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Full Text of HB4429
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HB4429 - 104th General Assembly
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104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
HB4429
Introduced 1/20/2026, by Rep. Anne Stava
SYNOPSIS AS INTRODUCED:
215 ILCS 5/356z.88 new
410 ILCS 50/5.3 new
410 ILCS 50/5.4 new
Amends the Illinois Insurance Code. Provides that no policy of
accident or health insurance that is issued, amended, delivered, or
renewed on or after January 1, 2027 may limit or otherwise alter coverage
available to an insured based solely on that insured's weight or body mass
index. Amends the Medical Patient Rights Act. Provides that no physician
may make a diagnosis or determination of treatment based solely on a
patient's body mass index. Establishes disclosure requirements for
hospitals concerning the use of body mass index in diagnosis and
treatment. Provides that any physician, medical student, resident,
advanced practice registered nurse, registered nurse, physician assistant,
licensed behavior analyst, licensed assistant behavior analyst, or
clinical psychologist who conducts medical, behavioral, or psychological
assessments shall only use methodology recommended by peer-reviewed
clinical practice guidelines or methodology established through
evidence-based standards that are widely recognized by professional
medical, behavioral, or psychological organizations, respective to the
form of assessment, when conducting those assessments.
LRB104 17415 BAB 30840 b
A BILL FOR
HB4429
LRB104 17415 BAB 30840 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 25.
The Illinois Insurance Code is amended by
5
adding Section 356z.88 as follows:
6
(215 ILCS 5/356z.88 new)
7
Sec. 356z.88.
Prohibition on limiting coverage based on
8
body mass index.
As used in this Section, "body mass index"
9
means the screening tool that uses an individual's height and
10
weight to estimate body fat. No policy of accident or health
11
insurance that is issued, amended, delivered, or renewed on or
12
after January 1, 2027 may limit or otherwise alter coverage
13
available to an insured based solely on that insured's weight
14
or body mass index.
15
Section 50.
The Medical Patient Rights Act is amended by
16
adding Sections 5.3 and 5.4 as follows:
17
(410 ILCS 50/5.3 new)
18
Sec. 5.3.
Discrimination on the basis of BMI; notice.
19
(a) As used in this Section, "body mass index" means the
20
screening tool that uses an individual's height and weight to
21
estimate body fat.
HB4429
- 2 -
LRB104 17415 BAB 30840 b
1
(b) No physician may make a diagnosis or determination of
2
treatment based solely on a patient's body mass index.
3
(c) Every hospital shall post, either by physical or
4
electronic means, in close proximity to every publicly
5
accessible entrance, a notice stating the following:
6
"You have the right to access treatment regardless of
7
your Body Mass Index (BMI), and to know if and to what
8
extent your doctor has considered your weight in diagnosis
9
or in determining treatment. If you feel that weight or
10
BMI has been used improperly, please call [insert number
11
for hospital grievance officer].".
12
(d) Nothing in this Section shall be construed to prohibit
13
the use of blood pressure, cholesterol, or other factors
14
typically used in combination with body mass index for
15
diagnosis or treatment.
16
(410 ILCS 50/5.4 new)
17
Sec. 5.4.
Scientific assessment standards.
Any physician,
18
medical student, resident, advanced practice registered nurse,
19
registered nurse, physician assistant, licensed behavior
20
analyst, licensed assistant behavior analyst, or clinical
21
psychologist who conducts medical, behavioral, or
22
psychological assessments shall only use methodology
23
recommended by peer-reviewed clinical practice guidelines or
24
methodology established through evidence-based standards that
25
are widely recognized by professional medical, behavioral, or
HB4429
- 3 -
LRB104 17415 BAB 30840 b
1
psychological organizations, respective to the form of
2
assessment, when conducting those assessments.
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