Rep. Mary Gill
Filed: 3/7/2024
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1 | AMENDMENT TO HOUSE BILL 5383 | ||||||
2 | AMENDMENT NO. ______. Amend House Bill 5383, AS AMENDED, | ||||||
3 | by replacing everything after the enacting clause with the | ||||||
4 | following: | ||||||
5 | "Section 5. The State Employees Group Insurance Act of | ||||||
6 | 1971 is amended by adding Section 6.11D as follows: | ||||||
7 | (5 ILCS 375/6.11D new) | ||||||
8 | Sec. 6.11D. Coverage for treatments to slow the | ||||||
9 | progression of Alzheimer's Disease and related dementias. | ||||||
10 | Beginning on July 1, 2025, the State Employees Group Insurance | ||||||
11 | Program shall provide coverage for all medically necessary | ||||||
12 | FDA-approved treatments or medications prescribed to slow the | ||||||
13 | progression of Alzheimer's Disease or another related | ||||||
14 | dementia, as determined by a physician licensed to practice | ||||||
15 | medicine under the Illinois Medical Practice Act of 1987. | ||||||
16 | Coverage for all FDA-approved treatments or medications |
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1 | prescribed to slow the progression of Alzheimer's Disease or | ||||||
2 | another related dementia shall not be subject to step therapy. | ||||||
3 | Any diagnostic testing necessary for a physician to determine | ||||||
4 | appropriate use of these treatments or medications shall be | ||||||
5 | covered by the State Employees Group Insurance Program. ". |