Bill Text: IL SB3414 | 2023-2024 | 103rd General Assembly | Introduced

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

---

Bill Title: Reinserts the provisions of the bill, as amended by Senate Amendment No. 2, with the following changes. 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, 2026 shall not impose a deductible, coinsurance, copayment, or any other cost-sharing requirement on the coverage of a one-month supply of continuous glucose monitors, including one transmitter if necessary, as provided under the provisions (instead of on the coverage of continuous glucose monitors). Effective July 1, 2024.

Spectrum: Moderate Partisan Bill (Democrat 41-11)

Status: (Passed) 2024-07-01 - Public Act . . . . . . . . . 103-0639 [SB3414 Detail]

Download: Illinois-2023-SB3414-Introduced.html

---

103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB3414 Introduced 2/8/2024, by Sen. Julie A. Morrison SYNOPSIS AS INTRODUCED:
215 ILCS 5/356z.59
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 before January 1, 2025 shall provide coverage for medically necessary continuous glucose monitors for individuals who are diagnosed with any form of diabetes mellitus (instead of type 1 or type 2 diabetes) and require insulin for the management of their diabetes. 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, 2025 shall provide coverage for continuous glucose monitors, related supplies, and training in the use of continuous glucose monitors for any individual who is diagnosed with diabetes, who requires at least one daily injection or infusion of insulin, and who has been prescribed a continuous glucose monitor by a physician, a certified nurse practitioner, or a physician assistant. Provides that an individual who is diagnosed with diabetes and meets the specified requirements shall not be required to obtain prior authorization for coverage for a continuous glucose monitor, and coverage shall be continuous once the continuous glucose monitor is prescribed. 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, 2025 shall not impose a deductible, coinsurance, copayment, or any other cost-sharing requirement on the coverage required under the provisions. Effective July 1, 2024.
LRB103 38590 RPS 68726 b
A BILL FOR
SB3414 LRB103 38590 RPS 68726 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.59 as follows:
(215 ILCS 5/356z.59)
Sec. 356z.59. Coverage for continuous glucose monitors.
(a) A group or individual policy of accident and health
insurance or a managed care plan that is amended, delivered,
issued, or renewed before January 1, 2025 on or after January
1, 2024 shall provide coverage for medically necessary
continuous glucose monitors for individuals who are diagnosed
with any form of diabetes mellitus type 1 or type 2 diabetes
and require insulin for the management of their diabetes. 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, 2025 shall provide coverage for
continuous glucose monitors, related supplies, and training in
the use of continuous glucose monitors for any individual who
is diagnosed with diabetes, who requires at least one daily
injection or infusion of insulin, and who has been prescribed
a continuous glucose monitor by a physician licensed under the
Medical Practice Act of 1987 to practice medicine in all of its

SB3414 - 2 - LRB103 38590 RPS 68726 b
branches, a certified nurse practitioner under the Nurse
Practice Act, or a physician assistant licensed under the
Physician Assistant Practice Act of 1987.
(b) Any individual who is diagnosed with diabetes and
meets the requirements of this Section shall not be required
to obtain prior authorization for coverage for a continuous
glucose monitor, and coverage shall be continuous once the
continuous glucose monitor is prescribed.
(c) 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, 2025 shall not impose
a deductible, coinsurance, copayment, or any other
cost-sharing requirement on the coverage provided under this
Section. The provisions of this subsection do not apply to
coverage under this Section to the extent such coverage would
disqualify a high-deductible health plan from eligibility for
a health savings account pursuant to the federal Internal
Revenue Code, 26 U.S.C. 23.
(Source: P.A. 102-1093, eff. 1-1-23; 103-154, eff. 6-30-23.)