Full Text of HB2799 103rd General Assembly
HB2799 103RD GENERAL ASSEMBLY |
| | 103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024 HB2799 Introduced 2/16/2023, by Rep. Norine K. Hammond SYNOPSIS AS INTRODUCED: |
| 215 ILCS 5/356z.61 new | | 305 ILCS 5/5-47 new | |
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Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed after the effective date of the amendatory Act that provides coverage for the treatment of cancer shall not apply a
higher standard of clinical evidence for the coverage of proton beam
therapy than the insurer applies for the coverage of any other form of
radiation therapy treatment. Provides that a group or individual policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed after the effective date of the amendatory Act that provides coverage or benefits to any resident
of this State for radiation oncology shall include coverage or benefits
for physician-prescribed proton beam therapy for the treatment of
cancer as recommended by the patient's physician. Defines terms. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that a managed care organization under
contract with the Department of Healthcare and Family Services to provide services to recipients of
medical assistance shall provide coverage for proton beam therapy. Defines terms. Effective January 1, 2024.
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| | A BILL FOR |
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| | | HB2799 | | LRB103 30056 BMS 56479 b |
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| 1 | | AN ACT concerning insurance.
| 2 | | Be it enacted by the People of the State of Illinois,
| 3 | | represented in the General Assembly:
| 4 | | Section 5. The Illinois Insurance Code is amended by | 5 | | adding Section 356z.61 as follows: | 6 | | (215 ILCS 5/356z.61 new) | 7 | | Sec. 356z.61. Proton beam
therapy. | 8 | | (a) As used in this Section: | 9 | | "Proton beam therapy" means a type of radiation
therapy | 10 | | treatment that utilizes protons as the radiation delivery | 11 | | method for the
treatment of tumors and cancerous cells. | 12 | | "Radiation therapy treatment"
means the delivery of | 13 | | biological effective doses with proton therapy,
intensity | 14 | | modulated radiation therapy, brachytherapy,
stereotactic body | 15 | | radiation therapy, three-dimensional conformal
radiation | 16 | | therapy, or other forms of therapy using radiation. | 17 | | (b) A group or individual policy of accident and health | 18 | | insurance or managed care plan that is amended, delivered, | 19 | | issued, or renewed after the effective date of this amendatory | 20 | | Act of the 103rd General Assembly that provides coverage for | 21 | | the treatment of cancer shall not apply a
higher standard of | 22 | | clinical evidence for the coverage of proton beam
therapy than | 23 | | the insurer applies for the coverage of any other form of
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| | | HB2799 | - 2 - | LRB103 30056 BMS 56479 b |
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| 1 | | radiation therapy treatment. | 2 | | (c) A group or individual policy of accident and health | 3 | | insurance or managed care plan that is amended, delivered, | 4 | | issued, or renewed after the effective date of this amendatory | 5 | | Act of the 103rd General Assembly that provides coverage or | 6 | | benefits to any resident
of this State for radiation oncology | 7 | | shall include coverage or benefits
for physician-prescribed | 8 | | proton beam therapy for the treatment of
cancer as recommended | 9 | | by the patient's physician. | 10 | | Section 10. The Illinois Public Aid Code is amended by | 11 | | adding Section 5-47 as follows: | 12 | | (305 ILCS 5/5-47 new) | 13 | | Sec. 5-47. Proton beam therapy; managed care. | 14 | | Notwithstanding any
other provision of this Article, a managed | 15 | | care organization under
contract with the Department to | 16 | | provide services to recipients of
medical assistance shall | 17 | | provide coverage for proton beam therapy. As
used in this | 18 | | Section, "proton beam therapy" means a type of radiation
| 19 | | therapy treatment that utilizes protons as the radiation | 20 | | delivery method for the
treatment of tumors and cancerous | 21 | | cells. "Radiation therapy treatment"
means the delivery of | 22 | | biological effective doses with proton therapy,
intensity | 23 | | modulated radiation therapy, brachytherapy,
stereotactic body | 24 | | radiation therapy, three-dimensional conformal
radiation |
| | | HB2799 | - 3 - | LRB103 30056 BMS 56479 b |
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| 1 | | therapy, or other forms of therapy using radiation.
| 2 | | Section 99. Effective date. This Act takes effect January | 3 | | 1, 2024.
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