HB2385 EnrolledLRB103 26428 BMS 52791 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
5changing Section 356z.48 as follows:
 
6    (215 ILCS 5/356z.48)
7    Sec. 356z.48. Colonoscopy coverage.
8    (a) A group policy of accident and health insurance that
9is amended, delivered, issued, or renewed on or after January
101, 2022 shall provide coverage for a colonoscopy that is a
11follow-up exam based on an initial screen where the
12colonoscopy was determined to be medically necessary by a
13physician licensed to practice medicine in all its branches,
14an advanced practice registered nurse, or a physician
15assistant.
16    (b) A group or individual policy of accident and health
17insurance or managed care plan amended, delivered, issued, or
18renewed on or after January 1, 2026 shall provide coverage for
19a colonoscopy determined to be medically necessary.
20    (c) (b) A policy subject to this Section shall not impose a
21deductible, coinsurance, copayment, or any other cost-sharing
22requirement on the coverage provided; except that this
23subsection does not apply to coverage of colonoscopies to the

 

 

HB2385 Enrolled- 2 -LRB103 26428 BMS 52791 b

1extent such coverage would disqualify a high-deductible health
2plan from eligibility for a health savings account pursuant to
3Section 223 of the Internal Revenue Code.
4(Source: P.A. 102-443, eff. 1-1-22; 102-813, eff. 5-13-22.)