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 356z.33 as follows: |
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9 | | - | (215 ILCS 5/356z.33) |
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10 | | - | Sec. 356z.33. Coverage for epinephrine injectors. |
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11 | | - | (a) A group or individual policy of accident and health |
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12 | | - | insurance or a managed care plan that is amended, delivered, |
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13 | | - | issued, or renewed on or after January 1, 2020 (the effective |
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14 | | - | date of Public Act 101-281) shall provide coverage for |
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15 | | - | medically necessary epinephrine injectors for persons 18 years |
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16 | | - | of age or under. As used in this Section, "epinephrine |
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17 | | - | injector" has the meaning given to that term in Section 5 of |
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18 | | - | the Epinephrine Injector Act. |
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19 | | - | (b) An insurer that provides coverage for medically |
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20 | | - | necessary epinephrine injectors shall limit the total amount |
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21 | | - | that an insured is required to pay for a twin-pack of medically |
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22 | | - | necessary epinephrine injectors at an amount not to exceed |
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23 | | - | $60, regardless of the type of epinephrine injector. |
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24 | | - | (c) Nothing in this Section prevents an insurer from |
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25 | | - | reducing an insured's cost sharing by an amount greater than |
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26 | | - | the amount specified in subsection (b). |
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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 356z.33 as follows: |
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| 8 | + | 6 (215 ILCS 5/356z.33) |
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| 9 | + | 7 Sec. 356z.33. Coverage for epinephrine injectors. |
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| 10 | + | 8 (a) A group or individual policy of accident and health |
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| 11 | + | 9 insurance or a managed care plan that is amended, delivered, |
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| 12 | + | 10 issued, or renewed on or after January 1, 2020 (the effective |
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| 13 | + | 11 date of Public Act 101-281) shall provide coverage for |
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| 14 | + | 12 medically necessary epinephrine injectors for persons 18 years |
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| 15 | + | 13 of age or under. As used in this Section, "epinephrine |
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| 16 | + | 14 injector" has the meaning given to that term in Section 5 of |
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| 17 | + | 15 the Epinephrine Injector Act. |
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| 18 | + | 16 (b) An insurer that provides coverage for medically |
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| 19 | + | 17 necessary epinephrine injectors shall limit the total amount |
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| 20 | + | 18 that an insured is required to pay for a twin-pack of medically |
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| 21 | + | 19 necessary epinephrine injectors at an amount not to exceed |
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| 22 | + | 20 $60, regardless of the type of epinephrine injector. |
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| 23 | + | 21 (c) Nothing in this Section prevents an insurer from |
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| 24 | + | 22 reducing an insured's cost sharing by an amount greater than |
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| 25 | + | 23 the amount specified in subsection (b). |
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33 | | - | (d) The Department may adopt rules as necessary to |
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34 | | - | implement and administer this Section. |
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35 | | - | (Source: P.A. 101-281, eff. 1-1-20; 102-558, eff. 8-20-21.) |
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36 | | - | Section 99. Effective date. This Act takes effect January |
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37 | | - | 1, 2025. |
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| 32 | + | HB3639 Enrolled- 2 -LRB103 30960 BMS 57533 b HB3639 Enrolled - 2 - LRB103 30960 BMS 57533 b |
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| 33 | + | HB3639 Enrolled - 2 - LRB103 30960 BMS 57533 b |
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| 34 | + | 1 (d) The Department may adopt rules as necessary to |
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| 35 | + | 2 implement and administer this Section. |
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| 36 | + | 3 (Source: P.A. 101-281, eff. 1-1-20; 102-558, eff. 8-20-21.) |
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| 37 | + | 4 Section 99. Effective date. This Act takes effect January |
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| 38 | + | 5 1, 2025. |
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| 39 | + | |
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| 40 | + | |
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| 41 | + | |
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| 42 | + | |
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| 43 | + | |
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| 44 | + | HB3639 Enrolled - 2 - LRB103 30960 BMS 57533 b |
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