104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026 SB1358 Introduced 1/28/2025, by Sen. Adriane Johnson SYNOPSIS AS INTRODUCED: 215 ILCS 5/356z.80 new Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or a managed care plan that is amended, delivered, issued, or renewed on or after July 1, 2025 shall provide coverage for the full cost of an annual PET scan for insureds age 35 or older who elect to get a PET scan, regardless of whether the PET scan was ordered by a physician licensed to practice medicine in all its branches and regardless of whether the insured displays symptoms. Sets forth findings and definitions. Effective immediately. LRB104 09465 BAB 19526 b A BILL FOR 104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026 SB1358 Introduced 1/28/2025, by Sen. Adriane Johnson SYNOPSIS AS INTRODUCED: 215 ILCS 5/356z.80 new 215 ILCS 5/356z.80 new Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or a managed care plan that is amended, delivered, issued, or renewed on or after July 1, 2025 shall provide coverage for the full cost of an annual PET scan for insureds age 35 or older who elect to get a PET scan, regardless of whether the PET scan was ordered by a physician licensed to practice medicine in all its branches and regardless of whether the insured displays symptoms. Sets forth findings and definitions. Effective immediately. LRB104 09465 BAB 19526 b LRB104 09465 BAB 19526 b A BILL FOR
104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026 SB1358 Introduced 1/28/2025, by Sen. Adriane Johnson SYNOPSIS AS INTRODUCED:
215 ILCS 5/356z.80 new 215 ILCS 5/356z.80 new
215 ILCS 5/356z.80 new
Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or a managed care plan that is amended, delivered, issued, or renewed on or after July 1, 2025 shall provide coverage for the full cost of an annual PET scan for insureds age 35 or older who elect to get a PET scan, regardless of whether the PET scan was ordered by a physician licensed to practice medicine in all its branches and regardless of whether the insured displays symptoms. Sets forth findings and definitions. Effective immediately.
LRB104 09465 BAB 19526 b LRB104 09465 BAB 19526 b
LRB104 09465 BAB 19526 b
A BILL FOR
SB1358LRB104 09465 BAB 19526 b SB1358 LRB104 09465 BAB 19526 b
SB1358 LRB104 09465 BAB 19526 b
1 AN ACT concerning regulation.
2 Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
4 Section 1. Findings; purpose.
5 (a) The General Assembly finds the following:
6 (1) Positron emission tomography (PET) scans have been
7 proven as the most effective form of medical imaging for
8 detecting both tumors and cancer. Studies show that PET
9 scans have an almost 92.5% chance to successfully diagnose
10 malignancies.
11 (2) The risk of cancer and cancer diagnoses starts to
12 exponentially increase beginning at the age of 45 in both
13 men and women.
14 (3) PET scans are not covered as screening tests
15 unless the individual has Medicare or a physician orders a
16 PET scan. Because a person must be at least age 65 to be
17 eligible for Medicare and because many cancers are hard to
18 detect based on symptoms, thousands of cases of cancer are
19 undetected.
20 (4) By the time an individual is eligible to receive a
21 PET scan, the cancer is often too far progressed and
22 difficult to treat.
23 (b) The purposes of this Act are to:
24 (1) mandate insurance companies to cover the full cost
104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026 SB1358 Introduced 1/28/2025, by Sen. Adriane Johnson SYNOPSIS AS INTRODUCED:
215 ILCS 5/356z.80 new 215 ILCS 5/356z.80 new
215 ILCS 5/356z.80 new
Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or a managed care plan that is amended, delivered, issued, or renewed on or after July 1, 2025 shall provide coverage for the full cost of an annual PET scan for insureds age 35 or older who elect to get a PET scan, regardless of whether the PET scan was ordered by a physician licensed to practice medicine in all its branches and regardless of whether the insured displays symptoms. Sets forth findings and definitions. Effective immediately.
LRB104 09465 BAB 19526 b LRB104 09465 BAB 19526 b
LRB104 09465 BAB 19526 b
A BILL FOR
215 ILCS 5/356z.80 new
LRB104 09465 BAB 19526 b
SB1358 LRB104 09465 BAB 19526 b
SB1358- 2 -LRB104 09465 BAB 19526 b SB1358 - 2 - LRB104 09465 BAB 19526 b
SB1358 - 2 - LRB104 09465 BAB 19526 b
1 of an annual PET scan to better public health; and
2 (2) protect the health and welfare of older
3 constituents who are at a higher risk of cancer.
4 Section 5. The Illinois Insurance Code is amended by
5 adding Section 356z.80 as follows:
6 (215 ILCS 5/356z.80 new)
7 Sec. 356z.80. Coverage of positron emission tomography.
8 (a) In this Section:
9 "Positron emission" means a subtype of radioactive decay,
10 also referred to as beta decay, that can be used to detect or
11 reveal metabolic or biochemical functions of tissues.
12 "Positron emission tomography" or "PET scan" means an
13 imaging technique that uses radiotracers to analyze and
14 measure differences in metabolic processes and other
15 physiological processes.
16 "Radiotracer" means a chemical compound where one or more
17 atoms have been replaced by a radioisotope, helping in
18 monitoring chemical reactions in the body.
19 (b) A group or individual policy of accident and health
20 insurance or a managed care plan that is amended, delivered,
21 issued, or renewed on or after July 1, 2025 shall provide
22 coverage for the full cost of an annual PET scan for insureds
23 age 35 or older who elect to get a PET scan, regardless of
24 whether the PET scan was ordered by a physician licensed to
SB1358 - 2 - LRB104 09465 BAB 19526 b
SB1358- 3 -LRB104 09465 BAB 19526 b SB1358 - 3 - LRB104 09465 BAB 19526 b
SB1358 - 3 - LRB104 09465 BAB 19526 b
1 practice medicine in all its branches and regardless of
2 whether the insured displays symptoms.
SB1358 - 3 - LRB104 09465 BAB 19526 b