Full Text of HB4331 96th General Assembly
HB4331 96TH GENERAL ASSEMBLY
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96TH GENERAL ASSEMBLY
State of Illinois
2009 and 2010 HB4331
Introduced 2/27/2009, by Rep. Deborah Mell SYNOPSIS AS INTRODUCED: |
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215 ILCS 5/356m |
from Ch. 73, par. 968m |
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Amends the Illinois Insurance Code. Provides that no group policy of accident and health insurance providing coverage
for more than 25 employees that provides pregnancy related benefits shall contain a provision that covers the diagnosis and treatment of
infertility only if the individual was covered under the policy for at least one year. Deletes a definition for "infertility".
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A BILL FOR
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HB4331 |
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LRB096 08444 RPM 18561 b |
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| AN ACT concerning insurance.
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| Be it enacted by the People of the State of Illinois,
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| represented in the General Assembly:
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| Section 5. The Illinois Insurance Code is amended by | 5 |
| changing Section 356m as follows:
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| (215 ILCS 5/356m) (from Ch. 73, par. 968m)
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| Sec. 356m. Infertility coverage.
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| (a) No group policy of accident and health insurance | 9 |
| providing coverage
for more than 25 employees that provides | 10 |
| pregnancy related benefits may be
issued, amended, delivered, | 11 |
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renewed in this State after the effective date of this | 12 |
| amendatory Act of
1991 unless the policy contains coverage for | 13 |
| the diagnosis and treatment of
infertility including, but not | 14 |
| limited to, in vitro fertilization, uterine
embryo lavage, | 15 |
| embryo transfer, artificial insemination, gamete
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| intrafallopian tube transfer, zygote intrafallopian tube | 17 |
| transfer, and low
tubal ovum transfer.
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| (b) The coverage required under subsection (a) is subject | 19 |
| to the following conditions:
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| (1) Coverage for procedures for in vitro | 21 |
| fertilization, gamete
intrafallopian tube transfer, or | 22 |
| zygote intrafallopian tube transfer shall
be required only | 23 |
| if:
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HB4331 |
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LRB096 08444 RPM 18561 b |
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| (A) the covered individual has been unable to | 2 |
| attain or sustain a
successful pregnancy through | 3 |
| reasonable, less costly medically appropriate
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| infertility treatments for which coverage is available | 5 |
| under the policy,
plan, or contract;
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| (B) the covered individual has not undergone 4 | 7 |
| completed oocyte
retrievals, except that if a live | 8 |
| birth follows a completed oocyte
retrieval, then 2 more | 9 |
| completed oocyte retrievals shall be covered; and
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| (C) the procedures are performed at medical | 11 |
| facilities that conform to
the American College of | 12 |
| Obstetric and Gynecology guidelines for in vitro
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| fertilization clinics or to the American Fertility | 14 |
| Society minimal
standards for programs of in vitro | 15 |
| fertilization.
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| (2) The procedures required to be covered under this | 17 |
| Section are not
required to be contained in any policy or | 18 |
| plan issued to or by a religious
institution or | 19 |
| organization or to or by an entity sponsored by a religious
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| institution or organization that finds the procedures | 21 |
| required to be
covered under this Section to violate its | 22 |
| religious
and moral teachings and beliefs.
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| (c) No group policy of accident and health insurance | 24 |
| providing coverage
for more than 25 employees that provides | 25 |
| pregnancy related benefits shall contain a provision that | 26 |
| covers the diagnosis and treatment of
infertility only if the |
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HB4331 |
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LRB096 08444 RPM 18561 b |
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| individual was covered under the policy for at least one year. | 2 |
| For purpose of this Section, "infertility" means the inability | 3 |
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conceive after one year of unprotected sexual intercourse or | 4 |
| the inability
to sustain a successful pregnancy.
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| (Source: P.A. 89-669, eff. 1-1-97.)
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