4 | | - | AN ACT concerning regulation. |
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5 | | - | Be it enacted by the People of the State of Illinois, |
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6 | | - | represented in the General Assembly: |
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7 | | - | Section 5. The Illinois Insurance Code is amended by |
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8 | | - | changing Section 356u as follows: |
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9 | | - | (215 ILCS 5/356u) |
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10 | | - | Sec. 356u. Pap tests and prostate cancer screenings. |
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11 | | - | (a) A group policy of accident and health insurance that |
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12 | | - | provides coverage for hospital or medical treatment or |
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13 | | - | services for illness on an expense-incurred basis and is |
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14 | | - | amended, delivered, issued, or renewed after January 1, 2024 |
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15 | | - | shall provide coverage, without imposing a deductible, |
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16 | | - | coinsurance, copayment, or any other cost-sharing requirement, |
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17 | | - | for all of the following: |
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18 | | - | (1) An annual cervical smear or Pap smear test for all |
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19 | | - | female insureds. |
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20 | | - | (2) An annual prostate cancer screening for male |
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21 | | - | insureds upon the recommendation of a physician licensed |
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22 | | - | to practice medicine in all its branches for: |
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23 | | - | (A) asymptomatic individuals men age 50 and over; |
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24 | | - | (B) African-American individuals men age 40 and |
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25 | | - | over; and |
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26 | | - | (C) individuals men age 40 and over with a family |
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| 3 | + | 1 AN ACT concerning regulation. |
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| 4 | + | 2 Be it enacted by the People of the State of Illinois, |
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| 5 | + | 3 represented in the General Assembly: |
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| 6 | + | 4 Section 5. The Illinois Insurance Code is amended by |
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| 7 | + | 5 changing Section 356u as follows: |
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| 8 | + | 6 (215 ILCS 5/356u) |
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| 9 | + | 7 Sec. 356u. Pap tests and prostate cancer screenings. |
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| 10 | + | 8 (a) A group policy of accident and health insurance that |
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| 11 | + | 9 provides coverage for hospital or medical treatment or |
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| 12 | + | 10 services for illness on an expense-incurred basis and is |
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| 13 | + | 11 amended, delivered, issued, or renewed after January 1, 2024 |
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| 14 | + | 12 shall provide coverage, without imposing a deductible, |
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| 15 | + | 13 coinsurance, copayment, or any other cost-sharing requirement, |
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| 16 | + | 14 for all of the following: |
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| 17 | + | 15 (1) An annual cervical smear or Pap smear test for all |
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| 18 | + | 16 female insureds. |
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| 19 | + | 17 (2) An annual prostate cancer screening for male |
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| 20 | + | 18 insureds upon the recommendation of a physician licensed |
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| 21 | + | 19 to practice medicine in all its branches for: |
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| 22 | + | 20 (A) asymptomatic individuals men age 50 and over; |
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| 23 | + | 21 (B) African-American individuals men age 40 and |
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| 24 | + | 22 over; and |
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| 25 | + | 23 (C) individuals men age 40 and over with a family |
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33 | | - | history of or genetic predisposition to prostate |
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34 | | - | cancer. |
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35 | | - | (3) Surveillance tests for ovarian cancer for female |
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36 | | - | insureds who are at risk for ovarian cancer. |
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37 | | - | (b) This Section shall not apply to agreements, contracts, |
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38 | | - | or policies that provide coverage for a specified disease or |
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39 | | - | other limited benefit coverage. |
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40 | | - | (c) This Section does not apply to coverage of prostate |
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41 | | - | cancer screenings to the extent such coverage would disqualify |
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42 | | - | a high-deductible health plan from eligibility for a health |
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43 | | - | savings account pursuant to Section 223 of the Internal |
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44 | | - | Revenue Code. |
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45 | | - | (d) For the purposes of this Section: |
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46 | | - | "At risk for ovarian cancer" means: |
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47 | | - | (1) having a family history (i) with one or more |
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48 | | - | first-degree relatives with ovarian cancer, (ii) of |
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49 | | - | clusters of women relatives with breast cancer, or (iii) |
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50 | | - | of nonpolyposis colorectal cancer; or |
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51 | | - | (2) testing positive for BRCA1 or BRCA2 mutations. |
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52 | | - | "Prostate cancer screening" means medically viable methods |
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53 | | - | for the detection and diagnosis of prostate cancer, including |
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54 | | - | a digital rectal exam and the prostate-specific antigen test |
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55 | | - | and associated laboratory work. "Prostate cancer screening" |
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56 | | - | includes medically necessary subsequent follow-up testing as |
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57 | | - | directed by a health care provider, including, but not limited |
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58 | | - | to: |
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| 32 | + | HB2350 Enrolled- 2 -LRB103 26427 BMS 52790 b HB2350 Enrolled - 2 - LRB103 26427 BMS 52790 b |
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| 33 | + | HB2350 Enrolled - 2 - LRB103 26427 BMS 52790 b |
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| 34 | + | 1 history of or genetic predisposition to prostate |
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| 35 | + | 2 cancer. |
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| 36 | + | 3 (3) Surveillance tests for ovarian cancer for female |
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| 37 | + | 4 insureds who are at risk for ovarian cancer. |
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| 38 | + | 5 (b) This Section shall not apply to agreements, contracts, |
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| 39 | + | 6 or policies that provide coverage for a specified disease or |
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| 40 | + | 7 other limited benefit coverage. |
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| 41 | + | 8 (c) This Section does not apply to coverage of prostate |
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| 42 | + | 9 cancer screenings to the extent such coverage would disqualify |
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| 43 | + | 10 a high-deductible health plan from eligibility for a health |
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| 44 | + | 11 savings account pursuant to Section 223 of the Internal |
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| 45 | + | 12 Revenue Code. |
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| 46 | + | 13 (d) For the purposes of this Section: |
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| 47 | + | 14 "At risk for ovarian cancer" means: |
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| 48 | + | 15 (1) having a family history (i) with one or more |
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| 49 | + | 16 first-degree relatives with ovarian cancer, (ii) of |
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| 50 | + | 17 clusters of women relatives with breast cancer, or (iii) |
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| 51 | + | 18 of nonpolyposis colorectal cancer; or |
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| 52 | + | 19 (2) testing positive for BRCA1 or BRCA2 mutations. |
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| 53 | + | 20 "Prostate cancer screening" means medically viable methods |
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| 54 | + | 21 for the detection and diagnosis of prostate cancer, including |
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| 55 | + | 22 a digital rectal exam and the prostate-specific antigen test |
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| 56 | + | 23 and associated laboratory work. "Prostate cancer screening" |
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| 57 | + | 24 includes medically necessary subsequent follow-up testing as |
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| 58 | + | 25 directed by a health care provider, including, but not limited |
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| 59 | + | 26 to: |
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61 | | - | (1) urinary analysis; |
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62 | | - | (2) serum biomarkers; and |
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63 | | - | (3) medical imaging, including, but not limited to, |
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64 | | - | magnetic resonance imaging. |
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65 | | - | "Surveillance tests for ovarian cancer" means annual |
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66 | | - | screening using (i) CA-125 serum tumor marker testing, (ii) |
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67 | | - | transvaginal ultrasound, (iii) pelvic examination. |
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68 | | - | (Source: P.A. 102-1073, eff. 1-1-23.) |
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69 | | - | Section 99. Effective date. This Act takes effect January |
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70 | | - | 1, 2025. |
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| 62 | + | |
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| 63 | + | |
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| 64 | + | |
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| 65 | + | HB2350 Enrolled - 2 - LRB103 26427 BMS 52790 b |
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| 66 | + | |
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| 67 | + | |
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| 68 | + | HB2350 Enrolled- 3 -LRB103 26427 BMS 52790 b HB2350 Enrolled - 3 - LRB103 26427 BMS 52790 b |
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| 69 | + | HB2350 Enrolled - 3 - LRB103 26427 BMS 52790 b |
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| 70 | + | 1 (1) urinary analysis; |
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| 71 | + | 2 (2) serum biomarkers; and |
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| 72 | + | 3 (3) medical imaging, including, but not limited to, |
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| 73 | + | 4 magnetic resonance imaging. |
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| 74 | + | 5 "Surveillance tests for ovarian cancer" means annual |
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| 75 | + | 6 screening using (i) CA-125 serum tumor marker testing, (ii) |
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| 76 | + | 7 transvaginal ultrasound, (iii) pelvic examination. |
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| 77 | + | 8 (Source: P.A. 102-1073, eff. 1-1-23.) |
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| 78 | + | 9 Section 99. Effective date. This Act takes effect January |
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| 79 | + | 10 1, 2025. |
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| 80 | + | |
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| 85 | + | HB2350 Enrolled - 3 - LRB103 26427 BMS 52790 b |
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