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Rep. Tracy Katz Muhl
Filed: 3/19/2024
| | 10300HB5643ham001 | | LRB103 39419 RPS 71264 a |
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1 | | AMENDMENT TO HOUSE BILL 5643
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2 | | AMENDMENT NO. ______. Amend House Bill 5643 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 changing Section 6.11 as follows: |
6 | | (5 ILCS 375/6.11) |
7 | | Sec. 6.11. Required health benefits; Illinois Insurance |
8 | | Code requirements. The program of health benefits shall |
9 | | provide the post-mastectomy care benefits required to be |
10 | | covered by a policy of accident and health insurance under |
11 | | Section 356t of the Illinois Insurance Code. The program of |
12 | | health benefits shall provide the coverage required under |
13 | | Sections 356g, 356g.5, 356g.5-1, 356m, 356q, 356u, 356w, 356x, |
14 | | 356z.2, 356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 356z.10, |
15 | | 356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.17, 356z.22, |
16 | | 356z.25, 356z.26, 356z.29, 356z.30a, 356z.32, 356z.33, |
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| | 10300HB5643ham001 | - 2 - | LRB103 39419 RPS 71264 a |
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1 | | 356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47, 356z.51, |
2 | | 356z.53, 356z.54, 356z.55, 356z.56, 356z.57, 356z.59, 356z.60, |
3 | | and 356z.61, and 356z.62 , 356z.64, 356z.67, 356z.68, 356z.70, |
4 | | and 356z.71 of the Illinois Insurance Code. The program of |
5 | | health benefits must comply with Sections 155.22a, 155.37, |
6 | | 355b, 356z.19, 370c, and 370c.1 and Article XXXIIB of the |
7 | | Illinois Insurance Code. The program of health benefits shall |
8 | | provide the coverage required under Section 356m of the |
9 | | Illinois Insurance Code and, for the employees of the State |
10 | | Employee Group Insurance Program only, the coverage as also |
11 | | provided in Section 6.11B of this Act. The Department of |
12 | | Insurance shall enforce the requirements of this Section with |
13 | | respect to Sections 370c and 370c.1 of the Illinois Insurance |
14 | | Code; all other requirements of this Section shall be enforced |
15 | | by the Department of Central Management Services. |
16 | | Rulemaking authority to implement Public Act 95-1045, if |
17 | | any, is conditioned on the rules being adopted in accordance |
18 | | with all provisions of the Illinois Administrative Procedure |
19 | | Act and all rules and procedures of the Joint Committee on |
20 | | Administrative Rules; any purported rule not so adopted, for |
21 | | whatever reason, is unauthorized. |
22 | | (Source: P.A. 102-30, eff. 1-1-22; 102-103, eff. 1-1-22; |
23 | | 102-203, eff. 1-1-22; 102-306, eff. 1-1-22; 102-642, eff. |
24 | | 1-1-22; 102-665, eff. 10-8-21; 102-731, eff. 1-1-23; 102-768, |
25 | | eff. 1-1-24; 102-804, eff. 1-1-23; 102-813, eff. 5-13-22; |
26 | | 102-816, eff. 1-1-23; 102-860, eff. 1-1-23; 102-1093, eff. |
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| | 10300HB5643ham001 | - 3 - | LRB103 39419 RPS 71264 a |
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1 | | 1-1-23; 102-1117, eff. 1-13-23; 103-8, eff. 1-1-24; 103-84, |
2 | | eff. 1-1-24; 103-91, eff. 1-1-24; 103-420, eff. 1-1-24; |
3 | | 103-445, eff. 1-1-24; 103-535, eff. 8-11-23; 103-551, eff. |
4 | | 8-11-23; revised 8-29-23.) |
5 | | Section 10. The Illinois Insurance Code is amended by |
6 | | adding Section 356z.71 as follows: |
7 | | (215 ILCS 5/356z.71 new) |
8 | | Sec. 356z.71. Coverage for at-home pregnancy tests. A |
9 | | group or individual policy of accident and health insurance or |
10 | | a managed care plan that is amended, delivered, issued, or |
11 | | renewed on or after January 1, 2026 shall provide coverage for |
12 | | at-home, urine-based pregnancy tests that are prescribed to |
13 | | the covered person, regardless of whether the tests are |
14 | | otherwise available over-the-counter. The coverage required |
15 | | under this Section is limited to 2 at-home, urine-based |
16 | | pregnancy tests every 30 days. |
17 | | Section 99. Effective date. This Act takes effect January |
18 | | 1, 2026.". |