Hirschauer backs HB5393 to revise standards for limited health service organizations

Rep. Maura Hirschauer (D-49th) supported HB5393 with a Yes vote during the 104th General Assembly on May 31, 2026, as reported by the Illinois House. The measure passed with unanimous consent in the House, registering a 116-0 vote.

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

The following analysis is based on the bill’s text and serves to clarify its intent and provisions.

Mainly, the legislation updates the definitions and standards for limited health service organizations, or LHSOs, providing point-of-service contracts. It clarifies distinctions between covered services inside and outside of plan networks, and updates terminology tied to limited health care plans and services. The law eliminates the mandate for LHSOs to maintain a separate annual maximum benefit of up to $2,500 for services rendered out-of-plan. Furthermore, it adjusts enforcement of spending caps: if an LHSO exceeds 20% of its total expenditures on out-of-plan care in a quarter, certain compliance penalties would not apply as long as the group maintains capital and surplus benchmarks for life, accident and health insurers.

The action taken for HB5393 reads: 'Senate Floor Amendment No. 1 House Concurs.'

Hirschauer earned her bachelor's degree from Colby College.

As a Democrat, Hirschauer was elected to represent Illinois’ 49th House District in 2021, succeeding former state Rep. Karina Villa.

In Illinois, legislation must pass through a multi-step legislative process, which starts with a measure’s introduction, moves through committee consideration, debates, and votes in both chambers, and culminates in the governor's decision to approve or veto. Illinois' General Assembly meets over a biennial term, with thousands of measures introduced but only a limited number successfully progressing to become law.