HB 5138 – Illinois

Status: Enacted
Year Introduced: 2022
Link: https://www.ilga.gov/legislation/BillStatus.asp?DocNum=5318&GAID=16&DocTypeID=HB&LegId=139833&SessionID=110&GA=102

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 is amended, delivered, issued, or renewed after January 1, 2024 (rather than the effective date of the amendatory Act) shall provide coverage, without imposing a deductible, coinsurance, copayment, or any other cost-sharing requirement, for specified methods of cancer testing. Specifies that the provisions do not apply to coverage of prostate cancer screenings to the extent such coverage would disqualify a high-deductible health plan from eligibility for a health savings account under the Internal Revenue Code. Defines “prostate cancer screening” to include medically necessary subsequent follow-up testing as directed by a health care provider (rather than subsequent follow-up testing as directed by a health care provider).


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