Bill > HB4207

This bill requires individual and group health insurance policies in Illinois to cover a medically necessary coronary calcium scan and scoring every 36 months for individuals over the age of 40, beginning January 1, 2028. A coronary calcium scan is a specialized computed tomography (CT) imaging test that produces pictures of the coronary arteries to locate potential blockages or narrowing, which can help assess heart disease risk. The bill amends multiple state insurance-related 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 Medical Assistance Article of the Illinois Public Aid Code, to ensure that various types of health insurance plans and programs will be required to include this coverage. By mandating this screening for older adults, the bill aims to improve early detection of potential heart health issues. The bill will take effect on January 1, 2027, giving insurers time to prepare for the new coverage requirement.

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https://www.ilga.gov/Legislation/BillStatus?DocNum=4207&GAID=18&DocTypeID=HB&SessionID=114&GA=104