Bill Amendment: IL HB5492 | 2025-2026 | 104th General Assembly

NOTE: For additional amemendments please see the Bill Drafting List

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Bill Title: PRESCRIPTION HORMONE THERAPY

Status: 2026-06-29 - Public Act . . . . . . . . . 104-0537 [HB5492 Detail]

Download: Illinois-2025-HB5492-House_Amendment_001.html

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Rep. Katie Stuart

Filed: 3/31/2026

 

 

 

10400HB5492ham001 LRB104 18985 BAB 35382 a
AMENDMENT TO HOUSE BILL 5492
AMENDMENT NO. ______. Amend House Bill 5492 by replacing
everything after the enacting clause with the following:
"Section 5. The State Employees Group Insurance Act of
1971 is amended by changing Section 6.11 as follows:
(5 ILCS 375/6.11)
(Text of Section before amendment by P.A. 104-1)
Sec. 6.11. Required health benefits; Illinois Insurance
Code requirements. The program of health benefits shall
provide the post-mastectomy care benefits required to be
covered by a policy of accident and health insurance under
Section 356t of the Illinois Insurance Code. The program of
health benefits shall provide the coverage required under
Sections 356g, 356g.5, 356g.5-1, 356m, 356q, 356u, 356u.10,
356w, 356x, 356z.2, 356z.4, 356z.4a, 356z.5, 356z.6, 356z.8,
356z.9, 356z.10, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15,

10400HB5492ham001 - 2 - LRB104 18985 BAB 35382 a
356z.17, 356z.22, 356z.25, 356z.26, 356z.29, 356z.30, 356z.32,
356z.33, 356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47,
356z.51, 356z.53, 356z.54, 356z.55, 356z.56, 356z.57, 356z.59,
356z.60, 356z.61, 356z.62, 356z.64, 356z.67, 356z.68, 356z.70,
356z.71, 356z.74, 356z.76, and 356z.77, and 356z.80, 356z.81,
356z.82, 356z.83, 356z.84, 356z.85, and 356z.88 of the
Illinois Insurance Code. The program of health benefits must
comply with Sections 155.22a, 155.37, 355b, 356z.19, 370c, and
370c.1 and Article XXXIIB of the Illinois Insurance Code. The
program of health benefits shall provide the coverage required
under Section 356m of the Illinois Insurance Code and, for the
employees of the State Employee Group Insurance Program only,
the coverage as also provided in Section 6.11B of this Act. The
Department of Insurance shall enforce the requirements of this
Section with respect to Sections 370c and 370c.1 and Article
XXXIIB of the Illinois Insurance Code; all other requirements
of this Section shall be enforced by the Department of Central
Management Services.
Rulemaking authority to implement Public Act 95-1045, if
any, is conditioned on the rules being adopted in accordance
with all provisions of the Illinois Administrative Procedure
Act and all rules and procedures of the Joint Committee on
Administrative Rules; any purported rule not so adopted, for
whatever reason, is unauthorized.
(Source: P.A. 103-8, eff. 1-1-24; 103-84, eff. 1-1-24; 103-91,
eff. 1-1-24; 103-420, eff. 1-1-24; 103-445, eff. 1-1-24;

10400HB5492ham001 - 3 - LRB104 18985 BAB 35382 a
103-535, eff. 8-11-23; 103-551, eff. 8-11-23; 103-605, eff.
7-1-24; 103-718, eff. 7-19-24; 103-751, eff. 8-2-24; 103-870,
eff. 1-1-25; 103-914, eff. 1-1-25; 103-918, eff. 1-1-25;
103-951, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-27, eff.
1-1-26, 104-42, eff. 8-1-25; 104-68, eff. 1-1-26; 104-73, eff.
1-1-26; 104-289, eff. 1-1-26; 104-324, eff. 1-1-26; 104-379,
eff. 1-1-26; 104-417, eff. 8-15-25; revised 11-19-25.)
(Text of Section after amendment by P.A. 104-1)
Sec. 6.11. Required health benefits; Illinois Insurance
Code requirements. The program of health benefits shall
provide the post-mastectomy care benefits required to be
covered by a policy of accident and health insurance under
Section 356t of the Illinois Insurance Code. The program of
health benefits shall provide the coverage required under
Sections 356g, 356g.5, 356g.5-1, 356m, 356q, 356u, 356u.10,
356w, 356x, 356z.2, 356z.4, 356z.4a, 356z.5, 356z.6, 356z.8,
356z.9, 356z.10, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15,
356z.17, 356z.22, 356z.25, 356z.26, 356z.29, 356z.30, 356z.32,
356z.33, 356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47,
356z.51, 356z.53, 356z.54, 356z.55, 356z.56, 356z.57, 356z.59,
356z.60, 356z.61, 356z.62, 356z.64, 356z.67, 356z.68, 356z.70,
356z.71, 356z.74, 356z.76, and 356z.77, 356z.79, and 356z.80,
356z.81, 356z.82, 356z.83, 356z.84, 356z.85, and 356z.88 of
the Illinois Insurance Code. The program of health benefits
must comply with Sections 155.22a, 155.37, 355b, 356z.19,

10400HB5492ham001 - 4 - LRB104 18985 BAB 35382 a
370c, and 370c.1 and Article XXXIIB of the Illinois Insurance
Code. The program of health benefits shall provide the
coverage required under Section 356m of the Illinois Insurance
Code and, for the employees of the State Employee Group
Insurance Program only, the coverage as also provided in
Section 6.11B of this Act. The Department of Insurance shall
enforce the requirements of this Section with respect to
Sections 370c and 370c.1 and Article XXXIIB of the Illinois
Insurance Code; all other requirements of this Section shall
be enforced by the Department of Central Management Services.
Rulemaking authority to implement Public Act 95-1045, if
any, is conditioned on the rules being adopted in accordance
with all provisions of the Illinois Administrative Procedure
Act and all rules and procedures of the Joint Committee on
Administrative Rules; any purported rule not so adopted, for
whatever reason, is unauthorized.
(Source: P.A. 103-8, eff. 1-1-24; 103-84, eff. 1-1-24; 103-91,
eff. 1-1-24; 103-420, eff. 1-1-24; 103-445, eff. 1-1-24;
103-535, eff. 8-11-23; 103-551, eff. 8-11-23; 103-605, eff.
7-1-24; 103-718, eff. 7-19-24; 103-751, eff. 8-2-24; 103-870,
eff. 1-1-25; 103-914, eff. 1-1-25; 103-918, eff. 1-1-25;
103-951, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-1, eff.
7-1-27; 104-27, eff. 1-1-26, 104-42, eff. 8-1-25; 104-68, eff.
1-1-26; 104-73, eff. 1-1-26; 104-289, eff. 1-1-26; 104-324,
eff. 1-1-26; 104-379, eff. 1-1-26; 104-417, eff. 8-15-25;
revised 11-19-25.)

10400HB5492ham001 - 5 - LRB104 18985 BAB 35382 a
Section 10. The Counties Code is amended by changing
Section 5-1069.3 as follows:
(55 ILCS 5/5-1069.3)
(Text of Section before amendment by P.A. 104-446)
Sec. 5-1069.3. Required health benefits. If a county,
including a home rule county, is a self-insurer for purposes
of providing health insurance coverage for its employees, the
coverage shall include coverage for the post-mastectomy care
benefits required to be covered by a policy of accident and
health insurance under Section 356t and the coverage required
under Sections 356g, 356g.5, 356g.5-1, 356m, 356q, 356u,
356u.10, 356w, 356x, 356z.4, 356z.4a, 356z.6, 356z.8, 356z.9,
356z.10, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.22,
356z.25, 356z.26, 356z.29, 356z.30, 356z.32, 356z.33, 356z.36,
356z.40, 356z.41, 356z.45, 356z.46, 356z.47, 356z.48, 356z.51,
356z.53, 356z.54, 356z.56, 356z.57, 356z.59, 356z.60, 356z.61,
356z.62, 356z.64, 356z.67, 356z.68, 356z.70, 356z.71, 356z.74,
and 356z.77, 356z.79, and 356z.80, 356z.81, 356z.82, 356z.83,
356z.84, 356z.85, and 356z.88 of the Illinois Insurance Code.
The coverage shall comply with Sections 155.22a, 355b,
356z.19, and 370c of the Illinois Insurance Code. The
Department of Insurance shall enforce the requirements of this
Section. The requirement that health benefits be covered as
provided in this Section is an exclusive power and function of

10400HB5492ham001 - 6 - LRB104 18985 BAB 35382 a
the State and is a denial and limitation under Article VII,
Section 6, subsection (h) of the Illinois Constitution. A home
rule county to which this Section applies must comply with
every provision of this Section.
Rulemaking authority to implement Public Act 95-1045, if
any, is conditioned on the rules being adopted in accordance
with all provisions of the Illinois Administrative Procedure
Act and all rules and procedures of the Joint Committee on
Administrative Rules; any purported rule not so adopted, for
whatever reason, is unauthorized.
(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24;
103-420, eff. 1-1-24; 103-445, eff. 1-1-24; 103-535, eff.
8-11-23; 103-551, eff. 8-11-23; 103-605, eff. 7-1-24; 103-718,
eff. 7-19-24; 103-751, eff. 8-2-24; 103-914, eff. 1-1-25;
103-918, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-1, eff.
6-9-25; 104-42, eff. 8-1-25; 104-68, eff. 1-1-26; 104-73, eff.
1-1-26; 104-289, eff. 1-1-26; 104-324, eff. 1-1-26; 104-379,
eff. 1-1-26; 104-417, eff. 8-15-25; revised 1-7-26.)
(Text of Section after amendment by P.A. 104-446)
Sec. 5-1069.3. Required health benefits. If a county,
including a home rule county, is a self-insurer for purposes
of providing health insurance coverage for its employees, the
coverage shall include coverage for the post-mastectomy care
benefits required to be covered by a policy of accident and
health insurance under Section 356t and the coverage required

10400HB5492ham001 - 7 - LRB104 18985 BAB 35382 a
under Sections 356g, 356g.5, 356g.5-1, 356m, 356q, 356u,
356u.10, 356w, 356x, 356z.4, 356z.4a, 356z.6, 356z.8, 356z.9,
356z.10, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.22,
356z.25, 356z.26, 356z.29, 356z.30, 356z.32, 356z.33, 356z.36,
356z.40, 356z.41, 356z.45, 356z.46, 356z.47, 356z.48, 356z.51,
356z.53, 356z.54, 356z.56, 356z.57, 356z.59, 356z.60, 356z.61,
356z.62, 356z.64, 356z.67, 356z.68, 356z.70, 356z.71, 356z.74,
and 356z.77, 356z.79, and 356z.80, 356z.81, 356z.82, 356z.83,
356z.84, 356z.85, and 356z.88 of the Illinois Insurance Code.
The coverage shall comply with Sections 155.22a, 355b,
356z.19, 370c, and 370c.4 of the Illinois Insurance Code. The
Department of Insurance shall enforce the requirements of this
Section. The requirement that health benefits be covered as
provided in this Section is an exclusive power and function of
the State and is a denial and limitation under Article VII,
Section 6, subsection (h) of the Illinois Constitution. A home
rule county to which this Section applies must comply with
every provision of this Section.
Rulemaking authority to implement Public Act 95-1045, if
any, is conditioned on the rules being adopted in accordance
with all provisions of the Illinois Administrative Procedure
Act and all rules and procedures of the Joint Committee on
Administrative Rules; any purported rule not so adopted, for
whatever reason, is unauthorized.
(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24;
103-420, eff. 1-1-24; 103-445, eff. 1-1-24; 103-535, eff.

10400HB5492ham001 - 8 - LRB104 18985 BAB 35382 a
8-11-23; 103-551, eff. 8-11-23; 103-605, eff. 7-1-24; 103-718,
eff. 7-19-24; 103-751, eff. 8-2-24; 103-914, eff. 1-1-25;
103-918, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-1, eff.
6-9-25; 104-42, eff. 8-1-25; 104-68, eff. 1-1-26; 104-73, eff.
1-1-26; 104-289, eff. 1-1-26; 104-324, eff. 1-1-26; 104-379,
eff. 1-1-26; 104-417, eff. 8-15-25; 104-446, eff. 6-1-26;
revised 1-7-26.)
Section 15. The Illinois Municipal Code is amended by
changing Section 10-4-2.3 as follows:
(65 ILCS 5/10-4-2.3)
(Text of Section before amendment by P.A. 104-446)
Sec. 10-4-2.3. Required health benefits. If a
municipality, including a home rule municipality, is a
self-insurer for purposes of providing health insurance
coverage for its employees, the coverage shall include
coverage for the post-mastectomy care benefits required to be
covered by a policy of accident and health insurance under
Section 356t and the coverage required under Sections 356g,
356g.5, 356g.5-1, 356m, 356q, 356u, 356u.10, 356w, 356x,
356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 356z.10, 356z.11,
356z.12, 356z.13, 356z.14, 356z.15, 356z.22, 356z.25, 356z.26,
356z.29, 356z.30, 356z.32, 356z.33, 356z.36, 356z.40, 356z.41,
356z.45, 356z.46, 356z.47, 356z.48, 356z.51, 356z.53, 356z.54,
356z.56, 356z.57, 356z.59, 356z.60, 356z.61, 356z.62, 356z.64,

10400HB5492ham001 - 9 - LRB104 18985 BAB 35382 a
356z.67, 356z.68, 356z.70, 356z.71, 356z.74, and 356z.77,
356z.79, and 356z.80, 356z.81, 356z.82, 356z.83, 356z.84,
356z.85, and 356z.88 of the Illinois Insurance Code. The
coverage shall comply with Sections 155.22a, 355b, 356z.19,
and 370c of the Illinois Insurance Code. The Department of
Insurance shall enforce the requirements of this Section. The
requirement that health benefits be covered as provided in
this Section is an exclusive power and function of the State
and is a denial and limitation under Article VII, Section 6,
subsection (h) of the Illinois Constitution. A home rule
municipality to which this Section applies must comply with
every provision of this Section.
Rulemaking authority to implement Public Act 95-1045, if
any, is conditioned on the rules being adopted in accordance
with all provisions of the Illinois Administrative Procedure
Act and all rules and procedures of the Joint Committee on
Administrative Rules; any purported rule not so adopted, for
whatever reason, is unauthorized.
(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24;
103-420, eff. 1-1-24; 103-445, eff. 1-1-24; 103-535, eff.
8-11-23; 103-551, eff. 8-11-23; 103-605, eff. 7-1-24; 103-718,
eff. 7-19-24; 103-751, eff. 8-2-24; 103-914, eff. 1-1-25;
103-918, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-1, eff.
6-9-25; 104-42, eff. 8-1-25; 104-68, eff. 1-1-26; 104-73, eff.
1-1-26; 104-289, eff. 1-1-26; 104-324, eff. 1-1-26; 104-379,
eff. 1-1-26; 104-417, eff. 8-15-25; revised 1-8-26.)

10400HB5492ham001 - 10 - LRB104 18985 BAB 35382 a
(Text of Section after amendment by P.A. 104-446)
Sec. 10-4-2.3. Required health benefits. If a
municipality, including a home rule municipality, is a
self-insurer for purposes of providing health insurance
coverage for its employees, the coverage shall include
coverage for the post-mastectomy care benefits required to be
covered by a policy of accident and health insurance under
Section 356t and the coverage required under Sections 356g,
356g.5, 356g.5-1, 356m, 356q, 356u, 356u.10, 356w, 356x,
356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 356z.10, 356z.11,
356z.12, 356z.13, 356z.14, 356z.15, 356z.22, 356z.25, 356z.26,
356z.29, 356z.30, 356z.32, 356z.33, 356z.36, 356z.40, 356z.41,
356z.45, 356z.46, 356z.47, 356z.48, 356z.51, 356z.53, 356z.54,
356z.56, 356z.57, 356z.59, 356z.60, 356z.61, 356z.62, 356z.64,
356z.67, 356z.68, 356z.70, 356z.71, 356z.74, and 356z.77,
356z.79, and 356z.80, 356z.81, 356z.82, 356z.83, 356z.84,
356z.85, and 356z.88 of the Illinois Insurance Code. The
coverage shall comply with Sections 155.22a, 355b, 356z.19,
370c, and 370c.4 of the Illinois Insurance Code. The
Department of Insurance shall enforce the requirements of this
Section. The requirement that health benefits be covered as
provided in this Section is an exclusive power and function of
the State and is a denial and limitation under Article VII,
Section 6, subsection (h) of the Illinois Constitution. A home
rule municipality to which this Section applies must comply

10400HB5492ham001 - 11 - LRB104 18985 BAB 35382 a
with every provision of this Section.
Rulemaking authority to implement Public Act 95-1045, if
any, is conditioned on the rules being adopted in accordance
with all provisions of the Illinois Administrative Procedure
Act and all rules and procedures of the Joint Committee on
Administrative Rules; any purported rule not so adopted, for
whatever reason, is unauthorized.
(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24;
103-420, eff. 1-1-24; 103-445, eff. 1-1-24; 103-535, eff.
8-11-23; 103-551, eff. 8-11-23; 103-605, eff. 7-1-24; 103-718,
eff. 7-19-24; 103-751, eff. 8-2-24; 103-914, eff. 1-1-25;
103-918, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-1, eff.
6-9-25; 104-42, eff. 8-1-25; 104-68, eff. 1-1-26; 104-73, eff.
1-1-26; 104-289, eff. 1-1-26; 104-324, eff. 1-1-26; 104-379,
eff. 1-1-26; 104-417, eff. 8-15-25; 104-446, eff. 6-1-26;
revised 1-8-26.)
Section 20. The School Code is amended by changing Section
10-22.3f as follows:
(105 ILCS 5/10-22.3f)
(Text of Section before amendment by P.A. 104-446)
Sec. 10-22.3f. Required health benefits. Insurance
protection and benefits for employees shall provide the
post-mastectomy care benefits required to be covered by a
policy of accident and health insurance under Section 356t and

10400HB5492ham001 - 12 - LRB104 18985 BAB 35382 a
the coverage required under Sections 356g, 356g.5, 356g.5-1,
356m, 356q, 356u, 356u.10, 356w, 356x, 356z.4, 356z.4a,
356z.6, 356z.8, 356z.9, 356z.11, 356z.12, 356z.13, 356z.14,
356z.15, 356z.22, 356z.25, 356z.26, 356z.29, 356z.30, 356z.32,
356z.33, 356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47,
356z.51, 356z.53, 356z.54, 356z.56, 356z.57, 356z.59, 356z.60,
356z.61, 356z.62, 356z.64, 356z.67, 356z.68, 356z.70, 356z.71,
356z.74, and 356z.77, 356z.79, and 356z.80, 356z.81, 356z.82,
356z.83, 356z.84, 356z.85, and 356z.88 of the Illinois
Insurance Code. Insurance policies shall comply with Section
356z.19 of the Illinois Insurance Code. The coverage shall
comply with Sections 155.22a, 355b, and 370c and Article
XXXIIB of the Illinois Insurance Code. The Department of
Insurance shall enforce the requirements of this Section.
Rulemaking authority to implement Public Act 95-1045, if
any, is conditioned on the rules being adopted in accordance
with all provisions of the Illinois Administrative Procedure
Act and all rules and procedures of the Joint Committee on
Administrative Rules; any purported rule not so adopted, for
whatever reason, is unauthorized.
(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24;
103-420, eff. 1-1-24; 103-445, eff. 1-1-24; 103-535, eff.
8-11-23; 103-551, eff. 8-11-23; 103-605, eff. 7-1-24; 103-718,
eff. 7-19-24; 103-751, eff. 8-2-24; 103-914, eff. 1-1-25;
103-918, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-1, eff.
6-9-25; 104-27, eff. 1-1-26; 104-42, eff. 8-1-25; 104-68, eff.

10400HB5492ham001 - 13 - LRB104 18985 BAB 35382 a
1-1-26; 104-73, eff. 1-1-26; 104-289, eff. 1-1-26; 104-324,
eff. 1-1-26; 104-379, eff. 1-1-26; 104-417, eff. 8-15-25;
revised 1-8-26.)
(Text of Section after amendment by P.A. 104-446)
Sec. 10-22.3f. Required health benefits. Insurance
protection and benefits for employees shall provide the
post-mastectomy care benefits required to be covered by a
policy of accident and health insurance under Section 356t and
the coverage required under Sections 356g, 356g.5, 356g.5-1,
356m, 356q, 356u, 356u.10, 356w, 356x, 356z.4, 356z.4a,
356z.6, 356z.8, 356z.9, 356z.11, 356z.12, 356z.13, 356z.14,
356z.15, 356z.22, 356z.25, 356z.26, 356z.29, 356z.30, 356z.32,
356z.33, 356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47,
356z.51, 356z.53, 356z.54, 356z.56, 356z.57, 356z.59, 356z.60,
356z.61, 356z.62, 356z.64, 356z.67, 356z.68, 356z.70, 356z.71,
356z.74, and 356z.77, 356z.79, and 356z.80, 356z.81, 356z.82,
356z.83, 356z.84, 356z.85, and 356z.88 of the Illinois
Insurance Code. Insurance policies shall comply with Section
356z.19 of the Illinois Insurance Code. The coverage shall
comply with Sections 155.22a, 355b, 370c, and 370c.4 and
Article XXXIIB of the Illinois Insurance Code. The Department
of Insurance shall enforce the requirements of this Section.
Rulemaking authority to implement Public Act 95-1045, if
any, is conditioned on the rules being adopted in accordance
with all provisions of the Illinois Administrative Procedure

10400HB5492ham001 - 14 - LRB104 18985 BAB 35382 a
Act and all rules and procedures of the Joint Committee on
Administrative Rules; any purported rule not so adopted, for
whatever reason, is unauthorized.
(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24;
103-420, eff. 1-1-24; 103-445, eff. 1-1-24; 103-535, eff.
8-11-23; 103-551, eff. 8-11-23; 103-605, eff. 7-1-24; 103-718,
eff. 7-19-24; 103-751, eff. 8-2-24; 103-914, eff. 1-1-25;
103-918, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-1, eff.
6-9-25; 104-27, eff. 1-1-26; 104-42, eff. 8-1-25; 104-68, eff.
1-1-26; 104-73, eff. 1-1-26; 104-289, eff. 1-1-26; 104-324,
eff. 1-1-26; 104-379, eff. 1-1-26; 104-417, eff. 8-15-25;
104-446, eff. 6-1-26; revised 1-8-26.)
Section 25. The Illinois Insurance Code is amended by
adding Section 356z.88 as follows:
(215 ILCS 5/356z.88 new)
Sec. 356z.88. Coverage for prescription hormone therapy.
(a) For purposes of this Section, "prescription hormone
therapy" means all drugs approved by the United States Food
and Drug Administration that are used to medically suppress,
increase, or replace hormones that the body is not producing
at intended levels and the necessary supplies for
self-administration. "Prescription hormone therapy" does not
include glucagon-like peptide-1 and glucagon-like peptide-1
receptor agonists.

10400HB5492ham001 - 15 - LRB104 18985 BAB 35382 a
(b)(1) An individual or group policy of accident and
health insurance amended, delivered, issued, or renewed in
this State on or after January 1, 2028 shall provide coverage
for up to a 12-month supply of prescription hormone therapy,
and the necessary supplies for self-administration, that is
prescribed by a network provider within the provider's scope
of practice and dispensed at one time for an enrollee by a
provider or pharmacist, or at a location licensed or otherwise
authorized to dispense drugs or supplies.
(2) This Section does not prohibit an individual or group
policy of accident and health insurance amended, delivered,
issued, or renewed on or after January 1, 2028 from limiting
refills that may be obtained in the last quarter of the plan
year if a 12-month supply of the prescription hormone therapy
has already been dispensed during the plan year.
(3) This Section does not require a provider to prescribe,
furnish, or dispense 12 months of prescription hormone therapy
at one time.
(4) To the extent not otherwise prohibited under this
Section or State or federal law, health plans may apply drug
utilization management strategies to prescription drugs
covered under paragraph (1) of this subsection.
(5) If an individual or group policy of accident and
health insurance amended, delivered, issued, or renewed in
this State on or after January 1, 2028 delegates
responsibilities under this Section to a contracted entity,

10400HB5492ham001 - 16 - LRB104 18985 BAB 35382 a
including a medical group or independent practice association,
the delegated entity shall comply with this Section.
(c) This Section does not deny or restrict the
Department's authority to ensure plan compliance when an
individual or group policy of accident and health insurance
provides coverage for prescription hormone therapy.
Section 30. The Health Maintenance Organization Act is
amended by changing Section 5-3 as follows:
(215 ILCS 125/5-3) (from Ch. 111 1/2, par. 1411.2)
Sec. 5-3. Illinois Insurance Code provisions.
(a) Health Maintenance Organizations shall be subject to
the provisions of Sections 133, 134, 136, 137, 139, 140,
141.1, 141.2, 141.3, 143, 143.31, 143c, 147, 148, 149, 151,
152, 153, 154, 154.5, 154.6, 154.7, 154.8, 155.04, 155.22a,
155.49, 352c, 355.2, 355.3, 355.6, 355.7, 355b, 355c, 356f,
356g, 356g.5-1, 356m, 356q, 356u.10, 356v, 356w, 356x, 356z.2,
356z.3a, 356z.4, 356z.4a, 356z.5, 356z.6, 356z.8, 356z.9,
356z.10, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.17,
356z.18, 356z.19, 356z.20, 356z.21, 356z.22, 356z.23, 356z.24,
356z.25, 356z.26, 356z.28, 356z.29, 356z.30, 356z.31, 356z.32,
356z.33, 356z.34, 356z.35, 356z.36, 356z.37, 356z.38, 356z.39,
356z.40, 356z.40a, 356z.41, 356z.44, 356z.45, 356z.46,
356z.47, 356z.48, 356z.49, 356z.50, 356z.51, 356z.53, 356z.54,
356z.55, 356z.56, 356z.57, 356z.58, 356z.59, 356z.60, 356z.61,

10400HB5492ham001 - 17 - LRB104 18985 BAB 35382 a
356z.62, 356z.63, 356z.64, 356z.65, 356z.66, 356z.67, 356z.68,
356z.69, 356z.70, 356z.71, 356z.72, 356z.73, 356z.74, 356z.75,
356z.76, 356z.77, 356z.78, 356z.79, 356z.80, 356z.81, 356z.82,
356z.83, 356z.84, 356z.85, 356z.88, 364, 364.01, 364.3, 367.2,
367.2-5, 367i, 368a, 368b, 368c, 368d, 368e, 370a, 370c,
370c.1, 401, 401.1, 402, 403, 403A, 408, 408.2, 409, 412, 444,
and 444.1, paragraph (c) of subsection (2) of Section 367, and
Articles IIA, VIII 1/2, XII, XII 1/2, XIII, XIII 1/2, XXV,
XXVI, and XXXIIB of the Illinois Insurance Code.
(b) For purposes of the Illinois Insurance Code, except
for Sections 444 and 444.1 and Articles XIII and XIII 1/2,
Health Maintenance Organizations in the following categories
are deemed to be "domestic companies":
(1) a corporation authorized under the Dental Service
Plan Act or the Voluntary Health Services Plans Act;
(2) a corporation organized under the laws of this
State; or
(3) a corporation organized under the laws of another
state, 30% or more of the enrollees of which are residents
of this State, except a corporation subject to
substantially the same requirements in its state of
organization as is a "domestic company" under Article VIII
1/2 of the Illinois Insurance Code.
(c) In considering the merger, consolidation, or other
acquisition of control of a Health Maintenance Organization
pursuant to Article VIII 1/2 of the Illinois Insurance Code,

10400HB5492ham001 - 18 - LRB104 18985 BAB 35382 a
(1) the Director shall give primary consideration to
the continuation of benefits to enrollees and the
financial conditions of the acquired Health Maintenance
Organization after the merger, consolidation, or other
acquisition of control takes effect;
(2)(i) the criteria specified in subsection (1)(b) of
Section 131.8 of the Illinois Insurance Code shall not
apply and (ii) the Director, in making his determination
with respect to the merger, consolidation, or other
acquisition of control, need not take into account the
effect on competition of the merger, consolidation, or
other acquisition of control;
(3) the Director shall have the power to require the
following information:
(A) certification by an independent actuary of the
adequacy of the reserves of the Health Maintenance
Organization sought to be acquired;
(B) pro forma financial statements reflecting the
combined balance sheets of the acquiring company and
the Health Maintenance Organization sought to be
acquired as of the end of the preceding year and as of
a date 90 days prior to the acquisition, as well as pro
forma financial statements reflecting projected
combined operation for a period of 2 years;
(C) a pro forma business plan detailing an
acquiring party's plans with respect to the operation

10400HB5492ham001 - 19 - LRB104 18985 BAB 35382 a
of the Health Maintenance Organization sought to be
acquired for a period of not less than 3 years; and
(D) such other information as the Director shall
require.
(d) The provisions of Article VIII 1/2 of the Illinois
Insurance Code and this Section 5-3 shall apply to the sale by
any health maintenance organization of greater than 10% of its
enrollee population (including, without limitation, the health
maintenance organization's right, title, and interest in and
to its health care certificates).
(e) In considering any management contract or service
agreement subject to Section 141.1 of the Illinois Insurance
Code, the Director (i) shall, in addition to the criteria
specified in Section 141.2 of the Illinois Insurance Code,
take into account the effect of the management contract or
service agreement on the continuation of benefits to enrollees
and the financial condition of the health maintenance
organization to be managed or serviced, and (ii) need not take
into account the effect of the management contract or service
agreement on competition.
(f) Except for small employer groups as defined in the
Small Employer Rating, Renewability and Portability Health
Insurance Act and except for medicare supplement policies as
defined in Section 363 of the Illinois Insurance Code, a
Health Maintenance Organization may by contract agree with a
group or other enrollment unit to effect refunds or charge

10400HB5492ham001 - 20 - LRB104 18985 BAB 35382 a
additional premiums under the following terms and conditions:
(i) the amount of, and other terms and conditions with
respect to, the refund or additional premium are set forth
in the group or enrollment unit contract agreed in advance
of the period for which a refund is to be paid or
additional premium is to be charged (which period shall
not be less than one year); and
(ii) the amount of the refund or additional premium
shall not exceed 20% of the Health Maintenance
Organization's profitable or unprofitable experience with
respect to the group or other enrollment unit for the
period (and, for purposes of a refund or additional
premium, the profitable or unprofitable experience shall
be calculated taking into account a pro rata share of the
Health Maintenance Organization's administrative and
marketing expenses, but shall not include any refund to be
made or additional premium to be paid pursuant to this
subsection (f)). The Health Maintenance Organization and
the group or enrollment unit may agree that the profitable
or unprofitable experience may be calculated taking into
account the refund period and the immediately preceding 2
plan years.
The Health Maintenance Organization shall include a
statement in the evidence of coverage issued to each enrollee
describing the possibility of a refund or additional premium,
and upon request of any group or enrollment unit, provide to

10400HB5492ham001 - 21 - LRB104 18985 BAB 35382 a
the group or enrollment unit a description of the method used
to calculate (1) the Health Maintenance Organization's
profitable experience with respect to the group or enrollment
unit and the resulting refund to the group or enrollment unit
or (2) the Health Maintenance Organization's unprofitable
experience with respect to the group or enrollment unit and
the resulting additional premium to be paid by the group or
enrollment unit.
In no event shall the Illinois Health Maintenance
Organization Guaranty Association be liable to pay any
contractual obligation of an insolvent organization to pay any
refund authorized under this Section.
(g) Rulemaking authority to implement Public Act 95-1045,
if any, is conditioned on the rules being adopted in
accordance with all provisions of the Illinois Administrative
Procedure Act and all rules and procedures of the Joint
Committee on Administrative Rules; any purported rule not so
adopted, for whatever reason, is unauthorized.
(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24;
103-123, eff. 1-1-24; 103-154, eff. 6-30-23; 103-420, eff.
1-1-24; 103-426, eff. 8-4-23; 103-445, eff. 1-1-24; 103-551,
eff. 8-11-23; 103-605, eff. 7-1-24; 103-618, eff. 1-1-25;
103-649, eff. 1-1-25; 103-656, eff. 1-1-25; 103-700, eff.
1-1-25; 103-718, eff. 7-19-24; 103-751, eff. 8-2-24; 103-753,
eff. 8-2-24; 103-758, eff. 1-1-25; 103-777, eff. 8-2-24;
103-808, eff. 1-1-26; 103-914, eff. 1-1-25; 103-918, eff.

10400HB5492ham001 - 22 - LRB104 18985 BAB 35382 a
1-1-25; 103-1024, eff. 1-1-25; 104-1, eff. 6-9-25; 104-28,
eff. 1-1-26; 104-42, eff. 8-1-25; 104-68, eff. 1-1-26; 104-73,
eff. 1-1-26; 104-98, eff. 1-1-26; 104-289, eff. 1-1-26;
104-324, eff. 1-1-26; 104-334, eff. 8-15-25; 104-379, eff.
1-1-26; 104-417, eff. 8-15-25; revised 11-21-25.)
Section 35. The Limited Health Service Organization Act is
amended by changing Section 4003 as follows:
(215 ILCS 130/4003) (from Ch. 73, par. 1504-3)
Sec. 4003. Illinois Insurance Code provisions. Limited
health service organizations shall be subject to the
provisions of Sections 133, 134, 136, 137, 139, 140, 141.1,
141.2, 141.3, 143, 143.31, 143c, 147, 148, 149, 151, 152, 153,
154, 154.5, 154.6, 154.7, 154.8, 155.04, 155.37, 155.49, 352c,
355.2, 355.3, 355b, 355d, 356m, 356q, 356v, 356z.4, 356z.4a,
356z.10, 356z.21, 356z.22, 356z.25, 356z.26, 356z.29, 356z.32,
356z.33, 356z.41, 356z.46, 356z.47, 356z.51, 356z.53, 356z.54,
356z.57, 356z.59, 356z.61, 356z.64, 356z.67, 356z.68, 356z.71,
356z.73, 356z.74, 356z.75, 356z.79, 356z.80, 356z.81, 356z.83,
356z.84, 356z.85, 356z.88, 364.3, 368a, 370a, 401, 401.1, 402,
403, 403A, 408, 408.2, 409, 412, 444, and 444.1 and Articles
IIA, VIII 1/2, XII, XII 1/2, XIII, XIII 1/2, XXV, XXVI, and
XXXIIB of the Illinois Insurance Code. Nothing in this Section
shall require a limited health care plan to cover any service
that is not a limited health service. For purposes of the

10400HB5492ham001 - 23 - LRB104 18985 BAB 35382 a
Illinois Insurance Code, except for Sections 444 and 444.1 and
Articles XIII and XIII 1/2, limited health service
organizations in the following categories are deemed to be
domestic companies:
(1) a corporation under the laws of this State; or
(2) a corporation organized under the laws of another
state, 30% or more of the enrollees of which are residents
of this State, except a corporation subject to
substantially the same requirements in its state of
organization as is a domestic company under Article VIII
1/2 of the Illinois Insurance Code.
(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24;
103-420, eff. 1-1-24; 103-426, eff. 8-4-23; 103-445, eff.
1-1-24; 103-605, eff. 7-1-24; 103-649, eff. 1-1-25; 103-656,
eff. 1-1-25; 103-700, eff. 1-1-25; 103-718, eff. 7-19-24;
103-751, eff. 8-2-24; 103-758, eff. 1-1-25; 103-832, eff.
1-1-25; 103-1024, eff. 1-1-25; 104-1, eff. 6-9-25; 104-42,
eff. 8-1-25; 104-73, eff. 1-1-26; 104-98, eff. 1-1-26;
104-289, eff. 1-1-26; 104-324, eff. 1-1-26; 104-334, eff.
8-15-25; 104-379, eff. 1-1-26; 104-417, eff. 8-15-25; revised
11-21-25.)
Section 40. The Voluntary Health Services Plans Act is
amended by changing Section 10 as follows:
(215 ILCS 165/10) (from Ch. 32, par. 604)

10400HB5492ham001 - 24 - LRB104 18985 BAB 35382 a
Sec. 10. Application of Illinois Insurance Code
provisions. Health services plan corporations and all persons
interested therein or dealing therewith shall be subject to
the provisions of Articles IIA and XII 1/2 and Sections 3.1,
133, 136, 139, 140, 143, 143.31, 143c, 149, 155.22a, 155.37,
354, 355.2, 355.3, 355.7, 355b, 355d, 356g, 356g.5, 356g.5-1,
356m, 356q, 356r, 356t, 356u, 356u.10, 356v, 356w, 356x, 356y,
356z.1, 356z.2, 356z.3a, 356z.4, 356z.4a, 356z.5, 356z.6,
356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13, 356z.14,
356z.15, 356z.18, 356z.19, 356z.21, 356z.22, 356z.25, 356z.26,
356z.29, 356z.30, 356z.32, 356z.32a, 356z.33, 356z.40,
356z.41, 356z.46, 356z.47, 356z.51, 356z.53, 356z.54, 356z.56,
356z.57, 356z.59, 356z.60, 356z.61, 356z.62, 356z.64, 356z.67,
356z.68, 356z.71, 356z.72, 356z.74, 356z.75, 356z.77, 356z.79,
356z.80, 356z.81, 356z.83, 356z.84, 356z.85, 356z.88, 364.01,
364.3, 367.2, 368a, 370a, 401, 401.1, 402, 403, 403A, 408,
408.2, and 412, and paragraphs (7) and (15) of Section 367 of
the Illinois Insurance Code.
Rulemaking authority to implement Public Act 95-1045, if
any, is conditioned on the rules being adopted in accordance
with all provisions of the Illinois Administrative Procedure
Act and all rules and procedures of the Joint Committee on
Administrative Rules; any purported rule not so adopted, for
whatever reason, is unauthorized.
(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24;
103-420, eff. 1-1-24; 103-445, eff. 1-1-24; 103-551, eff.

10400HB5492ham001 - 25 - LRB104 18985 BAB 35382 a
8-11-23; 103-605, eff. 7-1-24; 103-656, eff. 1-1-25; 103-718,
eff. 7-19-24; 103-751, eff. 8-2-24; 103-753, eff. 8-2-24;
103-758, eff. 1-1-25; 103-832, eff. 1-1-25; 103-914, eff.
1-1-25; 103-918, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-1,
eff. 6-9-25; 104-28, eff. 1-1-26; 104-42, eff. 8-1-25; 104-73,
eff. 1-1-26; 104-98, eff. 1-1-26; 104-289, eff. 1-1-26;
104-324, eff. 1-1-26; 104-379, eff. 1-1-26; 104-417, eff.
8-15-25; revised 11-21-25.)
Section 45. The Illinois Public Aid Code is amended by
changing Section 5-16.8 as follows:
(305 ILCS 5/5-16.8)
Sec. 5-16.8. Required health benefits. The medical
assistance program shall (i) provide the post-mastectomy care
benefits required to be covered by a policy of accident and
health insurance under Section 356t and the coverage required
under Sections 356g.5, 356q, 356u, 356w, 356x, 356z.6,
356z.26, 356z.29, 356z.32, 356z.33, 356z.34, 356z.35, 356z.46,
356z.47, 356z.51, 356z.53, 356z.59, 356z.60, 356z.61, 356z.64,
356z.67, 356z.71, and 356z.75, and 356z.80, 356z.84, 356z.85,
and 356z.88 of the Illinois Insurance Code, (ii) be subject to
the provisions of Sections 356z.19, 356z.44, 356z.49, 364.01,
370c, and 370c.1 of the Illinois Insurance Code, and (iii) be
subject to the provisions of subsection (d-5) of Section 10 of
the Network Adequacy and Transparency Act.

10400HB5492ham001 - 26 - LRB104 18985 BAB 35382 a
The Department, by rule, shall adopt a model similar to
the requirements of Section 356z.39 of the Illinois Insurance
Code.
On and after July 1, 2012, the Department shall reduce any
rate of reimbursement for services or other payments or alter
any methodologies authorized by this Code to reduce any rate
of reimbursement for services or other payments in accordance
with Section 5-5e.
To ensure full access to the benefits set forth in this
Section, on and after January 1, 2016, the Department shall
ensure that provider and hospital reimbursement for
post-mastectomy care benefits required under this Section are
no lower than the Medicare reimbursement rate.
(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24;
103-420, eff. 1-1-24; 103-605, eff. 7-1-24; 103-703, eff.
1-1-25; 103-758, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-73,
eff. 1-1-26; 104-324, eff. 1-1-26; 104-379, eff. 1-1-26;
104-417, eff. 8-15-25; revised 11-21-25.)
Section 95. No acceleration or delay. Where this Act makes
changes in a statute that is represented in this Act by text
that is not yet or no longer in effect (for example, a Section
represented by multiple versions), the use of that text does
not accelerate or delay the taking effect of (i) the changes
made by this Act or (ii) provisions derived from any other
Public Act.".