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| | 103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024
HB4562 Introduced 1/31/2024, by Rep. Camille Y. Lilly SYNOPSIS AS INTRODUCED:
| | | Amends the Illinois Insurance Code. Defines terms. Provides that a group policy of accident and health insurance that provides coverage for hospital or medical treatment or services for illness on an expense-incurred basis and that is amended, delivered, issued, or renewed after January 1, 2025 shall provide coverage, without imposing any cost-sharing requirement, for clinical genetic testing for an inherited gene mutation for individuals with a personal or family history of cancer that is recommended by a health care professional; and evidence-based cancer imaging for individuals with an increased risk of cancer as recommended by National Comprehensive Cancer Network clinical practice guidelines. Provides that the requirements do not apply to coverage of genetic testing or evidence-based cancer imaging to the extent such coverage would disqualify a high-deductible health plan from eligibility for a health savings account pursuant to the Internal Revenue Code. |
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| | A BILL FOR |
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| | HB4562 | | LRB103 37130 RPS 67249 b |
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| 1 | | AN ACT concerning regulation.
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| 2 | | Be it enacted by the People of the State of Illinois, |
| 3 | | represented in the General Assembly:
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| 4 | | Section 5. The Illinois Insurance Code is amended by |
| 5 | | adding Section 356u.10 as follows:
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| 6 | | (215 ILCS 5/356u.10 new) |
| 7 | | Sec. 356u.10. Genetic testing and evidence-based cancer |
| 8 | | imaging. |
| 9 | | (a) For the purposes of this Section: |
| 10 | | "Cost-sharing requirement" means a deductible, |
| 11 | | coinsurance, copayment, or any similar out-of-pocket expense. |
| 12 | | "Evidence-based cancer imaging" means evidence-based |
| 13 | | cancer imaging modalities in accordance with the most recent |
| 14 | | version of the National Comprehensive Cancer Network clinical |
| 15 | | practice guidelines. |
| 16 | | "Genetic testing for an inherited mutation" means germline |
| 17 | | multi-gene testing for an inherited mutation associated with |
| 18 | | an increased risk of cancer in accordance with evidence-based, |
| 19 | | clinical practice guidelines. |
| 20 | | (b) A group policy of accident and health insurance that |
| 21 | | provides coverage for hospital or medical treatment or |
| 22 | | services for illness on an expense-incurred basis and that is |
| 23 | | amended, delivered, issued, or renewed after January 1, 2025 |