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1 | AMENDMENT TO SENATE BILL 3665 | ||||||
2 | AMENDMENT NO. ______. Amend Senate Bill 3665, AS AMENDED, | ||||||
3 | with reference to page and line numbers of Senate Amendment | ||||||
4 | No. 1, on page 1, line 5, by replacing "Section" with "Sections | ||||||
5 | 356z.4a and"; and | ||||||
6 | on page 1, immediately below line 5, by inserting the | ||||||
7 | following: | ||||||
8 | "(215 ILCS 5/356z.4a) | ||||||
9 | Sec. 356z.4a. Coverage for abortion. | ||||||
10 | (a) Except as otherwise provided in this Section, no | ||||||
11 | individual or group policy of accident and health insurance | ||||||
12 | that provides pregnancy-related benefits may be issued, | ||||||
13 | amended, delivered, or renewed in this State after the | ||||||
14 | effective date of this amendatory Act of the 101st General | ||||||
15 | Assembly unless the policy provides a covered person with | ||||||
16 | coverage for abortion care. Regardless of whether the policy |
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1 | otherwise provides prescription drug benefits, abortion care | ||||||
2 | coverage must include medications that are obtained through a | ||||||
3 | prescription and used to terminate a pregnancy, regardless of | ||||||
4 | whether there is proof of a pregnancy. | ||||||
5 | (b) Coverage for abortion care may not impose any | ||||||
6 | deductible, coinsurance, waiting period, or other cost-sharing | ||||||
7 | limitation that is greater than that required for other | ||||||
8 | pregnancy-related benefits covered by the policy . This | ||||||
9 | subsection does not apply to the extent such coverage would | ||||||
10 | disqualify a high-deductible health plan from eligibility for | ||||||
11 | a health savings account pursuant to Section 223 of the | ||||||
12 | Internal Revenue Code. | ||||||
13 | (c) Except as otherwise authorized under this Section, a | ||||||
14 | policy shall not impose any restrictions or delays on the | ||||||
15 | coverage required under this Section. | ||||||
16 | (d) This Section does not, pursuant to 42 U.S.C. | ||||||
17 | 18054(a)(6), apply to a multistate plan that does not provide | ||||||
18 | coverage for abortion. | ||||||
19 | (e) If the Department concludes that enforcement of this | ||||||
20 | Section may adversely affect the allocation of federal funds | ||||||
21 | to this State, the Department may grant an exemption to the | ||||||
22 | requirements, but only to the minimum extent necessary to | ||||||
23 | ensure the continued receipt of federal funds. | ||||||
24 | (Source: P.A. 101-13, eff. 6-12-19; 102-1117, eff. 1-13-23.)"; | ||||||
25 | and |
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1 | on page 3, line 3, after "Code.", by inserting " All outpatient | ||||||
2 | coverage required under this subsection (b) must be provided | ||||||
3 | without cost sharing, except that, for treatment of substance | ||||||
4 | use disorders, the prohibition on cost-sharing applies to the | ||||||
5 | levels of treatment below and not including 3.1 (Clinically | ||||||
6 | Managed Low-Intensity Residential) established by the American | ||||||
7 | Society of Addiction Medicine. "; and | ||||||
8 | on page 6, line 10, after the period, by inserting " All | ||||||
9 | outpatient coverage required by paragraphs (2) through (6) of | ||||||
10 | this subsection (b) must be provided without cost sharing, | ||||||
11 | except that, for treatment of substance use disorders, the | ||||||
12 | prohibition on cost-sharing applies to the levels of treatment | ||||||
13 | below and not including 3.1 (Clinically Managed Low-Intensity | ||||||
14 | Residential) established by the American Society of Addiction | ||||||
15 | Medicine. "; and | ||||||
16 | on page 7, by replacing lines 7 through 11 with the following: | ||||||
17 | " (c) The cost-sharing prohibitions in this Section do not | ||||||
18 | apply to the extent such coverage would disqualify a | ||||||
19 | high-deductible health plan from eligibility for a health | ||||||
20 | savings account pursuant to Section 223 of the Internal | ||||||
21 | Revenue Code. ". |