Rep. Tracy Katz Muhl

Filed: 4/16/2024

 

 


 

 


 
10300HB5643ham003LRB103 39419 RPS 72339 a

1
AMENDMENT TO HOUSE BILL 5643

2    AMENDMENT NO. ______. Amend House Bill 5643, AS AMENDED,
3by replacing everything after the enacting clause with the
4following:
 
5    "Section 5. The State Employees Group Insurance Act of
61971 is amended by changing Section 6.11 as follows:
 
7    (5 ILCS 375/6.11)
8    Sec. 6.11. Required health benefits; Illinois Insurance
9Code requirements. The program of health benefits shall
10provide the post-mastectomy care benefits required to be
11covered by a policy of accident and health insurance under
12Section 356t of the Illinois Insurance Code. The program of
13health benefits shall provide the coverage required under
14Sections 356g, 356g.5, 356g.5-1, 356m, 356q, 356u, 356w, 356x,
15356z.2, 356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 356z.10,
16356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.17, 356z.22,

 

 

10300HB5643ham003- 2 -LRB103 39419 RPS 72339 a

1356z.25, 356z.26, 356z.29, 356z.30a, 356z.32, 356z.33,
2356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47, 356z.51,
3356z.53, 356z.54, 356z.55, 356z.56, 356z.57, 356z.59, 356z.60,
4and 356z.61, and 356z.62, 356z.64, 356z.67, 356z.68, 356z.70,
5and 356z.71 of the Illinois Insurance Code. The program of
6health benefits must comply with Sections 155.22a, 155.37,
7355b, 356z.19, 370c, and 370c.1 and Article XXXIIB of the
8Illinois Insurance Code. The program of health benefits shall
9provide the coverage required under Section 356m of the
10Illinois Insurance Code and, for the employees of the State
11Employee Group Insurance Program only, the coverage as also
12provided in Section 6.11B of this Act. The Department of
13Insurance shall enforce the requirements of this Section with
14respect to Sections 370c and 370c.1 of the Illinois Insurance
15Code; all other requirements of this Section shall be enforced
16by the Department of Central Management Services.
17    Rulemaking authority to implement Public Act 95-1045, if
18any, is conditioned on the rules being adopted in accordance
19with all provisions of the Illinois Administrative Procedure
20Act and all rules and procedures of the Joint Committee on
21Administrative Rules; any purported rule not so adopted, for
22whatever reason, is unauthorized.
23(Source: P.A. 102-30, eff. 1-1-22; 102-103, eff. 1-1-22;
24102-203, eff. 1-1-22; 102-306, eff. 1-1-22; 102-642, eff.
251-1-22; 102-665, eff. 10-8-21; 102-731, eff. 1-1-23; 102-768,
26eff. 1-1-24; 102-804, eff. 1-1-23; 102-813, eff. 5-13-22;

 

 

10300HB5643ham003- 3 -LRB103 39419 RPS 72339 a

1102-816, eff. 1-1-23; 102-860, eff. 1-1-23; 102-1093, eff.
21-1-23; 102-1117, eff. 1-13-23; 103-8, eff. 1-1-24; 103-84,
3eff. 1-1-24; 103-91, eff. 1-1-24; 103-420, eff. 1-1-24;
4103-445, eff. 1-1-24; 103-535, eff. 8-11-23; 103-551, eff.
58-11-23; revised 8-29-23.)
 
6    Section 10. The Illinois Insurance Code is amended by
7adding Section 356z.71 as follows:
 
8    (215 ILCS 5/356z.71 new)
9    Sec. 356z.71. Coverage for at-home pregnancy tests. A
10group or individual policy of accident and health insurance or
11a managed care plan that is amended, delivered, issued, or
12renewed on or after January 1, 2026 shall provide coverage for
13at-home, urine-based pregnancy tests that are prescribed to
14the covered person, regardless of whether the tests are
15otherwise available over-the-counter. The coverage required
16under this Section is limited to 2 at-home, urine-based
17pregnancy tests every 30 days.
 
18    Section 15. The Illinois Public Aid Code is amended by
19adding Section 5-5.24a as follows:
 
20    (305 ILCS 5/5-5.24a new)
21    Sec. 5-5.24a. Coverage for at-home pregnancy tests.
22Beginning January 1, 2025, the medical assistance program

 

 

10300HB5643ham003- 4 -LRB103 39419 RPS 72339 a

1shall provide coverage for at-home, urine-based pregnancy
2tests that are ordered directly by a clinician or furnished
3through a standing order for patient use, regardless of
4whether the tests are otherwise available over the counter.
5The coverage required under this Section is limited to a
6multipack, as defined by the Department, of at-home,
7urine-based pregnancy tests every 30 days.
 
8    Section 99. Effective date. This Act takes effect January
91, 2025.".