Yang Rohr backs HB5393 to revise limited health service organization regulations

Janet Yang Rohr, Illinois State Representative for the 41st District
Janet Yang Rohr, Illinois State Representative for the 41st District | www.repyangrohr.com
By H. J. Chang

State Rep. Janet Yang Rohr (D-41st) supported HB5393 during the 104th General Assembly on May 31, 2026, updating regulations for limited health service organizations. The Illinois House reported the bill cleared the chamber unanimously, 116-0.

The bill’s official summary designates the measure: "LIMITED HEALTH SERVICE ORGS."

The following summarizes and explains the bill’s contents based on the actual legislative text, with certain interpretations to clarify its provisions.

Fundamentally, HB5393 updates definitions and rules governing limited health service organizations (LHSOs), including those providing point-of-service contracts. The measure clarifies distinctions between in-plan and out-of-plan covered services, along with revising terminology related to limited health care plans and services. It eliminates the previous requirement for LHSOs to maintain a separate annual out-of-plan services benefit maximum of up to $2,500. Under the new provisions, if more than 20% of total quarterly expenditures by an LHSO are directed to out-of-plan services, penalty and compliance rules are waived if the organization meets capital and surplus standards for life, accident and health insurers.

The official action for HB5393 was recorded as 'Senate Floor Amendment No. 1 House Concurs'.

Rohr earned a BA from Northwestern University in 2002 and an MBA from the University of Chicago Booth School of Business in 2010.

Rohr, a Democrat, began serving in the Illinois State House in 2021 representing the 41st House District, succeeding Grant Wehrli as state representative.

In Illinois, proposed bills navigate a multi-stage legislative process, including initial introduction in either legislative chamber, committee consideration, floor debates, and votes by both the House and Senate before being sent to the governor for approval or veto. Operating on a biennial cycle, the General Assembly sees the introduction of thousands of bills each session, though only a select number are enacted.


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