SB3305 EngrossedLRB103 37060 RTM 67177 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
5adding Section 356z.71 as follows:
6    (215 ILCS 5/356z.71 new)
7    Sec. 356z.71. Coverage for medically necessary care and
8treatment to address a major injury to the jaw either through
9an accident or disease.
10    (a) In this Section, "medically necessary care and
11treatment to address a major injury to the jaw either through
12an accident or disease" includes:
13        (1) oral and facial surgery, including reconstructive
14    services and procedures necessary to improve, restore, or
15    maintain vital functions;
16        (2) dental implants, crowns, or bridges;
17        (3) prosthetic treatment such as obturators, speech
18    appliances, and feeding appliances;
19        (4) orthodontic treatment and management;
20        (5) prosthodontic treatment and management; and
21        (6) otolaryngology treatment and management.
22    (b) An individual or group policy of accident and health
23insurance amended, delivered, issued, or renewed on or after



SB3305 Engrossed- 2 -LRB103 37060 RTM 67177 b

1January 1, 2026 shall provide coverage for medically necessary
2care and treatment to address a major injury to the jaw either
3through an accident or disease. Coverage under this Section
4may impose the same deductibles, coinsurance, or other
5cost-sharing limitations that are imposed on other related
6benefits under the policy.