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IL SB3549

IL SB3549
INS-HEALTH/CORONARY SCAN


summary

Introduced
02/05/2026
In Committee
02/17/2026
Crossed Over
Passed
Dead

Introduced Session

104th General Assembly

Bill Summary

Amends the Accident and Health Article of the Illinois Insurance Code. Provides that an individual or group policy of accident and health insurance that is amended, delivered, issued, or renewed on or after January 1, 2028 shall cover a medically necessary coronary calcium scan and scoring every 36 months for individuals over the age of 40. Defines "coronary calcium scan and scoring". Makes conforming changes in 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 Medical Assistance Article of the Illinois Public Aid Code. Effective January 1, 2027.

AI Summary

This bill mandates that individual and group accident and health insurance policies, as well as health maintenance organization (HMO) plans, delivered, issued, or renewed on or after January 1, 2028, must cover a medically necessary coronary calcium scan and scoring every 36 months for individuals over the age of 40. A "coronary calcium scan and scoring" is defined as using computed tomography (CT) scans to create images of the coronary arteries to detect blockages or narrowing. The bill also makes conforming changes to various Illinois laws, including those governing state employees' group insurance, counties, municipalities, schools, and public aid, to ensure this coverage is provided across different types of health plans and government programs. The effective date for this new coverage requirement is January 1, 2027.

Committee Categories

Business and Industry

Sponsors (1)

Last Action

Assigned to Insurance (on 02/17/2026)

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