102ND GENERAL ASSEMBLY
State of Illinois
2021 and 2022
HB5305

 

Introduced 1/31/2022, by Rep. Cyril Nichols

 

SYNOPSIS AS INTRODUCED:
 
215 ILCS 5/356z.48

    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.


LRB102 23894 BMS 33091 b

 

 

A BILL FOR

 

HB5305LRB102 23894 BMS 33091 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
5renumbering and changing Section 356z.43, as added by Public
6Act 102-443, as follows:
 
7    (215 ILCS 5/356z.48)
8    Sec. 356z.48 356z.43. Colonoscopy coverage.
9    (a) A group policy of accident and health insurance that
10is amended, delivered, issued, or renewed on or after January
111, 2022 shall provide coverage for a colonoscopy that is a
12follow-up exam based on an initial screen where the
13colonoscopy was determined to be medically necessary by a
14physician licensed to practice medicine in all its branches,
15an advanced practice registered nurse, or a physician
16assistant.
17    (b) A group or individual policy of accident and health
18insurance or managed care plan amended, delivered, issued, or
19renewed on or after January 1, 2024 shall provide coverage for
20a colonoscopy determined to be medically necessary for persons
21aged 39 years old to 75 years old.
22    (c) (b) A policy subject to this Section shall not impose a
23deductible, coinsurance, copayment, or any other cost-sharing

 

 

HB5305- 2 -LRB102 23894 BMS 33091 b

1requirement on the coverage provided; except that this
2subsection does not apply to coverage of colonoscopies to the
3extent such coverage would disqualify a high-deductible health
4plan from eligibility for a health savings account pursuant to
5Section 223 of the Internal Revenue Code.
6(Source: P.A. 102-443, eff. 1-1-22; revised 10-26-21.)