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Public Act 103-0870


 

Public Act 0870 103RD GENERAL ASSEMBLY

 


 
Public Act 103-0870
 
HB5643 EnrolledLRB103 39419 RPS 69602 b

    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.

Effective Date: 1/1/2025