Illinois General Assembly - Bill Status for HB4349
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 Bill Status of HB4349  102nd General Assembly


Short Description:  INS CD-CONGENITAL ANOMALY

House Sponsors
Rep. Kathleen Willis, Margaret Croke, Jim Durkin, Edgar Gonzalez, Jr., Terra Costa Howard, Dagmara Avelar, Michelle Mussman, Katie Stuart, Rita Mayfield, Sue Scherer, Maurice A. West, II, Robyn Gabel, Frances Ann Hurley, Natalie A. Manley, Maura Hirschauer and Camille Y. Lilly

Senate Sponsors
(Sen. Laura Fine - Christopher Belt - Adriane Johnson - Linda Holmes - Jacqueline Y. Collins, Dave Syverson, Laura Ellman, Karina Villa, Cristina Castro, Antonio Muñoz, Scott M. Bennett, John Connor, Ann Gillespie, Laura M. Murphy, Steve McClure, Michael E. Hastings, Omar Aquino, Napoleon Harris, III and Eric Mattson)

Last Action
DateChamber Action
  5/13/2022HousePublic Act . . . . . . . . . 102-0768

Statutes Amended In Order of Appearance
5 ILCS 375/6.11
215 ILCS 5/356cfrom Ch. 73, par. 968c
215 ILCS 5/356z.53 new


Synopsis As Introduced
Amends the Illinois Insurance Code. In provisions requiring coverage for newborn infants, provides that coverage for congenital defects shall include treatment of cranial facial anomalies. Provides that an individual or group policy of accident and health insurance amended, delivered, issued, or renewed after the effective date of the amendatory Act shall cover charges incurred and services provided for outpatient and inpatient care in conjunction with services that are provided to a covered individual related to the diagnosis and treatment of a congenital anomaly or birth defect. Provides that the required coverage includes any services to functionally improve, repair, or restore a body part involving the cranial facial area that is medically necessary to achieve normal function or appearance. Provides that any coverage provided may be subject to coverage limits, such as pre-authorization or pre-certification, as required by the plan or issuer that are no more restrictive than the predominant treatment limitations applied to substantially all medical and surgical benefits covered by the plan. Provides that coverage for a congenital anomaly or birth defect shall include expenses for specified services and items up to the age of 19. Provides that coverage shall not be denied solely on the grounds that the treatment is for cosmetic purposes or is not for a functional defect or impairment. Provides that the coverage does not apply to a policy that covers only dental care. Defines "treatment". Makes conforming changes in the State Employees Group Insurance Act of 1971. Effective January 1, 2024.

House Committee Amendment No. 1
Replaces everything after the enacting clause. Amends the Illinois Insurance Code. In provisions requiring coverage for newborn infants, provides that coverage for congenital defects shall include the treatment of cleft lip and cleft palate. Provides that an individual or group policy of accident and health insurance amended, delivered, issued, or renewed on or after the effective date of the amendatory Act shall provide coverage for the medically necessary care and treatment of cleft lip and palate for children under the age of 19. Provides that coverage for cleft lip and palate care and treatment may impose the same deductible, coinsurance, or other cost-sharing limitation that is imposed on other related surgical benefits under the policy. Provides that the coverage does not apply to a policy that covers only dental care. Defines "medically necessary care and treatment". Makes conforming changes in the State Employees Group Insurance Act of 1971. Effective January 1, 2024.

Actions 
DateChamber Action
  1/4/2022HouseFiled with the Clerk by Rep. Kathleen Willis
  1/5/2022HouseFirst Reading
  1/5/2022HouseReferred to Rules Committee
  1/20/2022HouseAdded Co-Sponsor Rep. Margaret Croke
  1/21/2022HouseAdded Co-Sponsor Rep. Jim Durkin
  1/31/2022HouseAdded Co-Sponsor Rep. Edgar Gonzalez, Jr.
  2/9/2022HouseAssigned to Insurance Committee
  2/9/2022HouseHouse Committee Amendment No. 1 Filed with Clerk by Rep. Kathleen Willis
  2/9/2022HouseHouse Committee Amendment No. 1 Referred to Rules Committee
  2/15/2022HouseHouse Committee Amendment No. 1 Rules Refers to Insurance Committee
  2/15/2022HouseHouse Committee Amendment No. 1 Adopted in Insurance Committee; by Voice Vote
  2/15/2022HouseDo Pass as Amended / Consent Calendar Insurance Committee; 016-000-000
  2/16/2022HousePlaced on Calendar 2nd Reading - Consent Calendar
  2/17/2022HouseSecond Reading - Consent Calendar
  2/17/2022HouseHeld on Calendar Order of Second Reading - Consent Calendar
  2/24/2022HouseAdded Co-Sponsor Rep. Terra Costa Howard
  2/28/2022HouseAdded Co-Sponsor Rep. Dagmara Avelar
  2/28/2022HouseAdded Co-Sponsor Rep. Michelle Mussman
  2/28/2022HouseAdded Co-Sponsor Rep. Katie Stuart
  2/28/2022HouseAdded Co-Sponsor Rep. Rita Mayfield
  3/1/2022HouseAdded Co-Sponsor Rep. Sue Scherer
  3/1/2022HousePlaced on Calendar Order of 3rd Reading - Consent Calendar
  3/2/2022HouseThird Reading - Consent Calendar - First Day
  3/3/2022HouseAdded Co-Sponsor Rep. Maurice A. West, II
  3/3/2022HouseAdded Co-Sponsor Rep. Robyn Gabel
  3/3/2022HouseAdded Co-Sponsor Rep. Frances Ann Hurley
  3/3/2022HouseAdded Co-Sponsor Rep. Natalie A. Manley
  3/3/2022HouseAdded Co-Sponsor Rep. Maura Hirschauer
  3/3/2022HouseAdded Co-Sponsor Rep. Camille Y. Lilly
  3/3/2022HouseThird Reading - Consent Calendar - Passed 103-000-001
  3/4/2022SenateArrive in Senate
  3/4/2022SenatePlaced on Calendar Order of First Reading
  3/4/2022SenateChief Senate Sponsor Sen. Laura Fine
  3/4/2022SenateFirst Reading
  3/4/2022SenateReferred to Assignments
  3/8/2022SenateAssigned to Insurance
  3/9/2022SenateAdded as Alternate Co-Sponsor Sen. Dave Syverson
  3/9/2022SenateAdded as Alternate Co-Sponsor Sen. Laura Ellman
  3/9/2022SenateAdded as Alternate Co-Sponsor Sen. Karina Villa
  3/9/2022SenateAdded as Alternate Co-Sponsor Sen. Cristina Castro
  3/9/2022SenateAdded as Alternate Co-Sponsor Sen. Antonio Muñoz
  3/10/2022SenateAdded as Alternate Chief Co-Sponsor Sen. Christopher Belt
  3/10/2022SenateAdded as Alternate Chief Co-Sponsor Sen. Adriane Johnson
  3/10/2022SenateAdded as Alternate Chief Co-Sponsor Sen. Linda Holmes
  3/10/2022SenateAdded as Alternate Chief Co-Sponsor Sen. Jacqueline Y. Collins
  3/10/2022SenateAdded as Alternate Co-Sponsor Sen. Scott M. Bennett
  3/10/2022SenateAdded as Alternate Co-Sponsor Sen. John Connor
  3/10/2022SenateAdded as Alternate Co-Sponsor Sen. Ann Gillespie
  3/23/2022SenateAdded as Alternate Co-Sponsor Sen. Laura M. Murphy
  3/23/2022SenateDo Pass Insurance; 011-000-000
  3/23/2022SenatePlaced on Calendar Order of 2nd Reading
  3/23/2022SenateSecond Reading
  3/23/2022SenatePlaced on Calendar Order of 3rd Reading March 24, 2022
  3/30/2022SenateAdded as Alternate Co-Sponsor Sen. Steve McClure
  3/30/2022SenateAdded as Alternate Co-Sponsor Sen. Michael E. Hastings
  3/30/2022SenateAdded as Alternate Co-Sponsor Sen. Omar Aquino
  3/30/2022SenateAdded as Alternate Co-Sponsor Sen. Napoleon Harris, III
  3/30/2022SenateThird Reading - Passed; 056-000-000
  3/30/2022HousePassed Both Houses
  4/28/2022HouseSent to the Governor
  5/10/2022SenateAdded as Alternate Co-Sponsor Sen. Eric Mattson
  5/13/2022HouseGovernor Approved
  5/13/2022HouseEffective Date January 1, 2024
  5/13/2022HousePublic Act . . . . . . . . . 102-0768

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