Mary Flowers
- Democratic
- Representative
- District 31
Primary
Amends the Illinois Insurance Code to provide that an individual or group health care service plan contract that is issued, amended, delivered, or renewed on or after January 1, 2022 shall not require prior authorization for biomarker testing for an insured with advanced or metastatic stage 3 or 4 cancer, nor shall prior authorization be required for biomarker testing of cancer progression or recurrence in the insured with advanced or metastatic stage 3 or 4 cancer. Defines "biomarker testing". House Committee Amendment No. 1 Adds reference to: 5 ILCS 375/6.11 55 ILCS 5/5-1069.3 65 ILCS 5/10-4-2.3 105 ILCS 5/10-22.3f 215 ILCS 125/5-3 from Ch. 111 1/2, par. 1411.2 215 ILCS 130/4003 from Ch. 73, par. 1504-3 215 ILCS 165/10 from Ch. 32, par. 604 305 ILCS 5/5-16.8 Replaces everything after the enacting clause. Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or managed care plan amended, delivered, issued, or renewed on or after January 1, 2022 shall include coverage for biomarker testing. Provides that biomarker testing shall be covered and conducted in an efficient manner to provide the most complete range of results to the patient's health care provider without requiring multiple biopsies, biospecimen samples, or other delays or disruptions in patient care. Provides that biomarker testing must be covered for the purposes of diagnosis, treatment, appropriate management, or ongoing monitoring of an enrollee's disease or condition when the test is supported by medical and scientific evidence. Provides that when coverage of biomarker testing for the purpose of diagnosis, treatment, or ongoing monitoring of any medical condition is restricted for use by health insurers, nonprofit health service plans, or health maintenance organizations, the patient and prescribing practitioner shall have access to a clear, readily accessible, and convenient processes to request an exception, and the process shall be made readily accessible on the insurer's website. Defines "biomarker" and "biomarker testing". Makes conforming changes in the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, the Limited Health Service Organization Act, the Voluntary Health Services Plans Act, and the Illinois Public Aid Code.
Effective Date January 1, 2022
Public Act . . . . . . . . . 102-0203
Governor Approved
Sent to the Governor
Added as Alternate Co-Sponsor Sen. Scott M. Bennett
Third Reading - Passed; 058-000-000
Passed Both Houses
Added as Alternate Co-Sponsor Sen. John Connor
Added as Alternate Co-Sponsor Sen. Sara Feigenholtz
Second Reading
Placed on Calendar Order of 3rd Reading May 17, 2021
Placed on Calendar Order of 2nd Reading May 14, 2021
Do Pass Insurance; 011-000-000
Added as Alternate Chief Co-Sponsor Sen. Melinda Bush
Added as Alternate Co-Sponsor Sen. Laura M. Murphy
Added as Alternate Co-Sponsor Sen. Linda Holmes
Added as Alternate Co-Sponsor Sen. Doris Turner
Added as Alternate Co-Sponsor Sen. Celina Villanueva
Added as Alternate Co-Sponsor Sen. David Koehler
Added as Alternate Co-Sponsor Sen. Steven M. Landek
Added as Alternate Co-Sponsor Sen. Meg Loughran Cappel
Added as Alternate Co-Sponsor Sen. Adriane Johnson
Added as Alternate Co-Sponsor Sen. Ram Villivalam
Added as Alternate Co-Sponsor Sen. Julie A. Morrison
Assigned to Insurance
Added as Alternate Co-Sponsor Sen. Mike Simmons
Added as Alternate Chief Co-Sponsor Sen. Thomas Cullerton
Added as Alternate Co-Sponsor Sen. Sally J. Turner
Added as Alternate Chief Co-Sponsor Sen. Michael E. Hastings
Added as Alternate Chief Co-Sponsor Sen. Jacqueline Y. Collins
Added as Alternate Co-Sponsor Sen. Karina Villa
Added as Alternate Co-Sponsor Sen. Laura Fine
First Reading
Chief Senate Sponsor Sen. Antonio Muñoz
Placed on Calendar Order of First Reading
Referred to Assignments
Arrive in Senate
Added Co-Sponsor Rep. Anne Stava-Murray
Third Reading - Short Debate - Passed 112-000-000
Added Co-Sponsor Rep. Debbie Meyers-Martin
Added Co-Sponsor Rep. Suzanne Ness
Added Co-Sponsor Rep. Tony McCombie
Added Co-Sponsor Rep. Michael J. Zalewski
Added Co-Sponsor Rep. Maurice A. West, II
Added Co-Sponsor Rep. Sam Yingling
Added Co-Sponsor Rep. Michelle Mussman
Added Co-Sponsor Rep. Lance Yednock
Added Co-Sponsor Rep. Janet Yang Rohr
Added Co-Sponsor Rep. Marcus C. Evans, Jr.
Added Co-Sponsor Rep. Deanne M. Mazzochi
Added Co-Sponsor Rep. Dan Brady
Added Co-Sponsor Rep. Dan Ugaste
Added Co-Sponsor Rep. Amy Grant
Added Co-Sponsor Rep. Mark Luft
Added Co-Sponsor Rep. Seth Lewis
Added Co-Sponsor Rep. Jeff Keicher
Added Co-Sponsor Rep. Joyce Mason
Added Co-Sponsor Rep. Maura Hirschauer
Added Co-Sponsor Rep. Mark L. Walker
Added Co-Sponsor Rep. Barbara Hernandez
Added Co-Sponsor Rep. Sue Scherer
Added Co-Sponsor Rep. Frances Ann Hurley
Added Co-Sponsor Rep. Cyril Nichols
Placed on Calendar Order of 3rd Reading - Short Debate
Second Reading - Short Debate
Placed on Calendar 2nd Reading - Short Debate
Added Chief Co-Sponsor Rep. Rita Mayfield
Added Chief Co-Sponsor Rep. Norine K. Hammond
Added Chief Co-Sponsor Rep. Thaddeus Jones
Added Co-Sponsor Rep. Jonathan Carroll
Added Co-Sponsor Rep. La Shawn K. Ford
Added Co-Sponsor Rep. Deb Conroy
Added Co-Sponsor Rep. LaToya Greenwood
Added Co-Sponsor Rep. Lakesia Collins
Chief Co-Sponsor Changed to Rep. Thaddeus Jones
Added Chief Co-Sponsor Rep. Anna Moeller
Added Co-Sponsor Rep. Camille Y. Lilly
Do Pass as Amended / Short Debate Insurance Committee; 019-000-000
House Committee Amendment No. 1 Adopted in Insurance Committee; by Voice Vote
Added Co-Sponsor Rep. Robyn Gabel
Added Co-Sponsor Rep. Bob Morgan
House Committee Amendment No. 1 Rules Refers to Insurance Committee
House Committee Amendment No. 1 Filed with Clerk by Rep. Mary E. Flowers
House Committee Amendment No. 1 Referred to Rules Committee
Assigned to Insurance Committee
First Reading
Referred to Rules Committee
Filed with the Clerk by Rep. Mary E. Flowers
| Bill Text Versions | Format |
|---|---|
| Introduced | HTML PDF |
| Engrossed | HTML PDF |
| Enrolled | HTML PDF |
| House Amendment 001 | HTML PDF |
| Document | Format |
|---|---|
| Public Act |
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