Illinois 2023-2024 Regular Session

Illinois House Bill HB1565 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1		-	Public Act 103-0420
2	1		HB1565 EnrolledLRB103 25816 BMS 52167 b HB1565 Enrolled LRB103 25816 BMS 52167 b
3	2		HB1565 Enrolled LRB103 25816 BMS 52167 b
4		-	AN ACT concerning regulation.
5		-	Be it enacted by the People of the State of Illinois,
6		-	represented in the General Assembly:
7		-	Section 5. The State Employees Group Insurance Act of 1971
8		-	is amended by changing Section 6.11 as follows:
9		-	(5 ILCS 375/6.11)
10		-	(Text of Section before amendment by P.A. 102-768)
11		-	Sec. 6.11. Required health benefits; Illinois Insurance
12		-	Code requirements. The program of health benefits shall
13		-	provide the post-mastectomy care benefits required to be
14		-	covered by a policy of accident and health insurance under
15		-	Section 356t of the Illinois Insurance Code. The program of
16		-	health benefits shall provide the coverage required under
17		-	Sections 356g, 356g.5, 356g.5-1, 356m, 356q, 356u, 356w, 356x,
18		-	356z.2, 356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 356z.10,
19		-	356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.17, 356z.22,
20		-	356z.25, 356z.26, 356z.29, 356z.30a, 356z.32, 356z.33,
21		-	356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47, 356z.51,
22		-	356z.53, 356z.54, 356z.56, 356z.57, 356z.59, and 356z.60, and
23		-	356z.61 of the Illinois Insurance Code. The program of health
24		-	benefits must comply with Sections 155.22a, 155.37, 355b,
25		-	356z.19, 370c, and 370c.1 and Article XXXIIB of the Illinois
26		-	Insurance Code. The Department of Insurance shall enforce the
	3	+	1 AN ACT concerning regulation.
	4	+	2 Be it enacted by the People of the State of Illinois,
	5	+	3 represented in the General Assembly:
	6	+	4 Section 5. The State Employees Group Insurance Act of 1971
	7	+	5 is amended by changing Section 6.11 as follows:
	8	+	6 (5 ILCS 375/6.11)
	9	+	7 (Text of Section before amendment by P.A. 102-768)
	10	+	8 Sec. 6.11. Required health benefits; Illinois Insurance
	11	+	9 Code requirements. The program of health benefits shall
	12	+	10 provide the post-mastectomy care benefits required to be
	13	+	11 covered by a policy of accident and health insurance under
	14	+	12 Section 356t of the Illinois Insurance Code. The program of
	15	+	13 health benefits shall provide the coverage required under
	16	+	14 Sections 356g, 356g.5, 356g.5-1, 356m, 356q, 356u, 356w, 356x,
	17	+	15 356z.2, 356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 356z.10,
	18	+	16 356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.17, 356z.22,
	19	+	17 356z.25, 356z.26, 356z.29, 356z.30a, 356z.32, 356z.33,
	20	+	18 356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47, 356z.51,
	21	+	19 356z.53, 356z.54, 356z.56, 356z.57, 356z.59, and 356z.60, and
	22	+	20 356z.61 of the Illinois Insurance Code. The program of health
	23	+	21 benefits must comply with Sections 155.22a, 155.37, 355b,
	24	+	22 356z.19, 370c, and 370c.1 and Article XXXIIB of the Illinois
	25	+	23 Insurance Code. The Department of Insurance shall enforce the
27	26
28	27
29	28
30	29		HB1565 Enrolled LRB103 25816 BMS 52167 b
31	30
32	31
33		-	requirements of this Section with respect to Sections 370c and
34		-	370c.1 of the Illinois Insurance Code; all other requirements
35		-	of this Section shall be enforced by the Department of Central
36		-	Management Services.
37		-	Rulemaking authority to implement Public Act 95-1045, if
38		-	any, is conditioned on the rules being adopted in accordance
39		-	with all provisions of the Illinois Administrative Procedure
40		-	Act and all rules and procedures of the Joint Committee on
41		-	Administrative Rules; any purported rule not so adopted, for
42		-	whatever reason, is unauthorized.
43		-	(Source: P.A. 101-13, eff. 6-12-19; 101-281, eff. 1-1-20;
44		-	101-393, eff. 1-1-20; 101-452, eff. 1-1-20; 101-461, eff.
45		-	1-1-20; 101-625, eff. 1-1-21; 102-30, eff. 1-1-22; 102-103,
46		-	eff. 1-1-22; 102-203, eff. 1-1-22; 102-306, eff. 1-1-22;
47		-	102-642, eff. 1-1-22; 102-665, eff. 10-8-21; 102-731, eff.
48		-	1-1-23; 102-804, eff. 1-1-23; 102-813, eff. 5-13-22; 102-816,
49		-	eff. 1-1-23; 102-860, eff. 1-1-23; 102-1093, eff. 1-1-23;
50		-	revised 12-13-22.)
51		-	(Text of Section after amendment by P.A. 102-768)
52		-	Sec. 6.11. Required health benefits; Illinois Insurance
53		-	Code requirements. The program of health benefits shall
54		-	provide the post-mastectomy care benefits required to be
55		-	covered by a policy of accident and health insurance under
56		-	Section 356t of the Illinois Insurance Code. The program of
57		-	health benefits shall provide the coverage required under
	32	+	HB1565 Enrolled- 2 -LRB103 25816 BMS 52167 b HB1565 Enrolled - 2 - LRB103 25816 BMS 52167 b
	33	+	HB1565 Enrolled - 2 - LRB103 25816 BMS 52167 b
	34	+	1 requirements of this Section with respect to Sections 370c and
	35	+	2 370c.1 of the Illinois Insurance Code; all other requirements
	36	+	3 of this Section shall be enforced by the Department of Central
	37	+	4 Management Services.
	38	+	5 Rulemaking authority to implement Public Act 95-1045, if
	39	+	6 any, is conditioned on the rules being adopted in accordance
	40	+	7 with all provisions of the Illinois Administrative Procedure
	41	+	8 Act and all rules and procedures of the Joint Committee on
	42	+	9 Administrative Rules; any purported rule not so adopted, for
	43	+	10 whatever reason, is unauthorized.
	44	+	11 (Source: P.A. 101-13, eff. 6-12-19; 101-281, eff. 1-1-20;
	45	+	12 101-393, eff. 1-1-20; 101-452, eff. 1-1-20; 101-461, eff.
	46	+	13 1-1-20; 101-625, eff. 1-1-21; 102-30, eff. 1-1-22; 102-103,
	47	+	14 eff. 1-1-22; 102-203, eff. 1-1-22; 102-306, eff. 1-1-22;
	48	+	15 102-642, eff. 1-1-22; 102-665, eff. 10-8-21; 102-731, eff.
	49	+	16 1-1-23; 102-804, eff. 1-1-23; 102-813, eff. 5-13-22; 102-816,
	50	+	17 eff. 1-1-23; 102-860, eff. 1-1-23; 102-1093, eff. 1-1-23;
	51	+	18 revised 12-13-22.)
	52	+	19 (Text of Section after amendment by P.A. 102-768)
	53	+	20 Sec. 6.11. Required health benefits; Illinois Insurance
	54	+	21 Code requirements. The program of health benefits shall
	55	+	22 provide the post-mastectomy care benefits required to be
	56	+	23 covered by a policy of accident and health insurance under
	57	+	24 Section 356t of the Illinois Insurance Code. The program of
	58	+	25 health benefits shall provide the coverage required under
58	59
59	60
60		-	Sections 356g, 356g.5, 356g.5-1, 356m, 356q, 356u, 356w, 356x,
61		-	356z.2, 356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 356z.10,
62		-	356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.17, 356z.22,
63		-	356z.25, 356z.26, 356z.29, 356z.30a, 356z.32, 356z.33,
64		-	356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47, 356z.51,
65		-	356z.53, 356z.54, 356z.55, 356z.56, 356z.57, 356z.59, and
66		-	356z.60, and 356z.61 of the Illinois Insurance Code. The
67		-	program of health benefits must comply with Sections 155.22a,
68		-	155.37, 355b, 356z.19, 370c, and 370c.1 and Article XXXIIB of
69		-	the Illinois Insurance Code. The Department of Insurance shall
70		-	enforce the requirements of this Section with respect to
71		-	Sections 370c and 370c.1 of the Illinois Insurance Code; all
72		-	other requirements of this Section shall be enforced by the
73		-	Department of Central Management Services.
74		-	Rulemaking authority to implement Public Act 95-1045, if
75		-	any, is conditioned on the rules being adopted in accordance
76		-	with all provisions of the Illinois Administrative Procedure
77		-	Act and all rules and procedures of the Joint Committee on
78		-	Administrative Rules; any purported rule not so adopted, for
79		-	whatever reason, is unauthorized.
80		-	(Source: P.A. 101-13, eff. 6-12-19; 101-281, eff. 1-1-20;
81		-	101-393, eff. 1-1-20; 101-452, eff. 1-1-20; 101-461, eff.
82		-	1-1-20; 101-625, eff. 1-1-21; 102-30, eff. 1-1-22; 102-103,
83		-	eff. 1-1-22; 102-203, eff. 1-1-22; 102-306, eff. 1-1-22;
84		-	102-642, eff. 1-1-22; 102-665, eff. 10-8-21; 102-731, eff.
85		-	1-1-23; 102-768, eff. 1-1-24; 102-804, eff. 1-1-23; 102-813,
86	61
87	62
88		-	eff. 5-13-22; 102-816, eff. 1-1-23; 102-860, eff. 1-1-23;
89		-	102-1093, eff. 1-1-23; 102-1117, eff. 1-13-23.)
90		-	Section 10. The Counties Code is amended by changing
91		-	Section 5-1069.3 as follows:
92		-	(55 ILCS 5/5-1069.3)
93		-	Sec. 5-1069.3. Required health benefits. If a county,
94		-	including a home rule county, is a self-insurer for purposes
95		-	of providing health insurance coverage for its employees, the
96		-	coverage shall include coverage for the post-mastectomy care
97		-	benefits required to be covered by a policy of accident and
98		-	health insurance under Section 356t and the coverage required
99		-	under Sections 356g, 356g.5, 356g.5-1, 356q, 356u, 356w, 356x,
100		-	356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 356z.10, 356z.11,
101		-	356z.12, 356z.13, 356z.14, 356z.15, 356z.22, 356z.25, 356z.26,
102		-	356z.29, 356z.30a, 356z.32, 356z.33, 356z.36, 356z.40,
103		-	356z.41, 356z.45, 356z.46, 356z.47, 356z.48, 356z.51, 356z.53,
104		-	356z.54, 356z.56, 356z.57, 356z.59, and 356z.60, and 356z.61
105		-	of the Illinois Insurance Code. The coverage shall comply with
106		-	Sections 155.22a, 355b, 356z.19, and 370c of the Illinois
107		-	Insurance Code. The Department of Insurance shall enforce the
108		-	requirements of this Section. The requirement that health
109		-	benefits be covered as provided in this Section is an
110		-	exclusive power and function of the State and is a denial and
111		-	limitation under Article VII, Section 6, subsection (h) of the
	63	+
	64	+	HB1565 Enrolled - 2 - LRB103 25816 BMS 52167 b
112	65
113	66
114		-	Illinois Constitution. A home rule county to which this
115		-	Section applies must comply with every provision of this
116		-	Section.
117		-	Rulemaking authority to implement Public Act 95-1045, if
118		-	any, is conditioned on the rules being adopted in accordance
119		-	with all provisions of the Illinois Administrative Procedure
120		-	Act and all rules and procedures of the Joint Committee on
121		-	Administrative Rules; any purported rule not so adopted, for
122		-	whatever reason, is unauthorized.
123		-	(Source: P.A. 101-81, eff. 7-12-19; 101-281, eff. 1-1-20;
124		-	101-393, eff. 1-1-20; 101-461, eff. 1-1-20; 101-625, eff.
125		-	1-1-21; 102-30, eff. 1-1-22; 102-103, eff. 1-1-22; 102-203,
126		-	eff. 1-1-22; 102-306, eff. 1-1-22; 102-443, eff. 1-1-22;
127		-	102-642, eff. 1-1-22; 102-665, eff. 10-8-21; 102-731, eff.
128		-	1-1-23; 102-804, eff. 1-1-23; 102-813, eff. 5-13-22; 102-816,
129		-	eff. 1-1-23; 102-860, eff. 1-1-23; 102-1093, eff. 1-1-23;
130		-	102-1117, eff. 1-13-23.)
131		-	Section 15. The Illinois Municipal Code is amended by
132		-	changing Section 10-4-2.3 as follows:
133		-	(65 ILCS 5/10-4-2.3)
134		-	Sec. 10-4-2.3. Required health benefits. If a
135		-	municipality, including a home rule municipality, is a
136		-	self-insurer for purposes of providing health insurance
137		-	coverage for its employees, the coverage shall include
	67	+	HB1565 Enrolled- 3 -LRB103 25816 BMS 52167 b HB1565 Enrolled - 3 - LRB103 25816 BMS 52167 b
	68	+	HB1565 Enrolled - 3 - LRB103 25816 BMS 52167 b
	69	+	1 Sections 356g, 356g.5, 356g.5-1, 356m, 356q, 356u, 356w, 356x,
	70	+	2 356z.2, 356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 356z.10,
	71	+	3 356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.17, 356z.22,
	72	+	4 356z.25, 356z.26, 356z.29, 356z.30a, 356z.32, 356z.33,
	73	+	5 356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47, 356z.51,
	74	+	6 356z.53, 356z.54, 356z.55, 356z.56, 356z.57, 356z.59, and
	75	+	7 356z.60, and 356z.61 of the Illinois Insurance Code. The
	76	+	8 program of health benefits must comply with Sections 155.22a,
	77	+	9 155.37, 355b, 356z.19, 370c, and 370c.1 and Article XXXIIB of
	78	+	10 the Illinois Insurance Code. The Department of Insurance shall
	79	+	11 enforce the requirements of this Section with respect to
	80	+	12 Sections 370c and 370c.1 of the Illinois Insurance Code; all
	81	+	13 other requirements of this Section shall be enforced by the
	82	+	14 Department of Central Management Services.
	83	+	15 Rulemaking authority to implement Public Act 95-1045, if
	84	+	16 any, is conditioned on the rules being adopted in accordance
	85	+	17 with all provisions of the Illinois Administrative Procedure
	86	+	18 Act and all rules and procedures of the Joint Committee on
	87	+	19 Administrative Rules; any purported rule not so adopted, for
	88	+	20 whatever reason, is unauthorized.
	89	+	21 (Source: P.A. 101-13, eff. 6-12-19; 101-281, eff. 1-1-20;
	90	+	22 101-393, eff. 1-1-20; 101-452, eff. 1-1-20; 101-461, eff.
	91	+	23 1-1-20; 101-625, eff. 1-1-21; 102-30, eff. 1-1-22; 102-103,
	92	+	24 eff. 1-1-22; 102-203, eff. 1-1-22; 102-306, eff. 1-1-22;
	93	+	25 102-642, eff. 1-1-22; 102-665, eff. 10-8-21; 102-731, eff.
	94	+	26 1-1-23; 102-768, eff. 1-1-24; 102-804, eff. 1-1-23; 102-813,
138	95
139	96
140		-	coverage for the post-mastectomy care benefits required to be
141		-	covered by a policy of accident and health insurance under
142		-	Section 356t and the coverage required under Sections 356g,
143		-	356g.5, 356g.5-1, 356q, 356u, 356w, 356x, 356z.4, 356z.4a,
144		-	356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13,
145		-	356z.14, 356z.15, 356z.22, 356z.25, 356z.26, 356z.29,
146		-	356z.30a, 356z.32, 356z.33, 356z.36, 356z.40, 356z.41,
147		-	356z.45, 356z.46, 356z.47, 356z.48, 356z.51, 356z.53, 356z.54,
148		-	356z.56, 356z.57, 356z.59, and 356z.60, and 356z.61 of the
149		-	Illinois Insurance Code. The coverage shall comply with
150		-	Sections 155.22a, 355b, 356z.19, and 370c of the Illinois
151		-	Insurance Code. The Department of Insurance shall enforce the
152		-	requirements of this Section. The requirement that health
153		-	benefits be covered as provided in this is an exclusive power
154		-	and function of the State and is a denial and limitation under
155		-	Article VII, Section 6, subsection (h) of the Illinois
156		-	Constitution. A home rule municipality to which this Section
157		-	applies must comply with every provision of this Section.
158		-	Rulemaking authority to implement Public Act 95-1045, if
159		-	any, is conditioned on the rules being adopted in accordance
160		-	with all provisions of the Illinois Administrative Procedure
161		-	Act and all rules and procedures of the Joint Committee on
162		-	Administrative Rules; any purported rule not so adopted, for
163		-	whatever reason, is unauthorized.
164		-	(Source: P.A. 101-81, eff. 7-12-19; 101-281, eff. 1-1-20;
165		-	101-393, eff. 1-1-20; 101-461, eff. 1-1-20; 101-625, eff.
166	97
167	98
168		-	1-1-21; 102-30, eff. 1-1-22; 102-103, eff. 1-1-22; 102-203,
169		-	eff. 1-1-22; 102-306, eff. 1-1-22; 102-443, eff. 1-1-22;
170		-	102-642, eff. 1-1-22; 102-665, eff. 10-8-21; 102-731, eff.
171		-	1-1-23; 102-804, eff. 1-1-23; 102-813, eff. 5-13-22; 102-816,
172		-	eff. 1-1-23; 102-860, eff. 1-1-23; 102-1093, eff. 1-1-23;
173		-	102-1117, eff. 1-13-23.)
174		-	Section 20. The School Code is amended by changing Section
175		-	10-22.3f as follows:
176		-	(105 ILCS 5/10-22.3f)
177		-	Sec. 10-22.3f. Required health benefits. Insurance
178		-	protection and benefits for employees shall provide the
179		-	post-mastectomy care benefits required to be covered by a
180		-	policy of accident and health insurance under Section 356t and
181		-	the coverage required under Sections 356g, 356g.5, 356g.5-1,
182		-	356q, 356u, 356w, 356x, 356z.4, 356z.4a, 356z.6, 356z.8,
183		-	356z.9, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.22,
184		-	356z.25, 356z.26, 356z.29, 356z.30a, 356z.32, 356z.33,
185		-	356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47, 356z.51,
186		-	356z.53, 356z.54, 356z.56, 356z.57, 356z.59, and 356z.60, and
187		-	356z.61 of the Illinois Insurance Code. Insurance policies
188		-	shall comply with Section 356z.19 of the Illinois Insurance
189		-	Code. The coverage shall comply with Sections 155.22a, 355b,
190		-	and 370c of the Illinois Insurance Code. The Department of
191		-	Insurance shall enforce the requirements of this Section.
	99	+
	100	+	HB1565 Enrolled - 3 - LRB103 25816 BMS 52167 b
192	101
193	102
194		-	Rulemaking authority to implement Public Act 95-1045, if
195		-	any, is conditioned on the rules being adopted in accordance
196		-	with all provisions of the Illinois Administrative Procedure
197		-	Act and all rules and procedures of the Joint Committee on
198		-	Administrative Rules; any purported rule not so adopted, for
199		-	whatever reason, is unauthorized.
200		-	(Source: P.A. 101-81, eff. 7-12-19; 101-281, eff. 1-1-20;
201		-	101-393, eff. 1-1-20; 101-461, eff. 1-1-20; 101-625, eff.
202		-	1-1-21; 102-30, eff. 1-1-22; 102-103, eff. 1-1-22; 102-203,
203		-	eff. 1-1-22; 102-306, eff. 1-1-22; 102-642, eff. 1-1-22;
204		-	102-665, eff. 10-8-21; 102-731, eff. 1-1-23; 102-804, eff.
205		-	1-1-23; 102-813, eff. 5-13-22; 102-816, eff. 1-1-23; 102-860,
206		-	eff. 1-1-23; 102-1093, eff. 1-1-23; 102-1117, eff. 1-13-23.)
207		-	Section 25. The Illinois Insurance Code is amended by
208		-	adding Section 356z.61 as follows:
209		-	(215 ILCS 5/356z.61 new)
210		-	Sec. 356z.61. Coverage of prescription estrogen.
211		-	(a) A group or individual policy of accident and health
212		-	insurance or a managed care plan that is amended, delivered,
213		-	issued, or renewed on or after January 1, 2025 and that
214		-	provides coverage for prescription drugs shall include
215		-	coverage for one or more therapeutic equivalent versions of
216		-	vaginal estrogen in its formulary.
217		-	(b) If a particular vaginal estrogen product or its
	103	+	HB1565 Enrolled- 4 -LRB103 25816 BMS 52167 b HB1565 Enrolled - 4 - LRB103 25816 BMS 52167 b
	104	+	HB1565 Enrolled - 4 - LRB103 25816 BMS 52167 b
	105	+	1 eff. 5-13-22; 102-816, eff. 1-1-23; 102-860, eff. 1-1-23;
	106	+	2 102-1093, eff. 1-1-23; 102-1117, eff. 1-13-23.)
	107	+	3 Section 10. The Counties Code is amended by changing
	108	+	4 Section 5-1069.3 as follows:
	109	+	5 (55 ILCS 5/5-1069.3)
	110	+	6 Sec. 5-1069.3. Required health benefits. If a county,
	111	+	7 including a home rule county, is a self-insurer for purposes
	112	+	8 of providing health insurance coverage for its employees, the
	113	+	9 coverage shall include coverage for the post-mastectomy care
	114	+	10 benefits required to be covered by a policy of accident and
	115	+	11 health insurance under Section 356t and the coverage required
	116	+	12 under Sections 356g, 356g.5, 356g.5-1, 356q, 356u, 356w, 356x,
	117	+	13 356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 356z.10, 356z.11,
	118	+	14 356z.12, 356z.13, 356z.14, 356z.15, 356z.22, 356z.25, 356z.26,
	119	+	15 356z.29, 356z.30a, 356z.32, 356z.33, 356z.36, 356z.40,
	120	+	16 356z.41, 356z.45, 356z.46, 356z.47, 356z.48, 356z.51, 356z.53,
	121	+	17 356z.54, 356z.56, 356z.57, 356z.59, and 356z.60, and 356z.61
	122	+	18 of the Illinois Insurance Code. The coverage shall comply with
	123	+	19 Sections 155.22a, 355b, 356z.19, and 370c of the Illinois
	124	+	20 Insurance Code. The Department of Insurance shall enforce the
	125	+	21 requirements of this Section. The requirement that health
	126	+	22 benefits be covered as provided in this Section is an
	127	+	23 exclusive power and function of the State and is a denial and
	128	+	24 limitation under Article VII, Section 6, subsection (h) of the
218	129
219	130
220		-	therapeutic equivalent version approved by the United States
221		-	Food and Drug Administration is determined to be medically
222		-	necessary, the issuer must cover that service or item pursuant
223		-	to the cost-sharing requirement contained in subsection (c).
224		-	(c) A policy subject to this Section shall not impose a
225		-	deductible, copayment, or any other cost sharing requirement
226		-	that exceeds any deductible, coinsurance, copayment, or any
227		-	other cost-sharing requirement imposed on any prescription
228		-	drug authorized for the treatment of erectile dysfunction
229		-	covered by the policy; except that this subsection does not
230		-	apply to coverage of vaginal estrogen to the extent such
231		-	coverage would disqualify a high-deductible health plan from
232		-	eligibility for a health savings account pursuant to Section
233		-	223 of the Internal Revenue Code.
234		-	(d) As used in this Section, "therapeutic equivalent
235		-	version" has the meaning given to that term in paragraph (2) of
236		-	subsection (a) of Section 356z.4.
237		-	Section 30. The Health Maintenance Organization Act is
238		-	amended by changing Section 5-3 as follows:
239		-	(215 ILCS 125/5-3) (from Ch. 111 1/2, par. 1411.2)
240		-	Sec. 5-3. Insurance Code provisions.
241		-	(a) Health Maintenance Organizations shall be subject to
242		-	the provisions of Sections 133, 134, 136, 137, 139, 140,
243		-	141.1, 141.2, 141.3, 143, 143c, 147, 148, 149, 151, 152, 153,
244	131
245	132
246		-	154, 154.5, 154.6, 154.7, 154.8, 155.04, 155.22a, 355.2,
247		-	355.3, 355b, 355c, 356g.5-1, 356m, 356q, 356v, 356w, 356x,
248		-	356y, 356z.2, 356z.3a, 356z.4, 356z.4a, 356z.5, 356z.6,
249		-	356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13, 356z.14,
250		-	356z.15, 356z.17, 356z.18, 356z.19, 356z.21, 356z.22, 356z.25,
251		-	356z.26, 356z.29, 356z.30, 356z.30a, 356z.32, 356z.33,
252		-	356z.35, 356z.36, 356z.40, 356z.41, 356z.46, 356z.47, 356z.48,
253		-	356z.50, 356z.51, 356z.53 256z.53, 356z.54, 356z.56, 356z.57,
254		-	356z.59, 356z.60, 356z.61, 364, 364.01, 364.3, 367.2, 367.2-5,
255		-	367i, 368a, 368b, 368c, 368d, 368e, 370c, 370c.1, 401, 401.1,
256		-	402, 403, 403A, 408, 408.2, 409, 412, 444, and 444.1,
257		-	paragraph (c) of subsection (2) of Section 367, and Articles
258		-	IIA, VIII 1/2, XII, XII 1/2, XIII, XIII 1/2, XXV, XXVI, and
259		-	XXXIIB of the Illinois Insurance Code.
260		-	(b) For purposes of the Illinois Insurance Code, except
261		-	for Sections 444 and 444.1 and Articles XIII and XIII 1/2,
262		-	Health Maintenance Organizations in the following categories
263		-	are deemed to be "domestic companies":
264		-	(1) a corporation authorized under the Dental Service
265		-	Plan Act or the Voluntary Health Services Plans Act;
266		-	(2) a corporation organized under the laws of this
267		-	State; or
268		-	(3) a corporation organized under the laws of another
269		-	state, 30% or more of the enrollees of which are residents
270		-	of this State, except a corporation subject to
271		-	substantially the same requirements in its state of
	133	+
	134	+	HB1565 Enrolled - 4 - LRB103 25816 BMS 52167 b
272	135
273	136
274		-	~~organization as is a "domestic~~ ~~company" under Article VIII~~
275		-	~~1/2 of the Illinois Insurance Code.~~
276		-	~~(c) In considering the merger,~~ ~~consolidation, or other~~
277		-	~~acquisition~~ of ~~control of a Health Maintenance Organization~~
278		-	~~pursuant to Article VIII 1/2 of the Illinois Insurance Code,~~
279		-	~~(1) the Director shall give primary consideration~~ to
280		-	the ~~continuation of benefits to enrollees and the~~
281		-	~~financial conditions~~ of the ~~acquired Health Maintenance~~
282		-	~~Organization after~~ the ~~merger, consolidation,~~ ~~or other~~
283		-	~~acquisition of control takes effect;~~
284		-	~~(2)(i) the criteria specified in subsection (1)(b) of~~
285		-	~~Section 131~~.~~8 of the Illinois Insurance Code shall not~~
286		-	~~apply and (ii) the Director~~, ~~in making his determination~~
287		-	~~with respect to the merger~~, ~~consolidation~~, ~~or other~~
288		-	~~acquisition of control~~, ~~need not take into account the~~
289		-	~~effect on competition of the merger~~, ~~consolidation~~, or
290		-	~~other acquisition of control~~;
291		-	~~(3) the Director shall have the power to require the~~
292		-	~~following information:~~
293		-	~~(A) certification~~ by ~~an independent actuary of the~~
294		-	~~adequacy of the reserves of the Health Maintenance~~
295		-	~~Organization sought to be acquired;~~
296		-	~~(B) pro forma financial statements reflecting the~~
297		-	~~combined balance sheets of the acquiring company and~~
298		-	~~the~~ Health ~~Maintenance Organization sought to be~~
299		-	~~acquired as of~~ the ~~end of the preceding year and as of~~
	137	+	HB1565 Enrolled- 5 -LRB103 25816 BMS 52167 b HB1565 Enrolled - 5 - LRB103 25816 BMS 52167 b
	138	+	HB1565 Enrolled - 5 - LRB103 25816 BMS 52167 b
	139	+	1 Illinois Constitution. A home rule county to which this
	140	+	2 Section applies must comply with every provision of this
	141	+	3 Section.
	142	+	4 Rulemaking authority to implement Public Act 95-1045, if
	143	+	5 any, is conditioned on the rules being adopted in accordance
	144	+	6 with all provisions of the Illinois Administrative Procedure
	145	+	7 Act and all rules and procedures of the Joint Committee on
	146	+	8 Administrative Rules; any purported rule not so adopted, for
	147	+	9 whatever reason, is unauthorized.
	148	+	10 (Source: P.A. 101-81, eff. 7-12-19; 101-281, eff. 1-1-20;
	149	+	11 101-393, eff. 1-1-20; 101-461, eff. 1-1-20; 101-625, eff.
	150	+	12 1-1-21; 102-30, eff. 1-1-22; 102-103, eff. 1-1-22; 102-203,
	151	+	13 eff. 1-1-22; 102-306, eff. 1-1-22; 102-443, eff. 1-1-22;
	152	+	14 102-642, eff. 1-1-22; 102-665, eff. 10-8-21; 102-731, eff.
	153	+	15 1-1-23; 102-804, eff. 1-1-23; 102-813, eff. 5-13-22; 102-816,
	154	+	16 eff. 1-1-23; 102-860, eff. 1-1-23; 102-1093, eff. 1-1-23;
	155	+	17 102-1117, eff. 1-13-23.)
	156	+	18 Section 15. The Illinois Municipal Code is amended by
	157	+	19 changing Section 10-4-2.3 as follows:
	158	+	20 (65 ILCS 5/10-4-2.3)
	159	+	21 Sec. 10-4-2.3. Required health benefits. If a
	160	+	22 municipality, including a home rule municipality, is a
	161	+	23 self-insurer for purposes of providing health insurance
	162	+	24 coverage for its employees, the coverage shall include
300	163
301	164
302		-	a date 90 days prior to the acquisition, as well as pro
303		-	forma financial statements reflecting projected
304		-	combined operation for a period of 2 years;
305		-	(C) a pro forma business plan detailing an
306		-	acquiring party's plans with respect to the operation
307		-	of the Health Maintenance Organization sought to be
308		-	acquired for a period of not less than 3 years; and
309		-	(D) such other information as the Director shall
310		-	require.
311		-	(d) The provisions of Article VIII 1/2 of the Illinois
312		-	Insurance Code and this Section 5-3 shall apply to the sale by
313		-	any health maintenance organization of greater than 10% of its
314		-	enrollee population (including without limitation the health
315		-	maintenance organization's right, title, and interest in and
316		-	to its health care certificates).
317		-	(e) In considering any management contract or service
318		-	agreement subject to Section 141.1 of the Illinois Insurance
319		-	Code, the Director (i) shall, in addition to the criteria
320		-	specified in Section 141.2 of the Illinois Insurance Code,
321		-	take into account the effect of the management contract or
322		-	service agreement on the continuation of benefits to enrollees
323		-	and the financial condition of the health maintenance
324		-	organization to be managed or serviced, and (ii) need not take
325		-	into account the effect of the management contract or service
326		-	agreement on competition.
327		-	(f) Except for small employer groups as defined in the
328	165
329	166
330		-	Small Employer Rating, Renewability and Portability Health
331		-	Insurance Act and except for medicare supplement policies as
332		-	defined in Section 363 of the Illinois Insurance Code, a
333		-	Health Maintenance Organization may by contract agree with a
334		-	group or other enrollment unit to effect refunds or charge
335		-	additional premiums under the following terms and conditions:
336		-	(i) the amount of, and other terms and conditions with
337		-	respect to, the refund or additional premium are set forth
338		-	in the group or enrollment unit contract agreed in advance
339		-	of the period for which a refund is to be paid or
340		-	additional premium is to be charged (which period shall
341		-	not be less than one year); and
342		-	(ii) the amount of the refund or additional premium
343		-	shall not exceed 20% of the Health Maintenance
344		-	Organization's profitable or unprofitable experience with
345		-	respect to the group or other enrollment unit for the
346		-	period (and, for purposes of a refund or additional
347		-	premium, the profitable or unprofitable experience shall
348		-	be calculated taking into account a pro rata share of the
349		-	Health Maintenance Organization's administrative and
350		-	marketing expenses, but shall not include any refund to be
351		-	made or additional premium to be paid pursuant to this
352		-	subsection (f)). The Health Maintenance Organization and
353		-	the group or enrollment unit may agree that the profitable
354		-	or unprofitable experience may be calculated taking into
355		-	account the refund period and the immediately preceding 2
	167	+
	168	+	HB1565 Enrolled - 5 - LRB103 25816 BMS 52167 b
356	169
357	170
358		-	plan years.
359		-	The Health Maintenance Organization shall include a
360		-	statement in the evidence of coverage issued to each enrollee
361		-	describing the possibility of a refund or additional premium,
362		-	and upon request of any group or enrollment unit, provide to
363		-	the group or enrollment unit a description of the method used
364		-	to calculate (1) the Health Maintenance Organization's
365		-	profitable experience with respect to the group or enrollment
366		-	unit and the resulting refund to the group or enrollment unit
367		-	or (2) the Health Maintenance Organization's unprofitable
368		-	experience with respect to the group or enrollment unit and
369		-	the resulting additional premium to be paid by the group or
370		-	enrollment unit.
371		-	In no event shall the Illinois Health Maintenance
372		-	Organization Guaranty Association be liable to pay any
373		-	contractual obligation of an insolvent organization to pay any
374		-	refund authorized under this Section.
375		-	(g) Rulemaking authority to implement Public Act 95-1045,
376		-	if any, is conditioned on the rules being adopted in
377		-	accordance with all provisions of the Illinois Administrative
378		-	Procedure Act and all rules and procedures of the Joint
379		-	Committee on Administrative Rules; any purported rule not so
380		-	adopted, for whatever reason, is unauthorized.
381		-	(Source: P.A. 101-13, eff. 6-12-19; 101-81, eff. 7-12-19;
382		-	101-281, eff. 1-1-20; 101-371, eff. 1-1-20; 101-393, eff.
383		-	1-1-20; 101-452, eff. 1-1-20; 101-461, eff. 1-1-20; 101-625,
	171	+	HB1565 Enrolled- 6 -LRB103 25816 BMS 52167 b HB1565 Enrolled - 6 - LRB103 25816 BMS 52167 b
	172	+	HB1565 Enrolled - 6 - LRB103 25816 BMS 52167 b
	173	+	1 coverage for the post-mastectomy care benefits required to be
	174	+	2 covered by a policy of accident and health insurance under
	175	+	3 Section 356t and the coverage required under Sections 356g,
	176	+	4 356g.5, 356g.5-1, 356q, 356u, 356w, 356x, 356z.4, 356z.4a,
	177	+	5 356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13,
	178	+	6 356z.14, 356z.15, 356z.22, 356z.25, 356z.26, 356z.29,
	179	+	7 356z.30a, 356z.32, 356z.33, 356z.36, 356z.40, 356z.41,
	180	+	8 356z.45, 356z.46, 356z.47, 356z.48, 356z.51, 356z.53, 356z.54,
	181	+	9 356z.56, 356z.57, 356z.59, and 356z.60, and 356z.61 of the
	182	+	10 Illinois Insurance Code. The coverage shall comply with
	183	+	11 Sections 155.22a, 355b, 356z.19, and 370c of the Illinois
	184	+	12 Insurance Code. The Department of Insurance shall enforce the
	185	+	13 requirements of this Section. The requirement that health
	186	+	14 benefits be covered as provided in this is an exclusive power
	187	+	15 and function of the State and is a denial and limitation under
	188	+	16 Article VII, Section 6, subsection (h) of the Illinois
	189	+	17 Constitution. A home rule municipality to which this Section
	190	+	18 applies must comply with every provision of this Section.
	191	+	19 Rulemaking authority to implement Public Act 95-1045, if
	192	+	20 any, is conditioned on the rules being adopted in accordance
	193	+	21 with all provisions of the Illinois Administrative Procedure
	194	+	22 Act and all rules and procedures of the Joint Committee on
	195	+	23 Administrative Rules; any purported rule not so adopted, for
	196	+	24 whatever reason, is unauthorized.
	197	+	25 (Source: P.A. 101-81, eff. 7-12-19; 101-281, eff. 1-1-20;
	198	+	26 101-393, eff. 1-1-20; 101-461, eff. 1-1-20; 101-625, eff.
384	199
385	200
386		-	eff. 1-1-21; 102-30, eff. 1-1-22; 102-34, eff. 6-25-21;
387		-	102-203, eff. 1-1-22; 102-306, eff. 1-1-22; 102-443, eff.
388		-	1-1-22; 102-589, eff. 1-1-22; 102-642, eff. 1-1-22; 102-665,
389		-	eff. 10-8-21; 102-731, eff. 1-1-23; 102-775, eff. 5-13-22;
390		-	102-804, eff. 1-1-23; 102-813, eff. 5-13-22; 102-816, eff.
391		-	1-1-23; 102-860, eff. 1-1-23; 102-901, eff. 7-1-22; 102-1093,
392		-	eff. 1-1-23; 102-1117, eff. 1-13-23; revised 1-22-23.)
393		-	Section 35. The Limited Health Service Organization Act is
394		-	amended by changing Section 4003 as follows:
395		-	(215 ILCS 130/4003) (from Ch. 73, par. 1504-3)
396		-	Sec. 4003. Illinois Insurance Code provisions. Limited
397		-	health service organizations shall be subject to the
398		-	provisions of Sections 133, 134, 136, 137, 139, 140, 141.1,
399		-	141.2, 141.3, 143, 143c, 147, 148, 149, 151, 152, 153, 154,
400		-	154.5, 154.6, 154.7, 154.8, 155.04, 155.37, 355.2, 355.3,
401		-	355b, 356q, 356v, 356z.4, 356z.4a, 356z.10, 356z.21, 356z.22,
402		-	356z.25, 356z.26, 356z.29, 356z.30a, 356z.32, 356z.33,
403		-	356z.41, 356z.46, 356z.47, 356z.51, 356z.53, 356z.54, 356z.57,
404		-	356z.59, 356z.61, 364.3, 368a, 401, 401.1, 402, 403, 403A,
405		-	408, 408.2, 409, 412, 444, and 444.1 and Articles IIA, VIII
406		-	1/2, XII, XII 1/2, XIII, XIII 1/2, XXV, and XXVI of the
407		-	Illinois Insurance Code. Nothing in this Section shall require
408		-	a limited health care plan to cover any service that is not a
409		-	limited health service. For purposes of the Illinois Insurance
410	201
411	202
412		-	Code, except for Sections 444 and 444.1 and Articles XIII and
413		-	XIII 1/2, limited health service organizations in the
414		-	following categories are deemed to be domestic companies:
415		-	(1) a corporation under the laws of this State; or
416		-	(2) a corporation organized under the laws of another
417		-	state, 30% or more of the enrollees of which are residents
418		-	of this State, except a corporation subject to
419		-	substantially the same requirements in its state of
420		-	organization as is a domestic company under Article VIII
421		-	1/2 of the Illinois Insurance Code.
422		-	(Source: P.A. 101-81, eff. 7-12-19; 101-281, eff. 1-1-20;
423		-	101-393, eff. 1-1-20; 101-625, eff. 1-1-21; 102-30, eff.
424		-	1-1-22; 102-203, eff. 1-1-22; 102-306, eff. 1-1-22; 102-642,
425		-	eff. 1-1-22; 102-731, eff. 1-1-23; 102-775, eff. 5-13-22;
426		-	102-813, eff. 5-13-22; 102-816, eff. 1-1-23; 102-860, eff.
427		-	1-1-23; 102-1093, eff. 1-1-23; 102-1117, eff. 1-13-23.)
428		-	Section 40. The Voluntary Health Services Plans Act is
429		-	amended by changing Section 10 as follows:
430		-	(215 ILCS 165/10) (from Ch. 32, par. 604)
431		-	Sec. 10. Application of Insurance Code provisions. Health
432		-	services plan corporations and all persons interested therein
433		-	or dealing therewith shall be subject to the provisions of
434		-	Articles IIA and XII 1/2 and Sections 3.1, 133, 136, 139, 140,
435		-	143, 143c, 149, 155.22a, 155.37, 354, 355.2, 355.3, 355b,
	203	+
	204	+	HB1565 Enrolled - 6 - LRB103 25816 BMS 52167 b
436	205
437	206
438		-	356g, 356g.5, 356g.5-1, 356q, 356r, 356t, 356u, 356v, 356w,
439		-	356x, 356y, 356z.1, 356z.2, 356z.3a, 356z.4, 356z.4a, 356z.5,
440		-	356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13,
441		-	356z.14, 356z.15, 356z.18, 356z.19, 356z.21, 356z.22, 356z.25,
442		-	356z.26, 356z.29, 356z.30, 356z.30a, 356z.32, 356z.33,
443		-	356z.40, 356z.41, 356z.46, 356z.47, 356z.51, 356z.53, 356z.54,
444		-	356z.56, 356z.57, 356z.59, 356z.60, 356z.61, 364.01, 364.3,
445		-	367.2, 368a, 401, 401.1, 402, 403, 403A, 408, 408.2, and 412,
446		-	and paragraphs (7) and (15) of Section 367 of the Illinois
447		-	Insurance Code.
448		-	Rulemaking authority to implement Public Act 95-1045, if
449		-	any, is conditioned on the rules being adopted in accordance
450		-	with all provisions of the Illinois Administrative Procedure
451		-	Act and all rules and procedures of the Joint Committee on
452		-	Administrative Rules; any purported rule not so adopted, for
453		-	whatever reason, is unauthorized.
454		-	(Source: P.A. 101-13, eff. 6-12-19; 101-81, eff. 7-12-19;
455		-	101-281, eff. 1-1-20; 101-393, eff. 1-1-20; 101-625, eff.
456		-	1-1-21; 102-30, eff. 1-1-22; 102-203, eff. 1-1-22; 102-306,
457		-	eff. 1-1-22; 102-642, eff. 1-1-22; 102-665, eff. 10-8-21;
458		-	102-731, eff. 1-1-23; 102-775, eff. 5-13-22; 102-804, eff.
459		-	1-1-23; 102-813, eff. 5-13-22; 102-816, eff. 1-1-23; 102-860,
460		-	eff. 1-1-23; 102-901, eff. 7-1-22; 102-1093, eff. 1-1-23;
461		-	102-1117, eff. 1-13-23.)
462		-	Section 45. The Illinois Public Aid Code is amended by
	207	+	HB1565 Enrolled- 7 -LRB103 25816 BMS 52167 b HB1565 Enrolled - 7 - LRB103 25816 BMS 52167 b
	208	+	HB1565 Enrolled - 7 - LRB103 25816 BMS 52167 b
	209	+	1 1-1-21; 102-30, eff. 1-1-22; 102-103, eff. 1-1-22; 102-203,
	210	+	2 eff. 1-1-22; 102-306, eff. 1-1-22; 102-443, eff. 1-1-22;
	211	+	3 102-642, eff. 1-1-22; 102-665, eff. 10-8-21; 102-731, eff.
	212	+	4 1-1-23; 102-804, eff. 1-1-23; 102-813, eff. 5-13-22; 102-816,
	213	+	5 eff. 1-1-23; 102-860, eff. 1-1-23; 102-1093, eff. 1-1-23;
	214	+	6 102-1117, eff. 1-13-23.)
	215	+	7 Section 20. The School Code is amended by changing Section
	216	+	8 10-22.3f as follows:
	217	+	9 (105 ILCS 5/10-22.3f)
	218	+	10 Sec. 10-22.3f. Required health benefits. Insurance
	219	+	11 protection and benefits for employees shall provide the
	220	+	12 post-mastectomy care benefits required to be covered by a
	221	+	13 policy of accident and health insurance under Section 356t and
	222	+	14 the coverage required under Sections 356g, 356g.5, 356g.5-1,
	223	+	15 356q, 356u, 356w, 356x, 356z.4, 356z.4a, 356z.6, 356z.8,
	224	+	16 356z.9, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.22,
	225	+	17 356z.25, 356z.26, 356z.29, 356z.30a, 356z.32, 356z.33,
	226	+	18 356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47, 356z.51,
	227	+	19 356z.53, 356z.54, 356z.56, 356z.57, 356z.59, and 356z.60, and
	228	+	20 356z.61 of the Illinois Insurance Code. Insurance policies
	229	+	21 shall comply with Section 356z.19 of the Illinois Insurance
	230	+	22 Code. The coverage shall comply with Sections 155.22a, 355b,
	231	+	23 and 370c of the Illinois Insurance Code. The Department of
	232	+	24 Insurance shall enforce the requirements of this Section.
463	233
464	234
465		-	changing Section 5-16.8 as follows:
466		-	(305 ILCS 5/5-16.8)
467		-	Sec. 5-16.8. Required health benefits. The medical
468		-	assistance program shall (i) provide the post-mastectomy care
469		-	benefits required to be covered by a policy of accident and
470		-	health insurance under Section 356t and the coverage required
471		-	under Sections 356g.5, 356q, 356u, 356w, 356x, 356z.6,
472		-	356z.26, 356z.29, 356z.32, 356z.33, 356z.34, 356z.35, 356z.46,
473		-	356z.47, 356z.51, 356z.53, 356z.56, 356z.59, and 356z.60, and
474		-	356z.61 of the Illinois Insurance Code, (ii) be subject to the
475		-	provisions of Sections 356z.19, 356z.44, 356z.49, 364.01,
476		-	370c, and 370c.1 of the Illinois Insurance Code, and (iii) be
477		-	subject to the provisions of subsection (d-5) of Section 10 of
478		-	the Network Adequacy and Transparency Act.
479		-	The Department, by rule, shall adopt a model similar to
480		-	the requirements of Section 356z.39 of the Illinois Insurance
481		-	Code.
482		-	On and after July 1, 2012, the Department shall reduce any
483		-	rate of reimbursement for services or other payments or alter
484		-	any methodologies authorized by this Code to reduce any rate
485		-	of reimbursement for services or other payments in accordance
486		-	with Section 5-5e.
487		-	To ensure full access to the benefits set forth in this
488		-	Section, on and after January 1, 2016, the Department shall
489		-	ensure that provider and hospital reimbursement for
490	235
491	236
492		-	post-mastectomy care benefits required under this Section are
493		-	no lower than the Medicare reimbursement rate.
494		-	(Source: P.A. 101-81, eff. 7-12-19; 101-218, eff. 1-1-20;
495		-	101-281, eff. 1-1-20; 101-371, eff. 1-1-20; 101-574, eff.
496		-	1-1-20; 101-649, eff. 7-7-20; 102-30, eff. 1-1-22; 102-144,
497		-	eff. 1-1-22; 102-203, eff. 1-1-22; 102-306, eff. 1-1-22;
498		-	102-530, eff. 1-1-22; 102-642, eff. 1-1-22; 102-804, eff.
499		-	1-1-23; 102-813, eff. 5-13-22; 102-816, eff. 1-1-23; 102-1093,
500		-	eff. 1-1-23; 102-1117, eff. 1-13-23.)
	237	+
	238	+	HB1565 Enrolled - 7 - LRB103 25816 BMS 52167 b
	239	+
	240	+
	241	+	HB1565 Enrolled- 8 -LRB103 25816 BMS 52167 b HB1565 Enrolled - 8 - LRB103 25816 BMS 52167 b
	242	+	HB1565 Enrolled - 8 - LRB103 25816 BMS 52167 b
	243	+	1 Rulemaking authority to implement Public Act 95-1045, if
	244	+	2 any, is conditioned on the rules being adopted in accordance
	245	+	3 with all provisions of the Illinois Administrative Procedure
	246	+	4 Act and all rules and procedures of the Joint Committee on
	247	+	5 Administrative Rules; any purported rule not so adopted, for
	248	+	6 whatever reason, is unauthorized.
	249	+	7 (Source: P.A. 101-81, eff. 7-12-19; 101-281, eff. 1-1-20;
	250	+	8 101-393, eff. 1-1-20; 101-461, eff. 1-1-20; 101-625, eff.
	251	+	9 1-1-21; 102-30, eff. 1-1-22; 102-103, eff. 1-1-22; 102-203,
	252	+	10 eff. 1-1-22; 102-306, eff. 1-1-22; 102-642, eff. 1-1-22;
	253	+	11 102-665, eff. 10-8-21; 102-731, eff. 1-1-23; 102-804, eff.
	254	+	12 1-1-23; 102-813, eff. 5-13-22; 102-816, eff. 1-1-23; 102-860,
	255	+	13 eff. 1-1-23; 102-1093, eff. 1-1-23; 102-1117, eff. 1-13-23.)
	256	+	14 Section 25. The Illinois Insurance Code is amended by
	257	+	15 adding Section 356z.61 as follows:
	258	+	16 (215 ILCS 5/356z.61 new)
	259	+	17 Sec. 356z.61. Coverage of prescription estrogen.
	260	+	18 (a) A group or individual policy of accident and health
	261	+	19 insurance or a managed care plan that is amended, delivered,
	262	+	20 issued, or renewed on or after January 1, 2025 and that
	263	+	21 provides coverage for prescription drugs shall include
	264	+	22 coverage for one or more therapeutic equivalent versions of
	265	+	23 vaginal estrogen in its formulary.
	266	+	24 (b) If a particular vaginal estrogen product or its
	267	+
	268	+
	269	+
	270	+
	271	+
	272	+	HB1565 Enrolled - 8 - LRB103 25816 BMS 52167 b
	273	+
	274	+
	275	+	HB1565 Enrolled- 9 -LRB103 25816 BMS 52167 b HB1565 Enrolled - 9 - LRB103 25816 BMS 52167 b
	276	+	HB1565 Enrolled - 9 - LRB103 25816 BMS 52167 b
	277	+	1 therapeutic equivalent version approved by the United States
	278	+	2 Food and Drug Administration is determined to be medically
	279	+	3 necessary, the issuer must cover that service or item pursuant
	280	+	4 to the cost-sharing requirement contained in subsection (c).
	281	+	5 (c) A policy subject to this Section shall not impose a
	282	+	6 deductible, copayment, or any other cost sharing requirement
	283	+	7 that exceeds any deductible, coinsurance, copayment, or any
	284	+	8 other cost-sharing requirement imposed on any prescription
	285	+	9 drug authorized for the treatment of erectile dysfunction
	286	+	10 covered by the policy; except that this subsection does not
	287	+	11 apply to coverage of vaginal estrogen to the extent such
	288	+	12 coverage would disqualify a high-deductible health plan from
	289	+	13 eligibility for a health savings account pursuant to Section
	290	+	14 223 of the Internal Revenue Code.
	291	+	15 (d) As used in this Section, "therapeutic equivalent
	292	+	16 version" has the meaning given to that term in paragraph (2) of
	293	+	17 subsection (a) of Section 356z.4.
	294	+	18 Section 30. The Health Maintenance Organization Act is
	295	+	19 amended by changing Section 5-3 as follows:
	296	+	20 (215 ILCS 125/5-3) (from Ch. 111 1/2, par. 1411.2)
	297	+	21 Sec. 5-3. Insurance Code provisions.
	298	+	22 (a) Health Maintenance Organizations shall be subject to
	299	+	23 the provisions of Sections 133, 134, 136, 137, 139, 140,
	300	+	24 141.1, 141.2, 141.3, 143, 143c, 147, 148, 149, 151, 152, 153,
	301	+
	302	+
	303	+
	304	+
	305	+
	306	+	HB1565 Enrolled - 9 - LRB103 25816 BMS 52167 b
	307	+
	308	+
	309	+	HB1565 Enrolled- 10 -LRB103 25816 BMS 52167 b HB1565 Enrolled - 10 - LRB103 25816 BMS 52167 b
	310	+	HB1565 Enrolled - 10 - LRB103 25816 BMS 52167 b
	311	+	1 154, 154.5, 154.6, 154.7, 154.8, 155.04, 155.22a, 355.2,
	312	+	2 355.3, 355b, 355c, 356g.5-1, 356m, 356q, 356v, 356w, 356x,
	313	+	3 356y, 356z.2, 356z.3a, 356z.4, 356z.4a, 356z.5, 356z.6,
	314	+	4 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13, 356z.14,
	315	+	5 356z.15, 356z.17, 356z.18, 356z.19, 356z.21, 356z.22, 356z.25,
	316	+	6 356z.26, 356z.29, 356z.30, 356z.30a, 356z.32, 356z.33,
	317	+	7 356z.35, 356z.36, 356z.40, 356z.41, 356z.46, 356z.47, 356z.48,
	318	+	8 356z.50, 356z.51, 356z.53 256z.53, 356z.54, 356z.56, 356z.57,
	319	+	9 356z.59, 356z.60, 356z.61, 364, 364.01, 364.3, 367.2, 367.2-5,
	320	+	10 367i, 368a, 368b, 368c, 368d, 368e, 370c, 370c.1, 401, 401.1,
	321	+	11 402, 403, 403A, 408, 408.2, 409, 412, 444, and 444.1,
	322	+	12 paragraph (c) of subsection (2) of Section 367, and Articles
	323	+	13 IIA, VIII 1/2, XII, XII 1/2, XIII, XIII 1/2, XXV, XXVI, and
	324	+	14 XXXIIB of the Illinois Insurance Code.
	325	+	15 (b) For purposes of the Illinois Insurance Code, except
	326	+	16 for Sections 444 and 444.1 and Articles XIII and XIII 1/2,
	327	+	17 Health Maintenance Organizations in the following categories
	328	+	18 are deemed to be "domestic companies":
	329	+	19 (1) a corporation authorized under the Dental Service
	330	+	20 Plan Act or the Voluntary Health Services Plans Act;
	331	+	21 (2) a corporation organized under the laws of this
	332	+	22 State; or
	333	+	23 (3) a corporation organized under the laws of another
	334	+	24 state, 30% or more of the enrollees of which are residents
	335	+	25 of this State, except a corporation subject to
	336	+	26 substantially the same requirements in its state of
	337	+
	338	+
	339	+
	340	+
	341	+
	342	+	HB1565 Enrolled - 10 - LRB103 25816 BMS 52167 b
	343	+
	344	+
	345	+	HB1565 Enrolled- 11 -LRB103 25816 BMS 52167 b HB1565 Enrolled - 11 - LRB103 25816 BMS 52167 b
	346	+	HB1565 Enrolled - 11 - LRB103 25816 BMS 52167 b
	347	+	1 organization as is a "domestic company" under Article VIII
	348	+	2 1/2 of the Illinois Insurance Code.
	349	+	3 (c) In considering the merger, consolidation, or other
	350	+	4 acquisition of control of a Health Maintenance Organization
	351	+	5 pursuant to Article VIII 1/2 of the Illinois Insurance Code,
	352	+	6 (1) the Director shall give primary consideration to
	353	+	7 the continuation of benefits to enrollees and the
	354	+	8 financial conditions of the acquired Health Maintenance
	355	+	9 Organization after the merger, consolidation, or other
	356	+	10 acquisition of control takes effect;
	357	+	11 (2)(i) the criteria specified in subsection (1)(b) of
	358	+	12 Section 131.8 of the Illinois Insurance Code shall not
	359	+	13 apply and (ii) the Director, in making his determination
	360	+	14 with respect to the merger, consolidation, or other
	361	+	15 acquisition of control, need not take into account the
	362	+	16 effect on competition of the merger, consolidation, or
	363	+	17 other acquisition of control;
	364	+	18 (3) the Director shall have the power to require the
	365	+	19 following information:
	366	+	20 (A) certification by an independent actuary of the
	367	+	21 adequacy of the reserves of the Health Maintenance
	368	+	22 Organization sought to be acquired;
	369	+	23 (B) pro forma financial statements reflecting the
	370	+	24 combined balance sheets of the acquiring company and
	371	+	25 the Health Maintenance Organization sought to be
	372	+	26 acquired as of the end of the preceding year and as of
	373	+
	374	+
	375	+
	376	+
	377	+
	378	+	HB1565 Enrolled - 11 - LRB103 25816 BMS 52167 b
	379	+
	380	+
	381	+	HB1565 Enrolled- 12 -LRB103 25816 BMS 52167 b HB1565 Enrolled - 12 - LRB103 25816 BMS 52167 b
	382	+	HB1565 Enrolled - 12 - LRB103 25816 BMS 52167 b
	383	+	1 a date 90 days prior to the acquisition, as well as pro
	384	+	2 forma financial statements reflecting projected
	385	+	3 combined operation for a period of 2 years;
	386	+	4 (C) a pro forma business plan detailing an
	387	+	5 acquiring party's plans with respect to the operation
	388	+	6 of the Health Maintenance Organization sought to be
	389	+	7 acquired for a period of not less than 3 years; and
	390	+	8 (D) such other information as the Director shall
	391	+	9 require.
	392	+	10 (d) The provisions of Article VIII 1/2 of the Illinois
	393	+	11 Insurance Code and this Section 5-3 shall apply to the sale by
	394	+	12 any health maintenance organization of greater than 10% of its
	395	+	13 enrollee population (including without limitation the health
	396	+	14 maintenance organization's right, title, and interest in and
	397	+	15 to its health care certificates).
	398	+	16 (e) In considering any management contract or service
	399	+	17 agreement subject to Section 141.1 of the Illinois Insurance
	400	+	18 Code, the Director (i) shall, in addition to the criteria
	401	+	19 specified in Section 141.2 of the Illinois Insurance Code,
	402	+	20 take into account the effect of the management contract or
	403	+	21 service agreement on the continuation of benefits to enrollees
	404	+	22 and the financial condition of the health maintenance
	405	+	23 organization to be managed or serviced, and (ii) need not take
	406	+	24 into account the effect of the management contract or service
	407	+	25 agreement on competition.
	408	+	26 (f) Except for small employer groups as defined in the
	409	+
	410	+
	411	+
	412	+
	413	+
	414	+	HB1565 Enrolled - 12 - LRB103 25816 BMS 52167 b
	415	+
	416	+
	417	+	HB1565 Enrolled- 13 -LRB103 25816 BMS 52167 b HB1565 Enrolled - 13 - LRB103 25816 BMS 52167 b
	418	+	HB1565 Enrolled - 13 - LRB103 25816 BMS 52167 b
	419	+	1 Small Employer Rating, Renewability and Portability Health
	420	+	2 Insurance Act and except for medicare supplement policies as
	421	+	3 defined in Section 363 of the Illinois Insurance Code, a
	422	+	4 Health Maintenance Organization may by contract agree with a
	423	+	5 group or other enrollment unit to effect refunds or charge
	424	+	6 additional premiums under the following terms and conditions:
	425	+	7 (i) the amount of, and other terms and conditions with
	426	+	8 respect to, the refund or additional premium are set forth
	427	+	9 in the group or enrollment unit contract agreed in advance
	428	+	10 of the period for which a refund is to be paid or
	429	+	11 additional premium is to be charged (which period shall
	430	+	12 not be less than one year); and
	431	+	13 (ii) the amount of the refund or additional premium
	432	+	14 shall not exceed 20% of the Health Maintenance
	433	+	15 Organization's profitable or unprofitable experience with
	434	+	16 respect to the group or other enrollment unit for the
	435	+	17 period (and, for purposes of a refund or additional
	436	+	18 premium, the profitable or unprofitable experience shall
	437	+	19 be calculated taking into account a pro rata share of the
	438	+	20 Health Maintenance Organization's administrative and
	439	+	21 marketing expenses, but shall not include any refund to be
	440	+	22 made or additional premium to be paid pursuant to this
	441	+	23 subsection (f)). The Health Maintenance Organization and
	442	+	24 the group or enrollment unit may agree that the profitable
	443	+	25 or unprofitable experience may be calculated taking into
	444	+	26 account the refund period and the immediately preceding 2
	445	+
	446	+
	447	+
	448	+
	449	+
	450	+	HB1565 Enrolled - 13 - LRB103 25816 BMS 52167 b
	451	+
	452	+
	453	+	HB1565 Enrolled- 14 -LRB103 25816 BMS 52167 b HB1565 Enrolled - 14 - LRB103 25816 BMS 52167 b
	454	+	HB1565 Enrolled - 14 - LRB103 25816 BMS 52167 b
	455	+	1 plan years.
	456	+	2 The Health Maintenance Organization shall include a
	457	+	3 statement in the evidence of coverage issued to each enrollee
	458	+	4 describing the possibility of a refund or additional premium,
	459	+	5 and upon request of any group or enrollment unit, provide to
	460	+	6 the group or enrollment unit a description of the method used
	461	+	7 to calculate (1) the Health Maintenance Organization's
	462	+	8 profitable experience with respect to the group or enrollment
	463	+	9 unit and the resulting refund to the group or enrollment unit
	464	+	10 or (2) the Health Maintenance Organization's unprofitable
	465	+	11 experience with respect to the group or enrollment unit and
	466	+	12 the resulting additional premium to be paid by the group or
	467	+	13 enrollment unit.
	468	+	14 In no event shall the Illinois Health Maintenance
	469	+	15 Organization Guaranty Association be liable to pay any
	470	+	16 contractual obligation of an insolvent organization to pay any
	471	+	17 refund authorized under this Section.
	472	+	18 (g) Rulemaking authority to implement Public Act 95-1045,
	473	+	19 if any, is conditioned on the rules being adopted in
	474	+	20 accordance with all provisions of the Illinois Administrative
	475	+	21 Procedure Act and all rules and procedures of the Joint
	476	+	22 Committee on Administrative Rules; any purported rule not so
	477	+	23 adopted, for whatever reason, is unauthorized.
	478	+	24 (Source: P.A. 101-13, eff. 6-12-19; 101-81, eff. 7-12-19;
	479	+	25 101-281, eff. 1-1-20; 101-371, eff. 1-1-20; 101-393, eff.
	480	+	26 1-1-20; 101-452, eff. 1-1-20; 101-461, eff. 1-1-20; 101-625,
	481	+
	482	+
	483	+
	484	+
	485	+
	486	+	HB1565 Enrolled - 14 - LRB103 25816 BMS 52167 b
	487	+
	488	+
	489	+	HB1565 Enrolled- 15 -LRB103 25816 BMS 52167 b HB1565 Enrolled - 15 - LRB103 25816 BMS 52167 b
	490	+	HB1565 Enrolled - 15 - LRB103 25816 BMS 52167 b
	491	+	1 eff. 1-1-21; 102-30, eff. 1-1-22; 102-34, eff. 6-25-21;
	492	+	2 102-203, eff. 1-1-22; 102-306, eff. 1-1-22; 102-443, eff.
	493	+	3 1-1-22; 102-589, eff. 1-1-22; 102-642, eff. 1-1-22; 102-665,
	494	+	4 eff. 10-8-21; 102-731, eff. 1-1-23; 102-775, eff. 5-13-22;
	495	+	5 102-804, eff. 1-1-23; 102-813, eff. 5-13-22; 102-816, eff.
	496	+	6 1-1-23; 102-860, eff. 1-1-23; 102-901, eff. 7-1-22; 102-1093,
	497	+	7 eff. 1-1-23; 102-1117, eff. 1-13-23; revised 1-22-23.)
	498	+	8 Section 35. The Limited Health Service Organization Act is
	499	+	9 amended by changing Section 4003 as follows:
	500	+	10 (215 ILCS 130/4003) (from Ch. 73, par. 1504-3)
	501	+	11 Sec. 4003. Illinois Insurance Code provisions. Limited
	502	+	12 health service organizations shall be subject to the
	503	+	13 provisions of Sections 133, 134, 136, 137, 139, 140, 141.1,
	504	+	14 141.2, 141.3, 143, 143c, 147, 148, 149, 151, 152, 153, 154,
	505	+	15 154.5, 154.6, 154.7, 154.8, 155.04, 155.37, 355.2, 355.3,
	506	+	16 355b, 356q, 356v, 356z.4, 356z.4a, 356z.10, 356z.21, 356z.22,
	507	+	17 356z.25, 356z.26, 356z.29, 356z.30a, 356z.32, 356z.33,
	508	+	18 356z.41, 356z.46, 356z.47, 356z.51, 356z.53, 356z.54, 356z.57,
	509	+	19 356z.59, 356z.61, 364.3, 368a, 401, 401.1, 402, 403, 403A,
	510	+	20 408, 408.2, 409, 412, 444, and 444.1 and Articles IIA, VIII
	511	+	21 1/2, XII, XII 1/2, XIII, XIII 1/2, XXV, and XXVI of the
	512	+	22 Illinois Insurance Code. Nothing in this Section shall require
	513	+	23 a limited health care plan to cover any service that is not a
	514	+	24 limited health service. For purposes of the Illinois Insurance
	515	+
	516	+
	517	+
	518	+
	519	+
	520	+	HB1565 Enrolled - 15 - LRB103 25816 BMS 52167 b
	521	+
	522	+
	523	+	HB1565 Enrolled- 16 -LRB103 25816 BMS 52167 b HB1565 Enrolled - 16 - LRB103 25816 BMS 52167 b
	524	+	HB1565 Enrolled - 16 - LRB103 25816 BMS 52167 b
	525	+	1 Code, except for Sections 444 and 444.1 and Articles XIII and
	526	+	2 XIII 1/2, limited health service organizations in the
	527	+	3 following categories are deemed to be domestic companies:
	528	+	4 (1) a corporation under the laws of this State; or
	529	+	5 (2) a corporation organized under the laws of another
	530	+	6 state, 30% or more of the enrollees of which are residents
	531	+	7 of this State, except a corporation subject to
	532	+	8 substantially the same requirements in its state of
	533	+	9 organization as is a domestic company under Article VIII
	534	+	10 1/2 of the Illinois Insurance Code.
	535	+	11 (Source: P.A. 101-81, eff. 7-12-19; 101-281, eff. 1-1-20;
	536	+	12 101-393, eff. 1-1-20; 101-625, eff. 1-1-21; 102-30, eff.
	537	+	13 1-1-22; 102-203, eff. 1-1-22; 102-306, eff. 1-1-22; 102-642,
	538	+	14 eff. 1-1-22; 102-731, eff. 1-1-23; 102-775, eff. 5-13-22;
	539	+	15 102-813, eff. 5-13-22; 102-816, eff. 1-1-23; 102-860, eff.
	540	+	16 1-1-23; 102-1093, eff. 1-1-23; 102-1117, eff. 1-13-23.)
	541	+	17 Section 40. The Voluntary Health Services Plans Act is
	542	+	18 amended by changing Section 10 as follows:
	543	+	19 (215 ILCS 165/10) (from Ch. 32, par. 604)
	544	+	20 Sec. 10. Application of Insurance Code provisions. Health
	545	+	21 services plan corporations and all persons interested therein
	546	+	22 or dealing therewith shall be subject to the provisions of
	547	+	23 Articles IIA and XII 1/2 and Sections 3.1, 133, 136, 139, 140,
	548	+	24 143, 143c, 149, 155.22a, 155.37, 354, 355.2, 355.3, 355b,
	549	+
	550	+
	551	+
	552	+
	553	+
	554	+	HB1565 Enrolled - 16 - LRB103 25816 BMS 52167 b
	555	+
	556	+
	557	+	HB1565 Enrolled- 17 -LRB103 25816 BMS 52167 b HB1565 Enrolled - 17 - LRB103 25816 BMS 52167 b
	558	+	HB1565 Enrolled - 17 - LRB103 25816 BMS 52167 b
	559	+	1 356g, 356g.5, 356g.5-1, 356q, 356r, 356t, 356u, 356v, 356w,
	560	+	2 356x, 356y, 356z.1, 356z.2, 356z.3a, 356z.4, 356z.4a, 356z.5,
	561	+	3 356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13,
	562	+	4 356z.14, 356z.15, 356z.18, 356z.19, 356z.21, 356z.22, 356z.25,
	563	+	5 356z.26, 356z.29, 356z.30, 356z.30a, 356z.32, 356z.33,
	564	+	6 356z.40, 356z.41, 356z.46, 356z.47, 356z.51, 356z.53, 356z.54,
	565	+	7 356z.56, 356z.57, 356z.59, 356z.60, 356z.61, 364.01, 364.3,
	566	+	8 367.2, 368a, 401, 401.1, 402, 403, 403A, 408, 408.2, and 412,
	567	+	9 and paragraphs (7) and (15) of Section 367 of the Illinois
	568	+	10 Insurance Code.
	569	+	11 Rulemaking authority to implement Public Act 95-1045, if
	570	+	12 any, is conditioned on the rules being adopted in accordance
	571	+	13 with all provisions of the Illinois Administrative Procedure
	572	+	14 Act and all rules and procedures of the Joint Committee on
	573	+	15 Administrative Rules; any purported rule not so adopted, for
	574	+	16 whatever reason, is unauthorized.
	575	+	17 (Source: P.A. 101-13, eff. 6-12-19; 101-81, eff. 7-12-19;
	576	+	18 101-281, eff. 1-1-20; 101-393, eff. 1-1-20; 101-625, eff.
	577	+	19 1-1-21; 102-30, eff. 1-1-22; 102-203, eff. 1-1-22; 102-306,
	578	+	20 eff. 1-1-22; 102-642, eff. 1-1-22; 102-665, eff. 10-8-21;
	579	+	21 102-731, eff. 1-1-23; 102-775, eff. 5-13-22; 102-804, eff.
	580	+	22 1-1-23; 102-813, eff. 5-13-22; 102-816, eff. 1-1-23; 102-860,
	581	+	23 eff. 1-1-23; 102-901, eff. 7-1-22; 102-1093, eff. 1-1-23;
	582	+	24 102-1117, eff. 1-13-23.)
	583	+	25 Section 45. The Illinois Public Aid Code is amended by
	584	+
	585	+
	586	+
	587	+
	588	+
	589	+	HB1565 Enrolled - 17 - LRB103 25816 BMS 52167 b
	590	+
	591	+
	592	+	HB1565 Enrolled- 18 -LRB103 25816 BMS 52167 b HB1565 Enrolled - 18 - LRB103 25816 BMS 52167 b
	593	+	HB1565 Enrolled - 18 - LRB103 25816 BMS 52167 b
	594	+	1 changing Section 5-16.8 as follows:
	595	+	2 (305 ILCS 5/5-16.8)
	596	+	3 Sec. 5-16.8. Required health benefits. The medical
	597	+	4 assistance program shall (i) provide the post-mastectomy care
	598	+	5 benefits required to be covered by a policy of accident and
	599	+	6 health insurance under Section 356t and the coverage required
	600	+	7 under Sections 356g.5, 356q, 356u, 356w, 356x, 356z.6,
	601	+	8 356z.26, 356z.29, 356z.32, 356z.33, 356z.34, 356z.35, 356z.46,
	602	+	9 356z.47, 356z.51, 356z.53, 356z.56, 356z.59, and 356z.60, and
	603	+	10 356z.61 of the Illinois Insurance Code, (ii) be subject to the
	604	+	11 provisions of Sections 356z.19, 356z.44, 356z.49, 364.01,
	605	+	12 370c, and 370c.1 of the Illinois Insurance Code, and (iii) be
	606	+	13 subject to the provisions of subsection (d-5) of Section 10 of
	607	+	14 the Network Adequacy and Transparency Act.
	608	+	15 The Department, by rule, shall adopt a model similar to
	609	+	16 the requirements of Section 356z.39 of the Illinois Insurance
	610	+	17 Code.
	611	+	18 On and after July 1, 2012, the Department shall reduce any
	612	+	19 rate of reimbursement for services or other payments or alter
	613	+	20 any methodologies authorized by this Code to reduce any rate
	614	+	21 of reimbursement for services or other payments in accordance
	615	+	22 with Section 5-5e.
	616	+	23 To ensure full access to the benefits set forth in this
	617	+	24 Section, on and after January 1, 2016, the Department shall
	618	+	25 ensure that provider and hospital reimbursement for
	619	+
	620	+
	621	+
	622	+
	623	+
	624	+	HB1565 Enrolled - 18 - LRB103 25816 BMS 52167 b
	625	+
	626	+
	627	+	HB1565 Enrolled- 19 -LRB103 25816 BMS 52167 b HB1565 Enrolled - 19 - LRB103 25816 BMS 52167 b
	628	+	HB1565 Enrolled - 19 - LRB103 25816 BMS 52167 b
	629	+	1 post-mastectomy care benefits required under this Section are
	630	+	2 no lower than the Medicare reimbursement rate.
	631	+	3 (Source: P.A. 101-81, eff. 7-12-19; 101-218, eff. 1-1-20;
	632	+	4 101-281, eff. 1-1-20; 101-371, eff. 1-1-20; 101-574, eff.
	633	+	5 1-1-20; 101-649, eff. 7-7-20; 102-30, eff. 1-1-22; 102-144,
	634	+	6 eff. 1-1-22; 102-203, eff. 1-1-22; 102-306, eff. 1-1-22;
	635	+	7 102-530, eff. 1-1-22; 102-642, eff. 1-1-22; 102-804, eff.
	636	+	8 1-1-23; 102-813, eff. 5-13-22; 102-816, eff. 1-1-23; 102-1093,
	637	+	9 eff. 1-1-23; 102-1117, eff. 1-13-23.)
	638	+
	639	+
	640	+
	641	+
	642	+
	643	+	HB1565 Enrolled - 19 - LRB103 25816 BMS 52167 b