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Full Text of SB2962
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SB2962 - 104th General Assembly
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Senate Amendment 001
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104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
SB2962
Introduced 1/27/2026, by Sen. Suzy Glowiak Hilton
SYNOPSIS AS INTRODUCED:
215 ILCS 5/356z.33
Amends the Illinois Insurance Code. Provides that a group or
individual policy of accident and health insurance or a managed care plan
that is amended, issued, delivered, or renewed on or after January 1, 2028
shall provide coverage for medically necessary epinephrine delivery
systems. Removes language providing that "epinephrine injector" has the
meaning set forth in the Epinephrine Injector Act. Provides that
"epinephrine injector" includes an auto-injector approved by the United
States Food and Drug Administration for the administration of epinephrine
and a pre-filled syringe approved by the United States Food and Drug
Administration and used for the administration of epinephrine that
contains a pre-measured dose of epinephrine that is equivalent to the
dosages used in an auto-injector. Includes epinephrine delivery systems in
provisions concerning cost limitations for medically necessary epinephrine
injectors.
LRB104 16645 BAB 30048 b
A BILL FOR
SB2962
LRB104 16645 BAB 30048 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 356z.33 as follows:
6
(215 ILCS 5/356z.33)
7
Sec. 356z.33.
Coverage for epinephrine injectors
and
8
epinephrine delivery systems
.
9
(a) As used in this Section:
10
"Epinephrine delivery system" has the meaning given to
11
that term in Section 5 of the Epinephrine Injector Act.
12
"Epinephrine injector" includes an auto-injector approved
13
by the United States Food and Drug Administration for the
14
administration of epinephrine and a pre-filled syringe
15
approved by the United States Food and Drug Administration and
16
used for the administration of epinephrine that contains a
17
pre-measured dose of epinephrine that is equivalent to the
18
dosages used in an auto-injector.
19
(b)
(a)
A group or individual policy of accident and
20
health insurance or a managed care plan that is amended,
21
delivered, issued, or renewed on or after January 1, 2020 (the
22
effective date of Public Act 101-281) shall provide coverage
23
for medically necessary epinephrine injectors for persons 18
SB2962
- 2 -
LRB104 16645 BAB 30048 b
1
years of age or under.
As used in this Section, "epinephrine
2
injector" has the meaning given to that term in Section 5 of
3
the Epinephrine Injector Act.
4
(c) A group or individual policy of accident and health
5
insurance or a managed care plan that is amended, issued,
6
delivered, or renewed on or after January 1, 2028 shall
7
provide coverage for medically necessary epinephrine delivery
8
systems.
9
(d)
(b)
An insurer that provides coverage for medically
10
necessary epinephrine injectors
or epinephrine delivery
11
systems
shall limit the total amount that an insured is
12
required to pay for a twin-pack of medically necessary
13
epinephrine injectors
or epinephrine delivery systems,
at an
14
amount not to exceed $60, regardless of the type of
15
epinephrine injector
or delivery system
; except that this
16
provision does not apply to the extent such coverage would
17
disqualify a high-deductible health plan from eligibility for
18
a health savings account pursuant to Section 223 of the
19
Internal Revenue Code (26 U.S.C. 223).
20
(e)
(c)
Nothing in this Section prevents an insurer from
21
reducing an insured's cost sharing by an amount greater than
22
the amount specified in subsection (b)
or (c)
.
23
(f)
(d)
The Department may adopt rules as necessary to
24
implement and administer this Section.
25
(Source: P.A. 102-558, eff. 8-20-21; 103-454, eff. 1-1-25;
26
103-718, eff. 7-19-24
.)
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