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HB4203 • 2026
INS CD-CANCER SCREENINGS
This bill passed the Legislature and reached final enactment based on the latest official action.
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INS CD-CANCER SCREENINGS
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Plain English: Illinois General Assembly - Full Text of HB4203 Select Language × The Illinois General Assembly offers the Google Translate™ service for visitor convenience.
Governor Approved
Effective Date January 1, 2028
Public Act . . . . . . . . . 104-0548
Sent to the Governor
Senate Floor Amendment No. 1 House Concurs 115-000-000
House Concurs
Passed Both Houses
Added Chief Co-Sponsor Rep. Jennifer Sanalitro
Added Chief Co-Sponsor Rep. Michael J. Coffey, Jr.
Senate Floor Amendment No. 1 Motion to Concur Rules Referred to Insurance Committee
Senate Floor Amendment No. 1 Motion to Concur Recommends Be Adopted Insurance Committee ; 016-000-000
Third Reading - Passed; 058-000-000
Arrived in House
Placed on Calendar Order of Concurrence Senate Amendment(s) 1
Senate Floor Amendment No. 1 Motion Filed Concur Rep. Norine K. Hammond
Senate Floor Amendment No. 1 Motion to Concur Referred to Rules Committee
Added as Alternate Co-Sponsor Sen. Kimberly A. Lightford
Rule 2-10 Third Reading Deadline Established As May 31, 2026
Second Reading
Senate Floor Amendment No. 1 Adopted; Bryant
Placed on Calendar Order of 3rd Reading May 21, 2026
Senate Floor Amendment No. 1 Recommend Do Adopt Insurance ; 010-000-000
Senate Floor Amendment No. 1 Assignments Refers to Insurance
Senate Floor Amendment No. 1 Postponed - Insurance
Senate Floor Amendment No. 1 Filed with Secretary by Sen. Terri Bryant
Senate Floor Amendment No. 1 Referred to Assignments
Do Pass Insurance ; 009-000-000
Placed on Calendar Order of 2nd Reading May 7, 2026
Assigned to Insurance
Chief Senate Sponsor Sen. Terri Bryant
First Reading
Referred to Assignments
Arrive in Senate
Placed on Calendar Order of First Reading April 16, 2026
Added Co-Sponsor Rep. Jackie Haas
Added Co-Sponsor Rep. Tony M. McCombie
Added Co-Sponsor Rep. Janet Yang Rohr
Placed on Calendar Order of 3rd Reading - Short Debate
Third Reading - Short Debate - Passed 109-000-000
Second Reading - Short Debate
Held on Calendar Order of Second Reading - Short Debate
Placed on Calendar 2nd Reading - Short Debate
Do Pass / Short Debate Insurance Committee ; 015-000-000
Assigned to Insurance Committee
First Reading
Referred to Rules Committee
Filed with the Clerk by Rep. Norine K. Hammond
INS CD-CANCER SCREENINGS
Illinois General Assembly - Full Text of HB4203 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. 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Full Text of HB4203 Home Legislation Full Text HB4203 - 104th General Assembly Bill Status Full Text Votes Witness Slips Select Menu Bill Status Full Text Votes Witness Slips Printer Friendly Version Introduced Engrossed Enrolled Senate Amendment 001 Public Act Printer Friendly Version Introduced Engrossed Enrolled Senate Amendment 001 Public Act Open PDF HB4203 Enrolled LRB104 15932 BAB 29167 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 Illinois Insurance Code is amended by 5 changing Section 356u as follows: 6 (215 ILCS 5/356u) 7 Sec. 356u. Pap tests and prostate cancer screenings. 8 (a) A group policy of accident and health insurance that 9 provides coverage for hospital or medical treatment or 10 services for illness on an expense-incurred basis and is 11 amended, delivered, issued, or renewed on or after January 1, 12 2028 2024 shall provide coverage, without imposing a 13 deductible, coinsurance, copayment, or any other cost-sharing 14 requirement, for all of the following: 15 (1) An annual cervical smear or Pap smear test for all 16 insureds. 17 (2) An annual prostate cancer screening for insureds 18 upon the recommendation of a physician licensed to 19 practice medicine in all its branches for: 20 (A) asymptomatic individuals age 50 and over; 21 (B) African-American individuals age 40 and over; 22 and 23 (C) individuals age 40 and over with a family HB4203 Enrolled - 2 - LRB104 15932 BAB 29167 b 1 history of or genetic predisposition to prostate 2 cancer. 3 (3) An annual screening Surveillance tests for ovarian 4 cancer for insureds who are at risk for ovarian cancer 5 using (i) CA-125 serum tumor marker testing, (ii) 6 transvaginal ultrasound, and (iii) pelvic examination . 7 (a-5) A group policy of accident and health insurance that 8 provides coverage for hospital or medical treatment or 9 services for illness on an expense-incurred basis and is 10 amended, delivered, issued, or renewed on or after January 1, 11 2028 shall, in addition to the coverage required under 12 paragraph (3) of subsection (a), provide coverage for all 13 medically viable methods for the detection and diagnosis of 14 ovarian cancer for insureds who are at risk for ovarian 15 cancer, including, but not limited to, ultrasounds, magnetic 16 resonance imagings (MRIs), x-rays, computed tomography (CT) 17 scans, and CA-125 blood test screenings. The coverage required 18 under this subsection may be subject to a deductible, 19 coinsurance, or other cost sharing. 20 (b) This Section shall not apply to agreements, contracts, 21 or policies that provide coverage for a specified disease or 22 other limited benefit coverage. 23 (c) This Section does not apply to coverage of prostate 24 cancer screenings to the extent such coverage would disqualify 25 a high-deductible health plan from eligibility for a health 26 savings account pursuant to Section 223 of the Internal HB4203 Enrolled - 3 - LRB104 15932 BAB 29167 b 1 Revenue Code. 2 (d) For the purposes of this Section: 3 "At risk for ovarian cancer" means: 4 (1) having a family history (i) with one or more 5 first-degree relatives with ovarian cancer, (ii) of 6 clusters of relatives with breast cancer, or (iii) of 7 nonpolyposis colorectal cancer; or 8 (2) testing positive for BRCA1 or BRCA2 mutations ; or . 9 (3) having a high level of CA-125, as indicated by a 10 blood test screening. 11 "Prostate cancer screening" means medically viable methods 12 for the detection and diagnosis of prostate cancer, including 13 a digital rectal exam and the prostate-specific antigen test 14 and associated laboratory work. "Prostate cancer screening" 15 includes medically necessary subsequent follow-up testing as 16 directed by a health care provider, including, but not limited 17 to: 18 (1) urinary analysis; 19 (2) serum biomarkers; and 20 (3) medical imaging, including, but not limited to, 21 magnetic resonance imaging. 22 "Surveillance tests for ovarian cancer" means annual 23 screening using (i) CA-125 serum tumor marker testing, (ii) 24 transvaginal ultrasound, (iii) pelvic examination. 25 (Source: P.A. 102-1073, eff. 1-1-23; 103-30, eff. 1-1-25 .) 26 Section 99. Effective date. This Act takes effect January HB4203 Enrolled - 4 - LRB104 15932 BAB 29167 b 1 1, 2028. 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. 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