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Public Act 103-0972


 

Public Act 0972 103RD GENERAL ASSEMBLY

 


 
Public Act 103-0972
 
SB3305 EnrolledLRB103 37060 RTM 67177 b

    AN ACT concerning regulation.
 
    Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
 
    Section 5. The Illinois Insurance Code is amended by
adding Section 356z.71 as follows:
 
    (215 ILCS 5/356z.71 new)
    Sec. 356z.71. Coverage for medically necessary care and
treatment to address a major injury to the jaw either through
an accident or disease.
    (a) In this Section, "medically necessary care and
treatment to address a major injury to the jaw either through
an accident or disease" includes:
        (1) oral and facial surgery, including reconstructive
    services and procedures necessary to improve, restore, or
    maintain vital functions;
        (2) dental implants, crowns, or bridges;
        (3) prosthetic treatment such as obturators, speech
    appliances, and feeding appliances;
        (4) orthodontic treatment and management;
        (5) prosthodontic treatment and management; and
        (6) otolaryngology treatment and management.
    (b) An individual or group policy of accident and health
insurance amended, delivered, issued, or renewed on or after
January 1, 2026 shall provide coverage for medically necessary
care and treatment to address a major injury to the jaw either
through an accident or disease. Coverage under this Section
may impose the same deductibles, coinsurance, or other
cost-sharing limitations that are imposed on other related
benefits under the policy.

Effective Date: 1/1/2025