Rep. Tracy Katz Muhl
Filed: 3/19/2024
 
 

 
 

 
10300HB5463ham001LRB103 36837 RPS 71162 a

1
AMENDMENT TO HOUSE BILL 5463 

2    AMENDMENT NO. ______. Amend House Bill 5463 by replacing 
3everything after the enacting clause with the following:
 
4    "Section 5. The State Employees Group Insurance Act of 
51971 is 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, 
 
 
10300HB5463ham001- 2 -LRB103 36837 RPS 71162 a

1356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47, 356z.51, 
2356z.53, 356z.54, 356z.55, 356z.56, 356z.57, 356z.59, 356z.60, 
3and 356z.61, and 356z.62, 356z.64, 356z.67, 356z.68, 356z.70, 
4and 356z.71 of the Illinois Insurance Code. The program of 
5health benefits must comply with Sections 155.22a, 155.37, 
6355b, 356z.19, 370c, and 370c.1 and Article XXXIIB of the 
7Illinois Insurance Code. The program of health benefits shall 
8provide the coverage required under Section 356m of the 
9Illinois Insurance Code and, for the employees of the State 
10Employee Group Insurance Program only, the coverage as also 
11provided in Section 6.11B of this Act. The Department of 
12Insurance shall enforce the requirements of this Section with 
13respect to Sections 370c and 370c.1 of the Illinois Insurance 
14Code; all other requirements of this Section shall be enforced 
15by the Department of Central Management Services.
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. 102-30, eff. 1-1-22; 102-103, eff. 1-1-22; 
23102-203, eff. 1-1-22; 102-306, eff. 1-1-22; 102-642, eff. 
241-1-22; 102-665, eff. 10-8-21; 102-731, eff. 1-1-23; 102-768, 
25eff. 1-1-24; 102-804, eff. 1-1-23; 102-813, eff. 5-13-22; 
26102-816, eff. 1-1-23; 102-860, eff. 1-1-23; 102-1093, eff. 
 
 
10300HB5463ham001- 3 -LRB103 36837 RPS 71162 a

11-1-23; 102-1117, eff. 1-13-23; 103-8, eff. 1-1-24; 103-84, 
2eff. 1-1-24; 103-91, eff. 1-1-24; 103-420, eff. 1-1-24; 
3103-445, eff. 1-1-24; 103-535, eff. 8-11-23; 103-551, eff. 
48-11-23; revised 8-29-23.)
 
5    Section 10. The Illinois Insurance Code is amended by 
6adding Section 356z.71 as follows:
 
7    (215 ILCS 5/356z.71 new)
8    Sec. 356z.71. Coverage for at-home pregnancy tests. A 
9group or individual policy of accident and health insurance or 
10a managed care plan that is amended, delivered, issued, or 
11renewed on or after January 1, 2026 shall provide coverage for 
12at-home, urine-based pregnancy tests that are prescribed to 
13the covered person, regardless of whether the tests are 
14otherwise available over-the-counter. The coverage required 
15under this Section is limited to 2 at-home, urine-based 
16pregnancy tests every 30 days.
 
17    Section 99. Effective date. This Act takes effect January 
181, 2026.".