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HB3605 - 104th General Assembly
INS-GENETIC TESTING & SCREEN
Last Action
House Sponsors
Rep. Camille Y. Lilly - Marcus C. Evans, Jr., William "Will" Davis, Janet Yang Rohr, Anne Stava, Stephanie A. Kifowit, Nabeela Syed and Nicholas K. SmithSenate Sponsors
(Sen. Mattie Hunter - Julie A. Morrison - Kimberly A. Lightford - Cristina Castro, Willie Preston and Sue Rezin)Hearings
Insurance Hearing May 12 2026 4:30PM Capitol 400 Springfield, ILStatutes Amended In Order of Appearance
Synopsis As Introduced
Amends the Illinois Insurance Code. Makes changes to defined terms. Provides that a group policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed after January 1, 2026 shall provide coverage for evidence-based cancer imaging for individuals with an increased risk of cancer as recommended by the current National Comprehensive Cancer Network clinical practice guidelines. Provides that this coverage shall be provided without cost-sharing, and the requirements of the Act shall not apply to the extent that providing coverage would disqualify a high-deductible health plan from eligibility for a health savings account.
House Floor Amendment No. 4
Adds reference to:
5 ILCS 375/6.11F new
Replaces everything after the enacting clause. Amends the Illinois Insurance Code. Provides that the coverage required under provisions concerning genetic testing and evidence-based screenings for an inherited gene mutation shall be provided without cost sharing, except as specified. Changes the date of coverage to January 1, 2028 (rather than January 1, 2026) and provides that the coverage requirements apply to an individual or group policy (rather than only a group policy) of accident and health insurance or managed care plan. Excludes the State Employees Group Insurance Program or any other health care plan established or maintained under the State Employees Group Insurance Act of 1971 from the coverage requirements. Amends the State Employees Group Insurance Act of 1971. Requires the State Employees Group Insurance Program to provide coverage for clinical genetic testing for an inherited gene mutation for individuals with a personal or family history of cancer, as recommended by a health care professional in accordance with current evidence-based clinical practice guidelines. For individuals with a genetic test that is positive for an inherited mutation associated with an increased risk of cancer, requires the coverage to include any evidence-based screenings, as recommended by a health care professional in accordance with current evidence-based clinical practice guidelines, to the extent that the management recommendation is not already covered by the policy. Provides that the coverage is subject to specified cost sharing requirements.
Actions
| Date | Chamber | Action |
|---|---|---|
| 2/07/2025 | House | Filed with the Clerk by Rep. Camille Y. Lilly |
| 2/18/2025 | House | First Reading |
| 2/18/2025 | House | Referred to Rules Committee |
| 3/11/2025 | House | Assigned to Insurance Committee |
| 3/20/2025 | House | Do Pass / Short Debate Insurance Committee; 011-006-000 |
| 3/21/2025 | House | Placed on Calendar 2nd Reading - Short Debate |
| 3/25/2025 | House | House Floor Amendment No. 1 Filed with Clerk by Rep. Camille Y. Lilly |
| 3/25/2025 | House | House Floor Amendment No. 1 Referred to Rules Committee |
| 3/25/2025 | House | Added Chief Co-Sponsor Rep. Marcus C. Evans, Jr. |
| 3/25/2025 | House | Added Co-Sponsor Rep. William "Will" Davis |
| 3/26/2025 | House | House Floor Amendment No. 1 Recommends Be Adopted Rules Committee; 005-000-000 |
| 3/26/2025 | House | Second Reading - Short Debate |
| 3/26/2025 | House | Held on Calendar Order of Second Reading - Short Debate |
| 4/09/2025 | House | Added Co-Sponsor Rep. Janet Yang Rohr |
| 4/11/2025 | House | Rule 19(a) / Re-referred to Rules Committee |
| 4/11/2025 | House | House Floor Amendment No. 1 Rule 19(c) / Re-referred to Rules Committee |
| 5/12/2025 | House | Added Co-Sponsor Rep. Anne Stava |
| 5/13/2025 | House | Added Co-Sponsor Rep. Stephanie A. Kifowit |
| 3/12/2026 | House | Approved for Consideration Rules Committee; 005-000-000 |
| 3/12/2026 | House | Placed on Calendar 2nd Reading - Short Debate |
| 3/12/2026 | House | House Floor Amendment No. 1 Recommends Be Adopted Rules Committee; 005-000-000 |
| 3/16/2026 | House | House Floor Amendment No. 2 Filed with Clerk by Rep. Camille Y. Lilly |
| 3/16/2026 | House | House Floor Amendment No. 2 Referred to Rules Committee |
| 3/18/2026 | House | House Floor Amendment No. 2 Rules Refers to Insurance Committee |
| 3/24/2026 | House | House Floor Amendment No. 3 Filed with Clerk by Rep. Camille Y. Lilly |
| 3/24/2026 | House | House Floor Amendment No. 3 Referred to Rules Committee |
| 3/25/2026 | House | House Floor Amendment No. 3 Rules Refers to Insurance Committee |
| 4/01/2026 | House | Added Co-Sponsor Rep. Nabeela Syed |
| 4/09/2026 | House | House Floor Amendment No. 1 Fiscal Note Requested as Amended by Rep. Camille Y. Lilly |
| 4/09/2026 | House | House Floor Amendment No. 2 Fiscal Note Requested as Amended by Rep. Camille Y. Lilly |
| 4/09/2026 | House | House Floor Amendment No. 3 Fiscal Note Requested as Amended by Rep. Camille Y. Lilly |
| 4/15/2026 | House | House Floor Amendment No. 4 Filed with Clerk by Rep. Camille Y. Lilly |
| 4/15/2026 | House | House Floor Amendment No. 4 Referred to Rules Committee |
| 4/15/2026 | House | House Floor Amendment No. 4 Rules Refers to Insurance Committee |
| 4/16/2026 | House | House Floor Amendment No. 4 Recommends Be Adopted Insurance Committee; 010-006-000 |
| 4/16/2026 | House | Added Co-Sponsor Rep. Nicholas K. Smith |
| 4/16/2026 | House | House Floor Amendment No. 1 Withdrawn by Rep. Camille Y. Lilly |
| 4/16/2026 | House | House Floor Amendment No. 4 Adopted |
| 4/16/2026 | House | House Floor Amendment No. 1 Fiscal Note Requested as Amended - Withdrawn by Rep. Camille Y. Lilly |
| 4/16/2026 | House | House Floor Amendment No. 2 Fiscal Note Requested as Amended - Withdrawn by Rep. Camille Y. Lilly |
| 4/16/2026 | House | House Floor Amendment No. 3 Fiscal Note Requested as Amended - Withdrawn by Rep. Camille Y. Lilly |
| 4/16/2026 | House | Placed on Calendar Order of 3rd Reading - Short Debate |
| 4/16/2026 | House | Third Reading - Short Debate - Passed 070-033-000 |
| 4/16/2026 | House | House Floor Amendment No. 2 Tabled |
| 4/16/2026 | House | House Floor Amendment No. 3 Tabled |
| 4/21/2026 | Senate | Arrive in Senate |
| 4/21/2026 | Senate | Placed on Calendar Order of First Reading |
| 4/21/2026 | Senate | Chief Senate Sponsor Sen. Mattie Hunter |
| 4/21/2026 | Senate | First Reading |
| 4/21/2026 | Senate | Referred to Assignments |
| 4/28/2026 | Senate | Assigned to Insurance |
| 4/30/2026 | Senate | Added as Alternate Chief Co-Sponsor Sen. Julie A. Morrison |
| 5/04/2026 | Senate | Added as Alternate Chief Co-Sponsor Sen. Kimberly A. Lightford |
| 5/05/2026 | Senate | Senate Committee Amendment No. 1 Filed with Secretary by Sen. Mattie Hunter |
| 5/05/2026 | Senate | Senate Committee Amendment No. 1 Referred to Assignments |
| 5/05/2026 | Senate | Postponed - Insurance |
| 5/06/2026 | Senate | Added as Alternate Chief Co-Sponsor Sen. Cristina Castro |
| 5/06/2026 | Senate | Senate Committee Amendment No. 1 Assignments Refers to Insurance |
| 5/06/2026 | Senate | Added as Alternate Co-Sponsor Sen. Willie Preston |
| 5/07/2026 | Senate | Added as Alternate Co-Sponsor Sen. Sue Rezin |
| 5/08/2026 | Senate | Rule 2-10 Committee Deadline Established As May 15, 2026 |