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Bill Status of SB3414 103rd General Assembly
Short Description: INS-CONTINUOUS GLUCOSE MONITOR
Senate Sponsors Sen. Julie A. Morrison, Sally J. Turner, Erica Harriss and John F. Curran
House Sponsors (Rep. Jenn Ladisch Douglass)
Hearings
Insurance Committee Hearing Apr 30 2024 3:00PM Stratton Building Room C-1 Springfield, IL |
Last Action
Statutes Amended In Order of Appearance
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 before January 1, 2025 shall provide coverage for medically necessary continuous glucose monitors for individuals who are diagnosed with any form of diabetes mellitus (instead of type 1 or type 2 diabetes) and require insulin for the management of their diabetes. 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, who requires at least one daily injection or infusion of insulin, and who has been prescribed a continuous glucose monitor by a physician, a certified nurse practitioner, or a physician assistant. Provides that an individual who is diagnosed with diabetes and meets the specified 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. 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 not impose a deductible, coinsurance, copayment, or any other cost-sharing requirement on the coverage required under the provisions. Effective July 1, 2024.
Senate Committee Amendment No. 2
| Adds reference to: | | 305 ILCS 5/5-16.8a new | |
Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill with changes that include the following. Provides that a group or individual policy of accident and health insurance or a managed care plan that is amended, delivered, issued, or renewed before January 1, 2026 (rather than January 1, 2025) shall provide coverage for medically necessary continuous glucose monitors for individuals who are diagnosed with any form of diabetes mellitus and require insulin for the management of their diabetes. 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, 2026 shall provide coverage for continuous glucose monitors, related supplies, and training in the use of continuous glucose monitors for any individual if specified requirements are met and the policy is in full alignment with Medicare. Sets forth eligibility requirements and requirements for covered glucose monitors. Provides that the coverage of one glucose monitor shall be provided with a deductible, coinsurance, copayment, or any other cost-sharing requirement. 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.
Senate Floor Amendment No. 3 Replaces everything after the enacting clause. Reinserts the provisions of the bill, as amended by Senate Amendment No. 2, with the following changes. 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, 2026 shall not impose a deductible, coinsurance, copayment, or any other cost-sharing requirement on the coverage of a one-month supply of continuous glucose monitors, including one transmitter if necessary, as provided under the provisions (instead of on the coverage of continuous glucose monitors). Effective July 1, 2024.
Actions
Date | Chamber | Action | 2/8/2024 | Senate | Filed with Secretary by Sen. Julie A. Morrison | 2/8/2024 | Senate | First Reading | 2/8/2024 | Senate | Referred to Assignments | 2/20/2024 | Senate | Assigned to Insurance | 3/5/2024 | Senate | Senate Committee Amendment No. 1 Filed with Secretary by Sen. Julie A. Morrison | 3/5/2024 | Senate | Senate Committee Amendment No. 1 Referred to Assignments | 3/6/2024 | Senate | Postponed - Insurance | 3/8/2024 | Senate | Senate Committee Amendment No. 2 Filed with Secretary by Sen. Julie A. Morrison | 3/8/2024 | Senate | Senate Committee Amendment No. 2 Referred to Assignments | 3/12/2024 | Senate | Senate Committee Amendment No. 1 Pursuant to Senate Rule 3-8 (b-1), this committee amendment will remain in the Committee on Assignments. | 3/12/2024 | Senate | Senate Committee Amendment No. 2 Assignments Refers to Insurance | 3/12/2024 | Senate | Senate Committee Amendment No. 2 Adopted | 3/13/2024 | Senate | Do Pass as Amended Insurance; 008-000-000 | 3/13/2024 | Senate | Placed on Calendar Order of 2nd Reading March 14, 2024 | 3/14/2024 | Senate | Second Reading | 3/14/2024 | Senate | Placed on Calendar Order of 3rd Reading March 20, 2024 | 4/5/2024 | Senate | Senate Floor Amendment No. 3 Filed with Secretary by Sen. Julie A. Morrison | 4/5/2024 | Senate | Senate Floor Amendment No. 3 Referred to Assignments | 4/9/2024 | Senate | Senate Floor Amendment No. 3 Assignments Refers to Insurance | 4/10/2024 | Senate | Senate Floor Amendment No. 3 Recommend Do Adopt Insurance; 008-000-000 | 4/10/2024 | Senate | Recalled to Second Reading | 4/10/2024 | Senate | Senate Floor Amendment No. 3 Adopted | 4/10/2024 | Senate | Placed on Calendar Order of 3rd Reading | 4/10/2024 | Senate | Third Reading - Passed; 059-000-000 | 4/10/2024 | Senate | Senate Committee Amendment No. 1 Tabled Pursuant to Rule 5-4a | 4/10/2024 | Senate | Added as Co-Sponsor Sen. Sally J. Turner | 4/10/2024 | Senate | Added as Co-Sponsor Sen. Erica Harriss | 4/10/2024 | Senate | Added as Co-Sponsor Sen. John F. Curran | 4/10/2024 | House | Arrived in House | 4/11/2024 | House | Chief House Sponsor Rep. Jenn Ladisch Douglass | 4/11/2024 | House | First Reading | 4/11/2024 | House | Referred to Rules Committee | 4/24/2024 | House | Assigned to Insurance Committee |
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