DeLaRosa supports HB5393 to revise rules for limited health service organizations

Rep. Margaret A. DeLaRosa (D-42nd) supported HB5393, which aims to revise regulations for limited health service organizations, in the 104th General Assembly on May 31, 2026. The Illinois House reported the bill passed unanimously, with a 116-0 vote.

The bill's official text summarizes it as: "LIMITED HEALTH SERVICE ORGS."

The following summary interprets the bill text and may clarify details of its provisions.

HB5393 updates definitions and regulatory requirements for limited health service organizations (LHSOs) offering point-of-service contracts. It provides clearer distinctions between in-plan and out-of-plan covered services and amends the definitions relating to limited health care plans and offerings. The legislation eliminates the mandate for LHSOs to maintain a separate annual maximum benefit of up to $2,500 for out-of-plan coverage. Enforcement of spending limits on out-of-plan services is updated so that, if LHSOs allocate more than 20% of their limited health service spending to such services in a quarter, certain penalties and compliance measures are not imposed if capital and surplus requirements for life, accident and health insurers are satisfied.

The legislative record notes: 'Senate Floor Amendment No. 1 House Concurs.'

DeLaRosa earned her BS from DePaul University.

DeLaRosa, representing the 42nd House District, was elected to the Illinois State House in 2025, succeeding Terra Costa Howard.

An Illinois bill progresses through several legislative stages, beginning in either chamber, undergoing committee scrutiny, floor debates, and votes in both House and Senate, before reaching the governor's desk for approval or rejection. The General Assembly meets every two years, and out of thousands of proposed measures each session, only a portion ultimately become law.