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IL SB2697

IL SB2697
INS CD-CANCER-GENETIC TESTING


summary

Introduced
01/10/2024
In Committee
04/30/2024
Crossed Over
04/10/2024
Passed
05/22/2024
Dead
Signed/Enacted/Adopted
08/09/2024

Introduced Session

103rd General Assembly

Bill Summary

Reinserts the provisions of the bill, as amended by Senate Amendment No. 1, with the following changes. Removes language concerning coverage for any cancer risk management strategy, as recommended by a health care professional. Requires, for individuals with a genetic test that is positive for an inherited mutation associated with an increased risk of cancer, coverage to include any evidence-based screenings, as recommended by a health care professional in accordance with current evidence-based clinical practice guidelines, to the extent that the management recommendation is not already covered by the policy, except that the coverage for the evidence-based screenings may be subject to a deductible, coinsurance, or other cost-sharing limitation. Defines "evidence-based screenings". Makes other changes. Amends the Illinois Public Aid Code. Subject to federal approval, requires the medical assistance program to provide coverage for clinical genetic testing for an inherited gene mutation for individuals with a personal or family history of cancer, as recommended by a health care professional in accordance with current evidence-based clinical practice guidelines. Requires, for individuals with a genetic test that is positive for an inherited mutation associated with an increased risk of cancer, coverage to include any evidence-based screenings, as recommended by a health care professional in accordance with current evidence-based clinical practice guidelines, to the extent that the management recommendation is not already covered by the medical assistance program. Changes to the Illinois Public Aid Code are effective January 1, 2025.

AI Summary

This bill: Requires group health insurance policies and managed care plans to cover clinical genetic testing for individuals with a personal or family history of cancer, as recommended by a healthcare professional. It limits the out-of-pocket cost for the genetic test to $50 or less, except for services where cost-sharing is prohibited under federal law. For individuals with a positive genetic test result indicating an increased cancer risk, the bill also requires coverage for any evidence-based cancer screenings recommended by a healthcare professional, to the extent not already covered by the policy. This coverage for evidence-based screenings may be subject to a deductible, coinsurance, or other reasonable cost-sharing. The bill also amends the Illinois Public Aid Code to require the state's medical assistance program to provide similar coverage for genetic testing and evidence-based cancer screenings for Medicaid enrollees, subject to federal approval.

Committee Categories

Business and Industry

Sponsors (48)

Camille Lilly (D)* Julie Morrison (D)* Dee Avelar (D),  Christopher Belt (D),  Diane Blair-Sherlock (D),  Terri Bryant (R),  Cristina Castro (D),  Javier Cervantes (D),  Andrew Chesney (R),  Sharon Chung (D),  Margaret Croke (D),  John Curran (R),  Anthony DeLuca (D),  Kimberly du Buclet (D),  Mary Edly-Allen (D),  Laura Ellman (D),  Marcus Evans (D),  Laura Faver Dias (D),  Laura Fine (D),  La Shawn Ford (D),  Sonya Harper (D),  Michael Hastings (D),  Norma Hernandez (D),  Linda Holmes (D),  Mattie Hunter (D),  Lilian Jiménez (D),  Thaddeus Jones (D),  Tracy Katz Muhl (D),  Stephanie Kifowit (D),  Dave Koehler (D),  Jenn Ladisch Douglass (D),  Seth Lewis (R),  Meg Loughran Cappel (D),  Joyce Mason (D),  Rita Mayfield (D),  Debbie Meyers-Martin (D),  Bob Morgan (D),  Suzanne Ness (D),  Willie Preston (D),  Sue Rezin (R),  Elgie Sims (D),  Steve Stadelman (D),  Anne Stava-Murray (D),  Katie Stuart (D),  Sally Turner (R),  Celina Villanueva (D),  Chris Welch (D),  Omar Williams (D), 

Last Action

Public Act . . . . . . . . . 103-0914 (on 08/09/2024)

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