Bill Text: IL HB2385 | 2023-2024 | 103rd General Assembly | Introduced

NOTE: There are more recent revisions of this legislation. Read Latest Draft

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Bill Title: Reinserts the provisions of the introduced bill with the following changes. Provides that a group or individual policy of accident and health insurance or managed care plan amended, delivered, issued, or renewed on or after January 1, 2025 (rather than January 1, 2024) shall provide coverage for a colonoscopy determined to be medically necessary (rather than medically necessary for persons aged 39 years old to 75 years old).

Spectrum: Partisan Bill (Democrat 42-0)

Status: (Passed) 2024-08-09 - Public Act . . . . . . . . . 103-0800 [HB2385 Detail]

Download: Illinois-2023-HB2385-Introduced.html

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103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2385 Introduced , by Rep. Cyril Nichols SYNOPSIS AS INTRODUCED:
215 ILCS 5/356z.48
Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or managed care plan amended, delivered, issued, or renewed on or after January 1, 2024 shall provide coverage for a colonoscopy determined to be medically necessary for persons aged 39 years old to 75 years old.
LRB103 26428 BMS 52791 b
A BILL FOR
HB2385 LRB103 26428 BMS 52791 b
AN ACT concerning regulation.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Illinois Insurance Code is amended by
changing Section 356z.48 as follows:
(215 ILCS 5/356z.48)
Sec. 356z.48. Colonoscopy coverage.
(a) A group policy of accident and health insurance that
is amended, delivered, issued, or renewed on or after January
1, 2022 shall provide coverage for a colonoscopy that is a
follow-up exam based on an initial screen where the
colonoscopy was determined to be medically necessary by a
physician licensed to practice medicine in all its branches,
an advanced practice registered nurse, or a physician
assistant.
(b) A group or individual policy of accident and health
insurance or managed care plan amended, delivered, issued, or
renewed on or after January 1, 2024 shall provide coverage for
a colonoscopy determined to be medically necessary for persons
aged 39 years old to 75 years old.
(c) (b) A policy subject to this Section shall not impose a
deductible, coinsurance, copayment, or any other cost-sharing
requirement on the coverage provided; except that this

HB2385 - 2 - LRB103 26428 BMS 52791 b
subsection does not apply to coverage of colonoscopies to the
extent such coverage would disqualify a high-deductible health
plan from eligibility for a health savings account pursuant to
Section 223 of the Internal Revenue Code.
(Source: P.A. 102-443, eff. 1-1-22; 102-813, eff. 5-13-22.)