Illinois General Assembly - Full Text of HB4562
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Full Text of HB4562  103rd General Assembly



HB4562 EngrossedLRB103 37130 RPS 67249 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 356u.10 as follows:
6    (215 ILCS 5/356u.10 new)
7    Sec. 356u.10. Genetic testing and evidence-based cancer
9    (a) For the purposes of this Section:
10    "Cost-sharing requirement" means a deductible,
11coinsurance, copayment, or any similar out-of-pocket expense.
12    "Evidence-based cancer imaging" means evidence-based
13cancer imaging modalities in accordance with the most recent
14version of the National Comprehensive Cancer Network clinical
15practice guidelines.
16    "Genetic testing for an inherited mutation" means germline
17multi-gene testing for an inherited mutation associated with
18an increased risk of cancer in accordance with evidence-based,
19clinical practice guidelines.
20    (b) A group policy of accident and health insurance that
21provides coverage for hospital or medical treatment or
22services for illness on an expense-incurred basis and that is
23amended, delivered, issued, or renewed after January 1, 2025



HB4562 Engrossed- 2 -LRB103 37130 RPS 67249 b

1shall provide coverage, without imposing any cost-sharing
2requirement, for all of the following:
3        (1) clinical genetic testing for an inherited gene
4    mutation for individuals with a personal or family history
5    of cancer that is recommended by a health care
6    professional; and
7        (2) evidence-based cancer imaging for individuals with
8    an increased risk of cancer as recommended by National
9    Comprehensive Cancer Network clinical practice guidelines.
10    (c) This Section shall not apply to coverage of genetic
11testing or evidence-based cancer imaging to the extent such
12coverage would disqualify a high-deductible health plan from
13eligibility for a health savings account pursuant to Section
14223 of the Internal Revenue Code.