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IL HB4112

IL HB4112
INS CD-INFERTILITY COVERAGE


summary

Introduced
07/25/2023
In Committee
04/19/2024
Crossed Over
Passed
Dead
01/08/2025

Introduced Session

103rd General Assembly

Bill Summary

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.

AI Summary

This bill amends the Illinois Insurance Code to require that group health insurance policies providing pregnancy-related benefits must also cover the diagnosis and treatment of infertility, including procedures like in vitro fertilization, starting on January 1, 2026. The coverage must meet certain clinical guidelines and be provided at qualified medical facilities. The bill also expands the required health benefits coverage in the Counties Code, Illinois Municipal Code, School Code, Limited Health Service Organization Act, and Voluntary Health Services Plans Act to include infertility coverage. The changes are effective immediately.

Committee Categories

Business and Industry

Sponsors (38)

Margaret Croke (D)* Jaime Andrade (D),  Harry Benton (D),  Diane Blair-Sherlock (D),  Kam Buckner (D),  Mary Beth Canty (D),  Kelly Cassidy (D),  Terra Costa Howard (D),  Eva-Dina Delgado (D),  Dan Didech (D),  Robyn Gabel (D),  Jen Gong-Gershowitz (D),  Jehan Gordon-Booth (D),  Angelica Guerrero-Cuellar (D),  Matt Hanson (D),  Lisa Hernandez (D),  Norma Hernandez (D),  Lilian Jiménez (D),  Gregg Johnson (D),  Michael Kelly (D),  Stephanie Kifowit (D),  Nicole La Ha (R),  Jenn Ladisch Douglass (D),  Camille Lilly (D),  Debbie Meyers-Martin (D),  Anna Moeller (D),  Michelle Mussman (D),  Kevin Olickal (D),  Bob Rita (D),  Sue Scherer (D),  Patrick Sheehan (R),  Anne Stava-Murray (D),  Brad Stephens (R),  Katie Stuart (D),  Chris Welch (D),  Ann Williams (D),  Omar Williams (D),  Janet Yang Rohr (D), 

Last Action

Session Sine Die (on 01/07/2025)

Bill Topics

Health
  • ‐ Health Insurance Reform
  • ‐ Maternal Health

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