Substitute for S.B. No. 10
Session Year 2025
 


AN ACT CONCERNING HEALTH INSURANCE AND PATIENT PROTECTION.

To: (1) Establish (A) certain reporting requirements and enforcement provisions concerning compliance with mental health and substance use disorder benefit laws, and (B) the parity advancement account; (2) require health carriers to bear the burden of proving that certain health care services under adverse determination or utilization review are not medically necessary; (3) establish certain prohibitions on the use of step therapy for prescription drugs; (4) require health carriers to include certain provisions in contracts with health care providers regarding reimbursement for certain covered health benefits; (5) establish certain requirements concerning stop loss insurance policies for health care or medical benefits under any self-funded employee health benefit plan; (6) establish certain health insurance rate filing requirements and require that the Insurance Commissioner adopt regulations concerning affordability in rate filing; (7) prohibit the use of artificial intelligence to make an adverse determination based on medical necessity; and (8) prohibit any individual or group health insurance policy from imposing (A) arbitrary time limits on reimbursement for general anesthesia services, or (B) unilateral arbitrary limitations on reimbursement for medically necessary ancillary services.

Introduced by:
Insurance and Real Estate Committee

 New today  2-4 days old  5 days & older
   Committee Actions
 APP Joint Fav. Rpt
 APP Vote Tally Sheet (Joint Favorable)
 JUD Joint Fav. Rpt
 JUD Vote Tally Sheet (Joint Favorable)
 INS Joint Fav. Rpt
 INS Vote Tally Sheet-A
 INS Vote Tally Sheet (Joint Favorable Substitute)
 INS Vote Tally Sheet (Vote to Draft)
   Fiscal Notes
 Fiscal Note for Amendment LCO 10230 (No Fiscal Impact)
 Fiscal Note for Amendment LCO 8995 (See Fiscal Note Details)
 Fiscal Note for Amendment LCO 8980 (Reduces Cost In Bill)
 Fiscal Note for Amendment LCO 8935 (See Fiscal Note Details)
 Fiscal Note for Amendment LCO 8951 (Eliminates Fiscal Impact in Bill)
 Fiscal Note for Amendment LCO 8940 (See Fiscal Note Details)
 Fiscal Note for Amendment LCO 8938 (Eliminates Fiscal Impact in Bill)
 Fiscal Note for Amendment LCO 8953 (Savings)
 Fiscal Note for Amendment LCO 8944 (Savings)
 Fiscal Note for Amendment LCO 8941 (See Fiscal Note Details)
 Fiscal Note for Amendment LCO 8943 (Eliminates Fiscal Impact in Bill)
 Fiscal Note for Amendment LCO 8927 (See Fiscal Note Details)
 Fiscal Note for Amendment LCO 8937 (No Fiscal Impact)
 Fiscal Note for Amendment LCO 8932 (See Fiscal Note Details)
 Fiscal Note for Amendment LCO 8930 (See Fiscal Note Details)
 Fiscal Note for Amendment LCO 8939 (Reduces Cost In Bill)
 Fiscal Note for Amendment LCO 8934 (Eliminates Fiscal Impact in Bill)
 Fiscal Note for Amendment LCO 8638 (See Fiscal Note Details)
 Fiscal Note for Amendment LCO 8138 (See Fiscal Note Details)
 Fiscal Note for SB-10, As Amended by Senate "A" (LCO 8995)
 Fiscal Note For File Copy 419
   Bill Analyses
 Bill Analysis for SB-10, as amended by Senate "A"
 Bill Analysis For File Copy 419
 Summary for Public Act No. 25-94
  View or Add Notes to SB-10

Add Notes to SB-10

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Co-sponsors for Amendment LCO:

Bill History

 Date Action Taken
 6/24/2025Signed by the Governor
 6/23/2025Transmitted by Secretary of the State to Governor
 6/23/2025Transmitted to the Secretary of State
 6/11/2025(LCO)Public Act 25-94
 6/2/2025In Concurrence
 6/2/2025House Passed as Amended by Senate Amendment Schedule A
 6/2/2025House Adopted Senate Amendment Schedule A
 6/2/2025House Rejected House Amendment Schedule A 10230
 5/23/2025House Calendar Number 632
 5/23/2025Favorable Report, Tabled for the Calendar, House
 5/21/2025Senate Passed as Amended by Senate Amendment Schedule A
 5/21/2025Senate Adopted Senate Amendment Schedule A 8995
 5/13/2025Favorable Report, Tabled for the Calendar, Senate
 5/13/2025No New File by Committee on Appropriations
 5/13/2025(LCO)Reported Out of Legislative Commissioners' Office
 5/13/2025(LCO)Filed with Legislative Commissioners' Office
 5/12/2025(APP)Joint Favorable
 5/8/2025Immediate Transmittal
 5/8/2025Referred by Senate to Committee on Appropriations
 5/7/2025Favorable Report, Tabled for the Calendar, Senate
 5/7/2025No New File by Committee on Judiciary
 5/7/2025(LCO)Reported Out of Legislative Commissioners' Office
 5/6/2025(LCO)Filed with Legislative Commissioners' Office
 5/6/2025(JUD)Joint Favorable
 5/1/2025Referred by Senate to Committee on Judiciary
 4/2/2025(LCO)File Number 419
 4/2/2025Senate Calendar Number 241
 4/2/2025Favorable Report, Tabled for the Calendar, Senate
 4/2/2025(LCO)Reported Out of Legislative Commissioners' Office
 3/27/2025(LCO)Referred to Office of Legislative Research and Office of Fiscal Analysis 04/01/25 5:00 PM
 3/17/2025(LCO)Filed with Legislative Commissioners' Office
 3/13/2025(INS)Joint Favorable Substitute
 2/28/2025Public Hearing 03/06
 2/26/2025Referred to Joint Committee on Insurance and Real Estate
 2/25/2025Drafted by Committee
 1/21/2025(INS)Vote to Draft
 1/8/2025Referred to Joint Committee on Insurance and Real Estate

Co-sponsors of SB-10

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