Bill Text: IL HB5305 | 2021-2022 | 102nd General Assembly | Introduced
Bill Title: Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or managed care plan amended, delivered, issued, or renewed on or after January 1, 2024 shall provide coverage for a colonoscopy determined to be medically necessary for persons aged 39 years old to 75 years old.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2022-03-04 - Rule 19(a) / Re-referred to Rules Committee [HB5305 Detail]
Download: Illinois-2021-HB5305-Introduced.html
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1 | AN ACT concerning regulation.
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2 | Be it enacted by the People of the State of Illinois,
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3 | represented in the General Assembly:
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4 | Section 5. The Illinois Insurance Code is amended by | |||||||||||||||||||
5 | renumbering and changing Section 356z.43, as added by Public | |||||||||||||||||||
6 | Act 102-443, as follows:
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7 | (215 ILCS 5/356z.48)
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8 | Sec. 356z.48 356z.43 . Colonoscopy coverage. | |||||||||||||||||||
9 | (a) A group policy of accident and health insurance that | |||||||||||||||||||
10 | is amended, delivered, issued, or renewed on or after January | |||||||||||||||||||
11 | 1, 2022 shall provide coverage for a colonoscopy that is a | |||||||||||||||||||
12 | follow-up exam based on an initial screen where the | |||||||||||||||||||
13 | colonoscopy was determined to be medically necessary by a | |||||||||||||||||||
14 | physician licensed to practice medicine in all its branches, | |||||||||||||||||||
15 | an advanced practice registered nurse, or a physician | |||||||||||||||||||
16 | assistant. | |||||||||||||||||||
17 | (b) A group or individual policy of accident and health | |||||||||||||||||||
18 | insurance or managed care plan amended, delivered, issued, or | |||||||||||||||||||
19 | renewed on or after January 1, 2024 shall provide coverage for | |||||||||||||||||||
20 | a colonoscopy determined to be medically necessary for persons | |||||||||||||||||||
21 | aged 39 years old to 75 years old. | |||||||||||||||||||
22 | (c) (b) A policy subject to this Section shall not impose a | |||||||||||||||||||
23 | deductible, coinsurance, copayment, or any other cost-sharing |
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1 | requirement on the coverage provided; except that this | ||||||
2 | subsection does not apply to coverage of colonoscopies to the | ||||||
3 | extent such coverage would disqualify a high-deductible health | ||||||
4 | plan from eligibility for a health savings account pursuant to | ||||||
5 | Section 223 of the Internal Revenue Code.
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6 | (Source: P.A. 102-443, eff. 1-1-22; revised 10-26-21.)
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