Illinois 2023-2024 Regular Session

Illinois House Bill HB2443 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1		-	Public Act 103-0530
2	1		HB2443 EnrolledLRB103 30349 BMS 56779 b HB2443 Enrolled LRB103 30349 BMS 56779 b
3	2		HB2443 Enrolled LRB103 30349 BMS 56779 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 356z.30 as follows:
9		-	(215 ILCS 5/356z.30)
10		-	Sec. 356z.30. Coverage for hearing aids for individuals
11		-	under the age of 18.
12		-	(a) As used in this Section:
13		-	"Hearing care professional" means a person who is a
14		-	licensed hearing instrument dispenser, licensed audiologist,
15		-	or licensed physician.
16		-	"Hearing instrument" or "hearing aid" means any wearable
17		-	non-disposable, non-experimental instrument or device designed
18		-	to aid or compensate for impaired human hearing and any parts,
19		-	attachments, or accessories for the instrument or device,
20		-	including an ear mold but excluding batteries and cords.
21		-	(b) An individual or group policy of accident and health
22		-	insurance or managed care plan that is amended, delivered,
23		-	issued, or renewed after the effective date of this amendatory
24		-	Act of the 103rd General Assembly August 22, 2018 (the
25		-	effective date of Public Act 100-1026) must provide coverage
26		-	for medically necessary hearing instruments and related
	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 356z.30 as follows:
	8	+	6 (215 ILCS 5/356z.30)
	9	+	7 Sec. 356z.30. Coverage for hearing aids for individuals
	10	+	8 under the age of 18.
	11	+	9 (a) As used in this Section:
	12	+	10 "Hearing care professional" means a person who is a
	13	+	11 licensed hearing instrument dispenser, licensed audiologist,
	14	+	12 or licensed physician.
	15	+	13 "Hearing instrument" or "hearing aid" means any wearable
	16	+	14 non-disposable, non-experimental instrument or device designed
	17	+	15 to aid or compensate for impaired human hearing and any parts,
	18	+	16 attachments, or accessories for the instrument or device,
	19	+	17 including an ear mold but excluding batteries and cords.
	20	+	18 (b) An individual or group policy of accident and health
	21	+	19 insurance or managed care plan that is amended, delivered,
	22	+	20 issued, or renewed after the effective date of this amendatory
	23	+	21 Act of the 103rd General Assembly August 22, 2018 (the
	24	+	22 effective date of Public Act 100-1026) must provide coverage
	25	+	23 for medically necessary hearing instruments and related
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33		-	services for all individuals under the age of 18 when a hearing
34		-	care professional prescribes a hearing instrument to augment
35		-	communication.
36		-	(c) An insurer shall provide coverage, subject to all
37		-	applicable co-payments, co-insurance, deductibles, and
38		-	out-of-pocket limits, subject to the following restrictions:
39		-	(1) one hearing instrument shall be covered for each
40		-	ear every 36 months;
41		-	(2) related services, such as audiological exams and
42		-	selection, fitting, and adjustment of ear molds to
43		-	maintain optimal fit shall be covered when deemed
44		-	medically necessary by a hearing care professional; and
45		-	(3) hearing instrument repairs may be covered when
46		-	deemed medically necessary.
47		-	(d) If, at any time before or after the effective date of
48		-	this amendatory Act of the 103rd General Assembly August 22,
49		-	2018 (the effective date of Public Act 100-1026), the
50		-	Secretary of the United States Department of Health and Human
51		-	Services, or its successor agency, promulgates rules or
52		-	regulations to be published in the Federal Register, publishes
53		-	a comment in the Federal Register, or issues an opinion,
54		-	guidance, or other action that would require the State,
55		-	pursuant to any provision of the Patient Protection and
56		-	Affordable Care Act (Pub. L. 111148), including, but not
57		-	limited to, 42 U.S.C. 18031(d)(3)(B) or any successor
58		-	provision, to defray the cost of coverage for medically
	32	+	HB2443 Enrolled- 2 -LRB103 30349 BMS 56779 b HB2443 Enrolled - 2 - LRB103 30349 BMS 56779 b
	33	+	HB2443 Enrolled - 2 - LRB103 30349 BMS 56779 b
	34	+	1 services for all individuals under the age of 18 when a hearing
	35	+	2 care professional prescribes a hearing instrument to augment
	36	+	3 communication.
	37	+	4 (c) An insurer shall provide coverage, subject to all
	38	+	5 applicable co-payments, co-insurance, deductibles, and
	39	+	6 out-of-pocket limits, subject to the following restrictions:
	40	+	7 (1) one hearing instrument shall be covered for each
	41	+	8 ear every 36 months;
	42	+	9 (2) related services, such as audiological exams and
	43	+	10 selection, fitting, and adjustment of ear molds to
	44	+	11 maintain optimal fit shall be covered when deemed
	45	+	12 medically necessary by a hearing care professional; and
	46	+	13 (3) hearing instrument repairs may be covered when
	47	+	14 deemed medically necessary.
	48	+	15 (d) If, at any time before or after the effective date of
	49	+	16 this amendatory Act of the 103rd General Assembly August 22,
	50	+	17 2018 (the effective date of Public Act 100-1026), the
	51	+	18 Secretary of the United States Department of Health and Human
	52	+	19 Services, or its successor agency, promulgates rules or
	53	+	20 regulations to be published in the Federal Register, publishes
	54	+	21 a comment in the Federal Register, or issues an opinion,
	55	+	22 guidance, or other action that would require the State,
	56	+	23 pursuant to any provision of the Patient Protection and
	57	+	24 Affordable Care Act (Pub. L. 111148), including, but not
	58	+	25 limited to, 42 U.S.C. 18031(d)(3)(B) or any successor
	59	+	26 provision, to defray the cost of coverage for medically
59	60
60	61
61		-	necessary hearing instruments and related services for any
62		-	individual individuals under the age of 18, then this Section
63		-	is inoperative with respect to all such coverage other than
64		-	that authorized under Section 1902 of the Social Security Act,
65		-	42 U.S.C. 1396a, and the State shall not assume any obligation
66		-	for the cost of coverage for medically necessary hearing
67		-	instruments and related services for any individual subject to
68		-	federally defrayed cost of coverage individuals under the age
69		-	of 18.
70		-	(Source: P.A. 100-1026, eff. 8-22-18; 101-81, eff. 7-12-19.)
71		-	Section 99. Effective date. This Act takes effect January
72		-	1, 2025.
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	70	+	1 necessary hearing instruments and related services for any
	71	+	2 individual individuals under the age of 18, then this Section
	72	+	3 is inoperative with respect to all such coverage other than
	73	+	4 that authorized under Section 1902 of the Social Security Act,
	74	+	5 42 U.S.C. 1396a, and the State shall not assume any obligation
	75	+	6 for the cost of coverage for medically necessary hearing
	76	+	7 instruments and related services for any individual subject to
	77	+	8 federally defrayed cost of coverage individuals under the age
	78	+	9 of 18.
	79	+	10 (Source: P.A. 100-1026, eff. 8-22-18; 101-81, eff. 7-12-19.)
	80	+	11 Section 99. Effective date. This Act takes effect January
	81	+	12 1, 2025.
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	87	+	HB2443 Enrolled - 3 - LRB103 30349 BMS 56779 b