Rep. Mary Gill
Filed: 3/5/2024
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1 | AMENDMENT TO HOUSE BILL 5383 | ||||||
2 | AMENDMENT NO. ______. Amend House Bill 5383 by replacing | ||||||
3 | everything after the enacting clause with the following: | ||||||
4 | "Section 5. The State Employees Group Insurance Act of | ||||||
5 | 1971 is amended by adding Section 6.11D as follows: | ||||||
6 | (5 ILCS 375/6.11D new) | ||||||
7 | Sec. 6.11D. Coverage for treatments to slow the | ||||||
8 | progression of Alzheimer's Disease and related dementias. | ||||||
9 | Beginning on July 1, 2025, the State Employees Group Insurance | ||||||
10 | Program shall provide coverage for all medically necessary | ||||||
11 | FDA-approved treatments or medications prescribed to slow the | ||||||
12 | progression of Alzheimer's Disease or another related | ||||||
13 | dementia, as determined by a physician licensed to practice | ||||||
14 | medicine in all its branches. Coverage for all FDA-approved | ||||||
15 | treatments or medications prescribed to slow the progression | ||||||
16 | of Alzheimer's Disease or another related dementia shall not |
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1 | be subject to step therapy. Any diagnostic testing necessary | ||||||
2 | for a physician to determine appropriate use of these | ||||||
3 | treatments or medications shall be covered by the State | ||||||
4 | Employees Group Insurance Program. ". |