Synopsis As Introduced Amends the Illinois Insurance Code to provide that a policy of accident or health insurance shall provide coverage for medically necessary expenses for standard fertility preservation services when a necessary medical treatment may directly or indirectly cause iatrogenic infertility to an enrollee. Defines "iatrogenic infertility". Provides that in determining coverage for these expenses, an insurer shall not discriminate based on an individual's expected length of life, present or predicted disability, degree of medical dependency, quality of life, or other health conditions, nor based on personal characteristics, including age, sex, sexual orientation, or marital status. Makes conforming changes in the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, the Limited Health Service Organization Act, the Voluntary Health Services Plans Act, and the Illinois Public Aid Code.
State Mandates Fiscal Note (Dept. of Commerce & Economic Opportunity)
Replaces everything after the enacting clause. Reinserts the introduced bill with the following changes: In provisions amending the Illinois Insurance Code, defines "may directly or indirectly cause" and "standard fertility preservation services". Provides updated base for Sections.
Fiscal Note (Dept. of Insurance)
If the Secretary of the United States Department of Health and Human Services issues an opinion or guidance that determines additional benefits included in HB2617 represent "benefits in addition to the essential health benefits" pursuant to 42 USC 18031(d)(3)(B), the State of Illinois would be responsible for defraying the cost of these additional benefits for all qualified health plans in Illinois. The potential cost to the state is undetermined, but would be substantial.
Further amends the Illinois Insurance Code. In provisions prohibiting a policy from imposing a deductible, coinsurance, copayment, or any other cost-sharing requiring on coverage for contraceptives, provides that the prohibition does not apply to coverage of voluntary male sterilization procedures to the extent such coverage would disqualify a high-deductible health plan from eligibility for a health savings account.
Senate Committee Amendment No. 1 In provisions amending the Illinois Insurance Code, provides that a provision concerning coverage for fertility preservation services is inoperative other than any such coverage authorized under specified provisions of the Social Security Act and the State shall not assume any obligation for the cost of coverage for fertility preservation services if, at any time, the Secretary of the United States Department of Health and Human Services, or its successor agency, promulgates rules or regulations to be published in the Federal Register, publishes a comment in the Federal Register, or issues an opinion, guidance, or other action that would require the State, pursuant to any provision of the Patient Protection and Affordable Care Act, to defray the cost of that coverage. Makes a grammatical change.