Illinois 2023-2024 Regular Session

Illinois House Bill HB2350 Compare Versions

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1-Public Act 103-0030
21 HB2350 EnrolledLRB103 26427 BMS 52790 b HB2350 Enrolled LRB103 26427 BMS 52790 b
32 HB2350 Enrolled LRB103 26427 BMS 52790 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 Illinois Insurance Code is amended by
8-changing Section 356u as follows:
9-(215 ILCS 5/356u)
10-Sec. 356u. Pap tests and prostate cancer screenings.
11-(a) A group policy of accident and health insurance that
12-provides coverage for hospital or medical treatment or
13-services for illness on an expense-incurred basis and is
14-amended, delivered, issued, or renewed after January 1, 2024
15-shall provide coverage, without imposing a deductible,
16-coinsurance, copayment, or any other cost-sharing requirement,
17-for all of the following:
18-(1) An annual cervical smear or Pap smear test for all
19-female insureds.
20-(2) An annual prostate cancer screening for male
21-insureds upon the recommendation of a physician licensed
22-to practice medicine in all its branches for:
23-(A) asymptomatic individuals men age 50 and over;
24-(B) African-American individuals men age 40 and
25-over; and
26-(C) individuals men age 40 and over with a family
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 Illinois Insurance Code is amended by
7+5 changing Section 356u as follows:
8+6 (215 ILCS 5/356u)
9+7 Sec. 356u. Pap tests and prostate cancer screenings.
10+8 (a) A group policy of accident and health insurance that
11+9 provides coverage for hospital or medical treatment or
12+10 services for illness on an expense-incurred basis and is
13+11 amended, delivered, issued, or renewed after January 1, 2024
14+12 shall provide coverage, without imposing a deductible,
15+13 coinsurance, copayment, or any other cost-sharing requirement,
16+14 for all of the following:
17+15 (1) An annual cervical smear or Pap smear test for all
18+16 female insureds.
19+17 (2) An annual prostate cancer screening for male
20+18 insureds upon the recommendation of a physician licensed
21+19 to practice medicine in all its branches for:
22+20 (A) asymptomatic individuals men age 50 and over;
23+21 (B) African-American individuals men age 40 and
24+22 over; and
25+23 (C) individuals men age 40 and over with a family
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33-history of or genetic predisposition to prostate
34-cancer.
35-(3) Surveillance tests for ovarian cancer for female
36-insureds who are at risk for ovarian cancer.
37-(b) This Section shall not apply to agreements, contracts,
38-or policies that provide coverage for a specified disease or
39-other limited benefit coverage.
40-(c) This Section does not apply to coverage of prostate
41-cancer screenings to the extent such coverage would disqualify
42-a high-deductible health plan from eligibility for a health
43-savings account pursuant to Section 223 of the Internal
44-Revenue Code.
45-(d) For the purposes of this Section:
46-"At risk for ovarian cancer" means:
47-(1) having a family history (i) with one or more
48-first-degree relatives with ovarian cancer, (ii) of
49-clusters of women relatives with breast cancer, or (iii)
50-of nonpolyposis colorectal cancer; or
51-(2) testing positive for BRCA1 or BRCA2 mutations.
52-"Prostate cancer screening" means medically viable methods
53-for the detection and diagnosis of prostate cancer, including
54-a digital rectal exam and the prostate-specific antigen test
55-and associated laboratory work. "Prostate cancer screening"
56-includes medically necessary subsequent follow-up testing as
57-directed by a health care provider, including, but not limited
58-to:
32+HB2350 Enrolled- 2 -LRB103 26427 BMS 52790 b HB2350 Enrolled - 2 - LRB103 26427 BMS 52790 b
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34+1 history of or genetic predisposition to prostate
35+2 cancer.
36+3 (3) Surveillance tests for ovarian cancer for female
37+4 insureds who are at risk for ovarian cancer.
38+5 (b) This Section shall not apply to agreements, contracts,
39+6 or policies that provide coverage for a specified disease or
40+7 other limited benefit coverage.
41+8 (c) This Section does not apply to coverage of prostate
42+9 cancer screenings to the extent such coverage would disqualify
43+10 a high-deductible health plan from eligibility for a health
44+11 savings account pursuant to Section 223 of the Internal
45+12 Revenue Code.
46+13 (d) For the purposes of this Section:
47+14 "At risk for ovarian cancer" means:
48+15 (1) having a family history (i) with one or more
49+16 first-degree relatives with ovarian cancer, (ii) of
50+17 clusters of women relatives with breast cancer, or (iii)
51+18 of nonpolyposis colorectal cancer; or
52+19 (2) testing positive for BRCA1 or BRCA2 mutations.
53+20 "Prostate cancer screening" means medically viable methods
54+21 for the detection and diagnosis of prostate cancer, including
55+22 a digital rectal exam and the prostate-specific antigen test
56+23 and associated laboratory work. "Prostate cancer screening"
57+24 includes medically necessary subsequent follow-up testing as
58+25 directed by a health care provider, including, but not limited
59+26 to:
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61-(1) urinary analysis;
62-(2) serum biomarkers; and
63-(3) medical imaging, including, but not limited to,
64-magnetic resonance imaging.
65-"Surveillance tests for ovarian cancer" means annual
66-screening using (i) CA-125 serum tumor marker testing, (ii)
67-transvaginal ultrasound, (iii) pelvic examination.
68-(Source: P.A. 102-1073, eff. 1-1-23.)
69-Section 99. Effective date. This Act takes effect January
70-1, 2025.
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70+1 (1) urinary analysis;
71+2 (2) serum biomarkers; and
72+3 (3) medical imaging, including, but not limited to,
73+4 magnetic resonance imaging.
74+5 "Surveillance tests for ovarian cancer" means annual
75+6 screening using (i) CA-125 serum tumor marker testing, (ii)
76+7 transvaginal ultrasound, (iii) pelvic examination.
77+8 (Source: P.A. 102-1073, eff. 1-1-23.)
78+9 Section 99. Effective date. This Act takes effect January
79+10 1, 2025.
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