103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2350 Introduced , by Rep. Kelly M. Cassidy SYNOPSIS AS INTRODUCED: 215 ILCS 5/356u Amends the Accident and Health Article of the Illinois Insurance Code. In provisions concerning pap tests and prostate cancer screenings, provides that required coverage includes an annual cervical smear or Pap smear test for all (rather than female) insureds. Provides that required coverage includes an annual prostate cancer screening for insureds (rather than male insureds) upon the recommendation of a physician licensed to practice medicine in all of its branches for specified individuals. Provides that required coverage includes an annual prostate cancer screening for insureds who are age 40 and over with a genetic predisposition to prostate cancer. LRB103 26427 BMS 52790 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2350 Introduced , by Rep. Kelly M. Cassidy SYNOPSIS AS INTRODUCED: 215 ILCS 5/356u 215 ILCS 5/356u Amends the Accident and Health Article of the Illinois Insurance Code. In provisions concerning pap tests and prostate cancer screenings, provides that required coverage includes an annual cervical smear or Pap smear test for all (rather than female) insureds. Provides that required coverage includes an annual prostate cancer screening for insureds (rather than male insureds) upon the recommendation of a physician licensed to practice medicine in all of its branches for specified individuals. Provides that required coverage includes an annual prostate cancer screening for insureds who are age 40 and over with a genetic predisposition to prostate cancer. LRB103 26427 BMS 52790 b LRB103 26427 BMS 52790 b A BILL FOR
103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2350 Introduced , by Rep. Kelly M. Cassidy SYNOPSIS AS INTRODUCED:
215 ILCS 5/356u 215 ILCS 5/356u
215 ILCS 5/356u
Amends the Accident and Health Article of the Illinois Insurance Code. In provisions concerning pap tests and prostate cancer screenings, provides that required coverage includes an annual cervical smear or Pap smear test for all (rather than female) insureds. Provides that required coverage includes an annual prostate cancer screening for insureds (rather than male insureds) upon the recommendation of a physician licensed to practice medicine in all of its branches for specified individuals. Provides that required coverage includes an annual prostate cancer screening for insureds who are age 40 and over with a genetic predisposition to prostate cancer.
LRB103 26427 BMS 52790 b LRB103 26427 BMS 52790 b
LRB103 26427 BMS 52790 b
A BILL FOR
HB2350LRB103 26427 BMS 52790 b HB2350 LRB103 26427 BMS 52790 b
HB2350 LRB103 26427 BMS 52790 b
1 AN ACT concerning regulation.
2 Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
4 Section 5. The Illinois Insurance Code is amended by
5 changing Section 356u as follows:
6 (215 ILCS 5/356u)
7 Sec. 356u. Pap tests and prostate cancer screenings.
8 (a) A group policy of accident and health insurance that
9 provides coverage for hospital or medical treatment or
10 services for illness on an expense-incurred basis and is
11 amended, delivered, issued, or renewed after January 1, 2024
12 shall provide coverage, without imposing a deductible,
13 coinsurance, copayment, or any other cost-sharing requirement,
14 for all of the following:
15 (1) An annual cervical smear or Pap smear test for all
16 female insureds.
17 (2) An annual prostate cancer screening for male
18 insureds upon the recommendation of a physician licensed
19 to practice medicine in all its branches for:
20 (A) asymptomatic individuals men age 50 and over;
21 (B) African-American individuals men age 40 and
22 over; and
23 (C) individuals men age 40 and over with a family
103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2350 Introduced , by Rep. Kelly M. Cassidy SYNOPSIS AS INTRODUCED:
215 ILCS 5/356u 215 ILCS 5/356u
215 ILCS 5/356u
Amends the Accident and Health Article of the Illinois Insurance Code. In provisions concerning pap tests and prostate cancer screenings, provides that required coverage includes an annual cervical smear or Pap smear test for all (rather than female) insureds. Provides that required coverage includes an annual prostate cancer screening for insureds (rather than male insureds) upon the recommendation of a physician licensed to practice medicine in all of its branches for specified individuals. Provides that required coverage includes an annual prostate cancer screening for insureds who are age 40 and over with a genetic predisposition to prostate cancer.
LRB103 26427 BMS 52790 b LRB103 26427 BMS 52790 b
LRB103 26427 BMS 52790 b
A BILL FOR
215 ILCS 5/356u
LRB103 26427 BMS 52790 b
HB2350 LRB103 26427 BMS 52790 b
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HB2350 - 2 - LRB103 26427 BMS 52790 b
1 history of or genetic predisposition to prostate
2 cancer.
3 (3) Surveillance tests for ovarian cancer for female
4 insureds who are at risk for ovarian cancer.
5 (b) This Section shall not apply to agreements, contracts,
6 or policies that provide coverage for a specified disease or
7 other limited benefit coverage.
8 (c) This Section does not apply to coverage of prostate
9 cancer screenings to the extent such coverage would disqualify
10 a high-deductible health plan from eligibility for a health
11 savings account pursuant to Section 223 of the Internal
12 Revenue Code.
13 (d) For the purposes of this Section:
14 "At risk for ovarian cancer" means:
15 (1) having a family history (i) with one or more
16 first-degree relatives with ovarian cancer, (ii) of
17 clusters of women relatives with breast cancer, or (iii)
18 of nonpolyposis colorectal cancer; or
19 (2) testing positive for BRCA1 or BRCA2 mutations.
20 "Prostate cancer screening" means medically viable methods
21 for the detection and diagnosis of prostate cancer, including
22 a digital rectal exam and the prostate-specific antigen test
23 and associated laboratory work. "Prostate cancer screening"
24 includes medically necessary subsequent follow-up testing as
25 directed by a health care provider, including, but not limited
26 to:
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1 (1) urinary analysis;
2 (2) serum biomarkers; and
3 (3) medical imaging, including, but not limited to,
4 magnetic resonance imaging.
5 "Surveillance tests for ovarian cancer" means annual
6 screening using (i) CA-125 serum tumor marker testing, (ii)
7 transvaginal ultrasound, (iii) pelvic examination.
8 (Source: P.A. 102-1073, eff. 1-1-23.)
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