|Public Act 103-0325
|LRB103 30056 BMS 56479 b
AN ACT concerning insurance.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
The Illinois Insurance Code is amended by
adding Section 356z.61 as follows:
(215 ILCS 5/356z.61 new)
(a) As used in this Section:
"Medically necessary" has the meaning given to that term
in the Prior Authorization Reform Act.
"Proton beam therapy" means a type of radiation
treatment that utilizes protons as the radiation delivery
method for the
treatment of tumors and cancerous cells.
"Radiation therapy treatment"
means the delivery of
biological effective doses with proton therapy,
modulated radiation therapy, brachytherapy,
radiation therapy, three-dimensional conformal
therapy, or other forms of therapy using radiation.
(b) A group or individual policy of accident and health
insurance or managed care plan that is amended, delivered,
issued, or renewed on or after January 1, 2025 that provides
coverage for the treatment of cancer shall not apply a
standard of clinical evidence for the coverage of proton beam