Full Text of HB5643 103rd General Assembly
HB5643eng 103RD GENERAL ASSEMBLY | | | HB5643 Engrossed | | LRB103 39419 RPS 69602 b |
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| 1 | | AN ACT concerning regulation. | 2 | | Be it enacted by the People of the State of Illinois, | 3 | | represented in the General Assembly: | 4 | | Section 5. The State Employees Group Insurance Act of 1971 | 5 | | is amended by changing Section 6.11 as follows: | 6 | | (5 ILCS 375/6.11) | 7 | | Sec. 6.11. Required health benefits; Illinois Insurance | 8 | | Code requirements. The program of health benefits shall | 9 | | provide the post-mastectomy care benefits required to be | 10 | | covered by a policy of accident and health insurance under | 11 | | Section 356t of the Illinois Insurance Code. The program of | 12 | | health benefits shall provide the coverage required under | 13 | | Sections 356g, 356g.5, 356g.5-1, 356m, 356q, 356u, 356w, 356x, | 14 | | 356z.2, 356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 356z.10, | 15 | | 356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.17, 356z.22, | 16 | | 356z.25, 356z.26, 356z.29, 356z.30a, 356z.32, 356z.33, | 17 | | 356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47, 356z.51, | 18 | | 356z.53, 356z.54, 356z.55, 356z.56, 356z.57, 356z.59, 356z.60, | 19 | | and 356z.61, and 356z.62 , 356z.64, 356z.67, 356z.68, 356z.70, | 20 | | and 356z.71 of the Illinois Insurance Code. The program of | 21 | | health benefits must comply with Sections 155.22a, 155.37, | 22 | | 355b, 356z.19, 370c, and 370c.1 and Article XXXIIB of the | 23 | | Illinois Insurance Code. The program of health benefits shall |
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| 1 | | provide the coverage required under Section 356m of the | 2 | | Illinois Insurance Code and, for the employees of the State | 3 | | Employee Group Insurance Program only, the coverage as also | 4 | | provided in Section 6.11B of this Act. The Department of | 5 | | Insurance shall enforce the requirements of this Section with | 6 | | respect to Sections 370c and 370c.1 of the Illinois Insurance | 7 | | Code; all other requirements of this Section shall be enforced | 8 | | by the Department of Central Management Services. | 9 | | Rulemaking authority to implement Public Act 95-1045, if | 10 | | any, is conditioned on the rules being adopted in accordance | 11 | | with all provisions of the Illinois Administrative Procedure | 12 | | Act and all rules and procedures of the Joint Committee on | 13 | | Administrative Rules; any purported rule not so adopted, for | 14 | | whatever reason, is unauthorized. | 15 | | (Source: P.A. 102-30, eff. 1-1-22; 102-103, eff. 1-1-22; | 16 | | 102-203, eff. 1-1-22; 102-306, eff. 1-1-22; 102-642, eff. | 17 | | 1-1-22; 102-665, eff. 10-8-21; 102-731, eff. 1-1-23; 102-768, | 18 | | eff. 1-1-24; 102-804, eff. 1-1-23; 102-813, eff. 5-13-22; | 19 | | 102-816, eff. 1-1-23; 102-860, eff. 1-1-23; 102-1093, eff. | 20 | | 1-1-23; 102-1117, eff. 1-13-23; 103-8, eff. 1-1-24; 103-84, | 21 | | eff. 1-1-24; 103-91, eff. 1-1-24; 103-420, eff. 1-1-24; | 22 | | 103-445, eff. 1-1-24; 103-535, eff. 8-11-23; 103-551, eff. | 23 | | 8-11-23; revised 8-29-23.) | 24 | | Section 10. The Illinois Insurance Code is amended by | 25 | | adding Section 356z.71 as follows: |
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| 1 | | (215 ILCS 5/356z.71 new) | 2 | | Sec. 356z.71. Coverage for at-home pregnancy tests. A | 3 | | group or individual policy of accident and health insurance or | 4 | | a managed care plan that is amended, delivered, issued, or | 5 | | renewed on or after January 1, 2026 shall provide coverage for | 6 | | at-home, urine-based pregnancy tests that are prescribed to | 7 | | the covered person, regardless of whether the tests are | 8 | | otherwise available over-the-counter. The coverage required | 9 | | under this Section is limited to 2 at-home, urine-based | 10 | | pregnancy tests every 30 days. | 11 | | Section 15. The Illinois Public Aid Code is amended by | 12 | | adding Section 5-5.24a as follows: | 13 | | (305 ILCS 5/5-5.24a new) | 14 | | Sec. 5-5.24a. Coverage for at-home pregnancy tests. | 15 | | Beginning January 1, 2025, the medical assistance program | 16 | | shall provide coverage for at-home, urine-based pregnancy | 17 | | tests that are ordered directly by a clinician or furnished | 18 | | through a standing order for patient use, regardless of | 19 | | whether the tests are otherwise available over the counter. | 20 | | The coverage required under this Section is limited to a | 21 | | multipack, as defined by the Department, of at-home, | 22 | | urine-based pregnancy tests every 30 days. | 23 | | Section 99. Effective date. This Act takes effect January |
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| 1 | | 1, 2025. |
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