INS CD-CANCER-GENETIC TESTING Senate SponsorsSen. Julie A. Morrison-Javier L. Cervantes, Sue Rezin-Christopher Belt-Mattie Hunter-Laura Fine, Terri Bryant, Sally J. Turner, David Koehler, Linda Holmes, Seth Lewis, Mary Edly-Allen, Andrew S. Chesney, John F. Curran, Celina Villanueva, Willie Preston, Meg Loughran Cappel, Laura Ellman, Elgie R. Sims, Jr., Michael E. Hastings, Cristina Castro and Steve Stadelman House Sponsors(Rep. Camille Y. Lilly-Laura Faver Dias-Thaddeus Jones-Marcus C. Evans, Jr., Bob Morgan, Rita Mayfield, La Shawn K. Ford, Jawaharial Williams, Lilian Jiménez, Tracy Katz Muhl, Anthony DeLuca, Margaret Croke, Emanuel "Chris" Welch, Sonya M. Harper, Katie Stuart, Diane Blair-Sherlock, Jenn Ladisch Douglass, Dagmara Avelar, Norma Hernandez, Anne Stava-Murray, Stephanie A. Kifowit, Joyce Mason, Sharon Chung, Kimberly Du Buclet, Suzanne M. Ness and Debbie Meyers-Martin) 8/9/2024SenatePublic Act . . . . . . . . . 103-0914 215 ILCS 5/356u.10 newAmends the Illinois Insurance Code. Defines terms. Provides that a group policy of accident and health insurance that provides coverage for hospital or medical treatment or services for illness on an expense-incurred basis and that is amended, delivered, issued, or renewed after January 1, 2025 shall provide coverage, without imposing any cost-sharing requirement, for clinical genetic testing for an inherited gene mutation for individuals with a personal or family history of cancer that is recommended by a health care professional; and evidence-based cancer imaging for individuals with an increased risk of cancer as recommended by National Comprehensive Cancer Network clinical practice guidelines. Provides that the requirements do not apply to coverage of genetic testing or evidence-based cancer imaging to the extent such coverage would disqualify a high-deductible health plan from eligibility for a health savings account pursuant to the Internal Revenue Code.Senate Committee Amendment No. 1 Adds reference to:5 ILCS 375/6.1155 ILCS 5/5-1069.365 ILCS 5/10-4-2.3105 ILCS 5/10-22.3f215 ILCS 125/5-3from Ch. 111 1/2, par. 1411.2215 ILCS 165/10from Ch. 32, par. 604Replaces everything after the enacting clause. Amends the Illinois Insurance Code. Provides that a group policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed after January 1, 2026 shall provide coverage for clinical genetic testing for an inherited gene mutation for individuals with a personal or family history of cancer as recommended by a health care professional in accordance with current evidence-based clinical practice guidelines. Provides that the coverage shall limit the total amount that a covered person is required to pay for a clinical genetic test to an amount not to exceed $50. Provides that for individuals with a genetic test that is positive for an inherited mutation associated with an increased risk of cancer, coverage shall include any cancer risk management strategy as recommended by a health care professional in accordance with current evidence-based clinical practice guidelines to the extent that the management recommendation is not already covered by the policy. Amends the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, and the Voluntary Health Services Plans Act to make a conforming change.Senate Floor Amendment No. 2 Adds reference to:305 ILCS 5/5-52 newReplaces everything after the enacting clause. Reinserts the provisions of the bill, as amended by Senate Amendment No. 1, with the following changes. Removes language concerning coverage for any cancer risk management strategy, as recommended by a health care professional. Requires, for individuals with a genetic test that is positive for an inherited mutation associated with an increased risk of cancer, coverage to include any evidence-based screenings, as recommended by a health care professional in accordance with current evidence-based clinical practice guidelines, to the extent that the management recommendation is not already covered by the policy, except that the coverage for the evidence-based screenings may be subject to a deductible, coinsurance, or other cost-sharing limitation. Defines "evidence-based screenings". Makes other changes. Amends the Illinois Public Aid Code. Subject to federal approval, requires the medical assistance program to provide coverage for clinical genetic testing for an inherited gene mutation for individuals with a personal or family history of cancer, as recommended by a health care professional in accordance with current evidence-based clinical practice guidelines. Requires, for individuals with a genetic test that is positive for an inherited mutation associated with an increased risk of cancer, coverage to include any evidence-based screenings, as recommended by a health care professional in accordance with current evidence-based clinical practice guidelines, to the extent that the management recommendation is not already covered by the medical assistance program. Changes to the Illinois Public Aid Code are effective January 1, 2025. 1/10/2024SenateFiled with Secretary by Sen. Julie A. Morrison 1/10/2024SenateFirst Reading 1/10/2024SenateReferred to Assignments 1/31/2024SenateAssigned to Insurance 2/8/2024SenateAdded as Chief Co-Sponsor Sen. Javier L. Cervantes 2/21/2024SenateAdded as Co-Sponsor Sen. Sue Rezin 2/21/2024SenateAdded as Chief Co-Sponsor Sen. Christopher Belt 2/22/2024SenateAdded as Chief Co-Sponsor Sen. Mattie Hunter 2/27/2024SenateAdded as Chief Co-Sponsor Sen. Laura Fine 3/5/2024SenateAdded as Co-Sponsor Sen. Terri Bryant 3/5/2024SenateAdded as Co-Sponsor Sen. Sally J. Turner 3/8/2024SenateSenate Committee Amendment No. 1 Filed with Secretary by Sen. Julie A. Morrison 3/8/2024SenateSenate Committee Amendment No. 1 Referred to Assignments 3/12/2024SenateSenate Committee Amendment No. 1 Assignments Refers to Insurance 3/12/2024SenateSenate Committee Amendment No. 1 Adopted 3/13/2024SenateDo Pass as Amended Insurance; 008-000-000 3/13/2024SenatePlaced on Calendar Order of 2nd Reading March 14, 2024 3/14/2024SenateSecond Reading 3/14/2024SenatePlaced on Calendar Order of 3rd Reading March 20, 2024 4/4/2024SenateSenate Floor Amendment No. 2 Filed with Secretary by Sen. Julie A. Morrison 4/4/2024SenateSenate Floor Amendment No. 2 Referred to Assignments 4/9/2024SenateSenate Floor Amendment No. 2 Assignments Refers to Insurance 4/9/2024SenateAdded as Co-Sponsor Sen. David Koehler 4/10/2024SenateSenate Floor Amendment No. 2 Recommend Do Adopt Insurance; 008-000-000 4/10/2024SenateRecalled to Second Reading 4/10/2024SenateSenate Floor Amendment No. 2 Adopted 4/10/2024SenatePlaced on Calendar Order of 3rd Reading 4/10/2024SenateThird Reading - Passed; 059-000-000 4/10/2024SenateAdded as Co-Sponsor Sen. Linda Holmes 4/10/2024SenateAdded as Co-Sponsor Sen. Seth Lewis 4/10/2024SenateAdded as Co-Sponsor Sen. Mary Edly-Allen 4/10/2024SenateAdded as Co-Sponsor Sen. Andrew S. Chesney 4/10/2024SenateAdded as Co-Sponsor Sen. John F. Curran 4/10/2024SenateAdded as Co-Sponsor Sen. Celina Villanueva 4/10/2024SenateAdded as Co-Sponsor Sen. Willie Preston 4/10/2024HouseArrived in House 4/11/2024HouseChief House Sponsor Rep. Camille Y. Lilly 4/11/2024HouseFirst Reading 4/11/2024HouseReferred to Rules Committee 4/11/2024SenateAdded as Co-Sponsor Sen. Meg Loughran Cappel 4/11/2024SenateAdded as Co-Sponsor Sen. Laura Ellman 4/11/2024SenateAdded as Co-Sponsor Sen. Elgie R. Sims, Jr. 4/12/2024SenateAdded as Co-Sponsor Sen. Michael E. Hastings 4/16/2024SenateAdded as Co-Sponsor Sen. Cristina Castro 4/18/2024SenateAdded as Co-Sponsor Sen. Steve Stadelman 4/24/2024HouseAssigned to Insurance Committee 4/30/2024HouseDo Pass / Short Debate Insurance Committee; 015-000-000 4/30/2024HouseAdded Alternate Co-Sponsor Rep. Thaddeus Jones 4/30/2024HouseAdded Alternate Co-Sponsor Rep. Bob Morgan 4/30/2024HouseAdded Alternate Co-Sponsor Rep. Rita Mayfield 4/30/2024HouseAdded Alternate Co-Sponsor Rep. La Shawn K. Ford 4/30/2024HouseAdded Alternate Co-Sponsor Rep. Jawaharial Williams 4/30/2024HouseAdded Alternate Co-Sponsor Rep. Lilian Jiménez 4/30/2024HouseAdded Alternate Co-Sponsor Rep. Tracy Katz Muhl 4/30/2024HouseAdded Alternate Co-Sponsor Rep. Anthony DeLuca 4/30/2024HouseAdded Alternate Co-Sponsor Rep. Margaret Croke 4/30/2024HouseAlternate Co-Sponsor Removed Rep. Thaddeus Jones 5/1/2024HousePlaced on Calendar 2nd Reading - Short Debate 5/6/2024HouseAdded Alternate Co-Sponsor Rep. Emanuel "Chris" Welch 5/6/2024HouseSecond Reading - Short Debate 5/6/2024HousePlaced on Calendar Order of 3rd Reading - Short Debate 5/13/2024HouseAdded Alternate Co-Sponsor Rep. Sonya M. Harper 5/17/2024HouseThird Reading/Final Action Deadline Extended-9(b) May 24, 2024 5/20/2024HouseAdded Alternate Co-Sponsor Rep. Katie Stuart 5/20/2024HouseAdded Alternate Co-Sponsor Rep. Diane Blair-Sherlock 5/22/2024HouseAdded Alternate Co-Sponsor Rep. Jenn Ladisch Douglass 5/22/2024HouseAdded Alternate Co-Sponsor Rep. Dagmara Avelar 5/22/2024HouseAdded Alternate Co-Sponsor Rep. Norma Hernandez 5/22/2024HouseAdded Alternate Co-Sponsor Rep. Anne Stava-Murray 5/22/2024HouseAdded Alternate Co-Sponsor Rep. Stephanie A. Kifowit 5/22/2024HouseThird Reading - Short Debate - Passed 106-000-000 5/22/2024SenatePassed Both Houses 5/22/2024HouseAdded Alternate Co-Sponsor Rep. Joyce Mason 5/22/2024HouseAdded Alternate Co-Sponsor Rep. Sharon Chung 5/22/2024HouseAdded Alternate Co-Sponsor Rep. Kimberly Du Buclet 5/22/2024HouseAdded Alternate Co-Sponsor Rep. Suzanne M. Ness 5/22/2024HouseAdded Alternate Co-Sponsor Rep. Debbie Meyers-Martin 5/22/2024HouseAdded Alternate Chief Co-Sponsor Rep. Laura Faver Dias 5/22/2024HouseAdded Alternate Chief Co-Sponsor Rep. Thaddeus Jones 5/22/2024HouseAdded Alternate Chief Co-Sponsor Rep. Marcus C. Evans, Jr. 6/20/2024SenateSent to the Governor 8/9/2024SenateGovernor Approved 8/9/2024SenateEffective Date January 1, 2025 8/9/2024SenatePublic Act . . . . . . . . . 103-0914