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 Bill Status of HB5382  103rd General Assembly

Short Description:  INS-CONTINUOUS GLUCOSE MONITOR

House Sponsors
Rep. Jenn Ladisch Douglass - Nabeela Syed - Harry Benton - Sue Scherer, Daniel Didech, Barbara Hernandez, Gregg Johnson, Michelle Mussman, Marcus C. Evans, Jr., Diane Blair-Sherlock, Cyril Nichols, Norma Hernandez, Hoan Huynh, Mark L. Walker, Stephanie A. Kifowit, Lindsey LaPointe, Mary Gill, Abdelnasser Rashid, Matt Hanson, Katie Stuart, Lance Yednock, Dagmara Avelar, Will Guzzardi, Emanuel "Chris" Welch and Camille Y. Lilly

Last Action
DateChamber Action
  4/5/2024HouseRule 19(a) / Re-referred to Rules Committee

Statutes Amended In Order of Appearance
215 ILCS 5/356z.59
305 ILCS 5/5-16.8a new


Synopsis As Introduced
Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or a managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2025 shall provide coverage for continuous glucose monitors, related supplies, and training in the use of continuous glucose monitors for any individual who is diagnosed with diabetes mellitus and meets other requirements, including that the prescriber had an in-person or covered telehealth visit with the individual to evaluate the individual's diabetes control and has determined that the eligibility criteria is met. Provides that to qualify for a continuous glucose monitor, a patient is not required to have a diagnosis of uncontrolled diabetes; have a history of emergency room visits or hospitalizations; or show improved glycemic control. Provides that an individual who is diagnosed with diabetes mellitus and meets the requirements shall not be required to obtain prior authorization for coverage for a continuous glucose monitor, and coverage shall be continuous once the continuous glucose monitor is prescribed. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall adopt rules to implement the changes made by the amendatory Act. Specifies that the rules shall, at a minimum contain certain provisions concerning the ordering provider, continuous glucose monitors not being required to have certain functionalities, eligibility requirements for a beneficiary, and not requiring prior authorization. Effective July 1, 2024.

Actions 
DateChamber Action
  2/9/2024HouseFiled with the Clerk by Rep. Jenn Ladisch Douglass
  2/9/2024HouseFirst Reading
  2/9/2024HouseReferred to Rules Committee
  2/20/2024HouseAdded Co-Sponsor Rep. Daniel Didech
  2/20/2024HouseAdded Co-Sponsor Rep. Barbara Hernandez
  2/20/2024HouseAdded Co-Sponsor Rep. Gregg Johnson
  2/20/2024HouseAdded Co-Sponsor Rep. Michelle Mussman
  2/20/2024HouseAdded Co-Sponsor Rep. Marcus C. Evans, Jr.
  2/20/2024HouseAdded Co-Sponsor Rep. Diane Blair-Sherlock
  2/20/2024HouseAdded Co-Sponsor Rep. Cyril Nichols
  2/20/2024HouseAdded Chief Co-Sponsor Rep. Nabeela Syed
  2/20/2024HouseAdded Chief Co-Sponsor Rep. Harry Benton
  2/22/2024HouseAdded Chief Co-Sponsor Rep. Sue Scherer
  2/22/2024HouseAdded Co-Sponsor Rep. Norma Hernandez
  2/22/2024HouseAdded Co-Sponsor Rep. Hoan Huynh
  2/22/2024HouseAdded Co-Sponsor Rep. Mark L. Walker
  2/22/2024HouseAdded Co-Sponsor Rep. Stephanie A. Kifowit
  2/22/2024HouseAdded Co-Sponsor Rep. Lindsey LaPointe
  3/5/2024HouseAssigned to Insurance Committee
  3/6/2024HouseAdded Co-Sponsor Rep. Mary Gill
  3/6/2024HouseAdded Co-Sponsor Rep. Abdelnasser Rashid
  3/6/2024HouseAdded Co-Sponsor Rep. Matt Hanson
  3/6/2024HouseAdded Co-Sponsor Rep. Katie Stuart
  3/6/2024HouseAdded Co-Sponsor Rep. Lance Yednock
  3/6/2024HouseAdded Co-Sponsor Rep. Dagmara Avelar
  3/6/2024HouseAdded Co-Sponsor Rep. Will Guzzardi
  3/15/2024HouseAdded Co-Sponsor Rep. Emanuel "Chris" Welch
  3/20/2024HouseHouse Committee Amendment No. 1 Filed with Clerk by Rep. Jenn Ladisch Douglass
  3/20/2024HouseHouse Committee Amendment No. 1 Referred to Rules Committee
  3/21/2024HouseHouse Committee Amendment No. 1 Rules Refers to Insurance Committee
  3/27/2024HouseAdded Co-Sponsor Rep. Camille Y. Lilly
  4/2/2024HouseHouse Committee Amendment No. 2 Filed with Clerk by Rep. Jenn Ladisch Douglass
  4/2/2024HouseHouse Committee Amendment No. 2 Referred to Rules Committee
  4/3/2024HouseHouse Committee Amendment No. 2 Rules Refers to Insurance Committee
  4/5/2024HouseRule 19(a) / Re-referred to Rules Committee
  4/5/2024HouseHouse Committee Amendment No. 1 Rule 19(c) / Re-referred to Rules Committee
  4/5/2024HouseHouse Committee Amendment No. 2 Rule 19(c) / Re-referred to Rules Committee

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