summary
Introduced
02/04/2025
02/04/2025
In Committee
04/11/2025
04/11/2025
Crossed Over
Passed
Dead
Introduced Session
104th General Assembly
Bill Summary
Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or a managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2027 that provides coverage for: habilitative services shall provide coverage for habilitative speech therapy as a treatment for stuttering, regardless of whether the stuttering is classified as developmental; rehabilitative services shall provide coverage for rehabilitative speech therapy as a treatment for stuttering; or habilitative services and rehabilitative services shall provide coverage for habilitative speech therapy as a treatment for stuttering, regardless of whether the stuttering is classified as developmental, and shall provide coverage for rehabilitative speech therapy as a treatment for stuttering. Sets forth requirements and limitations for the coverage. Amends the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, the Limited Health Service Organization Act, the Voluntary Health Services Plans Act, and the Illinois Public Aid Code to require coverage under those provisions. Amends the State Mandates Act to require implementation without reimbursement. Effective January 1, 2027.
AI Summary
This bill mandates comprehensive insurance coverage for stuttering treatment, requiring group and individual health insurance policies, managed care plans, and other health coverage options to provide habilitative and rehabilitative speech therapy for stuttering starting January 1, 2027. Specifically, the bill defines habilitative services as helping a person keep, learn, or improve skills for daily living, and rehabilitative services as helping restore or improve skills that have been lost or impaired. The coverage must be provided without annual benefit limits, visit restrictions, or prior authorization requirements, and must be considered medically necessary if the treating provider determines the therapy is appropriate. The bill applies to various types of health insurance, including state employee, county, municipal, school district, and public aid programs, and requires coverage for both in-person and telehealth speech therapy services. Importantly, the bill includes a provision that if federal regulations would require the state to cover additional costs, the mandate becomes inoperative for those specific coverage requirements. The implementation of these requirements will not be reimbursed by the state, and the changes will take effect on January 1, 2027.
Committee Categories
Business and Industry
Sponsors (1)
Last Action
Rule 19(a) / Re-referred to Rules Committee (on 04/11/2025)
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.ilga.gov/legislation/BillStatus.asp?DocNum=2628&GAID=18&DocTypeID=HB&SessionID=114&GA=104 |
| BillText | https://www.ilga.gov/legislation/104/HB/10400HB2628.htm |
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