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| Public Act 103-0870 | ||||
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AN ACT concerning regulation. | ||||
Be it enacted by the People of the State of Illinois, | ||||
represented in the General Assembly: | ||||
Section 5. The State Employees Group Insurance Act of 1971 | ||||
is amended by changing Section 6.11 as follows: | ||||
(5 ILCS 375/6.11) | ||||
Sec. 6.11. Required health benefits; Illinois Insurance | ||||
Code requirements. The program of health benefits shall | ||||
provide the post-mastectomy care benefits required to be | ||||
covered by a policy of accident and health insurance under | ||||
Section 356t of the Illinois Insurance Code. The program of | ||||
health benefits shall provide the coverage required under | ||||
Sections 356g, 356g.5, 356g.5-1, 356m, 356q, 356u, 356w, 356x, | ||||
356z.2, 356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 356z.10, | ||||
356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.17, 356z.22, | ||||
356z.25, 356z.26, 356z.29, 356z.30a, 356z.32, 356z.33, | ||||
356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47, 356z.51, | ||||
356z.53, 356z.54, 356z.55, 356z.56, 356z.57, 356z.59, 356z.60, | ||||
and 356z.61, and 356z.62, 356z.64, 356z.67, 356z.68, 356z.70, | ||||
and 356z.71 of the Illinois Insurance Code. The program of | ||||
health benefits must comply with Sections 155.22a, 155.37, | ||||
355b, 356z.19, 370c, and 370c.1 and Article XXXIIB of the | ||||
Illinois Insurance Code. The program of health benefits shall | ||||
provide the coverage required under Section 356m of the | ||
Illinois Insurance Code and, for the employees of the State | ||
Employee Group Insurance Program only, the coverage as also | ||
provided in Section 6.11B of this Act. The Department of | ||
Insurance shall enforce the requirements of this Section with | ||
respect to Sections 370c and 370c.1 of the Illinois Insurance | ||
Code; all other requirements of this Section shall be enforced | ||
by the Department of Central Management Services. | ||
Rulemaking authority to implement Public Act 95-1045, if | ||
any, is conditioned on the rules being adopted in accordance | ||
with all provisions of the Illinois Administrative Procedure | ||
Act and all rules and procedures of the Joint Committee on | ||
Administrative Rules; any purported rule not so adopted, for | ||
whatever reason, is unauthorized. | ||
(Source: P.A. 102-30, eff. 1-1-22; 102-103, eff. 1-1-22; | ||
102-203, eff. 1-1-22; 102-306, eff. 1-1-22; 102-642, eff. | ||
1-1-22; 102-665, eff. 10-8-21; 102-731, eff. 1-1-23; 102-768, | ||
eff. 1-1-24; 102-804, eff. 1-1-23; 102-813, eff. 5-13-22; | ||
102-816, eff. 1-1-23; 102-860, eff. 1-1-23; 102-1093, eff. | ||
1-1-23; 102-1117, eff. 1-13-23; 103-8, eff. 1-1-24; 103-84, | ||
eff. 1-1-24; 103-91, eff. 1-1-24; 103-420, eff. 1-1-24; | ||
103-445, eff. 1-1-24; 103-535, eff. 8-11-23; 103-551, eff. | ||
8-11-23; revised 8-29-23.) | ||
Section 10. The Illinois Insurance Code is amended by | ||
adding Section 356z.71 as follows: | ||
(215 ILCS 5/356z.71 new) | ||
Sec. 356z.71. Coverage for at-home pregnancy tests. A | ||
group or individual policy of accident and health insurance or | ||
a managed care plan that is amended, delivered, issued, or | ||
renewed on or after January 1, 2026 shall provide coverage for | ||
at-home, urine-based pregnancy tests that are prescribed to | ||
the covered person, regardless of whether the tests are | ||
otherwise available over-the-counter. The coverage required | ||
under this Section is limited to 2 at-home, urine-based | ||
pregnancy tests every 30 days. | ||
Section 15. The Illinois Public Aid Code is amended by | ||
adding Section 5-5.24a as follows: | ||
(305 ILCS 5/5-5.24a new) | ||
Sec. 5-5.24a. Coverage for at-home pregnancy tests. | ||
Beginning January 1, 2025, the medical assistance program | ||
shall provide coverage for at-home, urine-based pregnancy | ||
tests that are ordered directly by a clinician or furnished | ||
through a standing order for patient use, regardless of | ||
whether the tests are otherwise available over the counter. | ||
The coverage required under this Section is limited to a | ||
multipack, as defined by the Department, of at-home, | ||
urine-based pregnancy tests every 30 days. | ||
Section 99. Effective date. This Act takes effect January | ||
1, 2025. | ||