Public Act 103-0530
HB2443 EnrolledLRB103 30349 BMS 56779 b HB2443 Enrolled LRB103 30349 BMS 56779 b
HB2443 Enrolled LRB103 30349 BMS 56779 b
AN ACT concerning regulation.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Illinois Insurance Code is amended by
changing Section 356z.30 as follows:
(215 ILCS 5/356z.30)
Sec. 356z.30. Coverage for hearing aids for individuals
under the age of 18.
(a) As used in this Section:
"Hearing care professional" means a person who is a
licensed hearing instrument dispenser, licensed audiologist,
or licensed physician.
"Hearing instrument" or "hearing aid" means any wearable
non-disposable, non-experimental instrument or device designed
to aid or compensate for impaired human hearing and any parts,
attachments, or accessories for the instrument or device,
including an ear mold but excluding batteries and cords.
(b) An individual or group policy of accident and health
insurance or managed care plan that is amended, delivered,
issued, or renewed after the effective date of this amendatory
Act of the 103rd General Assembly August 22, 2018 (the
effective date of Public Act 100-1026) must provide coverage
for medically necessary hearing instruments and related
HB2443 Enrolled LRB103 30349 BMS 56779 b
services for all individuals under the age of 18 when a hearing
care professional prescribes a hearing instrument to augment
communication.
(c) An insurer shall provide coverage, subject to all
applicable co-payments, co-insurance, deductibles, and
out-of-pocket limits, subject to the following restrictions:
(1) one hearing instrument shall be covered for each
ear every 36 months;
(2) related services, such as audiological exams and
selection, fitting, and adjustment of ear molds to
maintain optimal fit shall be covered when deemed
medically necessary by a hearing care professional; and
(3) hearing instrument repairs may be covered when
deemed medically necessary.
(d) If, at any time before or after the effective date of
this amendatory Act of the 103rd General Assembly August 22,
2018 (the effective date of Public Act 100-1026), the
Secretary of the United States Department of Health and Human
Services, or its successor agency, promulgates rules or
regulations to be published in the Federal Register, publishes
a comment in the Federal Register, or issues an opinion,
guidance, or other action that would require the State,
pursuant to any provision of the Patient Protection and
Affordable Care Act (Pub. L. 111148), including, but not
limited to, 42 U.S.C. 18031(d)(3)(B) or any successor
provision, to defray the cost of coverage for medically
necessary hearing instruments and related services for any
individual individuals under the age of 18, then this Section
is inoperative with respect to all such coverage other than
that authorized under Section 1902 of the Social Security Act,
42 U.S.C. 1396a, and the State shall not assume any obligation
for the cost of coverage for medically necessary hearing
instruments and related services for any individual subject to
federally defrayed cost of coverage individuals under the age
of 18.
(Source: P.A. 100-1026, eff. 8-22-18; 101-81, eff. 7-12-19.)
Section 99. Effective date. This Act takes effect January
1, 2025.