HB1360 - 104th General Assembly
INS CD-ALZHEIMER'S TREATMENT
House Sponsors
Rep. Mary Gill - Nicholas K. Smith, Nicolle Grasse, Janet Yang Rohr, Michael Crawford, Lindsey LaPointe, Emanuel "Chris" Welch, Dagmara Avelar, Camille Y. Lilly, Anthony DeLuca and Martha Deuter
Statutes Amended In Order of Appearance
215 ILCS 125/5-3from Ch. 111 1/2, par. 1411.2
215 ILCS 130/4003from Ch. 73, par. 1504-3
215 ILCS 165/10from Ch. 32, par. 604
Synopsis As Introduced
Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or a managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2027 shall provide coverage for all medically necessary diagnostic testing and U.S. Food and Drug Administration-approved treatments or medications prescribed to slow the progression of Alzheimer's disease or another related dementia, in accordance with the U.S. Food and Drug Administration label, as determined by a physician licensed to practice medicine in all its branches. Provides that coverage of U.S. Food and Drug Administration-approved treatments or medications prescribed to slow the progression of Alzheimer's disease or another related dementia shall not be subject to step therapy. Amends the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, the Limited Health Service Organization Act, and the Voluntary Health Services Plans Act to require coverage under those provisions. Effective immediately.
House Committee Amendment No. 1
Specifies that nothing in provisions of the Illinois Insurance Code requiring coverage of certain treatments or medications prescribed to slow the progression of Alzheimer's disease or another related dementia prohibits a group or individual policy of accident and health insurance or managed care plan from requiring a pharmacist to effect substitutions of prescription drugs under certain provisions of the Pharmacy Practice Act.
House Floor Amendment No. 2
Adds reference to:
5 ILCS 375/6.11E
Replaces everything after the enacting clause with the provisions of the introduced bill with the following changes. Specifies that nothing in provisions of the Illinois Insurance Code requiring coverage of certain treatments or medications prescribed to slow the progression of Alzheimer's disease or another related dementia prohibits a group or individual policy of accident and health insurance or managed care plan from requiring a pharmacist to effect substitutions of prescription drugs under certain provisions of the Pharmacy Practice Act. Provides that the required coverage shall not apply to managed care plans that are under contract with the Department of Healthcare and Family Services. Amends the State Employees Group Insurance Act of 1971 to require the same coverage as provided under the Illinois Insurance Code for treatments to slow the progression of Alzheimer's disease and related dementias. Provides for repeal of existing provisions for such coverage in that Act on July 1, 2027. Effective immediately, except some provisions amending the State Employees Group Insurance Act of 1971 are effective July 1, 2027.
Actions
| Date | Chamber | Action |
|---|---|---|
| 1/14/2025 | House | Filed with the Clerk by Rep. Mary Gill |
| 1/28/2025 | House | First Reading |
| 1/28/2025 | House | Referred to Rules Committee |
| 2/11/2025 | House | Assigned to Insurance Committee |
| 2/20/2025 | House | House Committee Amendment No. 1 Filed with Clerk by Rep. Mary Gill |
| 2/20/2025 | House | House Committee Amendment No. 1 Referred to Rules Committee |
| 2/25/2025 | House | House Committee Amendment No. 1 Rules Refers to Insurance Committee |
| 3/05/2025 | House | Added Co-Sponsor Rep. Nicolle Grasse |
| 3/06/2025 | House | Added Co-Sponsor Rep. Janet Yang Rohr |
| 3/11/2025 | House | House Committee Amendment No. 1 Adopted in Insurance Committee; by Voice Vote |
| 3/11/2025 | House | Do Pass as Amended / Short Debate Insurance Committee; 017-000-000 |
| 3/12/2025 | House | Placed on Calendar 2nd Reading - Short Debate |
| 3/12/2025 | House | House Floor Amendment No. 2 Filed with Clerk by Rep. Mary Gill |
| 3/12/2025 | House | House Floor Amendment No. 2 Referred to Rules Committee |
| 3/13/2025 | House | House Floor Amendment No. 2 Rules Refers to Insurance Committee |
| 3/14/2025 | House | Added Co-Sponsor Rep. Michael Crawford |
| 3/17/2025 | House | Added Co-Sponsor Rep. Lindsey LaPointe |
| 3/18/2025 | House | Added Chief Co-Sponsor Rep. Nicholas K. Smith |
| 3/18/2025 | House | Added Co-Sponsor Rep. Emanuel "Chris" Welch |
| 3/24/2025 | House | Added Co-Sponsor Rep. Dagmara Avelar |
| 3/25/2025 | House | House Floor Amendment No. 2 Recommends Be Adopted Insurance Committee; 016-000-000 |
| 3/26/2025 | House | Added Co-Sponsor Rep. Camille Y. Lilly |
| 3/26/2025 | House | House Floor Amendment No. 2 Adopted |
| 3/26/2025 | House | Second Reading - Short Debate |
| 3/26/2025 | House | Placed on Calendar Order of 3rd Reading - Short Debate |
| 3/31/2025 | House | Added Co-Sponsor Rep. Anthony DeLuca |
| 4/07/2025 | House | Added Co-Sponsor Rep. Martha Deuter |
| 4/11/2025 | House | Rule 19(a) / Re-referred to Rules Committee |