Blair-Sherlock supports HB5393 to revise regulations for limited health service organizations

Rep. Diane Blair-Sherlock (D-46th) cast a Yes vote on HB5393 during the 104th General Assembly on May 31, 2026, updating regulatory guidelines for limited health service organizations, as reported by the Illinois House; the House passed the legislation unanimously with 116 votes.

The official summary of the bill is: "LIMITED HEALTH SERVICE ORGS."

Below is a summary of the bill’s main components, derived directly from its text and clarified for readability.

This legislation revises and clarifies definitions and regulations for limited health service organizations (LHSOs) that provide point-of-service agreements. It further specifies in-plan and out-of-plan covered services, updates terms surrounding limited health plans, and eliminates a provision requiring LHSOs to offer a separate annual $2,500 maximum benefit for out-of-plan care. The bill modifies how providers track out-of-plan spending, stating that LHSOs exceeding 20% of total service expenditures on out-of-plan care in a quarter will not face certain penalties if they comply with capital and surplus requirements for life, accident, and health insurers.

HB5393's action in the record reads, 'Senate Floor Amendment No. 1 House Concurs'.

Blair-Sherlock holds an AA from College of DuPage (1985), a BS from Northern Illinois University (1987), and a JD from John Marshall Law School (1993).

Elected in 2023 to represent Illinois' 46th House District, Blair-Sherlock succeeded former representative Deborah Conroy as a member of the Democratic Party in the Illinois State House.

In Illinois, bills undergo a multi-step legislative process, which involves an introduction in either the House or Senate, committee consideration, floor debate, and votes in both chambers before being sent to the governor for signing or veto. The General Assembly meets every two years and typically sees thousands of bills introduced each cycle, though only a portion are ultimately enacted.