HB 4112

Abstract

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 on or after January 1, 2025 unless the policy contains coverage for the diagnosis and treatment of infertility. Requires such coverage to include procedures necessary to screen or diagnose a fertilized egg before implantation. Provides that coverage for in vitro fertilization, gamete intrafallopian tube transfer, or zygote intrafallopian tube transfer 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. Makes changes in 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 provide that infertility insurance must be included in health insurance coverage for employees. Effective immediately. House Committee Amendment No. 1 Adds reference to: 5 ILCS 375/6.11B Replaces everything after the enacting clause with the provisions of the introduced bill, and makes the following changes: 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 January 1, 2024 and before January 1, 2026. Repeals the provision regarding infertility coverage on January 1, 2026. In a provision regarding infertility coverage in the Illinois Insurance Code, removes language limiting the group policy of accident and health insurance providing pregnancy related benefits to those that provide coverage for more than 25 employees. Effective December 31, 2025. House Floor Amendment No. 3 Deletes reference to: 305 ILCS 5/5-16.8 In 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 January 1, 2024 and before July 1, 2026 (rather than January 1, 2026). Repeals the provision regarding infertility coverage on July 1, 2026 (rather than January 1, 2026). Removes changes to the Illinois Public Aid Code. House Floor Amendment No. 4 Deletes reference to: 305 ILCS 5/5-16.8 In 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 January 1, 2024 and before July 1, 2026 (rather than January 1, 2026). Repeals the provision regarding infertility coverage on July 1, 2026 (rather than January 1, 2026). In the Illinois Insurance Code, makes stylistic changes. Removes changes to the Illinois Public Aid Code.