Bill Status of HB 4180   103rd General Assembly

Short Description:  INSURANCE-DIAGNOSTIC MAMMOGRAM

House Sponsors
Rep. Nabeela Syed-Michael J. Kelly-Jeff Keicher-Jenn Ladisch Douglass-Mary Beth Canty, Laura Faver Dias, Lilian Jiménez, Norma Hernandez, Anna Moeller, Joyce Mason, Tracy Katz Muhl, Emanuel "Chris" Welch, Diane Blair-Sherlock, Jay Hoffman, Mary Gill, Katie Stuart, Robert "Bob" Rita, Stephanie A. Kifowit, Janet Yang Rohr, Sue Scherer, Kevin John Olickal, Robyn Gabel, Thaddeus Jones, Maura Hirschauer, Anne Stava-Murray, Sharon Chung, Rita Mayfield and Kevin Schmidt

Senate Sponsors
(Sen. Mary Edly-Allen, Julie A. Morrison, Laura M. Murphy, Doris Turner, Adriane Johnson and Meg Loughran Cappel)


Last Action  View All Actions

DateChamber Action
  8/9/2024HousePublic Act . . . . . . . . . 103-0808

Statutes Amended In Order of Appearance
55 ILCS 5/5-1069from Ch. 34, par. 5-1069
65 ILCS 5/10-4-2from Ch. 24, par. 10-4-2
215 ILCS 5/356gfrom Ch. 73, par. 968g
215 ILCS 125/4-6.1from Ch. 111 1/2, par. 1408.7
305 ILCS 5/5-5from Ch. 23, par. 5-5

Synopsis As Introduced
Amends the Counties Code, the Illinois Municipal Code, the Illinois Insurance Code, the Health Maintenance Organization Act, and the Illinois Public Aid Code. In provisions concerning coverage for mammograms, provides that coverage for certain types of mammography shall be made available to patients of a specified age (rather than only women of a specified age). Makes changes to require coverage for molecular breast imaging and, in those cases where its not already covered, magnetic resonance imaging of breast tissue. Provides that the Department of Healthcare and Family Services shall convene an expert panel, including representatives of hospitals, free-standing breast cancer treatment centers, breast cancer quality organizations, and doctors, including radiologists that are trained in all forms of FDA approved breast imaging technologies, breast surgeons, reconstructive breast, surgeons, oncologists, and primary care providers to establish quality standards for breast cancer treatment. Makes technical changes. Effective immediately.

House Committee Amendment No. 1
Deletes reference to:
55 ILCS 5/5-1069
65 ILCS 5/10-4-2
215 ILCS 125/4-6.1
Adds reference to:
215 ILCS 125/5-3from Ch. 111 1/2, par. 1411.2

Replaces everything after the enacting clause. Amends the Illinois Insurance Code. Provides that an individual or group policy of accident and health insurance or a managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2026 shall provide coverage for molecular breast imaging (MBI) of an entire breast or breasts if a mammogram demonstrates heterogeneous or dense breast tissue or when medically necessary as determined by a physician licensed to practice medicine in all of its branches. Amends the Health Maintenance Organization Act. Subjects health maintenance organizations to provisions of the Illinois Insurance Code that require coverage for mammograms, mastectomies and certain other breast cancer screenings. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall authorize the provision of and payment for molecular breast imaging (MBI) of an entire breast or breasts if a mammogram demonstrates heterogeneous or dense breast tissue or when medically necessary as determined by a physician licensed to practice medicine in all of its branches. Effective January 1, 2026.

House Floor Amendment No. 2
Adds reference to:
55 ILCS 5/5-1069from Ch. 34, par. 5-1069
65 ILCS 5/10-4-2from Ch. 24, par. 10-4-2
215 ILCS 5/356gfrom Ch. 73, par. 968g
215 ILCS 125/4-6.1from Ch. 111 1/2, par. 1408.7

Replaces everything after the enacting clause. Reinserts the provisions of the bill, as amended by House Amendment No. 1, with the following changes. In the Illinois Insurance Code and the Illinois Public Aid Code, requires coverage of molecular breast imaging (MBI) of an entire breast or breasts if a mammogram demonstrates heterogeneous or dense breast tissue or when medically necessary as determined by a physician licensed to practice medicine in all of its branches, physician assistant, or advanced practice registered nurse (rather than as determined by a physician licensed to practice medicine in all of its branches). Amends the Counties Code, the Illinois Municipal Code, and the Health Maintenance Organization Act. In provisions concerning coverage for mammograms, provides that coverage for certain types of mammography shall be made available to patients of a specified age (rather than only women of a specified age). Makes changes to require coverage for molecular breast imaging. Effective January 1, 2026.

Senate Committee Amendment No. 1
In the Illinois Insurance Code and the Health Maintenance Organization Act, provides that, for an individual or group policy of accident and health insurance or a managed care plan that is amended, delivered, issued, or renewed on or after the effective date of the amendatory Act, the policy or plan shall provide coverage for a comprehensive ultrasound screening and MRI of an entire breast or breasts if a mammogram demonstrates heterogeneous or dense breast tissue or when medically necessary as determined by a physician licensed to practice medicine in all of its branches, advanced practice registered nurse, or physician assistant. Makes a conforming change.

Actions 
DateChamber Action
  10/18/2023HouseFiled with the Clerk by Rep. Nabeela Syed
  10/20/2023HouseAdded Chief Co-Sponsor Rep. Michael J. Kelly
  10/24/2023HouseAdded Chief Co-Sponsor Rep. Jeff Keicher
  10/25/2023HouseFirst Reading
  10/25/2023HouseReferred to Rules Committee
  11/3/2023HouseAdded Chief Co-Sponsor Rep. Jenn Ladisch Douglass
  2/14/2024HouseAssigned to Insurance Committee
  3/4/2024HouseHouse Committee Amendment No. 1 Filed with Clerk by Rep. Nabeela Syed
  3/4/2024HouseHouse Committee Amendment No. 1 Referred to Rules Committee
  3/7/2024HouseAdded Co-Sponsor Rep. Laura Faver Dias
  3/7/2024HouseAdded Co-Sponsor Rep. Mary Beth Canty
  3/7/2024HouseAdded Co-Sponsor Rep. Lilian Jiménez
  3/7/2024HouseAdded Co-Sponsor Rep. Norma Hernandez
  3/7/2024HouseRemoved Co-Sponsor Rep. Mary Beth Canty
  3/12/2024HouseHouse Committee Amendment No. 1 Rules Refers to Insurance Committee
  3/12/2024HouseHouse Committee Amendment No. 1 Adopted in Insurance Committee; by Voice Vote
  3/12/2024HouseDo Pass as Amended / Short Debate Insurance Committee; 010-002-000
  3/13/2024HousePlaced on Calendar 2nd Reading - Short Debate
  3/14/2024HouseAdded Co-Sponsor Rep. Anna Moeller
  3/14/2024HouseAdded Co-Sponsor Rep. Joyce Mason
  3/14/2024HouseAdded Co-Sponsor Rep. Tracy Katz Muhl
  3/20/2024HouseHouse Floor Amendment No. 2 Filed with Clerk by Rep. Nabeela Syed
  3/20/2024HouseHouse Floor Amendment No. 2 Referred to Rules Committee
  3/27/2024HouseHouse Floor Amendment No. 2 Rules Refers to Insurance Committee
  4/1/2024HouseAdded Co-Sponsor Rep. Emanuel "Chris" Welch
  4/10/2024HouseAdded Co-Sponsor Rep. Diane Blair-Sherlock
  4/12/2024HouseAdded Co-Sponsor Rep. Jay Hoffman
  4/15/2024HouseAdded Co-Sponsor Rep. Mary Gill
  4/15/2024HouseAdded Co-Sponsor Rep. Katie Stuart
  4/15/2024HouseAdded Co-Sponsor Rep. Robert "Bob" Rita
  4/15/2024HouseAdded Co-Sponsor Rep. Stephanie A. Kifowit
  4/15/2024HouseAdded Co-Sponsor Rep. Janet Yang Rohr
  4/17/2024HouseHouse Floor Amendment No. 2 Recommends Be Adopted Insurance Committee; 015-000-000
  4/17/2024HouseAdded Co-Sponsor Rep. Sue Scherer
  4/17/2024HouseSecond Reading - Short Debate
  4/17/2024HouseHeld on Calendar Order of Second Reading - Short Debate
  4/18/2024HouseAdded Co-Sponsor Rep. Kevin John Olickal
  4/18/2024HouseAdded Co-Sponsor Rep. Robyn Gabel
  4/18/2024HouseAdded Co-Sponsor Rep. Thaddeus Jones
  4/18/2024HouseHouse Floor Amendment No. 2 Adopted
  4/18/2024HousePlaced on Calendar Order of 3rd Reading - Short Debate
  4/18/2024HouseThird Reading - Short Debate - Passed 111-000-000
  4/18/2024HouseAdded Co-Sponsor Rep. Maura Hirschauer
  4/18/2024HouseAdded Co-Sponsor Rep. Anne Stava-Murray
  4/18/2024HouseAdded Co-Sponsor Rep. Sharon Chung
  4/18/2024HouseAdded Co-Sponsor Rep. Rita Mayfield
  4/18/2024HouseAdded Chief Co-Sponsor Rep. Mary Beth Canty
  4/18/2024HouseAdded Co-Sponsor Rep. Kevin Schmidt
  4/19/2024SenateArrive in Senate
  4/19/2024SenatePlaced on Calendar Order of First Reading
  4/19/2024SenateChief Senate Sponsor Sen. Ram Villivalam
  4/19/2024SenateFirst Reading
  4/19/2024SenateReferred to Assignments
  4/30/2024SenateAssigned to Insurance
  4/30/2024SenateAlternate Chief Sponsor Changed to Sen. Mary Edly-Allen
  4/30/2024SenateRule 2-10 Committee Deadline Established As May 10, 2024
  5/1/2024SenateSenate Committee Amendment No. 1 Filed with Secretary by Sen. Mary Edly-Allen
  5/1/2024SenateSenate Committee Amendment No. 1 Referred to Assignments
  5/7/2024SenateSenate Committee Amendment No. 1 Assignments Refers to Insurance
  5/7/2024SenateSenate Committee Amendment No. 1 Adopted
  5/8/2024SenateDo Pass Insurance; 010-000-000
  5/8/2024SenatePlaced on Calendar Order of 2nd Reading May 9, 2024
  5/9/2024SenateSecond Reading
  5/9/2024SenatePlaced on Calendar Order of 3rd Reading
  5/15/2024SenateThird Reading - Passed; 056-000-000
  5/15/2024HouseArrived in House
  5/15/2024HousePlaced on Calendar Order of Concurrence Senate Amendment(s) 1
  5/16/2024HouseSenate Committee Amendment No. 1 Motion Filed Concur Rep. Nabeela Syed
  5/16/2024HouseSenate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee
  5/20/2024HouseSenate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Rules Committee; 005-000-000
  5/25/2024HouseSenate Committee Amendment No. 1 House Concurs 107-000-000
  5/25/2024HouseHouse Concurs
  5/25/2024HousePassed Both Houses
  5/26/2024SenateAdded as Alternate Co-Sponsor Sen. Julie A. Morrison
  5/26/2024SenateAdded as Alternate Co-Sponsor Sen. Laura M. Murphy
  5/26/2024SenateAdded as Alternate Co-Sponsor Sen. Doris Turner
  5/26/2024SenateAdded as Alternate Co-Sponsor Sen. Adriane Johnson
  5/30/2024SenateAdded as Alternate Co-Sponsor Sen. Meg Loughran Cappel
  6/21/2024HouseSent to the Governor
  8/9/2024HouseGovernor Approved
  8/9/2024HouseEffective Date January 1, 2026
  8/9/2024HousePublic Act . . . . . . . . . 103-0808

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