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Synopsis As Introduced Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or a managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2027 that provides coverage for: habilitative services shall provide coverage for habilitative speech therapy as a treatment for stuttering, regardless of whether the stuttering is classified as developmental; rehabilitative services shall provide coverage for rehabilitative speech therapy as a treatment for stuttering; or habilitative services and rehabilitative services shall provide coverage for habilitative speech therapy as a treatment for stuttering, regardless of whether the stuttering is classified as developmental, and shall provide coverage for rehabilitative speech therapy as a treatment for stuttering. Sets forth requirements and limitations for the coverage. Amends the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, the Limited Health Service Organization Act, the Voluntary Health Services Plans Act, and the Illinois Public Aid Code to require coverage under those provisions. Amends the State Mandates Act to require implementation without reimbursement. Effective January 1, 2027.
Replaces everything after the enacting clause. Amends the Illinois Insurance Code. In provisions concerning habilitative services for children, provides that, for any child under 19 years of age with an early acquired disorder that is diagnosed as a speech-language disorder, including stuttering, the required coverage shall include rehabilitative services in addition to habilitative services. Amends the Limited Health Service Organization Act to require coverage under that Act. Amends the Illinois Public Aid Code. Provides that, subject to federal approval, for services beginning on and after July 1, 2025, the medical assistance program shall provide coverage for medically necessary rehabilitative and habilitative services for individuals under the age of 21 with an early acquired disorder that is diagnosed as a speech-language disorder, including stuttering. Effective July 1, 2025, except that provisions amending the Illinois Insurance Code and the Limited Health Service Organization Act are effective January 1, 2027.
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