SB2762 EngrossedLRB104 16499 BAB 29895 b

1    AN ACT concerning regulation.
 
2    Be it enacted by the People of the State of Illinois, 
3represented in the General Assembly:
 
4    Section 5. The Counties Code is amended by changing 
5Section 5-1069.3 as follows:
 
6    (55 ILCS 5/5-1069.3)
7    (Text of Section before amendment by P.A. 104-446)
8    Sec. 5-1069.3. Required health benefits. If a county, 
9including a home rule county, is a self-insurer for purposes 
10of providing health insurance coverage for its employees, the 
11coverage shall include coverage for the post-mastectomy care 
12benefits required to be covered by a policy of accident and 
13health insurance under Section 356t and the coverage required 
14under Sections 356g, 356g.5, 356g.5-1, 356m, 356q, 356u, 
15356u.10, 356w, 356x, 356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 
16356z.10, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.22, 
17356z.25, 356z.26, 356z.29, 356z.30, 356z.32, 356z.33, 356z.36, 
18356z.40, 356z.41, 356z.45, 356z.46, 356z.47, 356z.48, 356z.51, 
19356z.53, 356z.54, 356z.56, 356z.57, 356z.59, 356z.60, 356z.61, 
20356z.62, 356z.64, 356z.67, 356z.68, 356z.70, 356z.71, 356z.74, 
21and 356z.77, 356z.79, and 356z.80, 356z.81, 356z.82, 356z.83, 
22356z.84, 356z.85, and 356z.88 of the Illinois Insurance Code. 
23The coverage shall comply with Sections 155.22a, 355b, 
 
 
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1356z.19, and 370c of the Illinois Insurance Code. The 
2Department of Insurance shall enforce the requirements of this 
3Section. The requirement that health benefits be covered as 
4provided in this Section is an exclusive power and function of 
5the State and is a denial and limitation under Article VII, 
6Section 6, subsection (h) of the Illinois Constitution. A home 
7rule county to which this Section applies must comply with 
8every provision of this Section. 
9    Rulemaking authority to implement Public Act 95-1045, if 
10any, is conditioned on the rules being adopted in accordance 
11with all provisions of the Illinois Administrative Procedure 
12Act and all rules and procedures of the Joint Committee on 
13Administrative Rules; any purported rule not so adopted, for 
14whatever reason, is unauthorized. 
15(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24; 
16103-420, eff. 1-1-24; 103-445, eff. 1-1-24; 103-535, eff. 
178-11-23; 103-551, eff. 8-11-23; 103-605, eff. 7-1-24; 103-718, 
18eff. 7-19-24; 103-751, eff. 8-2-24; 103-914, eff. 1-1-25; 
19103-918, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-1, eff. 
206-9-25; 104-42, eff. 8-1-25; 104-68, eff. 1-1-26; 104-73, eff. 
211-1-26; 104-289, eff. 1-1-26; 104-324, eff. 1-1-26; 104-379, 
22eff. 1-1-26; 104-417, eff. 8-15-25; revised 1-7-26.)
 
23    (Text of Section after amendment by P.A. 104-446)
24    Sec. 5-1069.3. Required health benefits. If a county, 
25including a home rule county, is a self-insurer for purposes 
 
 
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1of providing health insurance coverage for its employees, the 
2coverage shall include coverage for the post-mastectomy care 
3benefits required to be covered by a policy of accident and 
4health insurance under Section 356t and the coverage required 
5under Sections 356g, 356g.5, 356g.5-1, 356m, 356q, 356u, 
6356u.10, 356w, 356x, 356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 
7356z.10, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.22, 
8356z.25, 356z.26, 356z.29, 356z.30, 356z.32, 356z.33, 356z.36, 
9356z.40, 356z.41, 356z.45, 356z.46, 356z.47, 356z.48, 356z.51, 
10356z.53, 356z.54, 356z.56, 356z.57, 356z.59, 356z.60, 356z.61, 
11356z.62, 356z.64, 356z.67, 356z.68, 356z.70, 356z.71, 356z.74, 
12and 356z.77, 356z.79, and 356z.80, 356z.81, 356z.82, 356z.83, 
13356z.84, 356z.85, and 356z.88 of the Illinois Insurance Code. 
14The coverage shall comply with Sections 155.22a, 355b, 
15356z.19, 370c, and 370c.4 of the Illinois Insurance Code. The 
16Department of Insurance shall enforce the requirements of this 
17Section. The requirement that health benefits be covered as 
18provided in this Section is an exclusive power and function of 
19the State and is a denial and limitation under Article VII, 
20Section 6, subsection (h) of the Illinois Constitution. A home 
21rule county to which this Section applies must comply with 
22every provision of this Section. 
23    Rulemaking authority to implement Public Act 95-1045, if 
24any, is conditioned on the rules being adopted in accordance 
25with all provisions of the Illinois Administrative Procedure 
26Act and all rules and procedures of the Joint Committee on 
 
 
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1Administrative Rules; any purported rule not so adopted, for 
2whatever reason, is unauthorized. 
3(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24; 
4103-420, eff. 1-1-24; 103-445, eff. 1-1-24; 103-535, eff. 
58-11-23; 103-551, eff. 8-11-23; 103-605, eff. 7-1-24; 103-718, 
6eff. 7-19-24; 103-751, eff. 8-2-24; 103-914, eff. 1-1-25; 
7103-918, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-1, eff. 
86-9-25; 104-42, eff. 8-1-25; 104-68, eff. 1-1-26; 104-73, eff. 
91-1-26; 104-289, eff. 1-1-26; 104-324, eff. 1-1-26; 104-379, 
10eff. 1-1-26; 104-417, eff. 8-15-25; 104-446, eff. 6-1-26; 
11revised 1-7-26.)
 
12    Section 10. The Illinois Municipal Code is amended by 
13changing Section 10-4-2.3 as follows:
 
14    (65 ILCS 5/10-4-2.3)
15    (Text of Section before amendment by P.A. 104-446)
16    Sec. 10-4-2.3. Required health benefits. If a 
17municipality, including a home rule municipality, is a 
18self-insurer for purposes of providing health insurance 
19coverage for its employees, the coverage shall include 
20coverage for the post-mastectomy care benefits required to be 
21covered by a policy of accident and health insurance under 
22Section 356t and the coverage required under Sections 356g, 
23356g.5, 356g.5-1, 356m, 356q, 356u, 356u.10, 356w, 356x, 
24356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 
 
 
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1356z.12, 356z.13, 356z.14, 356z.15, 356z.22, 356z.25, 356z.26, 
2356z.29, 356z.30, 356z.32, 356z.33, 356z.36, 356z.40, 356z.41, 
3356z.45, 356z.46, 356z.47, 356z.48, 356z.51, 356z.53, 356z.54, 
4356z.56, 356z.57, 356z.59, 356z.60, 356z.61, 356z.62, 356z.64, 
5356z.67, 356z.68, 356z.70, 356z.71, 356z.74, and 356z.77, 
6356z.79, and 356z.80, 356z.81, 356z.82, 356z.83, 356z.84, 
7356z.85, and 356z.88 of the Illinois Insurance Code. The 
8coverage shall comply with Sections 155.22a, 355b, 356z.19, 
9and 370c of the Illinois Insurance Code. The Department of 
10Insurance shall enforce the requirements of this Section. The 
11requirement that health benefits be covered as provided in 
12this Section is an exclusive power and function of the State 
13and is a denial and limitation under Article VII, Section 6, 
14subsection (h) of the Illinois Constitution. A home rule 
15municipality to which this Section applies must comply with 
16every provision of this Section. 
17    Rulemaking authority to implement Public Act 95-1045, if 
18any, is conditioned on the rules being adopted in accordance 
19with all provisions of the Illinois Administrative Procedure 
20Act and all rules and procedures of the Joint Committee on 
21Administrative Rules; any purported rule not so adopted, for 
22whatever reason, is unauthorized. 
23(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24; 
24103-420, eff. 1-1-24; 103-445, eff. 1-1-24; 103-535, eff. 
258-11-23; 103-551, eff. 8-11-23; 103-605, eff. 7-1-24; 103-718, 
26eff. 7-19-24; 103-751, eff. 8-2-24; 103-914, eff. 1-1-25; 
 
 
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1103-918, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-1, eff. 
26-9-25; 104-42, eff. 8-1-25; 104-68, eff. 1-1-26; 104-73, eff. 
31-1-26; 104-289, eff. 1-1-26; 104-324, eff. 1-1-26; 104-379, 
4eff. 1-1-26; 104-417, eff. 8-15-25; revised 1-8-26.)
 
5    (Text of Section after amendment by P.A. 104-446)
6    Sec. 10-4-2.3. Required health benefits. If a 
7municipality, including a home rule municipality, is a 
8self-insurer for purposes of providing health insurance 
9coverage for its employees, the coverage shall include 
10coverage for the post-mastectomy care benefits required to be 
11covered by a policy of accident and health insurance under 
12Section 356t and the coverage required under Sections 356g, 
13356g.5, 356g.5-1, 356m, 356q, 356u, 356u.10, 356w, 356x, 
14356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 
15356z.12, 356z.13, 356z.14, 356z.15, 356z.22, 356z.25, 356z.26, 
16356z.29, 356z.30, 356z.32, 356z.33, 356z.36, 356z.40, 356z.41, 
17356z.45, 356z.46, 356z.47, 356z.48, 356z.51, 356z.53, 356z.54, 
18356z.56, 356z.57, 356z.59, 356z.60, 356z.61, 356z.62, 356z.64, 
19356z.67, 356z.68, 356z.70, 356z.71, 356z.74, and 356z.77, 
20356z.79, and 356z.80, 356z.81, 356z.82, 356z.83, 356z.84, 
21356z.85, and 356z.88 of the Illinois Insurance Code. The 
22coverage shall comply with Sections 155.22a, 355b, 356z.19, 
23370c, and 370c.4 of the Illinois Insurance Code. The 
24Department of Insurance shall enforce the requirements of this 
25Section. The requirement that health benefits be covered as 
 
 
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1provided in this Section is an exclusive power and function of 
2the State and is a denial and limitation under Article VII, 
3Section 6, subsection (h) of the Illinois Constitution. A home 
4rule municipality to which this Section applies must comply 
5with every provision of this Section. 
6    Rulemaking authority to implement Public Act 95-1045, if 
7any, is conditioned on the rules being adopted in accordance 
8with all provisions of the Illinois Administrative Procedure 
9Act and all rules and procedures of the Joint Committee on 
10Administrative Rules; any purported rule not so adopted, for 
11whatever reason, is unauthorized. 
12(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24; 
13103-420, eff. 1-1-24; 103-445, eff. 1-1-24; 103-535, eff. 
148-11-23; 103-551, eff. 8-11-23; 103-605, eff. 7-1-24; 103-718, 
15eff. 7-19-24; 103-751, eff. 8-2-24; 103-914, eff. 1-1-25; 
16103-918, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-1, eff. 
176-9-25; 104-42, eff. 8-1-25; 104-68, eff. 1-1-26; 104-73, eff. 
181-1-26; 104-289, eff. 1-1-26; 104-324, eff. 1-1-26; 104-379, 
19eff. 1-1-26; 104-417, eff. 8-15-25; 104-446, eff. 6-1-26; 
20revised 1-8-26.)
 
21    Section 15. The School Code is amended by changing Section 
2210-22.3f as follows:
 
23    (105 ILCS 5/10-22.3f)
24    (Text of Section before amendment by P.A. 104-446)
 
 
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1    Sec. 10-22.3f. Required health benefits. Insurance 
2protection and benefits for employees shall provide the 
3post-mastectomy care benefits required to be covered by a 
4policy of accident and health insurance under Section 356t and 
5the coverage required under Sections 356g, 356g.5, 356g.5-1, 
6356m, 356q, 356u, 356u.10, 356w, 356x, 356z.4, 356z.4a, 
7356z.6, 356z.8, 356z.9, 356z.11, 356z.12, 356z.13, 356z.14, 
8356z.15, 356z.22, 356z.25, 356z.26, 356z.29, 356z.30, 356z.32, 
9356z.33, 356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47, 
10356z.51, 356z.53, 356z.54, 356z.56, 356z.57, 356z.59, 356z.60, 
11356z.61, 356z.62, 356z.64, 356z.67, 356z.68, 356z.70, 356z.71, 
12356z.74, and 356z.77, 356z.79, and 356z.80, 356z.81, 356z.82, 
13356z.83, 356z.84, 356z.85, and 356z.88 of the Illinois 
14Insurance Code. Insurance policies shall comply with Section 
15356z.19 of the Illinois Insurance Code. The coverage shall 
16comply with Sections 155.22a, 355b, and 370c and Article 
17XXXIIB of the Illinois Insurance Code. The Department of 
18Insurance shall enforce the requirements of this Section. 
19    Rulemaking authority to implement Public Act 95-1045, if 
20any, is conditioned on the rules being adopted in accordance 
21with all provisions of the Illinois Administrative Procedure 
22Act and all rules and procedures of the Joint Committee on 
23Administrative Rules; any purported rule not so adopted, for 
24whatever reason, is unauthorized. 
25(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24; 
26103-420, eff. 1-1-24; 103-445, eff. 1-1-24; 103-535, eff. 
 
 
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18-11-23; 103-551, eff. 8-11-23; 103-605, eff. 7-1-24; 103-718, 
2eff. 7-19-24; 103-751, eff. 8-2-24; 103-914, eff. 1-1-25; 
3103-918, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-1, eff. 
46-9-25; 104-27, eff. 1-1-26; 104-42, eff. 8-1-25; 104-68, eff. 
51-1-26; 104-73, eff. 1-1-26; 104-289, eff. 1-1-26; 104-324, 
6eff. 1-1-26; 104-379, eff. 1-1-26; 104-417, eff. 8-15-25; 
7revised 1-8-26.)
 
8    (Text of Section after amendment by P.A. 104-446)
9    Sec. 10-22.3f. Required health benefits. Insurance 
10protection and benefits for employees shall provide the 
11post-mastectomy care benefits required to be covered by a 
12policy of accident and health insurance under Section 356t and 
13the coverage required under Sections 356g, 356g.5, 356g.5-1, 
14356m, 356q, 356u, 356u.10, 356w, 356x, 356z.4, 356z.4a, 
15356z.6, 356z.8, 356z.9, 356z.11, 356z.12, 356z.13, 356z.14, 
16356z.15, 356z.22, 356z.25, 356z.26, 356z.29, 356z.30, 356z.32, 
17356z.33, 356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47, 
18356z.51, 356z.53, 356z.54, 356z.56, 356z.57, 356z.59, 356z.60, 
19356z.61, 356z.62, 356z.64, 356z.67, 356z.68, 356z.70, 356z.71, 
20356z.74, and 356z.77, 356z.79, and 356z.80, 356z.81, 356z.82, 
21356z.83, 356z.84, 356z.85, and 356z.88 of the Illinois 
22Insurance Code. Insurance policies shall comply with Section 
23356z.19 of the Illinois Insurance Code. The coverage shall 
24comply with Sections 155.22a, 355b, 370c, and 370c.4 and 
25Article XXXIIB of the Illinois Insurance Code. The Department 
 
 
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1of Insurance shall enforce the requirements of this Section. 
2    Rulemaking authority to implement Public Act 95-1045, if 
3any, is conditioned on the rules being adopted in accordance 
4with all provisions of the Illinois Administrative Procedure 
5Act and all rules and procedures of the Joint Committee on 
6Administrative Rules; any purported rule not so adopted, for 
7whatever reason, is unauthorized. 
8(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24; 
9103-420, eff. 1-1-24; 103-445, eff. 1-1-24; 103-535, eff. 
108-11-23; 103-551, eff. 8-11-23; 103-605, eff. 7-1-24; 103-718, 
11eff. 7-19-24; 103-751, eff. 8-2-24; 103-914, eff. 1-1-25; 
12103-918, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-1, eff. 
136-9-25; 104-27, eff. 1-1-26; 104-42, eff. 8-1-25; 104-68, eff. 
141-1-26; 104-73, eff. 1-1-26; 104-289, eff. 1-1-26; 104-324, 
15eff. 1-1-26; 104-379, eff. 1-1-26; 104-417, eff. 8-15-25; 
16104-446, eff. 6-1-26; revised 1-8-26.)
 
17    Section 20. The Illinois Insurance Code is amended by 
18adding Section 356z.88 as follows:
 
19    (215 ILCS 5/356z.88 new)
20    Sec. 356z.88. Coverage for seizure detection devices.
21    (a) For the purposes of this Section, "seizure detection 
22device" means a monitoring device cleared by the United States 
23Food and Drug Administration, and any related technology, 
24application, service, or subscription supporting the 
 
 
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1prescribed use of the device, that provides the following:
2        (1) individual monitoring and alert services relating 
3    to seizure activity;
4        (2) detection or prediction of seizure activity and 
5    transmission of notification of the seizure activity to 
6    the individual or a caregiver for appropriate medical 
7    response; or
8        (3) collection of data of the seizure activity of the 
9    individual that can be used by a health care provider to 
10    diagnose or appropriately treat a health care condition 
11    that causes the seizure activity.
12    (b) A group or individual plan of accident and health 
13insurance or managed care plan amended, delivered, issued, or 
14renewed on or after January 1, 2028 shall provide coverage for 
15medically prescribed seizure detection devices.
16    (c) All seizure detection devices covered under this 
17Section shall be approved for use by individuals, and the 
18choice of device shall be made based upon the individual's 
19circumstances and medical needs in consultation with the 
20individual's medical provider.
21    (d) Any individual who has been prescribed a seizure 
22detection device shall not be required to obtain prior 
23authorization for coverage for a seizure detection device, and 
24coverage shall be continuous once the seizure detection device 
25is prescribed.
26    (e) A group or individual policy of accident and health 
 
 
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1insurance or a managed care plan that is amended, delivered, 
2issued, or renewed on or after January 1, 2028 shall not impose 
3a deductible, coinsurance, copayment, or any other 
4cost-sharing requirement of more than $50 on the coverage of a 
5seizure detection device per plan year. The provisions of this 
6subsection do not apply to coverage under this Section to the 
7extent that the coverage would disqualify a high-deductible 
8health plan from eligibility for a health savings account.
 
9    Section 25. The Limited Health Service Organization Act is 
10amended by changing Section 4003 as follows:
 
11    (215 ILCS 130/4003)  (from Ch. 73, par. 1504-3)
12    Sec. 4003. Illinois Insurance Code provisions. Limited 
13health service organizations shall be subject to the 
14provisions of Sections 133, 134, 136, 137, 139, 140, 141.1, 
15141.2, 141.3, 143, 143.31, 143c, 147, 148, 149, 151, 152, 153, 
16154, 154.5, 154.6, 154.7, 154.8, 155.04, 155.37, 155.49, 352c, 
17355.2, 355.3, 355b, 355d, 356m, 356q, 356v, 356z.4, 356z.4a, 
18356z.10, 356z.21, 356z.22, 356z.25, 356z.26, 356z.29, 356z.32, 
19356z.33, 356z.41, 356z.46, 356z.47, 356z.51, 356z.53, 356z.54, 
20356z.57, 356z.59, 356z.61, 356z.64, 356z.67, 356z.68, 356z.71, 
21356z.73, 356z.74, 356z.75, 356z.79, 356z.80, 356z.81, 356z.83, 
22356z.84, 356z.85, 356z.88, 364.3, 368a, 370a, 401, 401.1, 402, 
23403, 403A, 408, 408.2, 409, 412, 444, and 444.1 and Articles 
24IIA, VIII 1/2, XII, XII 1/2, XIII, XIII 1/2, XXV, XXVI, and 
 
 
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1XXXIIB of the Illinois Insurance Code. Nothing in this Section 
2shall require a limited health care plan to cover any service 
3that is not a limited health service. For purposes of the 
4Illinois Insurance Code, except for Sections 444 and 444.1 and 
5Articles XIII and XIII 1/2, limited health service 
6organizations in the following categories are deemed to be 
7domestic companies:
8        (1) a corporation under the laws of this State; or
9        (2) a corporation organized under the laws of another 
10    state, 30% or more of the enrollees of which are residents 
11    of this State, except a corporation subject to 
12    substantially the same requirements in its state of 
13    organization as is a domestic company under Article VIII 
14    1/2 of the Illinois Insurance Code.
15(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24; 
16103-420, eff. 1-1-24; 103-426, eff. 8-4-23; 103-445, eff. 
171-1-24; 103-605, eff. 7-1-24; 103-649, eff. 1-1-25; 103-656, 
18eff. 1-1-25; 103-700, eff. 1-1-25; 103-718, eff. 7-19-24; 
19103-751, eff. 8-2-24; 103-758, eff. 1-1-25; 103-832, eff. 
201-1-25; 103-1024, eff. 1-1-25; 104-1, eff. 6-9-25; 104-42, 
21eff. 8-1-25; 104-73, eff. 1-1-26; 104-98, eff. 1-1-26; 
22104-289, eff. 1-1-26; 104-324, eff. 1-1-26; 104-334, eff. 
238-15-25; 104-379, eff. 1-1-26; 104-417, eff. 8-15-25; revised 
2411-21-25.)
 
25    Section 30. The Voluntary Health Services Plans Act is 
 
 
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1amended by changing Section 10 as follows:
 
2    (215 ILCS 165/10)  (from Ch. 32, par. 604)
3    Sec. 10. Application of Illinois Insurance Code 
4provisions. Health services plan corporations and all persons 
5interested therein or dealing therewith shall be subject to 
6the provisions of Articles IIA and XII 1/2 and Sections 3.1, 
7133, 136, 139, 140, 143, 143.31, 143c, 149, 155.22a, 155.37, 
8354, 355.2, 355.3, 355.7, 355b, 355d, 356g, 356g.5, 356g.5-1, 
9356m, 356q, 356r, 356t, 356u, 356u.10, 356v, 356w, 356x, 356y, 
10356z.1, 356z.2, 356z.3a, 356z.4, 356z.4a, 356z.5, 356z.6, 
11356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13, 356z.14, 
12356z.15, 356z.18, 356z.19, 356z.21, 356z.22, 356z.25, 356z.26, 
13356z.29, 356z.30, 356z.32, 356z.32a, 356z.33, 356z.40, 
14356z.41, 356z.46, 356z.47, 356z.51, 356z.53, 356z.54, 356z.56, 
15356z.57, 356z.59, 356z.60, 356z.61, 356z.62, 356z.64, 356z.67, 
16356z.68, 356z.71, 356z.72, 356z.74, 356z.75, 356z.77, 356z.79, 
17356z.80, 356z.81, 356z.83, 356z.84, 356z.85, 356z.88, 364.01, 
18364.3, 367.2, 368a, 370a, 401, 401.1, 402, 403, 403A, 408, 
19408.2, and 412, and paragraphs (7) and (15) of Section 367 of 
20the Illinois Insurance Code.
21    Rulemaking authority to implement Public Act 95-1045, if 
22any, is conditioned on the rules being adopted in accordance 
23with all provisions of the Illinois Administrative Procedure 
24Act and all rules and procedures of the Joint Committee on 
25Administrative Rules; any purported rule not so adopted, for 
 
 
SB2762 Engrossed- 15 -LRB104 16499 BAB 29895 b

1whatever reason, is unauthorized. 
2(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24; 
3103-420, eff. 1-1-24; 103-445, eff. 1-1-24; 103-551, eff. 
48-11-23; 103-605, eff. 7-1-24; 103-656, eff. 1-1-25; 103-718, 
5eff. 7-19-24; 103-751, eff. 8-2-24; 103-753, eff. 8-2-24; 
6103-758, eff. 1-1-25; 103-832, eff. 1-1-25; 103-914, eff. 
71-1-25; 103-918, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-1, 
8eff. 6-9-25; 104-28, eff. 1-1-26; 104-42, eff. 8-1-25; 104-73, 
9eff. 1-1-26; 104-98, eff. 1-1-26; 104-289, eff. 1-1-26; 
10104-324, eff. 1-1-26; 104-379, eff. 1-1-26; 104-417, eff. 
118-15-25; revised 11-21-25.)
 
12    Section 35. The Illinois Public Aid Code is amended by 
13changing Section 5-16.8 as follows:
 
14    (305 ILCS 5/5-16.8)
15    Sec. 5-16.8. Required health benefits. The medical 
16assistance program shall (i) provide the post-mastectomy care 
17benefits required to be covered by a policy of accident and 
18health insurance under Section 356t and the coverage required 
19under Sections 356g.5, 356q, 356u, 356w, 356x, 356z.6, 
20356z.26, 356z.29, 356z.32, 356z.33, 356z.34, 356z.35, 356z.46, 
21356z.47, 356z.51, 356z.53, 356z.59, 356z.60, 356z.61, 356z.64, 
22356z.67, 356z.71, and 356z.75, and 356z.80, 356z.84, 356z.85, 
23and 356z.88 of the Illinois Insurance Code, (ii) be subject to 
24the provisions of Sections 356z.19, 356z.44, 356z.49, 364.01, 
 
 
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1370c, and 370c.1 of the Illinois Insurance Code, and (iii) be 
2subject to the provisions of subsection (d-5) of Section 10 of 
3the Network Adequacy and Transparency Act.
4    The Department, by rule, shall adopt a model similar to 
5the requirements of Section 356z.39 of the Illinois Insurance 
6Code. 
7    On and after July 1, 2012, the Department shall reduce any 
8rate of reimbursement for services or other payments or alter 
9any methodologies authorized by this Code to reduce any rate 
10of reimbursement for services or other payments in accordance 
11with Section 5-5e. 
12    To ensure full access to the benefits set forth in this 
13Section, on and after January 1, 2016, the Department shall 
14ensure that provider and hospital reimbursement for 
15post-mastectomy care benefits required under this Section are 
16no lower than the Medicare reimbursement rate. 
17(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24; 
18103-420, eff. 1-1-24; 103-605, eff. 7-1-24; 103-703, eff. 
191-1-25; 103-758, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-73, 
20eff. 1-1-26; 104-324, eff. 1-1-26; 104-379, eff. 1-1-26; 
21104-417, eff. 8-15-25; revised 11-21-25.)
 
22    Section 95. No acceleration or delay. Where this Act makes 
23changes in a statute that is represented in this Act by text 
24that is not yet or no longer in effect (for example, a Section 
25represented by multiple versions), the use of that text does 
 
 
SB2762 Engrossed- 17 -LRB104 16499 BAB 29895 b

1not accelerate or delay the taking effect of (i) the changes 
2made by this Act or (ii) provisions derived from any other 
3Public Act.
 
4    Section 99. Effective date. This Act takes effect upon 
5becoming law.