Public Act 103-0800
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Public Act 103-0800 | ||||
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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 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.) |