INS CD-INFERTILITY COVERAGE Senate SponsorsSen. Michael E. Hastings-Sue Rezin-Christopher Belt, Julie A. Morrison, Mary Edly-Allen, Sally J. Turner, Jason Plummer-Cristina Castro, Ann Gillespie, Suzy Glowiak Hilton, Robert F. Martwick, Sara Feigenholtz, Rachel Ventura, Adriane Johnson, Javier L. Cervantes, Mattie Hunter, Lakesia Collins, Steve Stadelman, Robert Peters, Patrick J. Joyce, Linda Holmes, Bill Cunningham, Michael W. Halpin, Celina Villanueva, Donald P. DeWitte, Doris Turner, Tom Bennett-Meg Loughran Cappel, Karina Villa, Mike Simmons, Emil Jones, III, Laura M. Murphy, Omar Aquino, Mike Porfirio, Seth Lewis and Paul Faraci House Sponsors(Rep. Margaret Croke and Stephanie A. Kifowit) 1/7/2025SenateSession Sine Die 215 ILCS 5/356mfrom Ch. 73, par. 968mAmends the Illinois Insurance Code. Provides that, for a group policy of accident and health insurance providing coverage for more than 25 employees that provides pregnancy related benefits that is issued, amended, delivered, or renewed in this State after the effective date of the amendatory Act, if a covered individual obtains, from a physician licensed to practice medicine in all its branches, a recommendation approving the covered individual to seek in vitro fertilization, gamete intrafallopian tube transfer, or zygote intrafallopian tube transfer based on any of the following: the covered individual's medical, sexual, and reproductive history; the covered individual's age; physical findings; or diagnostic testing, then the procedure shall be covered without any other restrictions or requirements.Senate Floor Amendment No. 1 Adds reference to:5 ILCS 375/6.11B55 ILCS 5/5-1069.365 ILCS 5/10-4-2.3105 ILCS 5/10-22.3f215 ILCS 130/4003from Ch. 73, par. 1504-3215 ILCS 165/10from Ch. 32, par. 604Replaces everything after the enacting clause. Amends the State Employees Group Insurance Act of 1971. Provides that the infertility insurance provision added by Public Act 103-8 (effective January 1, 2024) applies only to coverage provided on or after July 1, 2024 and before July 1, 2026. Repeals the provision regarding infertility coverage on July 1, 2026. Amends the Illinois Insurance Code. Provides that no group policy of accident and health insurance providing coverage for more than 25 employees that provides pregnancy related benefits may be issued, amended, delivered, or renewed in this State after January 1, 2016 through December 31, 2025 unless the policy contains coverage for the diagnosis and treatment of infertility. Provides that no group policy of accident and health insurance that provides pregnancy related benefits may be issued, amended, delivered, or renewed in this State on or after January 1, 2026 unless the policy contains coverage for the diagnosis and treatment of infertility; specifies what shall be covered. Provides that coverage shall be required only if the procedures: (1) are considered medically appropriate based on clinical guidelines or standards developed by the American Society for Reproductive Medicine, the American College of Obstetricians and Gynecologists, or the Society for Assisted Reproductive Technology; and (2) are performed at medical facilities or clinics that conform to the American College of Obstetricians and Gynecologists guidelines for in vitro fertilization or the American Society for Reproductive Medicine minimum standards for practices offering assisted reproductive technologies. Provides that if those requirements are met, then the procedure shall be covered without any other restrictions or requirements. Makes changes in the Counties Code, the Illinois Municipal Code, the School Code, the Limited Health Service Organization Act, and the Voluntary Health Services Plans Act to provide that infertility insurance must be included in health insurance coverage for employees. Effective December 31, 2025.Senate Floor Amendment No. 2 Adds reference to:55 ILCS 5/5-1069.365 ILCS 5/10-4-2.3105 ILCS 5/10-22.3f215 ILCS 130/4003from Ch. 73, par. 1504-3215 ILCS 165/10from Ch. 32, par. 604305 ILCS 5/5-16.8Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill with the following changes. Provides that, for a group policy of accident and health insurance that provides pregnancy related benefits (rather than providing coverage for more than 25 employees that provides pregnancy-related benefits) that is issued, amended, delivered, or renewed in this State after January 1, 2026 (rather than the effective date of the amendatory Act), if a covered individual obtains, from a physician licensed to practice medicine in all its branches, a recommendation approving the covered individual to seek in vitro fertilization, gamete intrafallopian tube transfer, or zygote intrafallopian tube transfer based on any of the following: the covered individual's medical, sexual, and reproductive history; the covered individual's age; physical findings; or diagnostic testing, then the procedure shall be covered without any other restrictions or requirements. Amends the Counties Code, the Illinois Municipal Code, the School Code, the Limited Health Service Organization Act, the Voluntary Health Services Plans Act, and the Illinois Public Aid Code to require plans under those Acts to comply with provisions of the Illinois Insurance Code requiring coverage for the diagnosis and treatment of infertility. Adds a January 1, 2026 effective date. 11/7/2023SenateFiled with Secretary by Sen. Michael E. Hastings 11/7/2023SenateFirst Reading 11/7/2023SenateReferred to Assignments 1/24/2024SenateAssigned to Insurance 3/12/2024SenateAdded as Chief Co-Sponsor Sen. Sue Rezin 3/12/2024SenateAdded as Chief Co-Sponsor Sen. Christopher Belt 3/13/2024SenateDo Pass Insurance; 008-000-000 3/13/2024SenatePlaced on Calendar Order of 2nd Reading March 14, 2024 3/14/2024SenateAdded as Co-Sponsor Sen. Julie A. Morrison 3/14/2024SenateAdded as Co-Sponsor Sen. Mary Edly-Allen 3/14/2024SenateAdded as Co-Sponsor Sen. Sally J. Turner 3/14/2024SenateAdded as Co-Sponsor Sen. Jason Plummer 3/14/2024SenateAdded as Chief Co-Sponsor Sen. Cristina Castro 3/14/2024SenateAdded as Co-Sponsor Sen. Ann Gillespie 3/14/2024SenateAdded as Co-Sponsor Sen. Suzy Glowiak Hilton 3/14/2024SenateAdded as Co-Sponsor Sen. Robert F. Martwick 3/14/2024SenateAdded as Co-Sponsor Sen. Sara Feigenholtz 3/14/2024SenateAdded as Co-Sponsor Sen. Rachel Ventura 3/14/2024SenateAdded as Co-Sponsor Sen. Adriane Johnson 3/14/2024SenateAdded as Co-Sponsor Sen. Javier L. Cervantes 3/14/2024SenateAdded as Co-Sponsor Sen. Mattie Hunter 3/14/2024SenateAdded as Co-Sponsor Sen. Lakesia Collins 3/14/2024SenateAdded as Co-Sponsor Sen. Steve Stadelman 3/14/2024SenateAdded as Co-Sponsor Sen. Robert Peters 3/14/2024SenateAdded as Co-Sponsor Sen. Patrick J. Joyce 3/14/2024SenateAdded as Co-Sponsor Sen. Linda Holmes 3/14/2024SenateAdded as Co-Sponsor Sen. Bill Cunningham 3/14/2024SenateAdded as Co-Sponsor Sen. Michael W. Halpin 3/14/2024SenateAdded as Co-Sponsor Sen. Celina Villanueva 3/14/2024SenateAdded as Co-Sponsor Sen. Donald P. DeWitte 3/14/2024SenateAdded as Co-Sponsor Sen. Doris Turner 3/14/2024SenateAdded as Co-Sponsor Sen. Tom Bennett 3/14/2024SenateAdded as Chief Co-Sponsor Sen. Meg Loughran Cappel 3/14/2024SenateAdded as Co-Sponsor Sen. Karina Villa 3/22/2024SenateSecond Reading 3/22/2024SenatePlaced on Calendar Order of 3rd Reading April 9, 2024 3/22/2024SenateAdded as Co-Sponsor Sen. Mike Simmons 4/8/2024SenateSenate Floor Amendment No. 1 Filed with Secretary by Sen. Michael E. Hastings 4/8/2024SenateSenate Floor Amendment No. 1 Referred to Assignments 4/9/2024SenateSenate Floor Amendment No. 1 Assignments Refers to Insurance 4/10/2024SenateSenate Floor Amendment No. 1 Recommend Do Adopt Insurance; 008-000-000 4/10/2024SenateSenate Floor Amendment No. 2 Filed with Secretary by Sen. Michael E. Hastings 4/10/2024SenateSenate Floor Amendment No. 2 Referred to Assignments 4/11/2024SenateRecalled to Second Reading 4/11/2024SenateSenate Floor Amendment No. 1 Adopted; Hastings 4/11/2024SenatePlaced on Calendar Order of 3rd Reading April 12, 2024 4/11/2024SenateSenate Floor Amendment No. 2 Be Approved for Consideration Assignments 4/11/2024SenateAdded as Co-Sponsor Sen. Emil Jones, III 4/12/2024SenateRecalled to Second Reading 4/12/2024SenateSenate Floor Amendment No. 2 Adopted 4/12/2024SenatePlaced on Calendar Order of 3rd Reading 4/12/2024SenateThird Reading - Passed; 050-000-000 4/12/2024HouseArrived in House 4/12/2024HouseChief House Sponsor Rep. Margaret Croke 4/12/2024SenateAdded as Co-Sponsor Sen. Laura M. Murphy 4/12/2024SenateAdded as Co-Sponsor Sen. Omar Aquino 4/12/2024SenateAdded as Co-Sponsor Sen. Mike Porfirio 4/12/2024SenateAdded as Co-Sponsor Sen. Seth Lewis 4/15/2024HouseFirst Reading 4/15/2024HouseReferred to Rules Committee 4/16/2024SenateAdded as Co-Sponsor Sen. Paul Faraci 4/24/2024HouseAssigned to Insurance Committee 4/24/2024HouseAdded Alternate Co-Sponsor Rep. Stephanie A. Kifowit 5/3/2024HouseRule 19(a) / Re-referred to Rules Committee 1/7/2025SenateSession Sine Die