Illinois General Assembly - Full Text of HB1779
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Full Text of HB1779  102nd General Assembly

HB1779enr 102ND GENERAL ASSEMBLY

  
  
  

 


 
HB1779 EnrolledLRB102 10161 BMS 18161 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 State Employees Group Insurance Act of 1971
5is amended by changing Section 6.11 as follows:
 
6    (5 ILCS 375/6.11)
7    Sec. 6.11. Required health benefits; Illinois Insurance
8Code requirements. The program of health benefits shall
9provide the post-mastectomy care benefits required to be
10covered by a policy of accident and health insurance under
11Section 356t of the Illinois Insurance Code. The program of
12health benefits shall provide the coverage required under
13Sections 356g, 356g.5, 356g.5-1, 356m, 356u, 356w, 356x,
14356z.2, 356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 356z.10,
15356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.17, 356z.22,
16356z.25, 356z.26, 356z.29, 356z.30a, 356z.32, 356z.33,
17356z.36, and 356z.41, and 356z.43 of the Illinois Insurance
18Code. The program of health benefits must comply with Sections
19155.22a, 155.37, 355b, 356z.19, 370c, and 370c.1 and Article
20XXXIIB of the Illinois Insurance Code. The Department of
21Insurance shall enforce the requirements of this Section with
22respect to Sections 370c and 370c.1 of the Illinois Insurance
23Code; all other requirements of this Section shall be enforced

 

 

HB1779 Enrolled- 2 -LRB102 10161 BMS 18161 b

1by the Department of Central Management Services.
2    Rulemaking authority to implement Public Act 95-1045, if
3any, is conditioned on the rules being adopted in accordance
4with all provisions of the Illinois Administrative Procedure
5Act and all rules and procedures of the Joint Committee on
6Administrative Rules; any purported rule not so adopted, for
7whatever reason, is unauthorized.
8(Source: P.A. 100-24, eff. 7-18-17; 100-138, eff. 8-18-17;
9100-863, eff. 8-14-18; 100-1024, eff. 1-1-19; 100-1057, eff.
101-1-19; 100-1102, eff. 1-1-19; 100-1170, eff. 6-1-19; 101-13,
11eff. 6-12-19; 101-281, eff. 1-1-20; 101-393, eff. 1-1-20;
12101-452, eff. 1-1-20; 101-461, eff. 1-1-20; 101-625, eff.
131-1-21.)
 
14    Section 10. The Counties Code is amended by changing
15Section 5-1069.3 as follows:
 
16    (55 ILCS 5/5-1069.3)
17    Sec. 5-1069.3. Required health benefits. If a county,
18including a home rule county, is a self-insurer for purposes
19of providing health insurance coverage for its employees, the
20coverage shall include coverage for the post-mastectomy care
21benefits required to be covered by a policy of accident and
22health insurance under Section 356t and the coverage required
23under Sections 356g, 356g.5, 356g.5-1, 356u, 356w, 356x,
24356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13,

 

 

HB1779 Enrolled- 3 -LRB102 10161 BMS 18161 b

1356z.14, 356z.15, 356z.22, 356z.25, 356z.26, 356z.29,
2356z.30a, 356z.32, 356z.33, 356z.36, and 356z.41, and 356z.43
3of the Illinois Insurance Code. The coverage shall comply with
4Sections 155.22a, 355b, 356z.19, and 370c of the Illinois
5Insurance Code. The Department of Insurance shall enforce the
6requirements of this Section. The requirement that health
7benefits be covered as provided in this Section is an
8exclusive power and function of the State and is a denial and
9limitation under Article VII, Section 6, subsection (h) of the
10Illinois Constitution. A home rule county to which this
11Section applies must comply with every provision of this
12Section.
13    Rulemaking authority to implement Public Act 95-1045, if
14any, is conditioned on the rules being adopted in accordance
15with all provisions of the Illinois Administrative Procedure
16Act and all rules and procedures of the Joint Committee on
17Administrative Rules; any purported rule not so adopted, for
18whatever reason, is unauthorized.
19(Source: P.A. 100-24, eff. 7-18-17; 100-138, eff. 8-18-17;
20100-863, eff. 8-14-18; 100-1024, eff. 1-1-19; 100-1057, eff.
211-1-19; 100-1102, eff. 1-1-19; 101-81, eff. 7-12-19; 101-281,
22eff. 1-1-20; 101-393, eff. 1-1-20; 101-461, eff. 1-1-20;
23101-625, eff. 1-1-21.)
 
24    Section 15. The Illinois Municipal Code is amended by
25changing Section 10-4-2.3 as follows:
 

 

 

HB1779 Enrolled- 4 -LRB102 10161 BMS 18161 b

1    (65 ILCS 5/10-4-2.3)
2    Sec. 10-4-2.3. Required health benefits. If a
3municipality, including a home rule municipality, is a
4self-insurer for purposes of providing health insurance
5coverage for its employees, the coverage shall include
6coverage for the post-mastectomy care benefits required to be
7covered by a policy of accident and health insurance under
8Section 356t and the coverage required under Sections 356g,
9356g.5, 356g.5-1, 356u, 356w, 356x, 356z.6, 356z.8, 356z.9,
10356z.10, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.22,
11356z.25, 356z.26, 356z.29, 356z.30a, 356z.32, 356z.33,
12356z.36, and 356z.41, and 356z.43 of the Illinois Insurance
13Code. The coverage shall comply with Sections 155.22a, 355b,
14356z.19, and 370c of the Illinois Insurance Code. The
15Department of Insurance shall enforce the requirements of this
16Section. The requirement that health benefits be covered as
17provided in this is an exclusive power and function of the
18State and is a denial and limitation under Article VII,
19Section 6, subsection (h) of the Illinois Constitution. A home
20rule municipality to which this Section applies must comply
21with every provision of this Section.
22    Rulemaking authority to implement Public Act 95-1045, if
23any, is conditioned on the rules being adopted in accordance
24with all provisions of the Illinois Administrative Procedure
25Act and all rules and procedures of the Joint Committee on

 

 

HB1779 Enrolled- 5 -LRB102 10161 BMS 18161 b

1Administrative Rules; any purported rule not so adopted, for
2whatever reason, is unauthorized.
3(Source: P.A. 100-24, eff. 7-18-17; 100-138, eff. 8-18-17;
4100-863, eff. 8-14-18; 100-1024, eff. 1-1-19; 100-1057, eff.
51-1-19; 100-1102, eff. 1-1-19; 101-81, eff. 7-12-19; 101-281,
6eff. 1-1-20; 101-393, eff. 1-1-20; 101-461, eff. 1-1-20;
7101-625, eff. 1-1-21.)
 
8    Section 20. The School Code is amended by changing Section
910-22.3f as follows:
 
10    (105 ILCS 5/10-22.3f)
11    Sec. 10-22.3f. Required health benefits. Insurance
12protection and benefits for employees shall provide the
13post-mastectomy care benefits required to be covered by a
14policy of accident and health insurance under Section 356t and
15the coverage required under Sections 356g, 356g.5, 356g.5-1,
16356u, 356w, 356x, 356z.6, 356z.8, 356z.9, 356z.11, 356z.12,
17356z.13, 356z.14, 356z.15, 356z.22, 356z.25, 356z.26, 356z.29,
18356z.30a, 356z.32, 356z.33, 356z.36, and 356z.41, and 356z.43
19of the Illinois Insurance Code. Insurance policies shall
20comply with Section 356z.19 of the Illinois Insurance Code.
21The coverage shall comply with Sections 155.22a, 355b, and
22370c of the Illinois Insurance Code. The Department of
23Insurance shall enforce the requirements of this Section.
24    Rulemaking authority to implement Public Act 95-1045, if

 

 

HB1779 Enrolled- 6 -LRB102 10161 BMS 18161 b

1any, is conditioned on the rules being adopted in accordance
2with all provisions of the Illinois Administrative Procedure
3Act and all rules and procedures of the Joint Committee on
4Administrative Rules; any purported rule not so adopted, for
5whatever reason, is unauthorized.
6(Source: P.A. 100-24, eff. 7-18-17; 100-138, eff. 8-18-17;
7100-863, eff. 8-14-18; 100-1024, eff. 1-1-19; 100-1057, eff.
81-1-19; 100-1102, eff. 1-1-19; 101-81, eff. 7-12-19; 101-281,
9eff. 1-1-20; 101-393, eff. 1-1-20; 101-461, eff. 1-1-20;
10101-625, eff. 1-1-21.)
 
11    Section 25. The Illinois Insurance Code is amended by
12adding Section 356z.43 as follows:
 
13    (215 ILCS 5/356z.43 new)
14    Sec. 356z.43. Biomarker testing.
15    (a) As used in this Section:
16    "Biomarker" means a characteristic that is objectively
17measured and evaluated as an indicator of normal biological
18processes, pathogenic processes, or pharmacologic responses to
19a specific therapeutic intervention. "Biomarker" includes, but
20is not limited to, gene mutations or protein expression.
21    "Biomarker testing" means the analysis of a patient's
22tissue, blood, or fluid biospecimen for the presence of a
23biomarker. "Biomarker testing" includes, but is not limited
24to, single-analyte tests, multi-plex panel tests, and partial

 

 

HB1779 Enrolled- 7 -LRB102 10161 BMS 18161 b

1or whole genome sequencing.
2    (b) A group or individual policy of accident and health
3insurance or managed care plan amended, delivered, issued, or
4renewed on or after January 1, 2022 shall include coverage for
5biomarker testing as defined in this Section pursuant to
6criteria established under subsection (d).
7    (c) Biomarker testing shall be covered and conducted in an
8efficient manner to provide the most complete range of results
9to the patient's health care provider without requiring
10multiple biopsies, biospecimen samples, or other delays or
11disruptions in patient care.
12    (d) Biomarker testing must be covered for the purposes of
13diagnosis, treatment, appropriate management, or ongoing
14monitoring of an enrollee's disease or condition when the test
15is supported by medical and scientific evidence, including,
16but not limited to:
17        (1) labeled indications for an FDA-approved test or
18    indicated tests for an FDA-approved drug;
19        (2) federal Centers for Medicare and Medicaid Services
20    National Coverage Determinations;
21        (3) nationally recognized clinical practice
22    guidelines;
23        (4) consensus statements;
24        (5) professional society recommendations;
25        (6) peer-reviewed literature, biomedical compendia,
26    and other medical literature that meet the criteria of the

 

 

HB1779 Enrolled- 8 -LRB102 10161 BMS 18161 b

1    National Institutes of Health's National Library of
2    Medicine for indexing in Index Medicus, Excerpta Medicus,
3    Medline, and MEDLARS database of Health Services
4    Technology Assessment Research; and
5        (7) peer-reviewed scientific studies published in or
6    accepted for publication by medical journals that meet
7    nationally recognized requirements for scientific
8    manuscripts and that submit most of their published
9    articles for review by experts who are not part of the
10    editorial staff.
11    (e) When coverage of biomarker testing for the purpose of
12diagnosis, treatment, or ongoing monitoring of any medical
13condition is restricted for use by a group or individual
14policy of accident and health insurance or managed care plan,
15the patient and prescribing practitioner shall have access to
16a clear, readily accessible, and convenient processes to
17request an exception. The process shall be made readily
18accessible on the insurer's website.
 
19    Section 30. The Health Maintenance Organization Act is
20amended by changing Section 5-3 as follows:
 
21    (215 ILCS 125/5-3)  (from Ch. 111 1/2, par. 1411.2)
22    Sec. 5-3. Insurance Code provisions.
23    (a) Health Maintenance Organizations shall be subject to
24the provisions of Sections 133, 134, 136, 137, 139, 140,

 

 

HB1779 Enrolled- 9 -LRB102 10161 BMS 18161 b

1141.1, 141.2, 141.3, 143, 143c, 147, 148, 149, 151, 152, 153,
2154, 154.5, 154.6, 154.7, 154.8, 155.04, 155.22a, 355.2,
3355.3, 355b, 356g.5-1, 356m, 356v, 356w, 356x, 356y, 356z.2,
4356z.4, 356z.4a, 356z.5, 356z.6, 356z.8, 356z.9, 356z.10,
5356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.17, 356z.18,
6356z.19, 356z.21, 356z.22, 356z.25, 356z.26, 356z.29, 356z.30,
7356z.30a, 356z.32, 356z.33, 356z.35, 356z.36, 356z.41,
8356z.43, 364, 364.01, 367.2, 367.2-5, 367i, 368a, 368b, 368c,
9368d, 368e, 370c, 370c.1, 401, 401.1, 402, 403, 403A, 408,
10408.2, 409, 412, 444, and 444.1, paragraph (c) of subsection
11(2) of Section 367, and Articles IIA, VIII 1/2, XII, XII 1/2,
12XIII, XIII 1/2, XXV, XXVI, and XXXIIB of the Illinois
13Insurance Code.
14    (b) For purposes of the Illinois Insurance Code, except
15for Sections 444 and 444.1 and Articles XIII and XIII 1/2,
16Health Maintenance Organizations in the following categories
17are deemed to be "domestic companies":
18        (1) a corporation authorized under the Dental Service
19    Plan Act or the Voluntary Health Services Plans Act;
20        (2) a corporation organized under the laws of this
21    State; or
22        (3) a corporation organized under the laws of another
23    state, 30% or more of the enrollees of which are residents
24    of this State, except a corporation subject to
25    substantially the same requirements in its state of
26    organization as is a "domestic company" under Article VIII

 

 

HB1779 Enrolled- 10 -LRB102 10161 BMS 18161 b

1    1/2 of the Illinois Insurance Code.
2    (c) In considering the merger, consolidation, or other
3acquisition of control of a Health Maintenance Organization
4pursuant to Article VIII 1/2 of the Illinois Insurance Code,
5        (1) the Director shall give primary consideration to
6    the continuation of benefits to enrollees and the
7    financial conditions of the acquired Health Maintenance
8    Organization after the merger, consolidation, or other
9    acquisition of control takes effect;
10        (2)(i) the criteria specified in subsection (1)(b) of
11    Section 131.8 of the Illinois Insurance Code shall not
12    apply and (ii) the Director, in making his determination
13    with respect to the merger, consolidation, or other
14    acquisition of control, need not take into account the
15    effect on competition of the merger, consolidation, or
16    other acquisition of control;
17        (3) the Director shall have the power to require the
18    following information:
19            (A) certification by an independent actuary of the
20        adequacy of the reserves of the Health Maintenance
21        Organization sought to be acquired;
22            (B) pro forma financial statements reflecting the
23        combined balance sheets of the acquiring company and
24        the Health Maintenance Organization sought to be
25        acquired as of the end of the preceding year and as of
26        a date 90 days prior to the acquisition, as well as pro

 

 

HB1779 Enrolled- 11 -LRB102 10161 BMS 18161 b

1        forma financial statements reflecting projected
2        combined operation for a period of 2 years;
3            (C) a pro forma business plan detailing an
4        acquiring party's plans with respect to the operation
5        of the Health Maintenance Organization sought to be
6        acquired for a period of not less than 3 years; and
7            (D) such other information as the Director shall
8        require.
9    (d) The provisions of Article VIII 1/2 of the Illinois
10Insurance Code and this Section 5-3 shall apply to the sale by
11any health maintenance organization of greater than 10% of its
12enrollee population (including without limitation the health
13maintenance organization's right, title, and interest in and
14to its health care certificates).
15    (e) In considering any management contract or service
16agreement subject to Section 141.1 of the Illinois Insurance
17Code, the Director (i) shall, in addition to the criteria
18specified in Section 141.2 of the Illinois Insurance Code,
19take into account the effect of the management contract or
20service agreement on the continuation of benefits to enrollees
21and the financial condition of the health maintenance
22organization to be managed or serviced, and (ii) need not take
23into account the effect of the management contract or service
24agreement on competition.
25    (f) Except for small employer groups as defined in the
26Small Employer Rating, Renewability and Portability Health

 

 

HB1779 Enrolled- 12 -LRB102 10161 BMS 18161 b

1Insurance Act and except for medicare supplement policies as
2defined in Section 363 of the Illinois Insurance Code, a
3Health Maintenance Organization may by contract agree with a
4group or other enrollment unit to effect refunds or charge
5additional premiums under the following terms and conditions:
6        (i) the amount of, and other terms and conditions with
7    respect to, the refund or additional premium are set forth
8    in the group or enrollment unit contract agreed in advance
9    of the period for which a refund is to be paid or
10    additional premium is to be charged (which period shall
11    not be less than one year); and
12        (ii) the amount of the refund or additional premium
13    shall not exceed 20% of the Health Maintenance
14    Organization's profitable or unprofitable experience with
15    respect to the group or other enrollment unit for the
16    period (and, for purposes of a refund or additional
17    premium, the profitable or unprofitable experience shall
18    be calculated taking into account a pro rata share of the
19    Health Maintenance Organization's administrative and
20    marketing expenses, but shall not include any refund to be
21    made or additional premium to be paid pursuant to this
22    subsection (f)). The Health Maintenance Organization and
23    the group or enrollment unit may agree that the profitable
24    or unprofitable experience may be calculated taking into
25    account the refund period and the immediately preceding 2
26    plan years.

 

 

HB1779 Enrolled- 13 -LRB102 10161 BMS 18161 b

1    The Health Maintenance Organization shall include a
2statement in the evidence of coverage issued to each enrollee
3describing the possibility of a refund or additional premium,
4and upon request of any group or enrollment unit, provide to
5the group or enrollment unit a description of the method used
6to calculate (1) the Health Maintenance Organization's
7profitable experience with respect to the group or enrollment
8unit and the resulting refund to the group or enrollment unit
9or (2) the Health Maintenance Organization's unprofitable
10experience with respect to the group or enrollment unit and
11the resulting additional premium to be paid by the group or
12enrollment unit.
13    In no event shall the Illinois Health Maintenance
14Organization Guaranty Association be liable to pay any
15contractual obligation of an insolvent organization to pay any
16refund authorized under this Section.
17    (g) Rulemaking authority to implement Public Act 95-1045,
18if any, is conditioned on the rules being adopted in
19accordance with all provisions of the Illinois Administrative
20Procedure Act and all rules and procedures of the Joint
21Committee on Administrative Rules; any purported rule not so
22adopted, for whatever reason, is unauthorized.
23(Source: P.A. 100-24, eff. 7-18-17; 100-138, eff. 8-18-17;
24100-863, eff. 8-14-18; 100-1026, eff. 8-22-18; 100-1057, eff.
251-1-19; 100-1102, eff. 1-1-19; 101-13, eff. 6-12-19; 101-81,
26eff. 7-12-19; 101-281, eff. 1-1-20; 101-371, eff. 1-1-20;

 

 

HB1779 Enrolled- 14 -LRB102 10161 BMS 18161 b

1101-393, eff. 1-1-20; 101-452, eff. 1-1-20; 101-461, eff.
21-1-20; 101-625, eff. 1-1-21.)
 
3    Section 35. The Limited Health Service Organization Act is
4amended by changing Section 4003 as follows:
 
5    (215 ILCS 130/4003)  (from Ch. 73, par. 1504-3)
6    Sec. 4003. Illinois Insurance Code provisions. Limited
7health service organizations shall be subject to the
8provisions of Sections 133, 134, 136, 137, 139, 140, 141.1,
9141.2, 141.3, 143, 143c, 147, 148, 149, 151, 152, 153, 154,
10154.5, 154.6, 154.7, 154.8, 155.04, 155.37, 355.2, 355.3,
11355b, 356v, 356z.10, 356z.21, 356z.22, 356z.25, 356z.26,
12356z.29, 356z.30a, 356z.32, 356z.33, 356z.41, 356z.43, 368a,
13401, 401.1, 402, 403, 403A, 408, 408.2, 409, 412, 444, and
14444.1 and Articles IIA, VIII 1/2, XII, XII 1/2, XIII, XIII 1/2,
15XXV, and XXVI of the Illinois Insurance Code. For purposes of
16the Illinois Insurance Code, except for Sections 444 and 444.1
17and Articles XIII and XIII 1/2, limited health service
18organizations in the following categories are deemed to be
19domestic companies:
20        (1) a corporation under the laws of this State; or
21        (2) a corporation organized under the laws of another
22    state, 30% or more of the enrollees of which are residents
23    of this State, except a corporation subject to
24    substantially the same requirements in its state of

 

 

HB1779 Enrolled- 15 -LRB102 10161 BMS 18161 b

1    organization as is a domestic company under Article VIII
2    1/2 of the Illinois Insurance Code.
3(Source: P.A. 100-24, eff. 7-18-17; 100-138, eff. 8-18-17;
4100-201, eff. 8-18-17; 100-863, eff. 8-14-18; 100-1057, eff.
51-1-19; 100-1102, eff. 1-1-19; 101-81, eff. 7-12-19; 101-281,
6eff. 1-1-20; 101-393, eff. 1-1-20; 101-625, eff. 1-1-21.)
 
7    Section 40. The Voluntary Health Services Plans Act is
8amended by changing Section 10 as follows:
 
9    (215 ILCS 165/10)  (from Ch. 32, par. 604)
10    Sec. 10. Application of Insurance Code provisions. Health
11services plan corporations and all persons interested therein
12or dealing therewith shall be subject to the provisions of
13Articles IIA and XII 1/2 and Sections 3.1, 133, 136, 139, 140,
14143, 143c, 149, 155.22a, 155.37, 354, 355.2, 355.3, 355b,
15356g, 356g.5, 356g.5-1, 356r, 356t, 356u, 356v, 356w, 356x,
16356y, 356z.1, 356z.2, 356z.4, 356z.4a, 356z.5, 356z.6, 356z.8,
17356z.9, 356z.10, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15,
18356z.18, 356z.19, 356z.21, 356z.22, 356z.25, 356z.26, 356z.29,
19356z.30, 356z.30a, 356z.32, 356z.33, 356z.41, 356z.43, 364.01,
20367.2, 368a, 401, 401.1, 402, 403, 403A, 408, 408.2, and 412,
21and paragraphs (7) and (15) of Section 367 of the Illinois
22Insurance Code.
23    Rulemaking authority to implement Public Act 95-1045, if
24any, is conditioned on the rules being adopted in accordance

 

 

HB1779 Enrolled- 16 -LRB102 10161 BMS 18161 b

1with all provisions of the Illinois Administrative Procedure
2Act and all rules and procedures of the Joint Committee on
3Administrative Rules; any purported rule not so adopted, for
4whatever reason, is unauthorized.
5(Source: P.A. 100-24, eff. 7-18-17; 100-138, eff. 8-18-17;
6100-863, eff. 8-14-18; 100-1026, eff. 8-22-18; 100-1057, eff.
71-1-19; 100-1102, eff. 1-1-19; 101-13, eff. 6-12-19; 101-81,
8eff. 7-12-19; 101-281, eff. 1-1-20; 101-393, eff. 1-1-20;
9101-625, eff. 1-1-21.)
 
10    Section 45. The Illinois Public Aid Code is amended by
11changing Section 5-16.8 as follows:
 
12    (305 ILCS 5/5-16.8)
13    Sec. 5-16.8. Required health benefits. The medical
14assistance program shall (i) provide the post-mastectomy care
15benefits required to be covered by a policy of accident and
16health insurance under Section 356t and the coverage required
17under Sections 356g.5, 356u, 356w, 356x, 356z.6, 356z.26,
18356z.29, 356z.32, 356z.33, 356z.34, and 356z.35, and 356z.43
19of the Illinois Insurance Code and (ii) be subject to the
20provisions of Sections 356z.19, 364.01, 370c, and 370c.1 of
21the Illinois Insurance Code.
22    The Department, by rule, shall adopt a model similar to
23the requirements of Section 356z.39 of the Illinois Insurance
24Code.

 

 

HB1779 Enrolled- 17 -LRB102 10161 BMS 18161 b

1    On and after July 1, 2012, the Department shall reduce any
2rate of reimbursement for services or other payments or alter
3any methodologies authorized by this Code to reduce any rate
4of reimbursement for services or other payments in accordance
5with Section 5-5e.
6    To ensure full access to the benefits set forth in this
7Section, on and after January 1, 2016, the Department shall
8ensure that provider and hospital reimbursement for
9post-mastectomy care benefits required under this Section are
10no lower than the Medicare reimbursement rate.
11(Source: P.A. 100-138, eff. 8-18-17; 100-863, eff. 8-14-18;
12100-1057, eff. 1-1-19; 100-1102, eff. 1-1-19; 101-81, eff.
137-12-19; 101-218, eff. 1-1-20; 101-281, eff. 1-1-20; 101-371,
14eff. 1-1-20; 101-574, eff. 1-1-20; 101-649, eff. 7-7-20.)