TRANSPARENCY IN DOWNCODING ACT
Summary
This Illinois bill prohibits health insurance companies from using automated systems to reduce claim payments (a practice called "downcoding") and requires that any downcoding decisions be made by a licensed physician in the same medical specialty as the treating doctor. The law also bans downcoding based solely on diagnosis codes or discriminatory practices targeting physicians who treat complex or chronic conditions, and establishes notification and appeal rights for affected patients, with enforcement by the Department of Insurance including potential fines and license suspension for violations.
Sponsor
Last action
Added Alternate Co-Sponsor Rep. Rick Ryan
May 22, 2026
Topics
Co-sponsors (17)
Legislative history
Added Alternate Co-Sponsor Rep. Rick Ryan
Added Alternate Co-Sponsor Rep. Nicolle Grasse
Added Alternate Co-Sponsor Rep. Dagmara Avelar
Added Alternate Co-Sponsor Rep. Ryan Spain
Added Alternate Chief Co-Sponsor Rep. William E Hauter
Added Alternate Chief Co-Sponsor Rep. Jeff Keicher
Added Alternate Chief Co-Sponsor Rep. Katie Stuart
Added Alternate Co-Sponsor Rep. Dave Vella
Added as Co-Sponsor Sen. Chris Balkema
First Reading
Referred to Rules Committee
Assigned to Insurance Committee
Committee/Final Action Deadline Extended-9(b) May 31, 2026
Recalled to Second Reading
Senate Floor Amendment No. 1 Adopted; Koehler
Senate Floor Amendment No. 2 Adopted; Koehler
Placed on Calendar Order of 3rd Reading
Third Reading - Passed; 059-000-000
Added as Co-Sponsor Sen. Michael W. Halpin
Added as Co-Sponsor Sen. Mike Simmons
Arrived in House
Chief House Sponsor Rep. Sharon Chung
Senate Floor Amendment No. 2 Recommend Do Adopt Insurance; 013-000-000
Senate Floor Amendment No. 2 Assignments Refers to Insurance
Rule 2-10 Third Reading Deadline Established As May 15, 2026
Senate Floor Amendment No. 2 Filed with Secretary by Sen. David Koehler
Senate Floor Amendment No. 2 Referred to Assignments
Rule 2-10 Third Reading Deadline Established As May 8, 2026
Senate Floor Amendment No. 1 Assignments Refers to Insurance
Senate Floor Amendment No. 1 Recommend Do Adopt Insurance; 011-000-000
Added as Co-Sponsor Sen. Lakesia Collins
Senate Floor Amendment No. 1 Filed with Secretary by Sen. David Koehler
Senate Floor Amendment No. 1 Referred to Assignments
Added as Co-Sponsor Sen. Elgie R. Sims, Jr.
Added as Co-Sponsor Sen. Rachel Ventura
Second Reading
Placed on Calendar Order of 3rd Reading March 24, 2026
Do Pass Insurance; 010-000-000
Placed on Calendar Order of 2nd Reading March 12, 2026
Added as Co-Sponsor Sen. Napoleon Harris, III
Added as Co-Sponsor Sen. Sue Rezin
Added as Chief Co-Sponsor Sen. Robert Peters
Added as Co-Sponsor Sen. Sally J. Turner
Postponed - Insurance
Added as Co-Sponsor Sen. Doris Turner
Added as Co-Sponsor Sen. Mike Porfirio
Added as Co-Sponsor Sen. Meg Loughran Cappel
Added as Chief Co-Sponsor Sen. Cristina Castro
Added as Co-Sponsor Sen. Linda Holmes
Added as Co-Sponsor Sen. Ram Villivalam
Added as Co-Sponsor Sen. Paul Faraci
Added as Co-Sponsor Sen. Suzy Glowiak Hilton
Added as Co-Sponsor Sen. Christopher Belt
Added as Co-Sponsor Sen. Graciela Guzmán
Added as Co-Sponsor Sen. Andrew S. Chesney
Added as Chief Co-Sponsor Sen. Julie A. Morrison
Added as Co-Sponsor Sen. Laura Fine
Postponed - Insurance
Assigned to Insurance
Filed with Secretary by Sen. David Koehler
First Reading
Referred to Assignments