093_SB1417enr

 
SB1417 Enrolled                      LRB093 05171 JLS 05231 b

 1        AN ACT concerning insurance.

 2        Be it  enacted  by  the  People  of  the  State  of  Illinois,
 3    represented in the General Assembly:

 4        Section  5.  The  Illinois  Insurance  Code is amended by
 5    changing Section 356x as follows:

 6        (215 ILCS 5/356x)
 7        Sec. 356x.  Coverage for  colorectal  cancer  examination
 8    and screening.
 9        (a)  An individual or group policy of accident and health
10    insurance  or a managed care plan that is amended, delivered,
11    issued, or renewed on or after the  effective  date  of  this
12    amendatory  Act  of  the  93rd General Assembly that provides
13    coverage to a resident of this State must provide benefits or
14    coverage  for  all   colorectal   cancer   examinations   and
15    laboratory  tests  for  colorectal  cancer as prescribed by a
16    physician, in accordance with the published  American  Cancer
17    Society  guidelines  on  colorectal cancer screening or other
18    existing colorectal cancer  screening  guidelines  issued  by
19    nationally   recognized  professional  medical  societies  or
20    federal government agencies, including  the  National  Cancer
21    Institute,  the  Centers  for Disease Control and Prevention,
22    and the American College of Gastroenterology.
23        (b)  Coverage required under this Section may not  impose
24    any   deductible,   coinsurance,  waiting  period,  or  other
25    cost-sharing limitation that is greater  than  that  required
26    for other coverage under the policy. An insurer shall provide
27    in  each  group  policy, contract, or certificate of accident
28    and health insurance amended, delivered, issued,  or  renewed
29    covering persons who are residents of this State coverage for
30    colorectal  cancer  screening  with  sigmoidoscopy  or  fecal
31    occult  blood  testing once every 3 years for persons who are
 
SB1417 Enrolled            -2-       LRB093 05171 JLS 05231 b
 1    at least 50 years old.
 2        (b)  For persons who may be classified as high  risk  for
 3    colorectal cancer because the person or a first degree family
 4    member  of the person has a history of colorectal cancer, the
 5    coverage required under subsection (a) shall apply to persons
 6    who have attained at least 30 years of age.
 7        (c)  This  Section  does   not   apply   to   agreements,
 8    contracts,  or policies that provide coverage for a specified
 9    disease or other limited benefit coverage.
10    (Source: P.A. 90-741, eff. 1-1-99.)

11        Section 99.  Effective date.  This Act  takes  effect  on
12    January 1, 2004.