Illinois General Assembly - Full Text of HB2406
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Full Text of HB2406  102nd General Assembly




State of Illinois
2021 and 2022


Introduced 2/17/2021, by Rep. Sue Scherer


215 ILCS 5/356z.43 new
305 ILCS 5/5-16.8

    Amends the Illinois Insurance Code. Provides that an individual or group policy of accident and health insurance or managed care plan in effect on and after March 9, 2020 must provide coverage for the cost of administering a COVID-19 vaccination. Makes conforming changes in the Illinois Public Aid Code.

LRB102 13035 BMS 18378 b






HB2406LRB102 13035 BMS 18378 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
5adding Section 356z.43 as follows:
6    (215 ILCS 5/356z.43 new)
7    Sec. 356z.43. COVID-19 vaccine administrative cost. An
8individual or group policy of accident and health insurance or
9managed care plan in effect on and after March 9, 2020 must
10provide coverage for the cost of administering a COVID-19
12    Section 10. The Illinois Public Aid Code is amended by
13changing Section 5-16.8 as follows:
14    (305 ILCS 5/5-16.8)
15    Sec. 5-16.8. Required health benefits. The medical
16assistance program shall (i) provide the post-mastectomy care
17benefits required to be covered by a policy of accident and
18health insurance under Section 356t and the coverage required
19under Sections 356g.5, 356u, 356w, 356x, 356z.6, 356z.26,
20356z.29, 356z.32, 356z.33, 356z.34, and 356z.35, and 356z.43
21of the Illinois Insurance Code and (ii) be subject to the



HB2406- 2 -LRB102 13035 BMS 18378 b

1provisions of Sections 356z.19, 364.01, 370c, and 370c.1 of
2the Illinois Insurance Code.
3    The Department, by rule, shall adopt a model similar to
4the requirements of Section 356z.39 of the Illinois Insurance
6    On and after July 1, 2012, the Department shall reduce any
7rate of reimbursement for services or other payments or alter
8any methodologies authorized by this Code to reduce any rate
9of reimbursement for services or other payments in accordance
10with Section 5-5e.
11    To ensure full access to the benefits set forth in this
12Section, on and after January 1, 2016, the Department shall
13ensure that provider and hospital reimbursement for
14post-mastectomy care benefits required under this Section are
15no lower than the Medicare reimbursement rate.
16(Source: P.A. 100-138, eff. 8-18-17; 100-863, eff. 8-14-18;
17100-1057, eff. 1-1-19; 100-1102, eff. 1-1-19; 101-81, eff.
187-12-19; 101-218, eff. 1-1-20; 101-281, eff. 1-1-20; 101-371,
19eff. 1-1-20; 101-574, eff. 1-1-20; 101-649, eff. 7-7-20.)