INS-DHFS-PROTON BEAM THERAPY House SponsorsRep. Norine K. Hammond-Jonathan Carroll-William E Hauter, Marcus C. Evans, Jr., Dan Ugaste, Camille Y. Lilly, Tony M. McCombie, Michael T. Marron, Jason Bunting, Maura Hirschauer and Laura Faver Dias Senate Sponsors(Sen. David Koehler-Seth Lewis, Cristina Castro, Win Stoller, Donald P. DeWitte-Laura Ellman and Laura M. Murphy) 7/28/2023HousePublic Act . . . . . . . . . 103-0325 215 ILCS 5/356z.61 new305 ILCS 5/5-47 new Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed after the effective date of the amendatory Act that provides coverage for the treatment of cancer shall not apply a higher standard of clinical evidence for the coverage of proton beam therapy than the insurer applies for the coverage of any other form of radiation therapy treatment. Provides that a group or individual policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed after the effective date of the amendatory Act that provides coverage or benefits to any resident of this State for radiation oncology shall include coverage or benefits for physician-prescribed proton beam therapy for the treatment of cancer as recommended by the patient's physician. Defines terms. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that a managed care organization under contract with the Department of Healthcare and Family Services to provide services to recipients of medical assistance shall provide coverage for proton beam therapy. Defines terms. Effective January 1, 2024.House Committee Amendment No. 1 Replaces everything after the enacting clause. 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 that is amended, delivered, issued, or renewed on or after January 1, 2025 (rather than after the effective date of the amendatory Act) that provides coverage for the treatment of cancer shall not apply a higher standard of clinical evidence for the coverage of proton beam therapy than the insurer applies for the coverage of any other form of radiation therapy treatment. Provides that a group or individual policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2025 (rather than after the effective date of the amendatory Act) that provides coverage or benefits to any resident of the State for radiation oncology shall include coverage or benefits for medically necessary proton beam therapy for the treatment of cancer (rather than for physician-prescribed proton beam therapy for the treatment of cancer as recommended by the patient's physician). Defines "medically necessary". Effective January 1, 2024. 2/16/2023HouseFiled with the Clerk by Rep. Norine K. Hammond 2/16/2023HouseFirst Reading 2/16/2023HouseReferred to Rules Committee 2/28/2023HouseAssigned to Insurance Committee 3/2/2023HouseAdded Co-Sponsor Rep. Marcus C. Evans, Jr. 3/3/2023HouseHouse Committee Amendment No. 1 Filed with Clerk by Rep. Norine K. Hammond 3/3/2023HouseHouse Committee Amendment No. 1 Referred to Rules Committee 3/7/2023HouseHouse Committee Amendment No. 1 Rules Refers to Insurance Committee 3/7/2023HouseAdded Chief Co-Sponsor Rep. Jonathan Carroll 3/7/2023HouseAdded Chief Co-Sponsor Rep. William E Hauter 3/7/2023HouseChief Co-Sponsor Changed to Rep. Jonathan Carroll 3/7/2023HouseChief Co-Sponsor Changed to Rep. William E Hauter 3/7/2023HouseAdded Co-Sponsor Rep. Dan Ugaste 3/7/2023HouseAdded Co-Sponsor Rep. Camille Y. Lilly 3/7/2023HouseAdded Co-Sponsor Rep. Tony M. McCombie 3/7/2023HouseAdded Co-Sponsor Rep. Michael T. Marron 3/7/2023HouseHouse Committee Amendment No. 1 Adopted in Insurance Committee; by Voice Vote 3/7/2023HouseDo Pass as Amended / Short Debate Insurance Committee; 013-000-000 3/8/2023HousePlaced on Calendar 2nd Reading - Short Debate 3/15/2023HouseSecond Reading - Short Debate 3/15/2023HousePlaced on Calendar Order of 3rd Reading - Short Debate 3/22/2023HouseThird Reading - Short Debate - Passed 111-000-001 3/22/2023HouseAdded Co-Sponsor Rep. Jason Bunting 3/22/2023HouseAdded Co-Sponsor Rep. Maura Hirschauer 3/22/2023HouseAdded Co-Sponsor Rep. Laura Faver Dias 3/23/2023SenateArrive in Senate 3/23/2023SenatePlaced on Calendar Order of First Reading 3/23/2023SenateChief Senate Sponsor Sen. David Koehler 3/23/2023SenateFirst Reading 3/23/2023SenateReferred to Assignments 3/24/2023SenateAdded as Alternate Chief Co-Sponsor Sen. Seth Lewis 3/27/2023SenateAdded as Alternate Co-Sponsor Sen. Cristina Castro 4/3/2023SenateAdded as Alternate Co-Sponsor Sen. Win Stoller 4/11/2023SenateAdded as Alternate Co-Sponsor Sen. Donald P. DeWitte 4/12/2023SenateAssigned to Insurance 4/19/2023SenateDo Pass Insurance; 011-000-000 4/19/2023SenatePlaced on Calendar Order of 2nd Reading April 20, 2023 4/19/2023SenateAdded as Alternate Chief Co-Sponsor Sen. Laura Ellman 4/20/2023SenateSecond Reading 4/20/2023SenatePlaced on Calendar Order of 3rd Reading April 25, 2023 5/5/2023SenatePlaced on Calendar Order of 3rd Reading ** May 8, 2023 5/10/2023SenateAdded as Alternate Co-Sponsor Sen. Laura M. Murphy 5/11/2023SenateThird Reading - Passed; 056-000-000 5/11/2023HousePassed Both Houses 6/9/2023HouseSent to the Governor 7/28/2023HouseGovernor Approved 7/28/2023HouseEffective Date January 1, 2024 7/28/2023HousePublic Act . . . . . . . . . 103-0325