summary
Introduced
02/03/2026
02/03/2026
In Committee
03/04/2026
03/04/2026
Crossed Over
Passed
Dead
Introduced Session
Potential new amendment
104th General Assembly
Bill Summary
Amends the Illinois Insurance Code. Provides that an individual or group policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2027 that provides coverage for durable medical equipment that is authorized or prescribed by a physician licensed to practice medicine in all its branches shall provide the same level of coverage for durable medical equipment that is authorized or prescribed by a different health care practitioner who lawfully prescribes or orders home medical equipment and services or uses home medical equipment and services to treat the health care practitioner's patients. 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 establish the same requirement under the provisions of those Acts. Effective immediately.
AI Summary
This bill, effective immediately, mandates that insurance policies, managed care plans, and government health benefit programs in Illinois, including those for state employees, counties, municipalities, and school districts, must provide the same level of coverage for durable medical equipment (DME) regardless of whether it is prescribed or ordered by a physician or another healthcare practitioner who is legally authorized to prescribe or order such equipment. This change, which applies to policies amended, delivered, issued, or renewed on or after January 1, 2027, ensures that patients can access necessary DME based on the orders of a broader range of qualified healthcare professionals, not just physicians. The bill also amends various Illinois codes, including the Insurance Code, the State Employees Group Insurance Act, 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 reflect this expanded coverage requirement.
Committee Categories
Business and Industry
Sponsors (1)
Last Action
Placed on Calendar Order of 3rd Reading March 10, 2026 (on 03/05/2026)
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