Castro
upper
Apr 29, 2026
Upper · Passed
Do Pass Insurance; 009-000-000
upper
Apr 22, 2026
Committee
Assigned to Insurance
upper
Apr 10, 2026
Committee
Referred to Assignments
upper
Apr 10, 2026
Introduced
Arrive in Senate
upper
Apr 9, 2026
Lower · Passed
Third Reading - Short Debate - Passed 098-000-000
lower
Mar 24, 2026
Lower · Passed
Do Pass / Short Debate Insurance Committee; 015-000-000
lower
Mar 18, 2026
Committee
Assigned to Insurance Committee
lower
Feb 10, 2026
Committee
Referred to Rules Committee
lower
2 primary · 2 co-sponsors

Sponsors