Bill > SB1488

This bill requires health insurance policies and managed care plans in Illinois to provide comprehensive coverage for general anesthesia, starting January 1, 2026. Specifically, the bill mandates that insurance policies must cover medically necessary general anesthesia for any procedure, regardless of the duration, with medical necessity determined by the attending anesthesiologist or licensed anesthesia provider. The legislation prohibits insurance companies from denying payment or reimbursement for anesthesia services solely because the duration of care exceeded a preset time limit. The bill amends multiple existing laws, including the State Employees Group Insurance Act, Counties Code, Illinois Municipal Code, School Code, Health Maintenance Organization Act, Limited Health Service Organization Act, Voluntary Health Services Plans Act, and Illinois Public Aid Code, to ensure this coverage requirement is applied consistently across different types of health insurance and government-provided health services. By establishing this requirement, the bill aims to prevent insurance companies from arbitrarily limiting anesthesia coverage and ensure patients receive necessary medical care without undue financial barriers.

https://www.ilga.gov/legislation/BillStatus.asp?DocNum=1488&GAID=18&DocTypeID=SB&SessionID=114&GA=104