103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024
HB2385

 

Introduced 2/14/2023, 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.


LRB103 26428 BMS 52791 b

 

 

A BILL FOR

 

HB2385LRB103 26428 BMS 52791 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
5changing Section 356z.48 as follows:
 
6    (215 ILCS 5/356z.48)
7    Sec. 356z.48. Colonoscopy coverage.
8    (a) A group policy of accident and health insurance that
9is amended, delivered, issued, or renewed on or after January
101, 2022 shall provide coverage for a colonoscopy that is a
11follow-up exam based on an initial screen where the
12colonoscopy was determined to be medically necessary by a
13physician licensed to practice medicine in all its branches,
14an advanced practice registered nurse, or a physician
15assistant.
16    (b) A group or individual policy of accident and health
17insurance or managed care plan amended, delivered, issued, or
18renewed on or after January 1, 2024 shall provide coverage for
19a colonoscopy determined to be medically necessary for persons
20aged 39 years old to 75 years old.
21    (c) (b) A policy subject to this Section shall not impose a
22deductible, coinsurance, copayment, or any other cost-sharing
23requirement on the coverage provided; except that this

 

 

HB2385- 2 -LRB103 26428 BMS 52791 b

1subsection does not apply to coverage of colonoscopies to the
2extent such coverage would disqualify a high-deductible health
3plan from eligibility for a health savings account pursuant to
4Section 223 of the Internal Revenue Code.
5(Source: P.A. 102-443, eff. 1-1-22; 102-813, eff. 5-13-22.)