Illinois 2023-2024 Regular Session

Illinois House Bill HB3838 Compare Versions

Only one version of the bill is available at this time.

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1	1	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB3838 Introduced , by Rep. Brad Halbrook SYNOPSIS AS INTRODUCED: 55 ILCS 5/5-1069 from Ch. 34, par. 5-1069 Amends the Counties Code. Provides that, on and after January 1, 2024, group life, health, accident, hospital, and medical insurance may not be provided to part-time county board members unless the same benefits are provided or offered to part-time employees of the county. Effective immediately. LRB103 25455 AWJ 51804 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB3838 Introduced , by Rep. Brad Halbrook SYNOPSIS AS INTRODUCED: 55 ILCS 5/5-1069 from Ch. 34, par. 5-1069 55 ILCS 5/5-1069 from Ch. 34, par. 5-1069 Amends the Counties Code. Provides that, on and after January 1, 2024, group life, health, accident, hospital, and medical insurance may not be provided to part-time county board members unless the same benefits are provided or offered to part-time employees of the county. Effective immediately. LRB103 25455 AWJ 51804 b LRB103 25455 AWJ 51804 b A BILL FOR
2	2	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB3838 Introduced , by Rep. Brad Halbrook SYNOPSIS AS INTRODUCED:
3	3	55 ILCS 5/5-1069 from Ch. 34, par. 5-1069 55 ILCS 5/5-1069 from Ch. 34, par. 5-1069
4	4	55 ILCS 5/5-1069 from Ch. 34, par. 5-1069
5	5	Amends the Counties Code. Provides that, on and after January 1, 2024, group life, health, accident, hospital, and medical insurance may not be provided to part-time county board members unless the same benefits are provided or offered to part-time employees of the county. Effective immediately.
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8	8	A BILL FOR
9	9	HB3838LRB103 25455 AWJ 51804 b HB3838 LRB103 25455 AWJ 51804 b
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11	11	1 AN ACT concerning local government.
12	12	2 Be it enacted by the People of the State of Illinois,
13	13	3 represented in the General Assembly:
14	14	4 Section 5. The Counties Code is amended by changing
15	15	5 Section 5-1069 as follows:
16	16	6 (55 ILCS 5/5-1069) (from Ch. 34, par. 5-1069)
17	17	7 Sec. 5-1069. Group life, health, accident, hospital, and
18	18	8 medical insurance.
19	19	9 (a) The county board of any county may arrange to provide,
20	20	10 for the benefit of employees of the county, group life,
21	21	11 health, accident, hospital, and medical insurance, or any one
22	22	12 or any combination of those types of insurance, or the county
23	23	13 board may self-insure, for the benefit of its employees, all
24	24	14 or a portion of the employees' group life, health, accident,
25	25	15 hospital, and medical insurance, or any one or any combination
26	26	16 of those types of insurance, including a combination of
27	27	17 self-insurance and other types of insurance authorized by this
28	28	18 Section, provided that the county board complies with all
29	29	19 other requirements of this Section. The insurance may include
30	30	20 provision for employees who rely on treatment by prayer or
31	31	21 spiritual means alone for healing in accordance with the
32	32	22 tenets and practice of a well recognized religious
33	33	23 denomination. The county board may provide for payment by the
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37	37	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB3838 Introduced , by Rep. Brad Halbrook SYNOPSIS AS INTRODUCED:
38	38	55 ILCS 5/5-1069 from Ch. 34, par. 5-1069 55 ILCS 5/5-1069 from Ch. 34, par. 5-1069
39	39	55 ILCS 5/5-1069 from Ch. 34, par. 5-1069
40	40	Amends the Counties Code. Provides that, on and after January 1, 2024, group life, health, accident, hospital, and medical insurance may not be provided to part-time county board members unless the same benefits are provided or offered to part-time employees of the county. Effective immediately.
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43	43	A BILL FOR
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49	49	55 ILCS 5/5-1069 from Ch. 34, par. 5-1069
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68	68	1 county of a portion or all of the premium or charge for the
69	69	2 insurance with the employee paying the balance of the premium
70	70	3 or charge, if any. If the county board undertakes a plan under
71	71	4 which the county pays only a portion of the premium or charge,
72	72	5 the county board shall provide for withholding and deducting
73	73	6 from the compensation of those employees who consent to join
74	74	7 the plan the balance of the premium or charge for the
75	75	8 insurance.
76	76	9 (b) If the county board does not provide for
77	77	10 self-insurance or for a plan under which the county pays a
78	78	11 portion or all of the premium or charge for a group insurance
79	79	12 plan, the county board may provide for withholding and
80	80	13 deducting from the compensation of those employees who consent
81	81	14 thereto the total premium or charge for any group life,
82	82	15 health, accident, hospital, and medical insurance.
83	83	16 (c) The county board may exercise the powers granted in
84	84	17 this Section only if it provides for self-insurance or, where
85	85	18 it makes arrangements to provide group insurance through an
86	86	19 insurance carrier, if the kinds of group insurance are
87	87	20 obtained from an insurance company authorized to do business
88	88	21 in the State of Illinois. The county board may enact an
89	89	22 ordinance prescribing the method of operation of the insurance
90	90	23 program.
91	91	24 (c-5) On and after January 1, 2024, benefits under this
92	92	25 Section may not be provided to part-time county board members
93	93	26 unless the same benefits are provided or offered to part-time
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104	104	1 employees of the county.
105	105	2 (d) If a county, including a home rule county, is a
106	106	3 self-insurer for purposes of providing health insurance
107	107	4 coverage for its employees, the insurance coverage shall
108	108	5 include screening by low-dose mammography for all women 35
109	109	6 years of age or older for the presence of occult breast cancer
110	110	7 unless the county elects to provide mammograms itself under
111	111	8 Section 5-1069.1. The coverage shall be as follows:
112	112	9 (1) A baseline mammogram for women 35 to 39 years of
113	113	10 age.
114	114	11 (2) An annual mammogram for women 40 years of age or
115	115	12 older.
116	116	13 (3) A mammogram at the age and intervals considered
117	117	14 medically necessary by the woman's health care provider
118	118	15 for women under 40 years of age and having a family history
119	119	16 of breast cancer, prior personal history of breast cancer,
120	120	17 positive genetic testing, or other risk factors.
121	121	18 (4) For a group policy of accident and health
122	122	19 insurance that is amended, delivered, issued, or renewed
123	123	20 on or after the effective date of this amendatory Act of
124	124	21 the 101st General Assembly, a comprehensive ultrasound
125	125	22 screening of an entire breast or breasts if a mammogram
126	126	23 demonstrates heterogeneous or dense breast tissue or when
127	127	24 medically necessary as determined by a physician licensed
128	128	25 to practice medicine in all of its branches, advanced
129	129	26 practice registered nurse, or physician assistant.
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140	140	1 (5) For a group policy of accident and health
141	141	2 insurance that is amended, delivered, issued, or renewed
142	142	3 on or after the effective date of this amendatory Act of
143	143	4 the 101st General Assembly, a diagnostic mammogram when
144	144	5 medically necessary, as determined by a physician licensed
145	145	6 to practice medicine in all its branches, advanced
146	146	7 practice registered nurse, or physician assistant.
147	147	8 A policy subject to this subsection shall not impose a
148	148	9 deductible, coinsurance, copayment, or any other cost-sharing
149	149	10 requirement on the coverage provided; except that this
150	150	11 sentence does not apply to coverage of diagnostic mammograms
151	151	12 to the extent such coverage would disqualify a high-deductible
152	152	13 health plan from eligibility for a health savings account
153	153	14 pursuant to Section 223 of the Internal Revenue Code (26
154	154	15 U.S.C. 223).
155	155	16 For purposes of this subsection:
156	156	17 "Diagnostic mammogram" means a mammogram obtained using
157	157	18 diagnostic mammography.
158	158	19 "Diagnostic mammography" means a method of screening that
159	159	20 is designed to evaluate an abnormality in a breast, including
160	160	21 an abnormality seen or suspected on a screening mammogram or a
161	161	22 subjective or objective abnormality otherwise detected in the
162	162	23 breast.
163	163	24 "Low-dose mammography" means the x-ray examination of the
164	164	25 breast using equipment dedicated specifically for mammography,
165	165	26 including the x-ray tube, filter, compression device, and
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176	176	1 image receptor, with an average radiation exposure delivery of
177	177	2 less than one rad per breast for 2 views of an average size
178	178	3 breast. The term also includes digital mammography.
179	179	4 (d-5) Coverage as described by subsection (d) shall be
180	180	5 provided at no cost to the insured and shall not be applied to
181	181	6 an annual or lifetime maximum benefit.
182	182	7 (d-10) When health care services are available through
183	183	8 contracted providers and a person does not comply with plan
184	184	9 provisions specific to the use of contracted providers, the
185	185	10 requirements of subsection (d-5) are not applicable. When a
186	186	11 person does not comply with plan provisions specific to the
187	187	12 use of contracted providers, plan provisions specific to the
188	188	13 use of non-contracted providers must be applied without
189	189	14 distinction for coverage required by this Section and shall be
190	190	15 at least as favorable as for other radiological examinations
191	191	16 covered by the policy or contract.
192	192	17 (d-15) If a county, including a home rule county, is a
193	193	18 self-insurer for purposes of providing health insurance
194	194	19 coverage for its employees, the insurance coverage shall
195	195	20 include mastectomy coverage, which includes coverage for
196	196	21 prosthetic devices or reconstructive surgery incident to the
197	197	22 mastectomy. Coverage for breast reconstruction in connection
198	198	23 with a mastectomy shall include:
199	199	24 (1) reconstruction of the breast upon which the
200	200	25 mastectomy has been performed;
201	201	26 (2) surgery and reconstruction of the other breast to
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212	212	1 produce a symmetrical appearance; and
213	213	2 (3) prostheses and treatment for physical
214	214	3 complications at all stages of mastectomy, including
215	215	4 lymphedemas.
216	216	5 Care shall be determined in consultation with the attending
217	217	6 physician and the patient. The offered coverage for prosthetic
218	218	7 devices and reconstructive surgery shall be subject to the
219	219	8 deductible and coinsurance conditions applied to the
220	220	9 mastectomy, and all other terms and conditions applicable to
221	221	10 other benefits. When a mastectomy is performed and there is no
222	222	11 evidence of malignancy then the offered coverage may be
223	223	12 limited to the provision of prosthetic devices and
224	224	13 reconstructive surgery to within 2 years after the date of the
225	225	14 mastectomy. As used in this Section, "mastectomy" means the
226	226	15 removal of all or part of the breast for medically necessary
227	227	16 reasons, as determined by a licensed physician.
228	228	17 A county, including a home rule county, that is a
229	229	18 self-insurer for purposes of providing health insurance
230	230	19 coverage for its employees, may not penalize or reduce or
231	231	20 limit the reimbursement of an attending provider or provide
232	232	21 incentives (monetary or otherwise) to an attending provider to
233	233	22 induce the provider to provide care to an insured in a manner
234	234	23 inconsistent with this Section.
235	235	24 (d-20) The requirement that mammograms be included in
236	236	25 health insurance coverage as provided in subsections (d)
237	237	26 through (d-15) is an exclusive power and function of the State
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248	248	1 and is a denial and limitation under Article VII, Section 6,
249	249	2 subsection (h) of the Illinois Constitution of home rule
250	250	3 county powers. A home rule county to which subsections (d)
251	251	4 through (d-15) apply must comply with every provision of those
252	252	5 subsections.
253	253	6 (e) The term "employees" as used in this Section includes
254	254	7 elected or appointed officials but does not include temporary
255	255	8 employees.
256	256	9 (f) The county board may, by ordinance, arrange to provide
257	257	10 group life, health, accident, hospital, and medical insurance,
258	258	11 or any one or a combination of those types of insurance, under
259	259	12 this Section to retired former employees and retired former
260	260	13 elected or appointed officials of the county.
261	261	14 (g) Rulemaking authority to implement this amendatory Act
262	262	15 of the 95th General Assembly, if any, is conditioned on the
263	263	16 rules being adopted in accordance with all provisions of the
264	264	17 Illinois Administrative Procedure Act and all rules and
265	265	18 procedures of the Joint Committee on Administrative Rules; any
266	266	19 purported rule not so adopted, for whatever reason, is
267	267	20 unauthorized.
268	268	21 (Source: P.A. 100-513, eff. 1-1-18; 101-580, eff. 1-1-20.)
269	269	22 Section 99. Effective date. This Act takes effect upon
270	270	23 becoming law.
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