Read the full stored bill text
Illinois General Assembly - Full Text of HB1076
Select Language
×
The Illinois General Assembly offers the Google Translate™ service for visitor convenience. In no way should it be considered accurate as to the translation of any content herein.
Visitors of the Illinois General Assembly website are encouraged to use other translation services available on the internet.
The English language version is always the official and authoritative version of this website.
NOTE: To return to the original English language version, select the "Show Original" button on the Google Translate™ menu bar at the top of the window.
Choose Language
English
Afrikaans
Albanian
Arabic
Armenian
Azerbaijani
Basque
Bengali
Bosnian
Catalan
Croatian
Czech
Danish
Dutch
Esperanto
Estonian
Filipino
Finnish
French
Galician
Georgian
German
Greek
Gujarati
Haitian Creole
Hausa
Hawaiian
Hebrew
Hindi
Hungarian
Icelandic
Indonesian
Interlingua
Interlingue
Inuktitut
Irish
Italian
Japanese
Javanese
Kannada
Khmer
Korean
Latin
Latvian
Lithuanian
Luxembourgish
Macedonian
Malagasy
Malayalam
Maltese
Maori
Marathi
Myanmar
Nepali
Norwegian
Odia
Pashto
Punjabi
Romanian
Russian
Samoan
Sango
Sanskrit
Sardinian
Sindhi
Sinhala
Slovak
Slovenian
Somali
Southern Sotho
Spanish
Sundanese
Swahili
Swedish
Tamil
Telugu
Thai
Tigrinya
Tonga
Turkish
Ukrainian
Urdu
Vietnamese
Welsh
Xhosa
Yiddish
Yoruba
Zulu
Powered by
Translate
Close
Illinois General Assembly
Top Navigation Bar
Translate
Learn
Select General Assembly
Search the 104th General Assembly
Enter search terms for legislation, members, committees, or schedules.
ILGA.GOV
LEGISLATION & LAWS
Bills & Resolutions
Public Acts
Illinois Compiled Statutes
Illinois Constitution
Search Legislation
Glossary
Guide
Reports & Inquiry
Legislative Reports
Special Reports
FTP Site
Legislator Lookup
Capitol Complex Phone Numbers
Rules & Regulations
Illinois Register
Administrative Rules
Senate
Members
Schedules
Committees
Request for Remote Testimony
Journals
Transcripts
Rules
Audio/Video
FOIA Information
Senate Employment Opportunities
Media Guidelines
House
Members
Schedules
Committees
Submit testimony for House Committees
Journals
Transcripts
Rules
Audio/Video
FOIA Information
House Employment Opportunities
Log In
Mobile Top Bar
Search the 104th General Assembly
Enter keywords to search the Illinois General Assembly website.
Full Text of HB1076
Home
Legislation
Full Text
HB1076 - 104th General Assembly
Bill Status
Full Text
Votes
Witness Slips
Select Menu
Bill Status
Full Text
Votes
Witness Slips
Printer Friendly Version
Introduced
House Amendment 001
House Amendment 002
House Amendment 003
House Amendment 004
Printer Friendly Version
Introduced
House Amendment 001
House Amendment 002
House Amendment 003
House Amendment 004
Open PDF
104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
HB1076
Introduced 1/9/2025, by Rep. Margaret Croke
SYNOPSIS AS INTRODUCED:
5 ILCS 375/6.11
215 ILCS 5/356z.80 new
305 ILCS 5/5-16.8
Amends the Illinois Insurance Code. Provides that any individual or
group policy of accident or health insurance that is delivered, extended,
renewed, or modified after January 1, 2026 must provide coverage for at
least one 6-month supply of each of the following for each infant covered
by the policy: an early egg allergen introduction dietary supplement
prescribed by a health care practitioner; and an early peanut allergen
introduction dietary supplement prescribed by a health care practitioner.
Provides that the coverage shall be provided without cost-sharing, except
to the extent the cost-sharing limitation would cause a catastrophic plan
to fail to be treated as a catastrophic plan under the Patient Protection
and Affordable Care Act or would keep a high-deductible health plan from
being treated as a high-deductible health plan or to the extent the
cost-sharing limitation would disqualify the plan from a health savings
account. Amends the State Employees Group Insurance Act of 1971 and the
Medical Assistance Article of the Illinois Public Aid Code to require that
coverage. Effective immediately.
LRB104 05517 RPS 15546 b
A BILL FOR
HB1076
LRB104 05517 RPS 15546 b
1
AN ACT concerning regulation.
2
Be it enacted by the People of the State of Illinois,
3
represented in the General Assembly:
4
Section 5.
The State Employees Group Insurance Act of 1971
5
is amended by changing Section 6.11 as follows:
6
(5 ILCS 375/6.11)
7
Sec. 6.11.
Required health benefits; Illinois Insurance
8
Code requirements.
The program of health benefits shall
9
provide the post-mastectomy care benefits required to be
10
covered by a policy of accident and health insurance under
11
Section 356t of the Illinois Insurance Code. The program of
12
health benefits shall provide the coverage required under
13
Sections 356g, 356g.5, 356g.5-1, 356m, 356q, 356u, 356u.10,
14
356w, 356x, 356z.2, 356z.4, 356z.4a, 356z.5, 356z.6, 356z.8,
15
356z.9, 356z.10, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15,
16
356z.17, 356z.22, 356z.25, 356z.26, 356z.29, 356z.30, 356z.32,
17
356z.33, 356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47,
18
356z.51, 356z.53, 356z.54, 356z.55, 356z.56, 356z.57, 356z.59,
19
356z.60, 356z.61, 356z.62, 356z.64, 356z.67, 356z.68,
and
20
356z.70,
and
356z.71
, 356z.74, 356z.76, 356z.77, and 356z.80
21
of the Illinois Insurance Code. The program of health benefits
22
must comply with Sections 155.22a, 155.37, 355b, 356z.19,
23
370c, and 370c.1 and Article XXXIIB of the Illinois Insurance
HB1076
- 2 -
LRB104 05517 RPS 15546 b
1
Code. The program of health benefits shall provide the
2
coverage required under Section 356m of the Illinois Insurance
3
Code and, for the employees of the State Employee Group
4
Insurance Program only, the coverage as also provided in
5
Section 6.11B of this Act. The Department of Insurance shall
6
enforce the requirements of this Section with respect to
7
Sections 370c and 370c.1 of the Illinois Insurance Code; all
8
other requirements of this Section shall be enforced by the
9
Department of Central Management Services.
10
Rulemaking authority to implement Public Act 95-1045, if
11
any, is conditioned on the rules being adopted in accordance
12
with all provisions of the Illinois Administrative Procedure
13
Act and all rules and procedures of the Joint Committee on
14
Administrative Rules; any purported rule not so adopted, for
15
whatever reason, is unauthorized.
16
(Source: P.A. 102-30, eff. 1-1-22; 102-103, eff. 1-1-22;
17
102-203, eff. 1-1-22; 102-306, eff. 1-1-22; 102-642, eff.
18
1-1-22; 102-665, eff. 10-8-21; 102-731, eff. 1-1-23; 102-768,
19
eff. 1-1-24; 102-804, eff. 1-1-23; 102-813, eff. 5-13-22;
20
102-816, eff. 1-1-23; 102-860, eff. 1-1-23; 102-1093, eff.
21
1-1-23; 102-1117, eff. 1-13-23; 103-8, eff. 1-1-24; 103-84,
22
eff. 1-1-24; 103-91, eff. 1-1-24; 103-420, eff. 1-1-24;
23
103-445, eff. 1-1-24; 103-535, eff. 8-11-23; 103-551, eff.
24
8-11-23; 103-605, eff. 7-1-24; 103-718, eff. 7-19-24; 103-751,
25
eff. 8-2-24; 103-870, eff. 1-1-25; 103-914, eff. 1-1-25;
26
103-918, eff. 1-1-25; 103-951, eff. 1-1-25; 103-1024, eff.
HB1076
- 3 -
LRB104 05517 RPS 15546 b
1
1-1-25; revised 11-26-24.)
2
Section 10.
The Illinois Insurance Code is amended by
3
adding Section 356z.80 as follows:
4
(215 ILCS 5/356z.80 new)
5
Sec. 356z.80.
Coverage for allergenic protein dietary
6
supplements.
7
(a) In this Section:
8
"Dietary supplement" has the meaning given to that term in
9
the Federal Food, Drug, and Cosmetic Act, 21 U.S.C. 321.
10
"Early egg allergen introduction dietary supplement" means
11
a dietary supplement that is prescribed to an infant by a
12
health care practitioner and that contains a concentration of
13
infant-safe, well-cooked egg protein sufficient to reduce the
14
risk of the infant acquiring an allergy to eggs.
15
"Early peanut allergen introduction dietary supplement"
16
means a dietary supplement that is prescribed to an infant by a
17
health care practitioner and that contains a concentration of
18
infant-safe peanut protein sufficient to reduce the risk of
19
the infant acquiring an allergy to peanuts.
20
"Health care practitioner" means a physician licensed to
21
practice medicine in all its branches under the Medical
22
Practice Act of 1987, a physician assistant under the
23
Physician Assistant Practice Act of 1987 with prescriptive
24
authority, or an advanced practice registered nurse with
HB1076
- 4 -
LRB104 05517 RPS 15546 b
1
prescriptive authority under Article 65 of the Nurse Practice
2
Act.
3
"Infant" means a child who has not attained the age of one
4
year.
5
(b)(1) Any individual or group policy of accident or
6
health insurance that is delivered, extended, renewed, or
7
modified after January 1, 2026 must provide coverage for at
8
least one 6-month supply of each of the following for each
9
infant covered by the policy:
10
(A) an early egg allergen introduction dietary
11
supplement; and
12
(B) an early peanut allergen introduction dietary
13
supplement.
14
(2) The coverage required under paragraph (1) of this
15
subsection shall be provided without cost sharing.
16
(c)(1) This Section does not apply to accident-only,
17
specified disease, hospital indemnity, Medicare supplement,
18
long-term care, disability income, or other limited benefit
19
health insurance policies.
20
(2) The cost-sharing limitation under paragraph (2) of
21
subsection (b) does not apply to any catastrophic plan to the
22
extent limiting cost sharing would cause the plan to fail to be
23
treated as a catastrophic plan under subsection (e) of Section
24
1302 of the Patient Protection and Affordable Care Act, 42
25
U.S.C. 18022(e).
26
(3) The cost-sharing limitation provision under paragraph
HB1076
- 5 -
LRB104 05517 RPS 15546 b
1
(2) of subsection (b) does not apply to a high-deductible
2
health plan to the extent the cost-sharing limitation would
3
disqualify the plan from being treated as a high-deductible
4
health plan or to the extent it would disqualify the plan from
5
eligibility for a health savings account under Section 223 of
6
the Internal Revenue Code.
7
Section 15.
The Illinois Public Aid Code is amended by
8
changing Section 5-16.8 as follows:
9
(305 ILCS 5/5-16.8)
10
Sec. 5-16.8.
Required health benefits.
The medical
11
assistance program shall (i) provide the post-mastectomy care
12
benefits required to be covered by a policy of accident and
13
health insurance under Section 356t and the coverage required
14
under Sections 356g.5, 356q, 356u, 356w, 356x, 356z.6,
15
356z.26, 356z.29, 356z.32, 356z.33, 356z.34, 356z.35, 356z.46,
16
356z.47, 356z.51, 356z.53, 356z.59, 356z.60, 356z.61, 356z.64,
17
and
356z.67,
and
356z.71
, 356z.75, and 356z.80
of the Illinois
18
Insurance Code, (ii) be subject to the provisions of Sections
19
356z.19, 356z.44, 356z.49, 364.01, 370c, and 370c.1 of the
20
Illinois Insurance Code, and (iii) be subject to the
21
provisions of subsection (d-5) of Section 10 of the Network
22
Adequacy and Transparency Act.
23
The Department, by rule, shall adopt a model similar to
24
the requirements of Section 356z.39 of the Illinois Insurance
HB1076
- 6 -
LRB104 05517 RPS 15546 b
1
Code.
2
On and after July 1, 2012, the Department shall reduce any
3
rate of reimbursement for services or other payments or alter
4
any methodologies authorized by this Code to reduce any rate
5
of reimbursement for services or other payments in accordance
6
with Section 5-5e.
7
To ensure full access to the benefits set forth in this
8
Section, on and after January 1, 2016, the Department shall
9
ensure that provider and hospital reimbursement for
10
post-mastectomy care benefits required under this Section are
11
no lower than the Medicare reimbursement rate.
12
(Source: P.A. 102-30, eff. 1-1-22; 102-144, eff. 1-1-22;
13
102-203, eff. 1-1-22; 102-306, eff. 1-1-22; 102-530, eff.
14
1-1-22; 102-642, eff. 1-1-22; 102-804, eff. 1-1-23; 102-813,
15
eff. 5-13-22; 102-816, eff. 1-1-23; 102-1093, eff. 1-1-23;
16
102-1117, eff. 1-13-23; 103-84, eff. 1-1-24; 103-91, eff.
17
1-1-24; 103-420, eff. 1-1-24; 103-605, eff. 7-1-24; 103-703,
18
eff. 1-1-25; 103-758, eff. 1-1-25; 103-1024, eff. 1-1-25;
19
revised 11-26-24.)
20
Section 99.
Effective date.
This Act takes effect upon
21
becoming law.
Footer
Disclaimer
This site is maintained for the Illinois General Assembly by the
Legislative Information System, 705 Stratton Building, Springfield, Illinois 62706.
Contact ILGA Webmaster
ILGA.gov uses cookies to ensure you get the best experience on our website. By continuing to browse ILGA.gov you consent to our use of cookies.
Read About Cookies
ILGA.GOV
2026 ILGA.gov | All Rights Reserved |
ADA
|
Disclaimers
|
Learn
This site is maintained for the Illinois General Assembly by the
Legislative Information System, 705 Stratton Building, Springfield, Illinois 62706.
Contact ILGA Webmaster
ILGA.gov uses cookies to ensure you get the best experience on our website. By continuing to browse ILGA.gov you consent to our use of cookies.
Read About Cookies
ILGA.GOV
2026 ILGA.gov | All Rights Reserved |
ADA
|
Disclaimers
|
Learn