102ND GENERAL ASSEMBLY
State of Illinois
2021 and 2022
HB2406
 
Introduced 2/17/2021, by Rep. Sue Scherer
 
SYNOPSIS AS INTRODUCED:
 

 
  
215 ILCS 5/356z.43 new
305 ILCS 5/5-16.8

     Amends the Illinois Insurance Code. Provides that an individual or group policy of accident and health insurance or managed care plan in effect on and after March 9, 2020 must provide coverage for the cost of administering a COVID-19 vaccination. Makes conforming changes in the Illinois Public Aid Code.
  


LRB102 13035 BMS 18378 b

FISCAL NOTE ACT MAY APPLY
 
 
A BILL FOR
 

  
HB2406LRB102 13035 BMS 18378 b


  
1    AN ACT concerning regulation.
  
 
2    Be it enacted by the People of the State of Illinois,
 
3represented in the General Assembly:
  
 
 
4    Section 5. The Illinois Insurance Code is amended  by 
5adding Section 356z.43 as follows:
 
6    (215 ILCS 5/356z.43 new)
7    Sec. 356z.43. COVID-19 vaccine administrative cost. An 
8individual or group policy of accident and health insurance or 
9managed care plan in effect on and after March 9, 2020 must 
10provide coverage for the cost of administering a COVID-19 
11vaccination.
 
12    Section 10. The Illinois Public Aid Code is amended  by 
13changing Section 5-16.8 as follows:
 


14    (305 ILCS 5/5-16.8)



15    Sec. 5-16.8. Required health benefits. The medical 
16assistance program
shall
(i) provide the post-mastectomy care 
17benefits required to be covered by a policy of
accident and 
18health insurance under Section 356t and the coverage required

19under Sections 356g.5, 356u, 356w, 356x, 356z.6, 356z.26, 
20356z.29, 356z.32, 356z.33, 356z.34, and 356z.35, and 356z.43 
21of the Illinois
Insurance Code and (ii) be subject to the 
 
 
HB2406- 2 -LRB102 13035 BMS 18378 b

1provisions of Sections 356z.19, 364.01, 370c, and 370c.1 of 
2the Illinois
Insurance Code.

3    The Department, by rule, shall adopt a model similar to 
4the requirements of Section 356z.39 of the Illinois Insurance 
5Code. 
6    On and after July 1, 2012, the Department shall reduce any 
7rate of reimbursement for services or other payments or alter 
8any methodologies authorized by this Code to reduce any rate 
9of reimbursement for services or other payments in accordance 
10with Section 5-5e. 
11    To ensure full access to the benefits set forth in this 
12Section, on and after January 1, 2016, the Department shall 
13ensure that provider and hospital reimbursement  for 
14post-mastectomy care benefits required under this Section are 
15no lower than the Medicare reimbursement rate. 
16(Source: P.A. 100-138, eff. 8-18-17; 100-863, eff. 8-14-18; 
17100-1057, eff. 1-1-19; 100-1102, eff. 1-1-19; 101-81, eff. 
187-12-19; 101-218, eff. 1-1-20; 101-281, eff. 1-1-20; 101-371, 
19eff. 1-1-20; 101-574, eff. 1-1-20; 101-649, eff. 7-7-20.)