INSURANCE-CLINICAL BREAST EXAM House SponsorsRep. Greg Harris-Fred Crespo-Linda Chapa LaVia-Elga L. Jefferies-Elaine Nekritz, Harry Osterman, Daniel V. Beiser, LaShawn K. Ford, Michael K. Smith, John E. Bradley, Naomi D. Jakobsson, Maria Antonia Berrios, Robert S. Molaro, David R. Leitch, Deborah L. Graham, Eddie Washington, Luis Arroyo, Mike Boland, Jack McGuire, Joseph M. Lyons, William Davis, Arthur L. Turner, Annazette Collins, Jack D. Franks, Karen May, Al Riley, Careen M Gordon, Aaron Schock, Robert F. Flider, John D'Amico, Gary Hannig, Milton Patterson, Elizabeth Hernandez, Monique D. Davis, Cynthia Soto, Dan Reitz, Brandon W. Phelps, Susana A Mendoza and Edward J. Acevedo Senate Sponsors(Sen. David Koehler-Martin A. Sandoval-Pamela J. Althoff-Susan Garrett-M. Maggie Crotty, Debbie DeFrancesco Halvorson, Linda Holmes, Jacqueline Y. Collins, John J. Cullerton, Deanna Demuzio and Dan Kotowski) 8/16/2007HousePublic Act . . . . . . . . . 95-0189 215 ILCS 5/356g.5 new215 ILCS 125/4-6.5215 ILCS 165/10from Ch. 32, par. 604 Amends the Illinois Insurance Code, the Health Maintenance Organization Act, and the Voluntary Health Services Plans Act. Provides that every insurer shall provide, in each group or individual policy, contract, or certificate of accident or health insurance issued or renewed for persons who are residents of Illinois, coverage for a complete and thorough physical examination of the breast, including but not limited to a comprehensive clinical breast examination of 6-10 minutes in length (that is, an examination of 3-5 minutes in length for each breast), performed by a health care provider to check for lumps and other changes for the purpose of early detection and prevention of breast cancer as follows: (1) annually for women 18 years of age and older; and (2) at any time at the recommendation of the woman's health care provider. Provides that every insurer must establish a separate and distinct reimbursement code for comprehensive clinical breast examinations of 6-10 minutes in length. Makes these provisions applicable to health maintenance organizations and health services plan corporations. Effective immediately.House Amendment No. 1 Adds reference to:20 ILCS 2310/2310-345was 20 ILCS 2310/55.49Replaces the provisions amending the Illinois Insurance Code. Inserts similar provisions amending the Illinois Insurance Code, but with changes that include the following: (1) removes references to a time period of "6-10 minutes" for breast examinations; (2) requires coverage for a comprehensive clinical breast examination by a physician, an advanced practice nurse, or a physician assistant (instead of by a health care provider); (3) provides for an examination at any time at the recommendation of a woman's health care professional (instead of her health care provider); and (4) requires that an insurance policy provide separate and distinct coverage for such breast examinations (instead of requiring that every insurer establish a separate and distinct reimbursement code for comprehensive clinical breast examinations). Also amends the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois to require the Department's written summary concerning breast cancer to specifically address the benefits of early detection and regular comprehensive clinical breast examinations as well as the mandate that health and government payers pay for the breast examinations.House Amendment No. 2 Adds reference to:5 ILCS 375/6.1155 ILCS 5/5-1069.365 ILCS 5/10-4-2.3105 ILCS 5/10-22.3f305 ILCS 5/5-16.8Amends the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, and the Illinois Public Aid Code to require coverage of comprehensive clinical breast exams under each of those Acts as provided in the provisions added to the Illinois Insurance Code.Fiscal Note, House Amendment No. 1 (Financial & Professional Regulation) There is no anticipated fiscal impact to the Department resulting from HB 147 (H-AM 1). However, this legislation may subject other State agencies to face additional fiscal responsibilities. Defer to the Department of Public Health for possible cost implications associated with publishing summary breast exam information.Fiscal Note, House Amendment No. 1 (Financial & Professional Regulation) There is no anticipated fiscal impact to the Department resulting from HB 147 (H-AM 1). However, this legislation may subject other State agencies to face additional fiscal responsibilities. Defer to the Department of Public Health for possible cost implications associated with publishing summary breast exam information.Fiscal Note, House Amendment No. 2 (Financial & Professional Regulation) There is no anticipated fiscal impact to the Department resulting from HB 147 (H-AM 2). However, this legislation may subject other State agencies to face additional fiscal responsibilities. Defer to the Department of Public Health for possible cost implications associated with publishing summary breast exam information.House Amendment No. 3 Requires that the Department of Public Health's summary concerning breast cancer include the benefits of clinical breast exams; also requires that the summary (1) review the clinical standard recommendations by the Centers for Disease Control and Prevention and the American Cancer Society for mammography, clinical breast exams, and breast self-exams (instead of requiring that the summary address regular comprehensive clinical breast examinations) and (2) inform individuals that public and private insurance providers shall pay for clinical breast exams as part of an exam, as indicated by guidelines of practice (instead of requiring that the summary address the mandate that health and government benefit payers pay for the breast examinations). In references to clinical breast examinations, deletes "comprehensive". Requires that insurers provide coverage of breast examinations (i) at least every 3 years for women ages 20 to 39 and (ii) annually for women age 40 and older (instead of annually for women age 18 and older and at any time at the recommendation of the woman's health care professional). Makes other changes.Fiscal Note, House Amendment No. 3 (Dept. of Healthcare & Family Services) Clinical breast exams are currently billed as an office visit for Medicaid and the State Employees Group Health Insurance Program; therefore, services are already covered. There may be a minimal fiscal increase based upon utilization. Upon national approval of a separate and distinct billing code, there will be pressure for additional appropriations to cover this service for Medicaid and the State Employees Group Health Insurance Program. Fiscal Note, House Amendment No. 2 (Financial & Professional Regulation) There is no anticipated fiscal impact to the Department resulting from HB 147 (H-AM 2). However, this legislation may subject other State agencies to face additional fiscal responsibilities. Defer to the Department of Public Health for possible cost implications associated with publishing summary breast exam information.Fiscal Note, House Amendment No. 3 (Financial & Professional Regulation) There is no anticipated fiscal impact to the Department resulting from HB 147 (H-AM 3). However, this legislation may subject other State agencies to face additional fiscal responsibilities. Defer to the Department of Public Health for possible cost implications associated with publishing summary breast exam information.State Mandates Fiscal Note, House Amendment No. 3 (Dept. of Commerce & Economic Opportunity) HB 147 (H-AM 3) does not create a State mandate under the State Mandates Act. 12/15/2006HousePrefiled with Clerk by Rep. Greg Harris 1/19/2007HouseFirst Reading 1/19/2007HouseReferred to Rules Committee 1/31/2007HouseAssigned to Health Care Availability and Access Committee 2/6/2007HouseAdded Chief Co-Sponsor Rep. Fred Crespo 2/6/2007HouseAdded Chief Co-Sponsor Rep. Linda Chapa LaVia 2/6/2007HouseAdded Chief Co-Sponsor Rep. Elga L. Jefferies 2/6/2007HouseAdded Chief Co-Sponsor Rep. Elaine Nekritz 2/6/2007HouseAdded Co-Sponsor Rep. Harry Osterman 2/6/2007HouseAdded Co-Sponsor Rep. Daniel V. Beiser 2/6/2007HouseAdded Co-Sponsor Rep. LaShawn K. Ford 2/7/2007HouseAdded Co-Sponsor Rep. Michael K. Smith 2/7/2007HouseAdded Co-Sponsor Rep. John E. Bradley 2/7/2007HouseAdded Co-Sponsor Rep. Naomi D. Jakobsson 2/7/2007HouseAdded Co-Sponsor Rep. Maria Antonia Berrios 2/7/2007HouseAdded Co-Sponsor Rep. Robert S. Molaro 2/7/2007HouseAdded Co-Sponsor Rep. David R. Leitch 2/7/2007HouseAdded Co-Sponsor Rep. Deborah L. Graham 2/7/2007HouseAdded Co-Sponsor Rep. Eddie Washington 2/7/2007HouseAdded Co-Sponsor Rep. Luis Arroyo 2/7/2007HouseAdded Co-Sponsor Rep. Mike Boland 2/7/2007HouseAdded Co-Sponsor Rep. Jack McGuire 2/7/2007HouseAdded Co-Sponsor Rep. Joseph M. Lyons 2/8/2007HouseAdded Co-Sponsor Rep. William Davis 2/8/2007HouseAdded Co-Sponsor Rep. Arthur L. Turner 2/8/2007HouseAdded Co-Sponsor Rep. Annazette Collins 2/21/2007HouseAdded Co-Sponsor Rep. Jack D. Franks 2/21/2007HouseAdded Co-Sponsor Rep. Karen May 2/21/2007HouseAdded Co-Sponsor Rep. Al Riley 2/23/2007HouseAdded Co-Sponsor Rep. Careen M Gordon 2/27/2007HouseAdded Co-Sponsor Rep. Aaron Schock 2/28/2007HouseHouse Amendment No. 1 Filed with Clerk by Health Care Availability and Access Committee 2/28/2007HouseHouse Amendment No. 1 Adopted in Health Care Availability and Access Committee; by Voice Vote 2/28/2007HouseDo Pass as Amended / Short Debate Health Care Availability and Access Committee; 013-000-000 3/1/2007HousePlaced on Calendar 2nd Reading - Short Debate 3/2/2007HouseAdded Co-Sponsor Rep. Robert F. Flider 3/2/2007HouseAdded Co-Sponsor Rep. John D'Amico 3/7/2007HouseHouse Amendment No. 2 Filed with Clerk by Rep. Greg Harris 3/7/2007HouseHouse Amendment No. 2 Referred to Rules Committee 3/8/2007HouseHouse Amendment No. 2 Rules Refers to Health Care Availability and Access Committee 3/8/2007HouseAdded Co-Sponsor Rep. Gary Hannig 3/13/2007HouseAdded Co-Sponsor Rep. Milton Patterson 3/21/2007HouseHouse Amendment No. 2 Recommends Be Adopted Health Care Availability and Access Committee; 013-000-000 3/22/2007HouseHouse Amendment No. 1 Fiscal Note Requested as Amended by Rep. William B. Black 3/22/2007HouseHouse Amendment No. 2 Fiscal Note Requested as Amended by Rep. William B. Black 3/27/2007HouseSecond Reading - Short Debate 3/27/2007HouseHouse Amendment No. 2 Adopted by Voice Vote 3/27/2007HouseHeld on Calendar Order of Second Reading - Short Debate 3/28/2007HouseHouse Amendment No. 1 Fiscal Note Filed as Amended 3/29/2007HouseHouse Amendment No. 1 Fiscal Note Filed as Amended 3/29/2007HouseHouse Amendment No. 2 Fiscal Note Filed as Amended 4/17/2007HouseHouse Amendment No. 3 Filed with Clerk by Rep. Greg Harris 4/17/2007HouseHouse Amendment No. 3 Referred to Rules Committee 4/18/2007HouseHouse Amendment No. 3 Recommends Be Adopted Rules Committee; 005-000-000 4/18/2007HouseHouse Amendment No. 3 Fiscal Note Requested as Amended by Rep. William B. Black 4/18/2007HouseHouse Amendment No. 3 State Mandates Fiscal Note Requested as Amended by Rep. William B. Black 4/19/2007HouseHouse Amendment No. 3 Adopted by Voice Vote 4/19/2007HouseHeld on Calendar Order of Second Reading - Short Debate 4/24/2007HouseHouse Amendment No. 3 Fiscal Note Filed as Amended 4/25/2007HouseHouse Amendment No. 2 Fiscal Note Filed as Amended 4/25/2007HouseHouse Amendment No. 3 Fiscal Note Filed as Amended 4/25/2007HouseAdded Co-Sponsor Rep. Elizabeth Hernandez 4/25/2007HouseHouse Amendment No. 3 State Mandates Fiscal Note Filed as Amended 4/25/2007HouseSecond Reading - Short Debate 4/25/2007HousePlaced on Calendar Order of 3rd Reading - Short Debate 4/25/2007HouseAdded Co-Sponsor Rep. Monique D. Davis 4/26/2007HouseAdded Co-Sponsor Rep. Cynthia Soto 4/27/2007HouseAdded Co-Sponsor Rep. Dan Reitz 4/27/2007HouseAdded Co-Sponsor Rep. Brandon W. Phelps 4/27/2007HouseThird Reading - Short Debate - Passed 115-000-000 5/1/2007SenateArrive in Senate 5/1/2007SenatePlaced on Calendar Order of First Reading 5/1/2007SenateChief Senate Sponsor Sen. David Koehler 5/1/2007SenateFirst Reading 5/1/2007SenateReferred to Rules 5/1/2007SenateAdded as Alternate Chief Co-Sponsor Sen. Martin A. Sandoval 5/2/2007SenateAdded as Alternate Chief Co-Sponsor Sen. Pamela J. Althoff 5/2/2007SenateAdded as Alternate Chief Co-Sponsor Sen. Susan Garrett 5/2/2007SenateAdded as Alternate Chief Co-Sponsor Sen. M. Maggie Crotty 5/2/2007SenateAdded as Alternate Co-Sponsor Sen. Debbie DeFrancesco Halvorson 5/2/2007SenateAdded as Alternate Co-Sponsor Sen. Linda Holmes 5/2/2007SenateAdded as Alternate Co-Sponsor Sen. Jacqueline Y. Collins 5/2/2007SenateAssigned to Insurance 5/10/2007SenateDo Pass Insurance; 007-000-000 5/10/2007SenatePlaced on Calendar Order of 2nd Reading May 15, 2007 5/10/2007SenateAdded as Alternate Co-Sponsor Sen. John J. Cullerton 5/11/2007SenateAdded as Alternate Co-Sponsor Sen. Deanna Demuzio 5/15/2007SenateSecond Reading 5/15/2007SenatePlaced on Calendar Order of 3rd Reading May 16, 2007 5/15/2007SenateAdded as Alternate Co-Sponsor Sen. Dan Kotowski 5/22/2007SenateThird Reading - Passed; 052-000-000 5/22/2007HousePassed Both Houses 5/22/2007HouseAdded Co-Sponsor Rep. Susana A Mendoza 5/25/2007HouseAdded Co-Sponsor Rep. Edward J. Acevedo 6/20/2007HouseSent to the Governor 8/16/2007HouseGovernor Approved 8/16/2007HouseEffective Date August 16, 2007 8/16/2007HousePublic Act . . . . . . . . . 95-0189