State of Illinois
91st General Assembly
Legislation

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[ Introduced ][ Enrolled ][ Senate Amendment 002 ]

91_SB1172eng

 
SB1172 Engrossed                               SRS91S0049GHsa

 1        AN ACT to amend the Counties  Code  by  changing  Section
 2    5-1069.

 3        Be  it  enacted  by  the People of the State of Illinois,
 4    represented in the General Assembly:

 5        Section 5.  The Counties  Code  is  amended  by  changing
 6    Section 5-1069 as follows:

 7        (55 ILCS 5/5-1069) (from Ch. 34, par. 5-1069)
 8        Sec.  5-1069. Group life, health, accident, hospital, and
 9    medical insurance.
10        (a)  The county  board  of  any  county  may  arrange  to
11    provide,  for  the  benefit of employees of the county, group
12    life, health, accident, hospital, and medical  insurance,  or
13    any  one  or  any combination of those types of insurance, or
14    the county board may self-insure,  for  the  benefit  of  its
15    employees,  all  or  a  portion of the employees' group life,
16    health, accident, hospital, and medical insurance, or any one
17    or any combination of those types of insurance,  including  a
18    combination  of  self-insurance  and other types of insurance
19    authorized by this Section, provided that  the  county  board
20    complies  with  all  other  requirements of this Section. The
21    insurance may include provision for  employees  who  rely  on
22    treatment  by  prayer or spiritual means alone for healing in
23    accordance with the tenets and practice of a well  recognized
24    religious  denomination.   The  county  board may provide for
25    payment by the county of a portion or all of the  premium  or
26    charge for the insurance with the employee paying the balance
27    of  the  premium  or  charge,  if  any.   If the county board
28    undertakes a plan under which the county pays only a  portion
29    of  the premium or charge, the county board shall provide for
30    withholding and deducting  from  the  compensation  of  those
31    employees  who  consent  to  join the plan the balance of the
 
SB1172 Engrossed            -2-                SRS91S0049GHsa
 1    premium or charge for the insurance.
 2        (b)  If  the  county   board   does   not   provide   for
 3    self-insurance  or  for  a plan under which the county pays a
 4    portion or all of the premium or charge for a group insurance
 5    plan, the county  board  may  provide  for   withholding  and
 6    deducting  from  the  compensation  of  those  employees  who
 7    consent  thereto  the  total  premium or charge for any group
 8    life, health, accident, hospital, and medical insurance.
 9        (c)  The county board may exercise the powers granted  in
10    this Section only if it provides for self-insurance or, where
11    it  makes  arrangements to provide group insurance through an
12    insurance carrier,  if  the  kinds  of  group  insurance  are
13    obtained  from an insurance company authorized to do business
14    in the State of Illinois.  The  county  board  may  enact  an
15    ordinance   prescribing   the  method  of  operation  of  the
16    insurance program.
17        (d)  If a county, including a  home  rule  county,  is  a
18    self-insurer  for  purposes  of  providing  health  insurance
19    coverage  for  its  employees,  the  insurance coverage shall
20    include screening by low-dose mammography for  all  women  35
21    years  of  age  or  older  for  the presence of occult breast
22    cancer unless the county elects to provide mammograms  itself
23    under Section 5-1069.1.  The coverage shall be as follows:
24             (1)  A  baseline  mammogram for women 35 to 39 years
25        of age.
26             (2)    An annual mammogram for women 40 years of age
27        or older.
28        Those benefits shall be at  least  as  favorable  as  for
29    other  radiological  examinations  and  subject  to  the same
30    dollar limits, deductibles, and  co-insurance  factors.   For
31    purposes of this subsection, "low-dose mammography" means the
32    x-ray  examination  of  the  breast using equipment dedicated
33    specifically  for  mammography,  including  the  x-ray  tube,
34    filter, compression device,  screens,  and  image  receptors,
 
SB1172 Engrossed            -3-                SRS91S0049GHsa
 1    with  an average radiation exposure delivery of less than one
 2    rad mid-breast, with 2 views for each breast. The requirement
 3    that mammograms be included in health insurance  coverage  as
 4    provided  in  this  subsection  (d) is an exclusive power and
 5    function of the State and is a denial  and  limitation  under
 6    Article  VII,  Section  6,  subsection  (h)  of  the Illinois
 7    Constitution of home rule county powers. A home  rule  county
 8    to  which  this  subsection  applies  must  comply with every
 9    provision of this subsection.
10        (e)  The  term  "employees"  as  used  in  this   Section
11    includes  elected or appointed officials but does not include
12    temporary employees.
13        (f)  The county  board  may,  by  ordinance,  arrange  to
14    provide  group  life, health, accident, hospital, and medical
15    insurance, or any one or a  combination  of  those  types  of
16    insurance, under this Section to retired former employees and
17    retired former elected or appointed officials of the county.
18    (Source: P.A. 90-7, eff. 6-10-97.)

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