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| | 102ND GENERAL ASSEMBLY
State of Illinois
2021 and 2022
HB5305 Introduced 1/31/2022, by Rep. Cyril Nichols SYNOPSIS AS INTRODUCED:
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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.
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| | A BILL FOR |
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| | HB5305 | | LRB102 23894 BMS 33091 b |
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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 |