103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2385 Introduced , by Rep. Cyril Nichols SYNOPSIS AS INTRODUCED: 215 ILCS 5/356z.48 Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or managed care plan amended, delivered, issued, or renewed on or after January 1, 2024 shall provide coverage for a colonoscopy determined to be medically necessary for persons aged 39 years old to 75 years old. LRB103 26428 BMS 52791 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2385 Introduced , by Rep. Cyril Nichols SYNOPSIS AS INTRODUCED: 215 ILCS 5/356z.48 215 ILCS 5/356z.48 Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or managed care plan amended, delivered, issued, or renewed on or after January 1, 2024 shall provide coverage for a colonoscopy determined to be medically necessary for persons aged 39 years old to 75 years old. LRB103 26428 BMS 52791 b LRB103 26428 BMS 52791 b A BILL FOR
103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2385 Introduced , by Rep. Cyril Nichols SYNOPSIS AS INTRODUCED:
215 ILCS 5/356z.48 215 ILCS 5/356z.48
215 ILCS 5/356z.48
Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or managed care plan amended, delivered, issued, or renewed on or after January 1, 2024 shall provide coverage for a colonoscopy determined to be medically necessary for persons aged 39 years old to 75 years old.
LRB103 26428 BMS 52791 b LRB103 26428 BMS 52791 b
LRB103 26428 BMS 52791 b
A BILL FOR
HB2385LRB103 26428 BMS 52791 b HB2385 LRB103 26428 BMS 52791 b
HB2385 LRB103 26428 BMS 52791 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 356z.48 as follows:
6 (215 ILCS 5/356z.48)
7 Sec. 356z.48. Colonoscopy coverage.
8 (a) A group policy of accident and health insurance that
9 is amended, delivered, issued, or renewed on or after January
10 1, 2022 shall provide coverage for a colonoscopy that is a
11 follow-up exam based on an initial screen where the
12 colonoscopy was determined to be medically necessary by a
13 physician licensed to practice medicine in all its branches,
14 an advanced practice registered nurse, or a physician
15 assistant.
16 (b) A group or individual policy of accident and health
17 insurance or managed care plan amended, delivered, issued, or
18 renewed on or after January 1, 2024 shall provide coverage for
19 a colonoscopy determined to be medically necessary for persons
20 aged 39 years old to 75 years old.
21 (c) (b) A policy subject to this Section shall not impose a
22 deductible, coinsurance, copayment, or any other cost-sharing
23 requirement on the coverage provided; except that this
103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2385 Introduced , by Rep. Cyril Nichols SYNOPSIS AS INTRODUCED:
215 ILCS 5/356z.48 215 ILCS 5/356z.48
215 ILCS 5/356z.48
Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or managed care plan amended, delivered, issued, or renewed on or after January 1, 2024 shall provide coverage for a colonoscopy determined to be medically necessary for persons aged 39 years old to 75 years old.
LRB103 26428 BMS 52791 b LRB103 26428 BMS 52791 b
LRB103 26428 BMS 52791 b
A BILL FOR
215 ILCS 5/356z.48
LRB103 26428 BMS 52791 b
HB2385 LRB103 26428 BMS 52791 b
HB2385- 2 -LRB103 26428 BMS 52791 b HB2385 - 2 - LRB103 26428 BMS 52791 b
HB2385 - 2 - LRB103 26428 BMS 52791 b
1 subsection does not apply to coverage of colonoscopies to the
2 extent such coverage would disqualify a high-deductible health
3 plan from eligibility for a health savings account pursuant to
4 Section 223 of the Internal Revenue Code.
5 (Source: P.A. 102-443, eff. 1-1-22; 102-813, eff. 5-13-22.)
HB2385 - 2 - LRB103 26428 BMS 52791 b