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Public Act 103-0800


 

Public Act 0800 103RD GENERAL ASSEMBLY

 


 
Public Act 103-0800
 
HB2385 EnrolledLRB103 26428 BMS 52791 b

    AN ACT concerning regulation.
 
    Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
 
    Section 5. The Illinois Insurance Code is amended by
changing Section 356z.48 as follows:
 
    (215 ILCS 5/356z.48)
    Sec. 356z.48. Colonoscopy coverage.
    (a) A group policy of accident and health insurance that
is amended, delivered, issued, or renewed on or after January
1, 2022 shall provide coverage for a colonoscopy that is a
follow-up exam based on an initial screen where the
colonoscopy was determined to be medically necessary by a
physician licensed to practice medicine in all its branches,
an advanced practice registered nurse, or a physician
assistant.
    (b) A group or individual policy of accident and health
insurance or managed care plan amended, delivered, issued, or
renewed on or after January 1, 2026 shall provide coverage for
a colonoscopy determined to be medically necessary.
    (c) (b) A policy subject to this Section shall not impose a
deductible, coinsurance, copayment, or any other cost-sharing
requirement on the coverage provided; except that this
subsection does not apply to coverage of colonoscopies to the
extent such coverage would disqualify a high-deductible health
plan from eligibility for a health savings account pursuant to
Section 223 of the Internal Revenue Code.
(Source: P.A. 102-443, eff. 1-1-22; 102-813, eff. 5-13-22.)

Effective Date: 1/1/2025