LOC FIRST RESPONDER INSURANCE

Illinois General Assembly - Full Text of SB2770

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 SB2770

Home

Legislation

Full Text

SB2770 - 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

Printer Friendly Version

Introduced

Engrossed

Enrolled

Senate Amendment 001

Open PDF

SB2770 Enrolled
LRB104 16719 RTM 30125 b
1

AN ACT concerning local government.

2

Be it enacted by the People of the State of Illinois,
3
represented in the General Assembly:

4

Section 5.
The Counties Code is amended by changing
5
Section 5-1069 as follows:

6

(55 ILCS 5/5-1069)
7

Sec. 5-1069.
Group life, health, accident, hospital, and
8
medical insurance.
9

(a) The county board of any county may arrange to provide,
10
for the benefit of employees of the county, group life,
11
health, accident, hospital, and medical insurance, or any one
12
or any combination of those types of insurance, or the county
13
board may self-insure, for the benefit of its employees, all
14
or a portion of the employees' group life, health, accident,
15
hospital, and medical insurance, or any one or any combination
16
of those types of insurance, including a combination of
17
self-insurance and other types of insurance authorized by this
18
Section, provided that the county board complies with all
19
other requirements of this Section. The insurance may include
20
provision for employees who rely on treatment by prayer or
21
spiritual means alone for healing in accordance with the
22
tenets and practice of a well recognized religious
23
denomination. The county board may provide for payment by the

SB2770 Enrolled
- 2 -
LRB104 16719 RTM 30125 b
1
county of a portion or all of the premium or charge for the
2
insurance with the employee paying the balance of the premium
3
or charge, if any. If the county board undertakes a plan under
4
which the county pays only a portion of the premium or charge,
5
the county board shall provide for withholding and deducting
6
from the compensation of those employees who consent to join
7
the plan the balance of the premium or charge for the
8
insurance.
9

(b) If the county board does not provide for
10
self-insurance or for a plan under which the county pays a
11
portion or all of the premium or charge for a group insurance
12
plan, the county board may provide for withholding and
13
deducting from the compensation of those employees who consent
14
thereto the total premium or charge for any group life,
15
health, accident, hospital, and medical insurance.
16

(c) The county board may exercise the powers granted in
17
this Section only if it provides for self-insurance or, where
18
it makes arrangements to provide group insurance through an
19
insurance carrier, if the kinds of group insurance are
20
obtained from an insurance company authorized to do business
21
in the State of Illinois. The county board may enact an
22
ordinance prescribing the method of operation of the insurance
23
program.
24

(d) If a county, including a home rule county, is a
25
self-insurer for purposes of providing health insurance
26
coverage for its employees, the insurance coverage shall

SB2770 Enrolled
- 3 -
LRB104 16719 RTM 30125 b
1
include screening by low-dose mammography for all patients 35
2
years of age or older for the presence of occult breast cancer
3
unless the county elects to provide mammograms itself under
4
Section 5-1069.1. The coverage shall be as follows:
5

(1) A baseline mammogram for patients 35 to 39 years
6

of age.
7

(2) An annual mammogram for patients 40 years of age
8

or older.
9

(3) A mammogram at the age and intervals considered
10

medically necessary by the patient's health care provider
11

for patients under 40 years of age and having a family
12

history of breast cancer, prior personal history of breast
13

cancer, positive genetic testing, or other risk factors.
14

(4) For a group policy of accident and health
15

insurance that is amended, delivered, issued, or renewed
16

on or after January 1, 2020 (the effective date of Public
17

Act 101-580), a comprehensive ultrasound screening of an
18

entire breast or breasts if a mammogram demonstrates
19

heterogeneous or dense breast tissue or when medically
20

necessary as determined by a physician licensed to
21

practice medicine in all of its branches, advanced
22

practice registered nurse, or physician assistant.
23

(4.5) For a group policy of accident and health
24

insurance that is amended, delivered, issued, or renewed
25

on or after January 1, 2026 (the effective date of Public
26

Act 103-808), molecular breast imaging (MBI) and magnetic

SB2770 Enrolled
- 4 -
LRB104 16719 RTM 30125 b
1

resonance imaging of an entire breast or breasts if a
2

mammogram demonstrates heterogeneous or dense breast
3

tissue or when medically necessary as determined by a
4

physician licensed to practice medicine in all of its
5

branches, advanced practice registered nurse, or physician
6

assistant.
7

(5) For a group policy of accident and health
8

insurance that is amended, delivered, issued, or renewed
9

on or after January 1, 2020 (the effective date of Public
10

Act 101-580), a diagnostic mammogram when medically
11

necessary, as determined by a physician licensed to
12

practice medicine in all its branches, advanced practice
13

registered nurse, or physician assistant.
14

A policy subject to this subsection shall not impose a
15
deductible, coinsurance, copayment, or any other cost-sharing
16
requirement on the coverage provided; except that this
17
sentence does not apply to coverage of diagnostic mammograms
18
to the extent such coverage would disqualify a high-deductible
19
health plan from eligibility for a health savings account
20
pursuant to Section 223 of the Internal Revenue Code (26
21
U.S.C. 223).
22

For purposes of this subsection:
23

"Diagnostic mammogram" means a mammogram obtained using
24
diagnostic mammography.
25

"Diagnostic mammography" means a method of screening that
26
is designed to evaluate an abnormality in a breast, including

SB2770 Enrolled
- 5 -
LRB104 16719 RTM 30125 b
1
an abnormality seen or suspected on a screening mammogram or a
2
subjective or objective abnormality otherwise detected in the
3
breast.
4

"Low-dose mammography" means the x-ray examination of the
5
breast using equipment dedicated specifically for mammography,
6
including the x-ray tube, filter, compression device, and
7
image receptor, with an average radiation exposure delivery of
8
less than one rad per breast for 2 views of an average size
9
breast. The term also includes digital mammography.
10

(d-5) Coverage as described by subsection (d) shall be
11
provided at no cost to the insured and shall not be applied to
12
an annual or lifetime maximum benefit.
13

(d-10) When health care services are available through
14
contracted providers and a person does not comply with plan
15
provisions specific to the use of contracted providers, the
16
requirements of subsection (d-5) are not applicable. When a
17
person does not comply with plan provisions specific to the
18
use of contracted providers, plan provisions specific to the
19
use of non-contracted providers must be applied without
20
distinction for coverage required by this Section and shall be
21
at least as favorable as for other radiological examinations
22
covered by the policy or contract.
23

(d-15) If a county, including a home rule county, is a
24
self-insurer for purposes of providing health insurance
25
coverage for its employees, the insurance coverage shall
26
include mastectomy coverage, which includes coverage for

SB2770 Enrolled
- 6 -
LRB104 16719 RTM 30125 b
1
prosthetic devices or reconstructive surgery incident to the
2
mastectomy. Coverage for breast reconstruction in connection
3
with a mastectomy shall include:
4

(1) reconstruction of the breast upon which the
5

mastectomy has been performed;
6

(2) surgery and reconstruction of the other breast to
7

produce a symmetrical appearance; and
8

(3) prostheses and treatment for physical
9

complications at all stages of mastectomy, including
10

lymphedemas.
11
Care shall be determined in consultation with the attending
12
physician and the patient. The offered coverage for prosthetic
13
devices and reconstructive surgery shall be subject to the
14
deductible and coinsurance conditions applied to the
15
mastectomy, and all other terms and conditions applicable to
16
other benefits. When a mastectomy is performed and there is no
17
evidence of malignancy then the offered coverage may be
18
limited to the provision of prosthetic devices and
19
reconstructive surgery to within 2 years after the date of the
20
mastectomy. As used in this Section, "mastectomy" means the
21
removal of all or part of the breast for medically necessary
22
reasons, as determined by a licensed physician.
23

A county, including a home rule county, that is a
24
self-insurer for purposes of providing health insurance
25
coverage for its employees, may not penalize or reduce or
26
limit the reimbursement of an attending provider or provide

SB2770 Enrolled
- 7 -
LRB104 16719 RTM 30125 b
1
incentives (monetary or otherwise) to an attending provider to
2
induce the provider to provide care to an insured in a manner
3
inconsistent with this Section.
4

(d-20) The requirement that mammograms be included in
5
health insurance coverage as provided in subsections (d)
6
through (d-15) is an exclusive power and function of the State
7
and is a denial and limitation under Article VII, Section 6,
8
subsection (h) of the Illinois Constitution of home rule
9
county powers. A home rule county to which subsections (d)
10
through (d-15) apply must comply with every provision of those
11
subsections.
12

(d-25) If a county, including a home rule county, is a
13
self-insurer for purposes of providing health insurance
14
coverage, the insurance coverage shall include joint mental
15
health therapy services for any member of the sheriff's
16
office, including the sheriff, and any spouse or partner of
17
the member who resides with the member.
18

The joint mental health therapy services provided under
19
this subsection shall be performed by a physician licensed to
20
practice medicine in all of its branches, a licensed clinical
21
psychologist, a licensed clinical social worker, a licensed
22
clinical professional counselor, a licensed marriage and
23
family therapist, a licensed social worker, or a licensed
24
professional counselor.
25

This subsection is a limitation under subsection (i) of
26
Section 6 of Article VII of the Illinois Constitution on the

SB2770 Enrolled
- 8 -
LRB104 16719 RTM 30125 b
1
concurrent exercise by home rule units of powers and functions
2
exercised by the State.
3

(e) The term "employees" as used in this Section includes
4
elected or appointed officials but does not include temporary
5
employees.
6

(f) The county board may, by ordinance, arrange to provide
7
group life, health, accident, hospital, and medical insurance,
8
or any one or a combination of those types of insurance, under
9
this Section to retired former employees and retired former
10
elected or appointed officials of the county.
11

(g) Rulemaking authority to implement this amendatory Act
12
of the 95th General Assembly, if any, is conditioned on the
13
rules being adopted in accordance with all provisions of the
14
Illinois Administrative Procedure Act and all rules and
15
procedures of the Joint Committee on Administrative Rules; any
16
purported rule not so adopted, for whatever reason, is
17
unauthorized.
18

(h) If a county, including a home rule county, is a
19
self-insurer for purposes of providing health insurance
20
coverage for its employees, the insurance coverage shall
21
include, on and after June 1, 2025, mental health counseling
22
for any county employee who is a first responder without
23
imposing a deductible, coinsurance, copayment, or any other
24
cost-sharing requirement on the coverage provided, except that
25
this subsection does not apply to the extent such coverage
26
would disqualify a high-deductible health plan from

SB2770 Enrolled
- 9 -
LRB104 16719 RTM 30125 b
1
eligibility for a health savings account pursuant to Section
2
223 of the Internal Revenue Code.
3

The requirement that mental health counseling be included
4
in health insurance coverage as provided in this subsection is
5
an exclusive power and function of the State and is a denial
6
and limitation under Article VII, Section 6, subsection (h) of
7
the Illinois Constitution of home rule county powers.
8

As used in this subsection:
9

"First responders" means police and corrections officers
;

,

10
deputy sheriffs
;

,
firefighters
;

,
emergency medical services
11
personnel, as that term is defined in Section 3.5 of the
12
Emergency Medical Services (EMS) Systems Act, dispatched
13
pursuant to a 9-1-1 call
;

,
emergency medical dispatchers, as
14
that term is defined in Section 3.70 of the Emergency Medical
15
Services (EMS) Systems Act
;

,
public safety telecommunicators,
16
as that term is defined in Section 2 of the Emergency Telephone
17
System Act, and mental health professionals employed and
18
dispatched by any unit of local government in response to
19
emergency crisis calls received on public emergency service
20
lines instead of or in conjunction with law enforcement
;
21
county medical examiners or coroners; and deputy county
22
medical examiners or deputy coroners
.
23

"Mental health counseling" means counseling therapy
24
sessions provided by a clinical social worker, professional
25
counselor, or licensed psychologist.
26
(Source: P.A. 103-808, eff. 1-1-26; 103-818, eff. 1-1-25;

SB2770 Enrolled
- 10 -
LRB104 16719 RTM 30125 b
1
103-1011, eff. 1-1-25; 104-417, eff. 8-15-25
.)

2

Section 10.
The Illinois Municipal Code is amended by
3
changing Section 10-4-2.4 as follows:

4

(65 ILCS 5/10-4-2.4)
5

Sec. 10-4-2.4.
Mental health counseling.
6

(a) As used in this Section:
7

"First responders" means police and corrections officers
;

,

8
deputy sheriffs
;

,
firefighters
;

,
emergency medical services
9
personnel, as that term is defined in Section 3.5 of the
10
Emergency Medical Services (EMS) Systems Act, dispatched
11
pursuant to a 9-1-1 call
;

,
emergency medical dispatchers, as
12
that term is defined in Section 3.70 of the Emergency Medical
13
Services (EMS) Systems Act
;

,
public safety telecommunicators,
14
as that term is defined in Section 2 of the Emergency Telephone
15
System Act
;

, and
mental health professionals employed and
16
dispatched by any unit of local government in response to
17
emergency crisis calls received on public emergency service
18
lines instead of or in conjunction with law enforcement
;
19
county medical examiners or coroners; and deputy county
20
medical examiners or deputy coroners
.
21

"Mental health counseling" means counseling therapy
22
sessions provided by a clinical social worker, professional
23
counselor, or licensed psychologist.
24

(b) If a municipality, including a home rule municipality,

SB2770 Enrolled
- 11 -
LRB104 16719 RTM 30125 b
1
is a self-insurer for purposes of providing health insurance
2
coverage for its employees, the insurance coverage shall
3
include, on and after June 1, 2025, mental health counseling
4
for any employee who is a first responder without imposing a
5
deductible, coinsurance, copayment, or any other cost-sharing
6
requirement on the coverage provided, except that this Section
7
does not apply to the extent such coverage would disqualify a
8
high-deductible health plan from eligibility for a health
9
savings account pursuant to Section 223 of the Internal
10
Revenue Code.
11

(c) The requirement that mental health counseling be
12
included in health insurance coverage as provided in this
13
Section is an exclusive power and function of the State and is
14
a denial and limitation under Article VII, Section 6,
15
subsection (h) of the Illinois Constitution of home rule
16
powers.
17
(Source: P.A. 103-1011, eff. 1-1-25
.)

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