94TH GENERAL ASSEMBLY
State of Illinois
2005 and 2006
SB0521


 
Introduced 2/17/2005, by Sen. Iris Y. Martinez
 
SYNOPSIS AS INTRODUCED:
 		














215 ILCS 5/356u









    Amends the Illinois Insurance Code. Requires insurers to cover surveillance tests for ovarian cancer for female insureds who are at risk for ovarian cancer.  Provides a definition for "at risk for ovarian cancer" and "surveillance tests for ovarian cancer". Effective January 1, 2006.
















LRB094 08108 LJB 38293 b

















FISCAL NOTE ACT MAY APPLY


STATE MANDATES ACT MAY REQUIRE REIMBURSEMENT
















 


 


A BILL FOR









 











SB0521

LRB094 08108 LJB 38293 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 356u as follows:
 



6
    (215 ILCS 5/356u)



7
    Sec. 356u. Pap tests and prostate-specific antigen tests. 

8
    (a) A group policy of accident and health insurance that 
9
provides coverage
for hospital or medical treatment or services 
10
for illness on an
expense-incurred basis and is amended, 
11
delivered, issued, or renewed after the
effective date of this 
12
amendatory Act of 1997 shall provide coverage for all of
the

13
following:


14
        (1) An annual cervical smear or Pap smear test for 
15
    female insureds.


16
        (2) An annual digital rectal examination and a 
17
    prostate-specific
antigen test, for male insureds upon the 
18
    recommendation of a physician licensed
to practice 
19
    medicine in all its branches for:


20
            (A) asymptomatic men age 50 and over;


21
            (B) African-American men age 40 and over; and


22
            (C) men age 40 and over with a family history of 
23
        prostate cancer.

24
        (3) Routine surveillance tests for ovarian cancer for 
25
    female insureds who are at risk for ovarian cancer.
26
    (b) This Section shall not apply to agreements, contracts, 
27
or policies that
provide coverage for a specified disease or 
28
other limited benefit coverage.

29
    (c) For the purposes of this Section:
30
    "At risk for ovarian cancer" means:
31
        (1) having a family history (i) with one or more first 
32
    or second-degree relatives with ovarian cancer, (ii) of 
 


 






SB0521
- 2 -
LRB094 08108 LJB 38293 b




1
    clusters of women relatives with breast cancer, or (iii) of 
2
    nonpolyposis colorectal cancer; or
3
        (2) testing positive for BRCA1 or BRCA2 mutations.
4
    "Surveillance tests for ovarian cancer" means annual 
5
screening using (i) CA-125 serum tumor marker testing, (ii) 
6
transvaginal ultrasound, (iii) pelvic examination, or (iv) 
7
other proven ovarian cancer screening tests currently being 
8
evaluated by the federal Food and Drug Administration or by the 
9
National Cancer Institute.

10
(Source: P.A. 90-7, eff. 6-10-97.)

 

11
    Section 99. Effective date. This Act takes effect January 
12
1, 2006.