ISMS Applauds Introduction of New Rules to Strengthen Illinois’ Network Adequacy Law

April 8, 2022

New regs come on heels of recent Springfield activity to further legislate network adequacy

The Illinois Department of Insurance (DOI) recently released rules to further strengthen the protections provided under the Network Adequacy and Transparency Act (NAT Act), which ISMS has long requested. The rules are being formally filed today, April 8 and ISMS is reviewing. The rules are not final at this stage, and the ISMS will continue to advocate for physicians during the rules process.

ISMS applauds the DOI for putting forth these rules.

Lawmaker’s effort to expand the scope of the NAT Act fails

A recent proposal to further strengthen the ISMS-backed NAT Act failed in the Illinois House on Wednesday. House Bill 1463 (House Amendment 1) would have created additional transparency around the enforcement mechanisms of the NAT Act. Although the bill garnered a majority of those voting, 50 House members chose not to vote, which effectively killed the bill. We are hopeful similar protections will advance in the future, but in the meantime, we are very pleased to see rules to enforce the NAT Act move forward.

If you have questions, please contact ISMS Senior Vice President of State Legislative Affairs Erin O'Brien by email.