HB3605 - 104th General Assembly (2025-2026)

INS-GENETIC TESTING & SCREEN
Last Action
4/28/2026 - Senate: Assigned to Insurance
Hearings
Insurance Hearing May 5 2026 5:00PM Capitol 400 Springfield, IL
Statutes Amended In Order of Appearance
215 ILCS 5/356u.10  
Synopsis As Introduced
Amends the Illinois Insurance Code. Makes changes to defined terms. Provides that a group policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed after January 1, 2026 shall provide coverage for evidence-based cancer imaging for individuals with an increased risk of cancer as recommended by the current National Comprehensive Cancer Network clinical practice guidelines. Provides that this coverage shall be provided without cost-sharing, and the requirements of the Act shall not apply to the extent that providing coverage would disqualify a high-deductible health plan from eligibility for a health savings account.

House Floor Amendment No. 4
Adds reference to:
5 ILCS 375/6.11  
5 ILCS 375/6.11F new  
Replaces everything after the enacting clause. Amends the Illinois Insurance Code. Provides that the coverage required under provisions concerning genetic testing and evidence-based screenings for an inherited gene mutation shall be provided without cost sharing, except as specified. Changes the date of coverage to January 1, 2028 (rather than January 1, 2026) and provides that the coverage requirements apply to an individual or group policy (rather than only a group policy) of accident and health insurance or managed care plan. Excludes the State Employees Group Insurance Program or any other health care plan established or maintained under the State Employees Group Insurance Act of 1971 from the coverage requirements. Amends the State Employees Group Insurance Act of 1971. Requires the State Employees Group Insurance Program to provide coverage for clinical genetic testing for an inherited gene mutation for individuals with a personal or family history of cancer, as recommended by a health care professional in accordance with current evidence-based clinical practice guidelines. For individuals with a genetic test that is positive for an inherited mutation associated with an increased risk of cancer, requires the coverage to include any evidence-based screenings, as recommended by a health care professional in accordance with current evidence-based clinical practice guidelines, to the extent that the management recommendation is not already covered by the policy. Provides that the coverage is subject to specified cost sharing requirements.
Actions
DateChamberAction
2/07/2025HouseFiled with the Clerk by Rep. Camille Y. Lilly
2/18/2025HouseFirst Reading
2/18/2025HouseReferred to Rules Committee
3/11/2025HouseAssigned to Insurance Committee
3/20/2025HouseDo Pass / Short Debate Insurance Committee; 011-006-000
3/21/2025HousePlaced on Calendar 2nd Reading - Short Debate
3/25/2025HouseHouse Floor Amendment No. 1 Filed with Clerk by Rep. Camille Y. Lilly
3/25/2025HouseHouse Floor Amendment No. 1 Referred to Rules Committee
3/25/2025HouseAdded Chief Co-Sponsor Rep. Marcus C. Evans, Jr.
3/25/2025HouseAdded Co-Sponsor Rep. William "Will" Davis
3/26/2025HouseHouse Floor Amendment No. 1 Recommends Be Adopted Rules Committee; 005-000-000
3/26/2025HouseSecond Reading - Short Debate
3/26/2025HouseHeld on Calendar Order of Second Reading - Short Debate
4/09/2025HouseAdded Co-Sponsor Rep. Janet Yang Rohr
4/11/2025HouseRule 19(a) / Re-referred to Rules Committee
4/11/2025HouseHouse Floor Amendment No. 1 Rule 19(c) / Re-referred to Rules Committee
5/12/2025HouseAdded Co-Sponsor Rep. Anne Stava
5/13/2025HouseAdded Co-Sponsor Rep. Stephanie A. Kifowit
3/12/2026HouseApproved for Consideration Rules Committee; 005-000-000
3/12/2026HousePlaced on Calendar 2nd Reading - Short Debate
3/12/2026HouseHouse Floor Amendment No. 1 Recommends Be Adopted Rules Committee; 005-000-000
3/16/2026HouseHouse Floor Amendment No. 2 Filed with Clerk by Rep. Camille Y. Lilly
3/16/2026HouseHouse Floor Amendment No. 2 Referred to Rules Committee
3/18/2026HouseHouse Floor Amendment No. 2 Rules Refers to Insurance Committee
3/24/2026HouseHouse Floor Amendment No. 3 Filed with Clerk by Rep. Camille Y. Lilly
3/24/2026HouseHouse Floor Amendment No. 3 Referred to Rules Committee
3/25/2026HouseHouse Floor Amendment No. 3 Rules Refers to Insurance Committee
4/01/2026HouseAdded Co-Sponsor Rep. Nabeela Syed
4/09/2026HouseHouse Floor Amendment No. 1 Fiscal Note Requested as Amended by Rep. Camille Y. Lilly
4/09/2026HouseHouse Floor Amendment No. 2 Fiscal Note Requested as Amended by Rep. Camille Y. Lilly
4/09/2026HouseHouse Floor Amendment No. 3 Fiscal Note Requested as Amended by Rep. Camille Y. Lilly
4/15/2026HouseHouse Floor Amendment No. 4 Filed with Clerk by Rep. Camille Y. Lilly
4/15/2026HouseHouse Floor Amendment No. 4 Referred to Rules Committee
4/15/2026HouseHouse Floor Amendment No. 4 Rules Refers to Insurance Committee
4/16/2026HouseHouse Floor Amendment No. 4 Recommends Be Adopted Insurance Committee; 010-006-000
4/16/2026HouseAdded Co-Sponsor Rep. Nicholas K. Smith
4/16/2026HouseHouse Floor Amendment No. 1 Withdrawn by Rep. Camille Y. Lilly
4/16/2026HouseHouse Floor Amendment No. 4 Adopted
4/16/2026HouseHouse Floor Amendment No. 1 Fiscal Note Requested as Amended - Withdrawn by Rep. Camille Y. Lilly
4/16/2026HouseHouse Floor Amendment No. 2 Fiscal Note Requested as Amended - Withdrawn by Rep. Camille Y. Lilly
4/16/2026HouseHouse Floor Amendment No. 3 Fiscal Note Requested as Amended - Withdrawn by Rep. Camille Y. Lilly
4/16/2026HousePlaced on Calendar Order of 3rd Reading - Short Debate
4/16/2026HouseThird Reading - Short Debate - Passed 070-033-000
4/16/2026HouseHouse Floor Amendment No. 2 Tabled
4/16/2026HouseHouse Floor Amendment No. 3 Tabled
4/21/2026SenateArrive in Senate
4/21/2026SenatePlaced on Calendar Order of First Reading
4/21/2026SenateChief Senate Sponsor Sen. Mattie Hunter
4/21/2026SenateFirst Reading
4/21/2026SenateReferred to Assignments
4/28/2026SenateAssigned to Insurance