summary
Introduced
02/07/2025
02/07/2025
In Committee
02/18/2025
02/18/2025
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 requires health insurance providers in Illinois to cover speech therapy for people who stutter, starting January 1, 2027. Specifically, the bill mandates that group or individual health insurance policies and managed care plans provide coverage for both habilitative and rehabilitative speech therapy for stuttering, regardless of whether the stuttering is classified as developmental. The coverage must be provided without annual benefit limits, cannot be restricted based on the cause of stuttering, and does not require prior authorization. Insurance providers must consider speech therapy medically necessary if a treating provider determines it is appropriate to help the patient improve or restore skills for daily living. The coverage includes both in-person and telehealth speech therapy services, and applies to various types of health insurance plans, including state employee, county, municipal, and school district plans. The bill ensures that this coverage will be implemented without requiring state reimbursement, effectively making it a mandatory benefit for health insurance plans in Illinois.
Sponsors (1)
Last Action
Referred to Rules Committee (on 02/18/2025)
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=3325&GAID=18&DocTypeID=HB&SessionID=114&GA=104 |
| BillText | https://www.ilga.gov/legislation/104/HB/10400HB3325.htm |
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