Bill > SB1358

This bill amends the Illinois Insurance Code to require health insurance policies and managed care plans to provide full coverage for an annual PET (Positron Emission Tomography) scan for individuals aged 35 and older, starting July 1, 2025. The bill highlights that PET scans are highly effective in detecting tumors and cancer, with a 92.5% success rate in diagnosing malignancies, and that cancer risk increases significantly after age 45. Currently, PET scans are often not covered unless a person has Medicare or a physician specifically orders the scan, which can lead to late-stage cancer diagnoses. The legislation aims to mandate insurance companies to cover annual PET scans without requiring a physician's order or the presence of symptoms, with the goal of improving early cancer detection and protecting the health of older individuals who are at higher risk. The bill defines technical terms like "positron emission," "radiotracer," and "PET scan" to provide clarity about the medical imaging technique, and it seeks to remove barriers that prevent individuals from accessing this potentially life-saving screening method.

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https://www.ilga.gov/legislation/BillStatus.asp?DocNum=1358&GAID=18&DocTypeID=SB&SessionID=114&GA=104