104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
SB2962
 
Introduced 1/27/2026, by Sen. Suzy Glowiak Hilton
 
SYNOPSIS AS INTRODUCED:
 
215 ILCS 5/356z.33
    Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or a managed care plan that is amended, issued, delivered, or renewed on or after January 1, 2028 shall provide coverage for medically necessary epinephrine delivery systems. Removes language providing that "epinephrine injector" has the meaning set forth in the Epinephrine Injector Act. Provides that "epinephrine injector" includes an auto-injector approved by the United States Food and Drug Administration for the administration of epinephrine and a pre-filled syringe approved by the United States Food and Drug Administration and used for the administration of epinephrine that contains a pre-measured dose of epinephrine that is equivalent to the dosages used in an auto-injector. Includes epinephrine delivery systems in provisions concerning cost limitations for medically necessary epinephrine injectors. 


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A BILL FOR
 
SB2962LRB104 16645 BAB 30048 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 Illinois Insurance Code is amended by 
5changing Section 356z.33 as follows:
 
6    (215 ILCS 5/356z.33)
7    Sec. 356z.33. Coverage for epinephrine injectors and 
8epinephrine delivery systems. 
9    (a) As used in this Section:
10    "Epinephrine delivery system" has the meaning given to 
11that term in Section 5 of the Epinephrine Injector Act. 
12    "Epinephrine injector" includes an auto-injector approved 
13by the United States Food and Drug Administration for the 
14administration of epinephrine and a pre-filled syringe 
15approved by the United States Food and Drug Administration and 
16used for the administration of epinephrine that contains a 
17pre-measured dose of epinephrine that is equivalent to the 
18dosages used in an auto-injector. 
19    (b) (a) A group or individual policy of accident and 
20health insurance or a managed care plan that is amended, 
21delivered, issued, or renewed on or after January 1, 2020 (the 
22effective date of Public Act 101-281) shall provide coverage 
23for medically necessary epinephrine injectors for persons 18 
 
 
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1years of age or under. As used in this Section, "epinephrine 
2injector" has the meaning given to that term in Section 5 of 
3the Epinephrine Injector Act.
4    (c) A group or individual policy of accident and health 
5insurance or a managed care plan that is amended, issued, 
6delivered, or renewed on or after January 1, 2028 shall 
7provide coverage for medically necessary epinephrine delivery 
8systems. 
9    (d) (b) An insurer that provides coverage for medically 
10necessary epinephrine injectors or epinephrine delivery 
11systems shall limit the total amount that an insured is 
12required to pay for a twin-pack of medically necessary 
13epinephrine injectors or epinephrine delivery systems, at an 
14amount not to exceed $60, regardless of the type of 
15epinephrine injector or delivery system; except that this 
16provision does not apply to the extent such coverage would 
17disqualify a high-deductible health plan from eligibility for 
18a health savings account pursuant to Section 223 of the 
19Internal Revenue Code (26 U.S.C. 223).
20    (e) (c) Nothing in this Section prevents an insurer from 
21reducing an insured's cost sharing by an amount greater than 
22the amount specified in subsection (b) or (c).
23    (f) (d) The Department may adopt rules as necessary to 
24implement and administer this Section. 
25(Source: P.A. 102-558, eff. 8-20-21; 103-454, eff. 1-1-25; 
26103-718, eff. 7-19-24.)