Illinois 2025-2026 Regular Session

Illinois House Bill HB3001 Compare Versions

Only one version of the bill is available at this time.
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11 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 HB3001 Introduced , by Rep. Norine K. Hammond SYNOPSIS AS INTRODUCED: 215 ILCS 5/356u Amends the Illinois Insurance Code. In a provision concerning coverage of certain cancer screenings, adds having a high level of CA-125, as indicated by a blood test screening, to the definition of "at risk for ovarian cancer". Provides that "surveillance tests for ovarian cancer" means all medically viable methods for the detection and diagnosis of ovarian cancer, including, but not limited to, ultrasounds, magnetic resonance imagings (MRIs), x-rays, computed tomography (CT) scans, and CA-125 blood test screenings (instead of an annual screening using (i) CA-125 serum tumor marker testing, (ii) transvaginal ultrasound, (iii) pelvic examination). Effective January 1, 2027. LRB104 08415 BAB 18466 b A BILL FOR 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 HB3001 Introduced , by Rep. Norine K. Hammond SYNOPSIS AS INTRODUCED: 215 ILCS 5/356u 215 ILCS 5/356u Amends the Illinois Insurance Code. In a provision concerning coverage of certain cancer screenings, adds having a high level of CA-125, as indicated by a blood test screening, to the definition of "at risk for ovarian cancer". Provides that "surveillance tests for ovarian cancer" means all medically viable methods for the detection and diagnosis of ovarian cancer, including, but not limited to, ultrasounds, magnetic resonance imagings (MRIs), x-rays, computed tomography (CT) scans, and CA-125 blood test screenings (instead of an annual screening using (i) CA-125 serum tumor marker testing, (ii) transvaginal ultrasound, (iii) pelvic examination). Effective January 1, 2027. LRB104 08415 BAB 18466 b LRB104 08415 BAB 18466 b A BILL FOR
22 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 HB3001 Introduced , by Rep. Norine K. Hammond SYNOPSIS AS INTRODUCED:
33 215 ILCS 5/356u 215 ILCS 5/356u
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55 Amends the Illinois Insurance Code. In a provision concerning coverage of certain cancer screenings, adds having a high level of CA-125, as indicated by a blood test screening, to the definition of "at risk for ovarian cancer". Provides that "surveillance tests for ovarian cancer" means all medically viable methods for the detection and diagnosis of ovarian cancer, including, but not limited to, ultrasounds, magnetic resonance imagings (MRIs), x-rays, computed tomography (CT) scans, and CA-125 blood test screenings (instead of an annual screening using (i) CA-125 serum tumor marker testing, (ii) transvaginal ultrasound, (iii) pelvic examination). Effective January 1, 2027.
66 LRB104 08415 BAB 18466 b LRB104 08415 BAB 18466 b
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1111 1 AN ACT concerning regulation.
1212 2 Be it enacted by the People of the State of Illinois,
1313 3 represented in the General Assembly:
1414 4 Section 5. The Illinois Insurance Code is amended by
1515 5 changing Section 356u as follows:
1616 6 (215 ILCS 5/356u)
1717 7 Sec. 356u. Pap tests and prostate cancer screenings.
1818 8 (a) A group policy of accident and health insurance that
1919 9 provides coverage for hospital or medical treatment or
2020 10 services for illness on an expense-incurred basis and is
2121 11 amended, delivered, issued, or renewed after January 1, 2024
2222 12 shall provide coverage, without imposing a deductible,
2323 13 coinsurance, copayment, or any other cost-sharing requirement,
2424 14 for all of the following:
2525 15 (1) An annual cervical smear or Pap smear test for all
2626 16 insureds.
2727 17 (2) An annual prostate cancer screening for insureds
2828 18 upon the recommendation of a physician licensed to
2929 19 practice medicine in all its branches for:
3030 20 (A) asymptomatic individuals age 50 and over;
3131 21 (B) African-American individuals age 40 and over;
3232 22 and
3333 23 (C) individuals age 40 and over with a family
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3737 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 HB3001 Introduced , by Rep. Norine K. Hammond SYNOPSIS AS INTRODUCED:
3838 215 ILCS 5/356u 215 ILCS 5/356u
3939 215 ILCS 5/356u
4040 Amends the Illinois Insurance Code. In a provision concerning coverage of certain cancer screenings, adds having a high level of CA-125, as indicated by a blood test screening, to the definition of "at risk for ovarian cancer". Provides that "surveillance tests for ovarian cancer" means all medically viable methods for the detection and diagnosis of ovarian cancer, including, but not limited to, ultrasounds, magnetic resonance imagings (MRIs), x-rays, computed tomography (CT) scans, and CA-125 blood test screenings (instead of an annual screening using (i) CA-125 serum tumor marker testing, (ii) transvaginal ultrasound, (iii) pelvic examination). Effective January 1, 2027.
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6868 1 history of or genetic predisposition to prostate
6969 2 cancer.
7070 3 (3) Surveillance tests for ovarian cancer for insureds
7171 4 who are at risk for ovarian cancer.
7272 5 (b) This Section shall not apply to agreements, contracts,
7373 6 or policies that provide coverage for a specified disease or
7474 7 other limited benefit coverage.
7575 8 (c) This Section does not apply to coverage of prostate
7676 9 cancer screenings to the extent such coverage would disqualify
7777 10 a high-deductible health plan from eligibility for a health
7878 11 savings account pursuant to Section 223 of the Internal
7979 12 Revenue Code.
8080 13 (d) For the purposes of this Section:
8181 14 "At risk for ovarian cancer" means:
8282 15 (1) having a family history (i) with one or more
8383 16 first-degree relatives with ovarian cancer, (ii) of
8484 17 clusters of relatives with breast cancer, or (iii) of
8585 18 nonpolyposis colorectal cancer; or
8686 19 (2) testing positive for BRCA1 or BRCA2 mutations; or .
8787 20 (3) having a high level of CA-125, as indicated by a
8888 21 blood test screening.
8989 22 "Prostate cancer screening" means medically viable methods
9090 23 for the detection and diagnosis of prostate cancer, including
9191 24 a digital rectal exam and the prostate-specific antigen test
9292 25 and associated laboratory work. "Prostate cancer screening"
9393 26 includes medically necessary subsequent follow-up testing as
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104104 1 directed by a health care provider, including, but not limited
105105 2 to:
106106 3 (1) urinary analysis;
107107 4 (2) serum biomarkers; and
108108 5 (3) medical imaging, including, but not limited to,
109109 6 magnetic resonance imaging.
110110 7 "Surveillance tests for ovarian cancer" means all
111111 8 medically viable methods for the detection and diagnosis of
112112 9 ovarian cancer, including, but not limited to, ultrasounds,
113113 10 magnetic resonance imagings (MRIs), x-rays, computed
114114 11 tomography (CT) scans, and CA-125 blood test screenings.
115115 12 annual screening using (i) CA-125 serum tumor marker testing,
116116 13 (ii) transvaginal ultrasound, (iii) pelvic examination.
117117 14 (Source: P.A. 102-1073, eff. 1-1-23; 103-30, eff. 1-1-25.)
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