102ND GENERAL ASSEMBLY
State of Illinois
2021 and 2022
HB4335

 

Introduced 1/5/2022, by Rep. Katie Stuart

 

SYNOPSIS AS INTRODUCED:
 
5 ILCS 375/6.11
55 ILCS 5/5-1069.3
65 ILCS 5/10-4-2.3
105 ILCS 5/10-22.3f
215 ILCS 5/356z.53 new
215 ILCS 125/5-3  from Ch. 111 1/2, par. 1411.2
215 ILCS 130/4003  from Ch. 73, par. 1504-3
215 ILCS 165/10  from Ch. 32, par. 604
305 ILCS 5/5-16.8

    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, delivered, issued, or renewed on or after January 1, 2024 and that provides coverage for prescription drugs shall provide coverage for vaginal estrogen, and that coverage for vaginal estrogen shall not impose a deductible, coinsurance, copayment, or any other cost-sharing requirement. Makes conforming changes in the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, the Limited Health Service Organization Act, the Voluntary Health Services Plans Act, and the Medical Assistance Article of the Illinois Public Aid Code.


LRB102 22718 BMS 31864 b

STATE MANDATES ACT MAY REQUIRE REIMBURSEMENT
MAY APPLY

 

 

A BILL FOR

 

HB4335LRB102 22718 BMS 31864 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 State Employees Group Insurance Act of 1971
5is amended by changing Section 6.11 as follows:
 
6    (5 ILCS 375/6.11)
7    Sec. 6.11. Required health benefits; Illinois Insurance
8Code requirements. The program of health benefits shall
9provide the post-mastectomy care benefits required to be
10covered by a policy of accident and health insurance under
11Section 356t of the Illinois Insurance Code. The program of
12health benefits shall provide the coverage required under
13Sections 356g, 356g.5, 356g.5-1, 356m, 356q, 356u, 356w, 356x,
14356z.2, 356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 356z.10,
15356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.17, 356z.22,
16356z.25, 356z.26, 356z.29, 356z.30a, 356z.32, 356z.33,
17356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47, 356z.51,
18and 356z.53 and 356z.43 of the Illinois Insurance Code. The
19program of health benefits must comply with Sections 155.22a,
20155.37, 355b, 356z.19, 370c, and 370c.1 and Article XXXIIB of
21the Illinois Insurance Code. The Department of Insurance shall
22enforce the requirements of this Section with respect to
23Sections 370c and 370c.1 of the Illinois Insurance Code; all

 

 

HB4335- 2 -LRB102 22718 BMS 31864 b

1other requirements of this Section shall be enforced by the
2Department of Central Management Services.
3    Rulemaking authority to implement Public Act 95-1045, if
4any, is conditioned on the rules being adopted in accordance
5with all provisions of the Illinois Administrative Procedure
6Act and all rules and procedures of the Joint Committee on
7Administrative Rules; any purported rule not so adopted, for
8whatever reason, is unauthorized.
9(Source: P.A. 101-13, eff. 6-12-19; 101-281, eff. 1-1-20;
10101-393, eff. 1-1-20; 101-452, eff. 1-1-20; 101-461, eff.
111-1-20; 101-625, eff. 1-1-21; 102-30, eff. 1-1-22; 102-103,
12eff. 1-1-22; 102-203, eff. 1-1-22; 102-306, eff. 1-1-22;
13102-642, eff. 1-1-22; 102-665, eff. 10-8-21; revised
1410-26-21.)
 
15    Section 10. The Counties Code is amended by changing
16Section 5-1069.3 as follows:
 
17    (55 ILCS 5/5-1069.3)
18    Sec. 5-1069.3. Required health benefits. If a county,
19including a home rule county, is a self-insurer for purposes
20of providing health insurance coverage for its employees, the
21coverage shall include coverage for the post-mastectomy care
22benefits required to be covered by a policy of accident and
23health insurance under Section 356t and the coverage required
24under Sections 356g, 356g.5, 356g.5-1, 356q, 356u, 356w, 356x,

 

 

HB4335- 3 -LRB102 22718 BMS 31864 b

1356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13,
2356z.14, 356z.15, 356z.22, 356z.25, 356z.26, 356z.29,
3356z.30a, 356z.32, 356z.33, 356z.36, 356z.40, 356z.41,
4356z.45, 356z.46, 356z.47, 356z.48, 356z.51, and 356.53 and
5356z.43 of the Illinois Insurance Code. The coverage shall
6comply with Sections 155.22a, 355b, 356z.19, and 370c of the
7Illinois Insurance Code. The Department of Insurance shall
8enforce the requirements of this Section. The requirement that
9health benefits be covered as provided in this Section is an
10exclusive power and function of the State and is a denial and
11limitation under Article VII, Section 6, subsection (h) of the
12Illinois Constitution. A home rule county to which this
13Section applies must comply with every provision of this
14Section.
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. 101-81, eff. 7-12-19; 101-281, eff. 1-1-20;
22101-393, eff. 1-1-20; 101-461, eff. 1-1-20; 101-625, eff.
231-1-21; 102-30, eff. 1-1-22; 102-103, eff. 1-1-22; 102-203,
24eff. 1-1-22; 102-306, eff. 1-1-22; 102-443, eff. 1-1-22;
25102-642, eff. 1-1-22; 102-665, eff. 10-8-21; revised
2610-26-21.)
 

 

 

HB4335- 4 -LRB102 22718 BMS 31864 b

1    Section 15. The Illinois Municipal Code is amended by
2changing Section 10-4-2.3 as follows:
 
3    (65 ILCS 5/10-4-2.3)
4    Sec. 10-4-2.3. Required health benefits. If a
5municipality, including a home rule municipality, is a
6self-insurer for purposes of providing health insurance
7coverage for its employees, the coverage shall include
8coverage for the post-mastectomy care benefits required to be
9covered by a policy of accident and health insurance under
10Section 356t and the coverage required under Sections 356g,
11356g.5, 356g.5-1, 356q, 356u, 356w, 356x, 356z.6, 356z.8,
12356z.9, 356z.10, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15,
13356z.22, 356z.25, 356z.26, 356z.29, 356z.30a, 356z.32,
14356z.33, 356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47,
15356z.48, 356z.51, and 356z.53 and 356z.43 of the Illinois
16Insurance Code. The coverage shall comply with Sections
17155.22a, 355b, 356z.19, and 370c of the Illinois Insurance
18Code. The Department of Insurance shall enforce the
19requirements of this Section. The requirement that health
20benefits be covered as provided in this is an exclusive power
21and function of the State and is a denial and limitation under
22Article VII, Section 6, subsection (h) of the Illinois
23Constitution. A home rule municipality to which this Section
24applies must comply with every provision of this Section.

 

 

HB4335- 5 -LRB102 22718 BMS 31864 b

1    Rulemaking authority to implement Public Act 95-1045, if
2any, is conditioned on the rules being adopted in accordance
3with all provisions of the Illinois Administrative Procedure
4Act and all rules and procedures of the Joint Committee on
5Administrative Rules; any purported rule not so adopted, for
6whatever reason, is unauthorized.
7(Source: P.A. 101-81, eff. 7-12-19; 101-281, eff. 1-1-20;
8101-393, eff. 1-1-20; 101-461, eff. 1-1-20; 101-625, eff.
91-1-21; 102-30, eff. 1-1-22; 102-103, eff. 1-1-22; 102-203,
10eff. 1-1-22; 102-306, eff. 1-1-22; 102-443, eff. 1-1-22;
11102-642, eff. 1-1-22; 102-665, eff. 10-8-21; revised
1210-26-21.)
 
13    Section 20. The School Code is amended by changing Section
1410-22.3f as follows:
 
15    (105 ILCS 5/10-22.3f)
16    Sec. 10-22.3f. Required health benefits. Insurance
17protection and benefits for employees shall provide the
18post-mastectomy care benefits required to be covered by a
19policy of accident and health insurance under Section 356t and
20the coverage required under Sections 356g, 356g.5, 356g.5-1,
21356q, 356u, 356w, 356x, 356z.6, 356z.8, 356z.9, 356z.11,
22356z.12, 356z.13, 356z.14, 356z.15, 356z.22, 356z.25, 356z.26,
23356z.29, 356z.30a, 356z.32, 356z.33, 356z.36, 356z.40,
24356z.41, 356z.45, 356z.46, 356z.47, 356z.51, and 356z.53 and

 

 

HB4335- 6 -LRB102 22718 BMS 31864 b

1356z.43 of the Illinois Insurance Code. Insurance policies
2shall comply with Section 356z.19 of the Illinois Insurance
3Code. The coverage shall comply with Sections 155.22a, 355b,
4and 370c of the Illinois Insurance Code. The Department of
5Insurance shall enforce the requirements 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. 101-81, eff. 7-12-19; 101-281, eff. 1-1-20;
13101-393, eff. 1-1-20; 101-461, eff. 1-1-20; 101-625, eff.
141-1-21; 102-30, eff. 1-1-22; 102-103, eff. 1-1-22; 102-203,
15eff. 1-1-22; 102-306, eff. 1-1-22; 102-642, eff. 1-1-22;
16102-665, eff. 10-8-21; revised 10-27-21.)
 
17    Section 25. The Illinois Insurance Code is amended by
18adding Section 356z.53 as follows:
 
19    (215 ILCS 5/356z.53 new)
20    Sec. 356z.53. Coverage of prescription estrogen.
21    (a) A group or individual policy of accident and health
22insurance or a managed care plan that is amended, delivered,
23issued, or renewed on or after January 1, 2024 and that
24provides coverage for prescription drugs shall provide

 

 

HB4335- 7 -LRB102 22718 BMS 31864 b

1coverage for vaginal estrogen.
2    (b) A policy subject to this Section shall not impose a
3deductible, coinsurance, copayment, or any other cost-sharing
4requirement on the coverage provided.
 
5    Section 30. The Health Maintenance Organization Act is
6amended by changing Section 5-3 as follows:
 
7    (215 ILCS 125/5-3)  (from Ch. 111 1/2, par. 1411.2)
8    Sec. 5-3. Insurance Code provisions.
9    (a) Health Maintenance Organizations shall be subject to
10the provisions of Sections 133, 134, 136, 137, 139, 140,
11141.1, 141.2, 141.3, 143, 143c, 147, 148, 149, 151, 152, 153,
12154, 154.5, 154.6, 154.7, 154.8, 155.04, 155.22a, 355.2,
13355.3, 355b, 356g.5-1, 356m, 356q, 356v, 356w, 356x, 356y,
14356z.2, 356z.4, 356z.4a, 356z.5, 356z.6, 356z.8, 356z.9,
15356z.10, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.17,
16356z.18, 356z.19, 356z.21, 356z.22, 356z.25, 356z.26, 356z.29,
17356z.30, 356z.30a, 356z.32, 356z.33, 356z.35, 356z.36,
18356z.40, 356z.41, 356z.43, 356z.46, 356z.47, 356z.48, 356z.50,
19356z.51, 356z.53, 364, 364.01, 367.2, 367.2-5, 367i, 368a,
20368b, 368c, 368d, 368e, 370c, 370c.1, 401, 401.1, 402, 403,
21403A, 408, 408.2, 409, 412, 444, and 444.1, paragraph (c) of
22subsection (2) of Section 367, and Articles IIA, VIII 1/2,
23XII, XII 1/2, XIII, XIII 1/2, XXV, XXVI, and XXXIIB of the
24Illinois Insurance Code.

 

 

HB4335- 8 -LRB102 22718 BMS 31864 b

1    (b) For purposes of the Illinois Insurance Code, except
2for Sections 444 and 444.1 and Articles XIII and XIII 1/2,
3Health Maintenance Organizations in the following categories
4are deemed to be "domestic companies":
5        (1) a corporation authorized under the Dental Service
6    Plan Act or the Voluntary Health Services Plans Act;
7        (2) a corporation organized under the laws of this
8    State; or
9        (3) 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    (c) In considering the merger, consolidation, or other
16acquisition of control of a Health Maintenance Organization
17pursuant to Article VIII 1/2 of the Illinois Insurance Code,
18        (1) the Director shall give primary consideration to
19    the continuation of benefits to enrollees and the
20    financial conditions of the acquired Health Maintenance
21    Organization after the merger, consolidation, or other
22    acquisition of control takes effect;
23        (2)(i) the criteria specified in subsection (1)(b) of
24    Section 131.8 of the Illinois Insurance Code shall not
25    apply and (ii) the Director, in making his determination
26    with respect to the merger, consolidation, or other

 

 

HB4335- 9 -LRB102 22718 BMS 31864 b

1    acquisition of control, need not take into account the
2    effect on competition of the merger, consolidation, or
3    other acquisition of control;
4        (3) the Director shall have the power to require the
5    following information:
6            (A) certification by an independent actuary of the
7        adequacy of the reserves of the Health Maintenance
8        Organization sought to be acquired;
9            (B) pro forma financial statements reflecting the
10        combined balance sheets of the acquiring company and
11        the Health Maintenance Organization sought to be
12        acquired as of the end of the preceding year and as of
13        a date 90 days prior to the acquisition, as well as pro
14        forma financial statements reflecting projected
15        combined operation for a period of 2 years;
16            (C) a pro forma business plan detailing an
17        acquiring party's plans with respect to the operation
18        of the Health Maintenance Organization sought to be
19        acquired for a period of not less than 3 years; and
20            (D) such other information as the Director shall
21        require.
22    (d) The provisions of Article VIII 1/2 of the Illinois
23Insurance Code and this Section 5-3 shall apply to the sale by
24any health maintenance organization of greater than 10% of its
25enrollee population (including without limitation the health
26maintenance organization's right, title, and interest in and

 

 

HB4335- 10 -LRB102 22718 BMS 31864 b

1to its health care certificates).
2    (e) In considering any management contract or service
3agreement subject to Section 141.1 of the Illinois Insurance
4Code, the Director (i) shall, in addition to the criteria
5specified in Section 141.2 of the Illinois Insurance Code,
6take into account the effect of the management contract or
7service agreement on the continuation of benefits to enrollees
8and the financial condition of the health maintenance
9organization to be managed or serviced, and (ii) need not take
10into account the effect of the management contract or service
11agreement on competition.
12    (f) Except for small employer groups as defined in the
13Small Employer Rating, Renewability and Portability Health
14Insurance Act and except for medicare supplement policies as
15defined in Section 363 of the Illinois Insurance Code, a
16Health Maintenance Organization may by contract agree with a
17group or other enrollment unit to effect refunds or charge
18additional premiums under the following terms and conditions:
19        (i) the amount of, and other terms and conditions with
20    respect to, the refund or additional premium are set forth
21    in the group or enrollment unit contract agreed in advance
22    of the period for which a refund is to be paid or
23    additional premium is to be charged (which period shall
24    not be less than one year); and
25        (ii) the amount of the refund or additional premium
26    shall not exceed 20% of the Health Maintenance

 

 

HB4335- 11 -LRB102 22718 BMS 31864 b

1    Organization's profitable or unprofitable experience with
2    respect to the group or other enrollment unit for the
3    period (and, for purposes of a refund or additional
4    premium, the profitable or unprofitable experience shall
5    be calculated taking into account a pro rata share of the
6    Health Maintenance Organization's administrative and
7    marketing expenses, but shall not include any refund to be
8    made or additional premium to be paid pursuant to this
9    subsection (f)). The Health Maintenance Organization and
10    the group or enrollment unit may agree that the profitable
11    or unprofitable experience may be calculated taking into
12    account the refund period and the immediately preceding 2
13    plan years.
14    The Health Maintenance Organization shall include a
15statement in the evidence of coverage issued to each enrollee
16describing the possibility of a refund or additional premium,
17and upon request of any group or enrollment unit, provide to
18the group or enrollment unit a description of the method used
19to calculate (1) the Health Maintenance Organization's
20profitable experience with respect to the group or enrollment
21unit and the resulting refund to the group or enrollment unit
22or (2) the Health Maintenance Organization's unprofitable
23experience with respect to the group or enrollment unit and
24the resulting additional premium to be paid by the group or
25enrollment unit.
26    In no event shall the Illinois Health Maintenance

 

 

HB4335- 12 -LRB102 22718 BMS 31864 b

1Organization Guaranty Association be liable to pay any
2contractual obligation of an insolvent organization to pay any
3refund authorized under this Section.
4    (g) Rulemaking authority to implement Public Act 95-1045,
5if any, is conditioned on the rules being adopted in
6accordance with all provisions of the Illinois Administrative
7Procedure Act and all rules and procedures of the Joint
8Committee on Administrative Rules; any purported rule not so
9adopted, for whatever reason, is unauthorized.
10(Source: P.A. 101-13, eff. 6-12-19; 101-81, eff. 7-12-19;
11101-281, eff. 1-1-20; 101-371, eff. 1-1-20; 101-393, eff.
121-1-20; 101-452, eff. 1-1-20; 101-461, eff. 1-1-20; 101-625,
13eff. 1-1-21; 102-30, eff. 1-1-22; 102-34, eff. 6-25-21;
14102-203, eff. 1-1-22; 102-306, eff. 1-1-22; 102-443, eff.
151-1-22; 102-589, eff. 1-1-22; 102-642, eff. 1-1-22; 102-665,
16eff. 10-8-21; revised 10-27-21.)
 
17    Section 35. The Limited Health Service Organization Act is
18amended by changing Section 4003 as follows:
 
19    (215 ILCS 130/4003)  (from Ch. 73, par. 1504-3)
20    Sec. 4003. Illinois Insurance Code provisions. Limited
21health service organizations shall be subject to the
22provisions of Sections 133, 134, 136, 137, 139, 140, 141.1,
23141.2, 141.3, 143, 143c, 147, 148, 149, 151, 152, 153, 154,
24154.5, 154.6, 154.7, 154.8, 155.04, 155.37, 355.2, 355.3,

 

 

HB4335- 13 -LRB102 22718 BMS 31864 b

1355b, 356q, 356v, 356z.10, 356z.21, 356z.22, 356z.25, 356z.26,
2356z.29, 356z.30a, 356z.32, 356z.33, 356z.41, 356z.46,
3356z.47, 356z.51, 356z.53, 356z.43, 368a, 401, 401.1, 402,
4403, 403A, 408, 408.2, 409, 412, 444, and 444.1 and Articles
5IIA, VIII 1/2, XII, XII 1/2, XIII, XIII 1/2, XXV, and XXVI of
6the Illinois Insurance Code. For purposes of the Illinois
7Insurance Code, except for Sections 444 and 444.1 and Articles
8XIII and XIII 1/2, limited health service organizations in the
9following categories are deemed to be domestic companies:
10        (1) a corporation under the laws of this State; or
11        (2) a corporation organized under the laws of another
12    state, 30% or more of the enrollees of which are residents
13    of this State, except a corporation subject to
14    substantially the same requirements in its state of
15    organization as is a domestic company under Article VIII
16    1/2 of the Illinois Insurance Code.
17(Source: P.A. 101-81, eff. 7-12-19; 101-281, eff. 1-1-20;
18101-393, eff. 1-1-20; 101-625, eff. 1-1-21; 102-30, eff.
191-1-22; 102-203, eff. 1-1-22; 102-306, eff. 1-1-22; 102-642,
20eff. 1-1-22; revised 10-27-21.)
 
21    Section 40. The Voluntary Health Services Plans Act is
22amended by changing Section 10 as follows:
 
23    (215 ILCS 165/10)  (from Ch. 32, par. 604)
24    Sec. 10. Application of Insurance Code provisions. Health

 

 

HB4335- 14 -LRB102 22718 BMS 31864 b

1services plan corporations and all persons interested therein
2or dealing therewith shall be subject to the provisions of
3Articles IIA and XII 1/2 and Sections 3.1, 133, 136, 139, 140,
4143, 143c, 149, 155.22a, 155.37, 354, 355.2, 355.3, 355b,
5356g, 356g.5, 356g.5-1, 356q, 356r, 356t, 356u, 356v, 356w,
6356x, 356y, 356z.1, 356z.2, 356z.4, 356z.4a, 356z.5, 356z.6,
7356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13, 356z.14,
8356z.15, 356z.18, 356z.19, 356z.21, 356z.22, 356z.25, 356z.26,
9356z.29, 356z.30, 356z.30a, 356z.32, 356z.33, 356z.40,
10356z.41, 356z.46, 356z.47, 356z.51, 356z.53, 356z.43, 364.01,
11367.2, 368a, 401, 401.1, 402, 403, 403A, 408, 408.2, and 412,
12and paragraphs (7) and (15) of Section 367 of the Illinois
13Insurance Code.
14    Rulemaking authority to implement Public Act 95-1045, if
15any, is conditioned on the rules being adopted in accordance
16with all provisions of the Illinois Administrative Procedure
17Act and all rules and procedures of the Joint Committee on
18Administrative Rules; any purported rule not so adopted, for
19whatever reason, is unauthorized.
20(Source: P.A. 101-13, eff. 6-12-19; 101-81, eff. 7-12-19;
21101-281, eff. 1-1-20; 101-393, eff. 1-1-20; 101-625, eff.
221-1-21; 102-30, eff. 1-1-22; 102-203, eff. 1-1-22; 102-306,
23eff. 1-1-22; 102-642, eff. 1-1-22; 102-665, eff. 10-8-21;
24revised 10-27-21.)
 
25    Section 45. The Illinois Public Aid Code is amended by

 

 

HB4335- 15 -LRB102 22718 BMS 31864 b

1changing Section 5-16.8 as follows:
 
2    (305 ILCS 5/5-16.8)
3    Sec. 5-16.8. Required health benefits. The medical
4assistance program shall (i) provide the post-mastectomy care
5benefits required to be covered by a policy of accident and
6health insurance under Section 356t and the coverage required
7under Sections 356g.5, 356q, 356u, 356w, 356x, 356z.6,
8356z.26, 356z.29, 356z.32, 356z.33, 356z.34, 356z.35, 356z.46,
9356z.47, 356z.51, and 356z.53 and 356z.43 of the Illinois
10Insurance Code, (ii) be subject to the provisions of Sections
11356z.19, 356z.43, 356z.44, 356z.49, 364.01, 370c, and 370c.1
12of the Illinois Insurance Code, and (iii) be subject to the
13provisions of subsection (d-5) of Section 10 of the Network
14Adequacy and Transparency Act.
15    The Department, by rule, shall adopt a model similar to
16the requirements of Section 356z.39 of the Illinois Insurance
17Code.
18    On and after July 1, 2012, the Department shall reduce any
19rate of reimbursement for services or other payments or alter
20any methodologies authorized by this Code to reduce any rate
21of reimbursement for services or other payments in accordance
22with Section 5-5e.
23    To ensure full access to the benefits set forth in this
24Section, on and after January 1, 2016, the Department shall
25ensure that provider and hospital reimbursement for

 

 

HB4335- 16 -LRB102 22718 BMS 31864 b

1post-mastectomy care benefits required under this Section are
2no lower than the Medicare reimbursement rate.
3(Source: P.A. 101-81, eff. 7-12-19; 101-218, eff. 1-1-20;
4101-281, eff. 1-1-20; 101-371, eff. 1-1-20; 101-574, eff.
51-1-20; 101-649, eff. 7-7-20; 102-30, eff. 1-1-22; 102-144,
6eff. 1-1-22; 102-203, eff. 1-1-22; 102-306, eff. 1-1-22;
7102-530, eff. 1-1-22; 102-642, eff. 1-1-22; revised 10-27-21.)