Rep. Bob Morgan
Filed: 5/27/2026
 
 

 
 

 
10400SB2762ham003LRB104 16499 BAB 38367 a

1
AMENDMENT TO SENATE BILL 2762

2    AMENDMENT NO. ______. Amend Senate Bill 2762 by replacing 
3everything after the enacting clause with the following:
 
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, 
 
 
10400SB2762ham003- 2 -LRB104 16499 BAB 38367 a

1356z.25, 356z.26, 356z.29, 356z.30, 356z.32, 356z.33, 356z.36, 
2356z.40, 356z.41, 356z.45, 356z.46, 356z.47, 356z.48, 356z.51, 
3356z.53, 356z.54, 356z.56, 356z.57, 356z.59, 356z.60, 356z.61, 
4356z.62, 356z.64, 356z.67, 356z.68, 356z.70, 356z.71, 356z.74, 
5and 356z.77, 356z.79, and 356z.80, 356z.81, 356z.82, 356z.83, 
6356z.84, 356z.85, 356z.88, and 356z.89 of the Illinois 
7Insurance Code. The coverage shall comply with Sections 
8155.22a, 355b, 356z.19, and 370c of the Illinois Insurance 
9Code. The Department of Insurance shall enforce the 
10requirements of this Section. The requirement that health 
11benefits be covered as provided in this Section is an 
12exclusive power and function of the State and is a denial and 
13limitation under Article VII, Section 6, subsection (h) of the 
14Illinois Constitution. A home rule county to which this 
15Section applies must comply with every provision of this 
16Section. 
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; 
 
 
10400SB2762ham003- 3 -LRB104 16499 BAB 38367 a

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 1-7-26.)
 
5    (Text of Section after amendment by P.A. 104-446)
6    Sec. 5-1069.3. Required health benefits. If a county, 
7including a home rule county, is a self-insurer for purposes 
8of providing health insurance coverage for its employees, the 
9coverage shall include coverage for the post-mastectomy care 
10benefits required to be covered by a policy of accident and 
11health insurance under Section 356t and the coverage required 
12under Sections 356g, 356g.5, 356g.5-1, 356m, 356q, 356u, 
13356u.10, 356w, 356x, 356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 
14356z.10, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.22, 
15356z.25, 356z.26, 356z.29, 356z.30, 356z.32, 356z.33, 356z.36, 
16356z.40, 356z.41, 356z.45, 356z.46, 356z.47, 356z.48, 356z.51, 
17356z.53, 356z.54, 356z.56, 356z.57, 356z.59, 356z.60, 356z.61, 
18356z.62, 356z.64, 356z.67, 356z.68, 356z.70, 356z.71, 356z.74, 
19and 356z.77, 356z.79, and 356z.80, 356z.81, 356z.82, 356z.83, 
20356z.84, 356z.85, 356z.88, and 356z.89 of the Illinois 
21Insurance Code. The coverage shall comply with Sections 
22155.22a, 355b, 356z.19, 370c, and 370c.4 of the Illinois 
23Insurance Code. The Department of Insurance shall enforce the 
24requirements of this Section. The requirement that health 
25benefits be covered as provided in this Section is an 
 
 
10400SB2762ham003- 4 -LRB104 16499 BAB 38367 a

1exclusive power and function of the State and is a denial and 
2limitation under Article VII, Section 6, subsection (h) of the 
3Illinois Constitution. A home rule county to which this 
4Section applies must comply with every provision of this 
5Section. 
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 1-7-26.)
 
21    Section 10. The Illinois Municipal Code is amended by 
22changing Section 10-4-2.3 as follows:
 
23    (65 ILCS 5/10-4-2.3)
24    (Text of Section before amendment by P.A. 104-446)
 
 
10400SB2762ham003- 5 -LRB104 16499 BAB 38367 a

1    Sec. 10-4-2.3. Required health benefits. If a 
2municipality, including a home rule municipality, is a 
3self-insurer for purposes of providing health insurance 
4coverage for its employees, the coverage shall include 
5coverage for the post-mastectomy care benefits required to be 
6covered by a policy of accident and health insurance under 
7Section 356t and the coverage required under Sections 356g, 
8356g.5, 356g.5-1, 356m, 356q, 356u, 356u.10, 356w, 356x, 
9356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 
10356z.12, 356z.13, 356z.14, 356z.15, 356z.22, 356z.25, 356z.26, 
11356z.29, 356z.30, 356z.32, 356z.33, 356z.36, 356z.40, 356z.41, 
12356z.45, 356z.46, 356z.47, 356z.48, 356z.51, 356z.53, 356z.54, 
13356z.56, 356z.57, 356z.59, 356z.60, 356z.61, 356z.62, 356z.64, 
14356z.67, 356z.68, 356z.70, 356z.71, 356z.74, and 356z.77, 
15356z.79, and 356z.80, 356z.81, 356z.82, 356z.83, 356z.84, 
16356z.85, 356z.88, and 356z.89 of the Illinois Insurance Code. 
17The coverage shall comply with Sections 155.22a, 355b, 
18356z.19, and 370c of the Illinois Insurance Code. The 
19Department of Insurance shall enforce the requirements of this 
20Section. The requirement that health benefits be covered as 
21provided in this Section is an exclusive power and function of 
22the State and is a denial and limitation under Article VII, 
23Section 6, subsection (h) of the Illinois Constitution. A home 
24rule municipality to which this Section applies must comply 
25with every provision of this Section. 
26    Rulemaking authority to implement Public Act 95-1045, if 
 
 
10400SB2762ham003- 6 -LRB104 16499 BAB 38367 a

1any, is conditioned on the rules being adopted in accordance 
2with all provisions of the Illinois Administrative Procedure 
3Act and all rules and procedures of the Joint Committee on 
4Administrative Rules; any purported rule not so adopted, for 
5whatever reason, is unauthorized. 
6(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24; 
7103-420, eff. 1-1-24; 103-445, eff. 1-1-24; 103-535, eff. 
88-11-23; 103-551, eff. 8-11-23; 103-605, eff. 7-1-24; 103-718, 
9eff. 7-19-24; 103-751, eff. 8-2-24; 103-914, eff. 1-1-25; 
10103-918, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-1, eff. 
116-9-25; 104-42, eff. 8-1-25; 104-68, eff. 1-1-26; 104-73, eff. 
121-1-26; 104-289, eff. 1-1-26; 104-324, eff. 1-1-26; 104-379, 
13eff. 1-1-26; 104-417, eff. 8-15-25; revised 1-8-26.)
 
14    (Text of Section after amendment by P.A. 104-446)
15    Sec. 10-4-2.3. Required health benefits. If a 
16municipality, including a home rule municipality, is a 
17self-insurer for purposes of providing health insurance 
18coverage for its employees, the coverage shall include 
19coverage for the post-mastectomy care benefits required to be 
20covered by a policy of accident and health insurance under 
21Section 356t and the coverage required under Sections 356g, 
22356g.5, 356g.5-1, 356m, 356q, 356u, 356u.10, 356w, 356x, 
23356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 
24356z.12, 356z.13, 356z.14, 356z.15, 356z.22, 356z.25, 356z.26, 
25356z.29, 356z.30, 356z.32, 356z.33, 356z.36, 356z.40, 356z.41, 
 
 
10400SB2762ham003- 7 -LRB104 16499 BAB 38367 a

1356z.45, 356z.46, 356z.47, 356z.48, 356z.51, 356z.53, 356z.54, 
2356z.56, 356z.57, 356z.59, 356z.60, 356z.61, 356z.62, 356z.64, 
3356z.67, 356z.68, 356z.70, 356z.71, 356z.74, and 356z.77, 
4356z.79, and 356z.80, 356z.81, 356z.82, 356z.83, 356z.84, 
5356z.85, 356z.88, and 356z.89 of the Illinois Insurance Code. 
6The coverage shall comply with Sections 155.22a, 355b, 
7356z.19, 370c, and 370c.4 of the Illinois Insurance Code. The 
8Department of Insurance shall enforce the requirements of this 
9Section. The requirement that health benefits be covered as 
10provided in this Section is an exclusive power and function of 
11the State and is a denial and limitation under Article VII, 
12Section 6, subsection (h) of the Illinois Constitution. A home 
13rule municipality to which this Section applies must comply 
14with every provision of this Section. 
15    Rulemaking authority to implement Public Act 95-1045, if 
16any, is conditioned on the rules being adopted in accordance 
17with all provisions of the Illinois Administrative Procedure 
18Act and all rules and procedures of the Joint Committee on 
19Administrative Rules; any purported rule not so adopted, for 
20whatever reason, is unauthorized. 
21(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24; 
22103-420, eff. 1-1-24; 103-445, eff. 1-1-24; 103-535, eff. 
238-11-23; 103-551, eff. 8-11-23; 103-605, eff. 7-1-24; 103-718, 
24eff. 7-19-24; 103-751, eff. 8-2-24; 103-914, eff. 1-1-25; 
25103-918, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-1, eff. 
266-9-25; 104-42, eff. 8-1-25; 104-68, eff. 1-1-26; 104-73, eff. 
 
 
10400SB2762ham003- 8 -LRB104 16499 BAB 38367 a

11-1-26; 104-289, eff. 1-1-26; 104-324, eff. 1-1-26; 104-379, 
2eff. 1-1-26; 104-417, eff. 8-15-25; 104-446, eff. 6-1-26; 
3revised 1-8-26.)
 
4    Section 15. The School Code is amended by changing Section 
510-22.3f as follows:
 
6    (105 ILCS 5/10-22.3f)
7    (Text of Section before amendment by P.A. 104-446)
8    Sec. 10-22.3f. Required health benefits. Insurance 
9protection and benefits for employees shall provide the 
10post-mastectomy care benefits required to be covered by a 
11policy of accident and health insurance under Section 356t and 
12the coverage required under Sections 356g, 356g.5, 356g.5-1, 
13356m, 356q, 356u, 356u.10, 356w, 356x, 356z.4, 356z.4a, 
14356z.6, 356z.8, 356z.9, 356z.11, 356z.12, 356z.13, 356z.14, 
15356z.15, 356z.22, 356z.25, 356z.26, 356z.29, 356z.30, 356z.32, 
16356z.33, 356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47, 
17356z.51, 356z.53, 356z.54, 356z.56, 356z.57, 356z.59, 356z.60, 
18356z.61, 356z.62, 356z.64, 356z.67, 356z.68, 356z.70, 356z.71, 
19356z.74, and 356z.77, 356z.79, and 356z.80, 356z.81, 356z.82, 
20356z.83, 356z.84, 356z.85, 356z.88, and 356z.89 of the 
21Illinois Insurance Code. Insurance policies shall comply with 
22Section 356z.19 of the Illinois Insurance Code. The coverage 
23shall comply with Sections 155.22a, 355b, and 370c and Article 
24XXXIIB of the Illinois Insurance Code. The Department of 
 
 
10400SB2762ham003- 9 -LRB104 16499 BAB 38367 a

1Insurance 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; 
16revised 1-8-26.)
 
17    (Text of Section after amendment by P.A. 104-446)
18    Sec. 10-22.3f. Required health benefits. Insurance 
19protection and benefits for employees shall provide the 
20post-mastectomy care benefits required to be covered by a 
21policy of accident and health insurance under Section 356t and 
22the coverage required under Sections 356g, 356g.5, 356g.5-1, 
23356m, 356q, 356u, 356u.10, 356w, 356x, 356z.4, 356z.4a, 
24356z.6, 356z.8, 356z.9, 356z.11, 356z.12, 356z.13, 356z.14, 
25356z.15, 356z.22, 356z.25, 356z.26, 356z.29, 356z.30, 356z.32, 
 
 
10400SB2762ham003- 10 -LRB104 16499 BAB 38367 a

1356z.33, 356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47, 
2356z.51, 356z.53, 356z.54, 356z.56, 356z.57, 356z.59, 356z.60, 
3356z.61, 356z.62, 356z.64, 356z.67, 356z.68, 356z.70, 356z.71, 
4356z.74, and 356z.77, 356z.79, and 356z.80, 356z.81, 356z.82, 
5356z.83, 356z.84, 356z.85, 356z.88, and 356z.89 of the 
6Illinois Insurance Code. Insurance policies shall comply with 
7Section 356z.19 of the Illinois Insurance Code. The coverage 
8shall comply with Sections 155.22a, 355b, 370c, and 370c.4 and 
9Article XXXIIB of the Illinois Insurance Code. The Department 
10of Insurance shall enforce the requirements of this Section. 
11    Rulemaking authority to implement Public Act 95-1045, if 
12any, is conditioned on the rules being adopted in accordance 
13with all provisions of the Illinois Administrative Procedure 
14Act and all rules and procedures of the Joint Committee on 
15Administrative Rules; any purported rule not so adopted, for 
16whatever reason, is unauthorized. 
17(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24; 
18103-420, eff. 1-1-24; 103-445, eff. 1-1-24; 103-535, eff. 
198-11-23; 103-551, eff. 8-11-23; 103-605, eff. 7-1-24; 103-718, 
20eff. 7-19-24; 103-751, eff. 8-2-24; 103-914, eff. 1-1-25; 
21103-918, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-1, eff. 
226-9-25; 104-27, eff. 1-1-26; 104-42, eff. 8-1-25; 104-68, eff. 
231-1-26; 104-73, eff. 1-1-26; 104-289, eff. 1-1-26; 104-324, 
24eff. 1-1-26; 104-379, eff. 1-1-26; 104-417, eff. 8-15-25; 
25104-446, eff. 6-1-26; revised 1-8-26.)
 
 
 
10400SB2762ham003- 11 -LRB104 16499 BAB 38367 a

1    Section 20. The Illinois Insurance Code is amended by 
2adding Sections 356z.88 and 356z.89 as follows:
 
3    (215 ILCS 5/356z.88 new)
4    Sec. 356z.88. Coverage for seizure detection devices.
5    (a) For the purposes of this Section, "seizure detection 
6device" means a monitoring device cleared by the United States 
7Food and Drug Administration, and any related technology, 
8application, service, or subscription supporting the 
9prescribed use of the device, that provides the following:
10        (1) individual monitoring and alert services relating 
11    to seizure activity;
12        (2) detection or prediction of seizure activity and 
13    transmission of notification of the seizure activity to 
14    the individual or a caregiver for appropriate medical 
15    response; or
16        (3) collection of data of the seizure activity of the 
17    individual that can be used by a health care provider to 
18    diagnose or appropriately treat a health care condition 
19    that causes the seizure activity.
20    (b) A group or individual plan of accident and health 
21insurance or managed care plan amended, delivered, issued, or 
22renewed on or after January 1, 2029 shall provide coverage for 
23medically prescribed seizure detection devices.
24    (c) All seizure detection devices covered under this 
25Section shall be approved for use by individuals, and the 
 
 
10400SB2762ham003- 12 -LRB104 16499 BAB 38367 a

1choice of device shall be made based upon the individual's 
2circumstances and medical needs in consultation with the 
3individual's medical provider.
4    (d) Any individual who has been prescribed a seizure 
5detection device shall not be required to obtain prior 
6authorization for coverage for a seizure detection device, and 
7coverage shall be continuous once the seizure detection device 
8is prescribed.
9    (e) A group or individual policy of accident and health 
10insurance or a managed care plan that is amended, delivered, 
11issued, or renewed on or after January 1, 2029 shall not impose 
12a deductible, coinsurance, copayment, or any other 
13cost-sharing requirement of more than $50 on the coverage of a 
14seizure detection device per plan year. The provisions of this 
15subsection do not apply to coverage under this Section to the 
16extent that the coverage would disqualify a high-deductible 
17health plan from eligibility for a health savings account.
 
18    (215 ILCS 5/356z.89 new)
19    Sec. 356z.89. Coverage for preeclampsia biomarker testing. 
20Any group or individual policy of accident and health 
21insurance or managed care plan amended, delivered, issued, or 
22renewed on or after January 1, 2028 shall cover, without 
23imposing a deductible, coinsurance, copayment, or any other 
24cost-sharing requirement upon the insured, preeclampsia 
25biomarker testing for predictive screening in asymptomatic 
 
 
10400SB2762ham003- 13 -LRB104 16499 BAB 38367 a

1individuals, or for diagnosis and management when symptoms are 
2present.
 
3    Section 25. The Health Maintenance Organization Act is 
4amended by changing Section 5-3 as follows:
 
5    (215 ILCS 125/5-3)  (from Ch. 111 1/2, par. 1411.2)
6    Sec. 5-3. Illinois Insurance Code provisions. 
7    (a) Health Maintenance Organizations shall be subject to 
8the provisions of Sections 133, 134, 136, 137, 139, 140, 
9141.1, 141.2, 141.3, 143, 143.31, 143c, 147, 148, 149, 151, 
10152, 153, 154, 154.5, 154.6, 154.7, 154.8, 155.04, 155.22a, 
11155.49, 352c, 355.2, 355.3, 355.6, 355.7, 355b, 355c, 356f, 
12356g, 356g.5-1, 356m, 356q, 356u.10, 356v, 356w, 356x, 356z.2, 
13356z.3a, 356z.4, 356z.4a, 356z.5, 356z.6, 356z.8, 356z.9, 
14356z.10, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.17, 
15356z.18, 356z.19, 356z.20, 356z.21, 356z.22, 356z.23, 356z.24, 
16356z.25, 356z.26, 356z.28, 356z.29, 356z.30, 356z.31, 356z.32, 
17356z.33, 356z.34, 356z.35, 356z.36, 356z.37, 356z.38, 356z.39, 
18356z.40, 356z.40a, 356z.41, 356z.44, 356z.45, 356z.46, 
19356z.47, 356z.48, 356z.49, 356z.50, 356z.51, 356z.53, 356z.54, 
20356z.55, 356z.56, 356z.57, 356z.58, 356z.59, 356z.60, 356z.61, 
21356z.62, 356z.63, 356z.64, 356z.65, 356z.66, 356z.67, 356z.68, 
22356z.69, 356z.70, 356z.71, 356z.72, 356z.73, 356z.74, 356z.75, 
23356z.76, 356z.77, 356z.78, 356z.79, 356z.80, 356z.81, 356z.82, 
24356z.83, 356z.84, 356z.85, 356z.88, 356z.89, 364, 364.01, 
 
 
10400SB2762ham003- 14 -LRB104 16499 BAB 38367 a

1364.3, 367.2, 367.2-5, 367i, 368a, 368b, 368c, 368d, 368e, 
2370a, 370c, 370c.1, 401, 401.1, 402, 403, 403A, 408, 408.2, 
3409, 412, 444, and 444.1, paragraph (c) of subsection (2) of 
4Section 367, and Articles IIA, VIII 1/2, XII, XII 1/2, XIII, 
5XIII 1/2, XXV, XXVI, and XXXIIB of the Illinois Insurance 
6Code.
7    (b) For purposes of the Illinois Insurance Code, except 
8for Sections 444 and 444.1 and Articles XIII and XIII 1/2, 
9Health Maintenance Organizations in the following categories 
10are deemed to be "domestic companies":
11        (1) a corporation authorized under the Dental Service 
12    Plan Act or the Voluntary Health Services Plans Act;
13        (2) a corporation organized under the laws of this 
14    State; or
15        (3) a corporation organized under the laws of another 
16    state, 30% or more of the enrollees of which are residents 
17    of this State, except a corporation subject to 
18    substantially the same requirements in its state of 
19    organization as is a "domestic company" under Article VIII 
20    1/2 of the Illinois Insurance Code.
21    (c) In considering the merger, consolidation, or other 
22acquisition of control of a Health Maintenance Organization 
23pursuant to Article VIII 1/2 of the Illinois Insurance Code,
24        (1) the Director shall give primary consideration to 
25    the continuation of benefits to enrollees and the 
26    financial conditions of the acquired Health Maintenance 
 
 
10400SB2762ham003- 15 -LRB104 16499 BAB 38367 a

1    Organization after the merger, consolidation, or other 
2    acquisition of control takes effect;
3        (2)(i) the criteria specified in subsection (1)(b) of 
4    Section 131.8 of the Illinois Insurance Code shall not 
5    apply and (ii) the Director, in making his determination 
6    with respect to the merger, consolidation, or other 
7    acquisition of control, need not take into account the 
8    effect on competition of the merger, consolidation, or 
9    other acquisition of control;
10        (3) the Director shall have the power to require the 
11    following information:
12            (A) certification by an independent actuary of the 
13        adequacy of the reserves of the Health Maintenance 
14        Organization sought to be acquired;
15            (B) pro forma financial statements reflecting the 
16        combined balance sheets of the acquiring company and 
17        the Health Maintenance Organization sought to be 
18        acquired as of the end of the preceding year and as of 
19        a date 90 days prior to the acquisition, as well as pro 
20        forma financial statements reflecting projected 
21        combined operation for a period of 2 years;
22            (C) a pro forma business plan detailing an 
23        acquiring party's plans with respect to the operation 
24        of the Health Maintenance Organization sought to be 
25        acquired for a period of not less than 3 years; and
26            (D) such other information as the Director shall 
 
 
10400SB2762ham003- 16 -LRB104 16499 BAB 38367 a

1        require.
2    (d) The provisions of Article VIII 1/2 of the Illinois 
3Insurance Code and this Section 5-3 shall apply to the sale by 
4any health maintenance organization of greater than 10% of its 
5enrollee population (including, without limitation, the health 
6maintenance organization's right, title, and interest in and 
7to its health care certificates).
8    (e) In considering any management contract or service 
9agreement subject to Section 141.1 of the Illinois Insurance 
10Code, the Director (i) shall, in addition to the criteria 
11specified in Section 141.2 of the Illinois Insurance Code, 
12take into account the effect of the management contract or 
13service agreement on the continuation of benefits to enrollees 
14and the financial condition of the health maintenance 
15organization to be managed or serviced, and (ii) need not take 
16into account the effect of the management contract or service 
17agreement on competition.
18    (f) Except for small employer groups as defined in the 
19Small Employer Rating, Renewability and Portability Health 
20Insurance Act and except for medicare supplement policies as 
21defined in Section 363 of the Illinois Insurance Code, a 
22Health Maintenance Organization may by contract agree with a 
23group or other enrollment unit to effect refunds or charge 
24additional premiums under the following terms and conditions:
25        (i) the amount of, and other terms and conditions with 
26    respect to, the refund or additional premium are set forth 
 
 
10400SB2762ham003- 17 -LRB104 16499 BAB 38367 a

1    in the group or enrollment unit contract agreed in advance 
2    of the period for which a refund is to be paid or 
3    additional premium is to be charged (which period shall 
4    not be less than one year); and
5        (ii) the amount of the refund or additional premium 
6    shall not exceed 20% of the Health Maintenance 
7    Organization's profitable or unprofitable experience with 
8    respect to the group or other enrollment unit for the 
9    period (and, for purposes of a refund or additional 
10    premium, the profitable or unprofitable experience shall 
11    be calculated taking into account a pro rata share of the 
12    Health Maintenance Organization's administrative and 
13    marketing expenses, but shall not include any refund to be 
14    made or additional premium to be paid pursuant to this 
15    subsection (f)). The Health Maintenance Organization and 
16    the group or enrollment unit may agree that the profitable 
17    or unprofitable experience may be calculated taking into 
18    account the refund period and the immediately preceding 2 
19    plan years.
20    The Health Maintenance Organization shall include a 
21statement in the evidence of coverage issued to each enrollee 
22describing the possibility of a refund or additional premium, 
23and upon request of any group or enrollment unit, provide to 
24the group or enrollment unit a description of the method used 
25to calculate (1) the Health Maintenance Organization's 
26profitable experience with respect to the group or enrollment 
 
 
10400SB2762ham003- 18 -LRB104 16499 BAB 38367 a

1unit and the resulting refund to the group or enrollment unit 
2or (2) the Health Maintenance Organization's unprofitable 
3experience with respect to the group or enrollment unit and 
4the resulting additional premium to be paid by the group or 
5enrollment unit.
6    In no event shall the Illinois Health Maintenance 
7Organization Guaranty Association be liable to pay any 
8contractual obligation of an insolvent organization to pay any 
9refund authorized under this Section.
10    (g) Rulemaking authority to implement Public Act 95-1045, 
11if any, is conditioned on the rules being adopted in 
12accordance with all provisions of the Illinois Administrative 
13Procedure Act and all rules and procedures of the Joint 
14Committee on Administrative Rules; any purported rule not so 
15adopted, for whatever reason, is unauthorized. 
16(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24; 
17103-123, eff. 1-1-24; 103-154, eff. 6-30-23; 103-420, eff. 
181-1-24; 103-426, eff. 8-4-23; 103-445, eff. 1-1-24; 103-551, 
19eff. 8-11-23; 103-605, eff. 7-1-24; 103-618, eff. 1-1-25; 
20103-649, eff. 1-1-25; 103-656, eff. 1-1-25; 103-700, eff. 
211-1-25; 103-718, eff. 7-19-24; 103-751, eff. 8-2-24; 103-753, 
22eff. 8-2-24; 103-758, eff. 1-1-25; 103-777, eff. 8-2-24; 
23103-808, eff. 1-1-26; 103-914, eff. 1-1-25; 103-918, eff. 
241-1-25; 103-1024, eff. 1-1-25; 104-1, eff. 6-9-25; 104-28, 
25eff. 1-1-26; 104-42, eff. 8-1-25; 104-68, eff. 1-1-26; 104-73, 
26eff. 1-1-26; 104-98, eff. 1-1-26; 104-289, eff. 1-1-26; 
 
 
10400SB2762ham003- 19 -LRB104 16499 BAB 38367 a

1104-324, eff. 1-1-26; 104-334, eff. 8-15-25; 104-379, eff. 
21-1-26; 104-417, eff. 8-15-25; revised 11-21-25.)
 
3    Section 30. The Limited Health Service Organization Act is 
4amended by changing Section 4003 as follows:
 
5    (215 ILCS 130/4003)  (from Ch. 73, par. 1504-3)
6    Sec. 4003. Illinois Insurance Code provisions. Limited 
7health service organizations shall be subject to the 
8provisions of Sections 133, 134, 136, 137, 139, 140, 141.1, 
9141.2, 141.3, 143, 143.31, 143c, 147, 148, 149, 151, 152, 153, 
10154, 154.5, 154.6, 154.7, 154.8, 155.04, 155.37, 155.49, 352c, 
11355.2, 355.3, 355b, 355d, 356m, 356q, 356v, 356z.4, 356z.4a, 
12356z.10, 356z.21, 356z.22, 356z.25, 356z.26, 356z.29, 356z.32, 
13356z.33, 356z.41, 356z.46, 356z.47, 356z.51, 356z.53, 356z.54, 
14356z.57, 356z.59, 356z.61, 356z.64, 356z.67, 356z.68, 356z.71, 
15356z.73, 356z.74, 356z.75, 356z.79, 356z.80, 356z.81, 356z.83, 
16356z.84, 356z.85, 356z.88, 356z.89, 364.3, 368a, 370a, 401, 
17401.1, 402, 403, 403A, 408, 408.2, 409, 412, 444, and 444.1 and 
18Articles IIA, VIII 1/2, XII, XII 1/2, XIII, XIII 1/2, XXV, 
19XXVI, and XXXIIB of the Illinois Insurance Code. Nothing in 
20this Section shall require a limited health care plan to cover 
21any service that is not a limited health service. For purposes 
22of the Illinois Insurance Code, except for Sections 444 and 
23444.1 and Articles XIII and XIII 1/2, limited health service 
24organizations in the following categories are deemed to be 
 
 
10400SB2762ham003- 20 -LRB104 16499 BAB 38367 a

1domestic companies:
2        (1) a corporation under the laws of this State; or
3        (2) a corporation organized under the laws of another 
4    state, 30% or more of the enrollees of which are residents 
5    of this State, except a corporation subject to 
6    substantially the same requirements in its state of 
7    organization as is a domestic company under Article VIII 
8    1/2 of the Illinois Insurance Code.
9(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24; 
10103-420, eff. 1-1-24; 103-426, eff. 8-4-23; 103-445, eff. 
111-1-24; 103-605, eff. 7-1-24; 103-649, eff. 1-1-25; 103-656, 
12eff. 1-1-25; 103-700, eff. 1-1-25; 103-718, eff. 7-19-24; 
13103-751, eff. 8-2-24; 103-758, eff. 1-1-25; 103-832, eff. 
141-1-25; 103-1024, eff. 1-1-25; 104-1, eff. 6-9-25; 104-42, 
15eff. 8-1-25; 104-73, eff. 1-1-26; 104-98, eff. 1-1-26; 
16104-289, eff. 1-1-26; 104-324, eff. 1-1-26; 104-334, eff. 
178-15-25; 104-379, eff. 1-1-26; 104-417, eff. 8-15-25; revised 
1811-21-25.)
 
19    Section 35. The Voluntary Health Services Plans Act is 
20amended by changing Section 10 as follows:
 
21    (215 ILCS 165/10)  (from Ch. 32, par. 604)
22    Sec. 10. Application of Illinois Insurance Code 
23provisions. Health services plan corporations and all persons 
24interested therein or dealing therewith shall be subject to 
 
 
10400SB2762ham003- 21 -LRB104 16499 BAB 38367 a

1the provisions of Articles IIA and XII 1/2 and Sections 3.1, 
2133, 136, 139, 140, 143, 143.31, 143c, 149, 155.22a, 155.37, 
3354, 355.2, 355.3, 355.7, 355b, 355d, 356g, 356g.5, 356g.5-1, 
4356m, 356q, 356r, 356t, 356u, 356u.10, 356v, 356w, 356x, 356y, 
5356z.1, 356z.2, 356z.3a, 356z.4, 356z.4a, 356z.5, 356z.6, 
6356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13, 356z.14, 
7356z.15, 356z.18, 356z.19, 356z.21, 356z.22, 356z.25, 356z.26, 
8356z.29, 356z.30, 356z.32, 356z.32a, 356z.33, 356z.40, 
9356z.41, 356z.46, 356z.47, 356z.51, 356z.53, 356z.54, 356z.56, 
10356z.57, 356z.59, 356z.60, 356z.61, 356z.62, 356z.64, 356z.67, 
11356z.68, 356z.71, 356z.72, 356z.74, 356z.75, 356z.77, 356z.79, 
12356z.80, 356z.81, 356z.83, 356z.84, 356z.85, 356z.88, 356z.89, 
13364.01, 364.3, 367.2, 368a, 370a, 401, 401.1, 402, 403, 403A, 
14408, 408.2, and 412, and paragraphs (7) and (15) of Section 367 
15of the Illinois Insurance Code.
16    Rulemaking authority to implement Public Act 95-1045, if 
17any, is conditioned on the rules being adopted in accordance 
18with all provisions of the Illinois Administrative Procedure 
19Act and all rules and procedures of the Joint Committee on 
20Administrative Rules; any purported rule not so adopted, for 
21whatever reason, is unauthorized. 
22(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24; 
23103-420, eff. 1-1-24; 103-445, eff. 1-1-24; 103-551, eff. 
248-11-23; 103-605, eff. 7-1-24; 103-656, eff. 1-1-25; 103-718, 
25eff. 7-19-24; 103-751, eff. 8-2-24; 103-753, eff. 8-2-24; 
26103-758, eff. 1-1-25; 103-832, eff. 1-1-25; 103-914, eff. 
 
 
10400SB2762ham003- 22 -LRB104 16499 BAB 38367 a

11-1-25; 103-918, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-1, 
2eff. 6-9-25; 104-28, eff. 1-1-26; 104-42, eff. 8-1-25; 104-73, 
3eff. 1-1-26; 104-98, eff. 1-1-26; 104-289, eff. 1-1-26; 
4104-324, eff. 1-1-26; 104-379, eff. 1-1-26; 104-417, eff. 
58-15-25; revised 11-21-25.)
 
6    Section 95. No acceleration or delay. Where this Act makes 
7changes in a statute that is represented in this Act by text 
8that is not yet or no longer in effect (for example, a Section 
9represented by multiple versions), the use of that text does 
10not accelerate or delay the taking effect of (i) the changes 
11made by this Act or (ii) provisions derived from any other 
12Public Act.
 
13    Section 99. Effective date. This Act takes effect upon 
14becoming law.".