SB3509 - 104th General Assembly (2025-2026)

INS CD-BIOMARKER TESTING
Last Action
3/24/2026 - Senate: Placed on Calendar Order of 3rd Reading March 25, 2026
Statutes Amended In Order of Appearance
215 ILCS 5/356z.46  
Synopsis As Introduced
Amends the Illinois Insurance Code. In provisions concerning biomarker testing: makes changes to defined terms; requires applicable health insurers, nonprofit health service plans, and health maintenance organizations to update and make publicly available medical policies and coverage guidelines within 90 days after the effective date of the amendatory Act; provides that, if a health insurer or nonprofit health service plan denies a claim for coverage of testing that is supported by any specified evidence, the insurer or nonprofit health service plan shall provide to the requesting entity specific written justification explaining in detail why the claim for coverage was denied as it pertains to the individual for whom the test was ordered; sets forth provisions concerning utilization review and prior authorization; provides that the Department of Insurance may conduct periodic audits and reviews to ensure entity compliance; and makes other changes.

Senate Committee Amendment No. 1
Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill with the following changes. In provisions concerning biomarker testing, removes provisions concerning requests for exceptions to restricted coverage; the publication of medical policies and coverage guidelines; written justifications for denial of coverage; prior authorization; and periodic audits and reviews. Provides that the biomarker testing requirements are subject to, and shall operate in accordance with, specified provisions of the Prior Authorization Reform Act and the Managed Care Reform and Patient Rights Act. Provides that the changes made by the amendatory Act apply to policies, contracts, and certificates of insurance amended, delivered, issued, or renewed on or after January 1, 2028. Makes other changes. Effective January 1, 2028.
Actions
DateChamberAction
2/05/2026SenateFiled with Secretary by Sen. Julie A. Morrison
2/05/2026SenateFirst Reading
2/05/2026SenateReferred to Assignments
2/17/2026SenateAssigned to Insurance
3/03/2026SenatePostponed - Insurance
3/09/2026SenateSenate Committee Amendment No. 1 Filed with Secretary by Sen. Julie A. Morrison
3/09/2026SenateSenate Committee Amendment No. 1 Referred to Assignments
3/10/2026SenateSenate Committee Amendment No. 1 Assignments Refers to Insurance
3/10/2026SenateSenate Committee Amendment No. 1 Adopted
3/11/2026SenateDo Pass as Amended Insurance; 010-000-000
3/11/2026SenatePlaced on Calendar Order of 2nd Reading March 12, 2026
3/12/2026SenateAdded as Co-Sponsor Sen. Christopher Belt
3/16/2026SenateAdded as Co-Sponsor Sen. Mattie Hunter
3/24/2026SenateSecond Reading
3/24/2026SenatePlaced on Calendar Order of 3rd Reading March 25, 2026
3/25/2026SenateAdded as Co-Sponsor Sen. Meg Loughran Cappel
3/25/2026SenateSenate Floor Amendment No. 2 Filed with Secretary by Sen. Julie A. Morrison
3/25/2026SenateSenate Floor Amendment No. 2 Referred to Assignments
3/26/2026SenateAdded as Co-Sponsor Sen. Doris Turner
3/27/2026SenateAdded as Co-Sponsor Sen. Graciela Guzmán
3/31/2026SenateAdded as Co-Sponsor Sen. Adriane Johnson