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.".