INS-DURABLE MEDICAL EQUIPMENT

Illinois General Assembly - Full Text of SB3295

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 SB3295

Home

Legislation

Full Text

SB3295 - 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

SB3295 Enrolled
LRB104 18046 BAB 31485 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

(Text of Section before amendment by P.A. 104-1
)
8

Sec. 6.11.
Required health benefits; Illinois Insurance
9
Code requirements.
The program of health benefits shall
10
provide the post-mastectomy care benefits required to be
11
covered by a policy of accident and health insurance under
12
Section 356t of the Illinois Insurance Code. The program of
13
health benefits shall provide the coverage required under
14
Sections 356g, 356g.5, 356g.5-1, 356m, 356q, 356u, 356u.10,
15
356w, 356x, 356z.2, 356z.4, 356z.4a, 356z.5, 356z.6, 356z.8,
16
356z.9, 356z.10, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15,
17
356z.17, 356z.22, 356z.25, 356z.26, 356z.29, 356z.30, 356z.32,
18
356z.33, 356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47,
19
356z.51, 356z.53, 356z.54, 356z.55, 356z.56, 356z.57, 356z.59,
20
356z.60, 356z.61, 356z.62, 356z.64, 356z.67, 356z.68, 356z.70,
21
356z.71, 356z.74, 356z.76,
and
356z.77,
and
356z.80
, 356z.81,
22
356z.82, 356z.83, 356z.84, and 356z.85
of the Illinois
23
Insurance Code. The program of health benefits must comply

SB3295 Enrolled
- 2 -
LRB104 18046 BAB 31485 b
1
with Sections 155.22a, 155.37, 355b, 356z.19,
356z.88,
370c,
2
and 370c.1 and Article XXXIIB of the Illinois Insurance Code.
3
The program of health benefits shall provide the coverage
4
required under Section 356m of the Illinois Insurance Code
5
and, for the employees of the State Employee Group Insurance
6
Program only, the coverage as also provided in Section 6.11B
7
of this Act. The Department of Insurance shall enforce the
8
requirements of this Section with respect to Sections 370c and
9
370c.1 and Article XXXIIB of the Illinois Insurance Code; all
10
other requirements of this Section shall be enforced by the
11
Department of Central Management Services.
12

Rulemaking authority to implement Public Act 95-1045, if
13
any, is conditioned on the rules being adopted in accordance
14
with all provisions of the Illinois Administrative Procedure
15
Act and all rules and procedures of the Joint Committee on
16
Administrative Rules; any purported rule not so adopted, for
17
whatever reason, is unauthorized.
18
(Source: P.A. 103-8, eff. 1-1-24; 103-84, eff. 1-1-24; 103-91,
19
eff. 1-1-24; 103-420, eff. 1-1-24; 103-445, eff. 1-1-24;
20
103-535, eff. 8-11-23; 103-551, eff. 8-11-23; 103-605, eff.
21
7-1-24; 103-718, eff. 7-19-24; 103-751, eff. 8-2-24; 103-870,
22
eff. 1-1-25; 103-914, eff. 1-1-25; 103-918, eff. 1-1-25;
23
103-951, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-27, eff.
24
1-1-26, 104-42, eff. 8-1-25; 104-68, eff. 1-1-26; 104-73, eff.
25
1-1-26; 104-289, eff. 1-1-26; 104-324, eff. 1-1-26; 104-379,
26
eff. 1-1-26; 104-417, eff. 8-15-25; revised 11-19-25.)

SB3295 Enrolled
- 3 -
LRB104 18046 BAB 31485 b
1

(Text of Section after amendment by P.A. 104-1
)
2

Sec. 6.11.
Required health benefits; Illinois Insurance
3
Code requirements.
The program of health benefits shall
4
provide the post-mastectomy care benefits required to be
5
covered by a policy of accident and health insurance under
6
Section 356t of the Illinois Insurance Code. The program of
7
health benefits shall provide the coverage required under
8
Sections 356g, 356g.5, 356g.5-1, 356m, 356q, 356u, 356u.10,
9
356w, 356x, 356z.2, 356z.4, 356z.4a, 356z.5, 356z.6, 356z.8,
10
356z.9, 356z.10, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15,
11
356z.17, 356z.22, 356z.25, 356z.26, 356z.29, 356z.30, 356z.32,
12
356z.33, 356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47,
13
356z.51, 356z.53, 356z.54, 356z.55, 356z.56, 356z.57, 356z.59,
14
356z.60, 356z.61, 356z.62, 356z.64, 356z.67, 356z.68, 356z.70,
15
356z.71, 356z.74, 356z.76,
and
356z.77,
356z.79,

and
356z.80
,
16
356z.81, 356z.82, 356z.83, 356z.84, and 356z.85
of the
17
Illinois Insurance Code. The program of health benefits must
18
comply with Sections 155.22a, 155.37, 355b, 356z.19,
356z.88,

19
370c, and 370c.1 and Article XXXIIB of the Illinois Insurance
20
Code. The program of health benefits shall provide the
21
coverage required under Section 356m of the Illinois Insurance
22
Code and, for the employees of the State Employee Group
23
Insurance Program only, the coverage as also provided in
24
Section 6.11B of this Act. The Department of Insurance shall
25
enforce the requirements of this Section with respect to

SB3295 Enrolled
- 4 -
LRB104 18046 BAB 31485 b
1
Sections 370c and 370c.1 and Article XXXIIB of the Illinois
2
Insurance Code; all other requirements of this Section shall
3
be enforced by the Department of Central Management Services.
4

Rulemaking authority to implement Public Act 95-1045, if
5
any, is conditioned on the rules being adopted in accordance
6
with all provisions of the Illinois Administrative Procedure
7
Act and all rules and procedures of the Joint Committee on
8
Administrative Rules; any purported rule not so adopted, for
9
whatever reason, is unauthorized.
10
(Source: P.A. 103-8, eff. 1-1-24; 103-84, eff. 1-1-24; 103-91,
11
eff. 1-1-24; 103-420, eff. 1-1-24; 103-445, eff. 1-1-24;
12
103-535, eff. 8-11-23; 103-551, eff. 8-11-23; 103-605, eff.
13
7-1-24; 103-718, eff. 7-19-24; 103-751, eff. 8-2-24; 103-870,
14
eff. 1-1-25; 103-914, eff. 1-1-25; 103-918, eff. 1-1-25;
15
103-951, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-1, eff.
16
7-1-27; 104-27, eff. 1-1-26, 104-42, eff. 8-1-25; 104-68, eff.
17
1-1-26; 104-73, eff. 1-1-26; 104-289, eff. 1-1-26; 104-324,
18
eff. 1-1-26; 104-379, eff. 1-1-26; 104-417, eff. 8-15-25;
19
revised 11-19-25.)

20

Section 10.
The Counties Code is amended by changing
21
Section 5-1069.3 as follows:

22

(55 ILCS 5/5-1069.3)
23

(Text of Section before amendment by P.A. 104-446
)
24

Sec. 5-1069.3.
Required health benefits.
If a county,

SB3295 Enrolled
- 5 -
LRB104 18046 BAB 31485 b
1
including a home rule county, is a self-insurer for purposes
2
of providing health insurance coverage for its employees, the
3
coverage shall include coverage for the post-mastectomy care
4
benefits required to be covered by a policy of accident and
5
health insurance under Section 356t and the coverage required
6
under Sections 356g, 356g.5, 356g.5-1, 356m, 356q, 356u,
7
356u.10, 356w, 356x, 356z.4, 356z.4a, 356z.6, 356z.8, 356z.9,
8
356z.10, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.22,
9
356z.25, 356z.26, 356z.29, 356z.30, 356z.32, 356z.33, 356z.36,
10
356z.40, 356z.41, 356z.45, 356z.46, 356z.47, 356z.48, 356z.51,
11
356z.53, 356z.54, 356z.56, 356z.57, 356z.59, 356z.60, 356z.61,
12
356z.62, 356z.64, 356z.67, 356z.68, 356z.70, 356z.71, 356z.74,
13
and
356z.77,
356z.79,

and
356z.80
, 356z.81, 356z.82, 356z.83,
14
356z.84, and 356z.85
of the Illinois Insurance Code. The
15
coverage shall comply with Sections 155.22a, 355b, 356z.19,
16
356z.88,
and 370c of the Illinois Insurance Code. The
17
Department of Insurance shall enforce the requirements of this
18
Section. The requirement that health benefits be covered as
19
provided in this Section is an exclusive power and function of
20
the State and is a denial and limitation under Article VII,
21
Section 6, subsection (h) of the Illinois Constitution. A home
22
rule county to which this Section applies must comply with
23
every provision of this Section.
24

Rulemaking authority to implement Public Act 95-1045, if
25
any, is conditioned on the rules being adopted in accordance
26
with all provisions of the Illinois Administrative Procedure

SB3295 Enrolled
- 6 -
LRB104 18046 BAB 31485 b
1
Act and all rules and procedures of the Joint Committee on
2
Administrative Rules; any purported rule not so adopted, for
3
whatever reason, is unauthorized.
4
(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24;
5
103-420, eff. 1-1-24; 103-445, eff. 1-1-24; 103-535, eff.
6
8-11-23; 103-551, eff. 8-11-23; 103-605, eff. 7-1-24; 103-718,
7
eff. 7-19-24; 103-751, eff. 8-2-24; 103-914, eff. 1-1-25;
8
103-918, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-1, eff.
9
6-9-25; 104-42, eff. 8-1-25; 104-68, eff. 1-1-26; 104-73, eff.
10
1-1-26; 104-289, eff. 1-1-26; 104-324, eff. 1-1-26; 104-379,
11
eff. 1-1-26; 104-417, eff. 8-15-25; revised 1-7-26.)

12

(Text of Section after amendment by P.A. 104-446
)
13

Sec. 5-1069.3.
Required health benefits.
If a county,
14
including a home rule county, is a self-insurer for purposes
15
of providing health insurance coverage for its employees, the
16
coverage shall include coverage for the post-mastectomy care
17
benefits required to be covered by a policy of accident and
18
health insurance under Section 356t and the coverage required
19
under Sections 356g, 356g.5, 356g.5-1, 356m, 356q, 356u,
20
356u.10, 356w, 356x, 356z.4, 356z.4a, 356z.6, 356z.8, 356z.9,
21
356z.10, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.22,
22
356z.25, 356z.26, 356z.29, 356z.30, 356z.32, 356z.33, 356z.36,
23
356z.40, 356z.41, 356z.45, 356z.46, 356z.47, 356z.48, 356z.51,
24
356z.53, 356z.54, 356z.56, 356z.57, 356z.59, 356z.60, 356z.61,
25
356z.62, 356z.64, 356z.67, 356z.68, 356z.70, 356z.71, 356z.74,

SB3295 Enrolled
- 7 -
LRB104 18046 BAB 31485 b
1
and
356z.77,
356z.79,

and
356z.80
, 356z.81, 356z.82, 356z.83,
2
356z.84, and 356z.85
of the Illinois Insurance Code. The
3
coverage shall comply with Sections 155.22a, 355b, 356z.19,
4
356z.88,
370c, and 370c.4 of the Illinois Insurance Code. The
5
Department of Insurance shall enforce the requirements of this
6
Section. The requirement that health benefits be covered as
7
provided in this Section is an exclusive power and function of
8
the State and is a denial and limitation under Article VII,
9
Section 6, subsection (h) of the Illinois Constitution. A home
10
rule county to which this Section applies must comply with
11
every provision of this Section.
12

Rulemaking authority to implement Public Act 95-1045, if
13
any, is conditioned on the rules being adopted in accordance
14
with all provisions of the Illinois Administrative Procedure
15
Act and all rules and procedures of the Joint Committee on
16
Administrative Rules; any purported rule not so adopted, for
17
whatever reason, is unauthorized.
18
(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24;
19
103-420, eff. 1-1-24; 103-445, eff. 1-1-24; 103-535, eff.
20
8-11-23; 103-551, eff. 8-11-23; 103-605, eff. 7-1-24; 103-718,
21
eff. 7-19-24; 103-751, eff. 8-2-24; 103-914, eff. 1-1-25;
22
103-918, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-1, eff.
23
6-9-25; 104-42, eff. 8-1-25; 104-68, eff. 1-1-26; 104-73, eff.
24
1-1-26; 104-289, eff. 1-1-26; 104-324, eff. 1-1-26; 104-379,
25
eff. 1-1-26; 104-417, eff. 8-15-25; 104-446, eff. 6-1-26;
26
revised 1-7-26.)

SB3295 Enrolled
- 8 -
LRB104 18046 BAB 31485 b
1

Section 15.
The Illinois Municipal Code is amended by
2
changing Section 10-4-2.3 as follows:

3

(65 ILCS 5/10-4-2.3)
4

(Text of Section before amendment by P.A. 104-446
)
5

Sec. 10-4-2.3.
Required health benefits.
If a
6
municipality, including a home rule municipality, is a
7
self-insurer for purposes of providing health insurance
8
coverage for its employees, the coverage shall include
9
coverage for the post-mastectomy care benefits required to be
10
covered by a policy of accident and health insurance under
11
Section 356t and the coverage required under Sections 356g,
12
356g.5, 356g.5-1, 356m, 356q, 356u, 356u.10, 356w, 356x,
13
356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 356z.10, 356z.11,
14
356z.12, 356z.13, 356z.14, 356z.15, 356z.22, 356z.25, 356z.26,
15
356z.29, 356z.30, 356z.32, 356z.33, 356z.36, 356z.40, 356z.41,
16
356z.45, 356z.46, 356z.47, 356z.48, 356z.51, 356z.53, 356z.54,
17
356z.56, 356z.57, 356z.59, 356z.60, 356z.61, 356z.62, 356z.64,
18
356z.67, 356z.68, 356z.70, 356z.71, 356z.74,
and
356z.77,
19
356z.79,

and
356z.80
, 356z.81, 356z.82, 356z.83, 356z.84, and
20
356z.85
of the Illinois Insurance Code. The coverage shall
21
comply with Sections 155.22a, 355b, 356z.19,
356z.88,
and 370c
22
of the Illinois Insurance Code. The Department of Insurance
23
shall enforce the requirements of this Section. The
24
requirement that health benefits be covered as provided in

SB3295 Enrolled
- 9 -
LRB104 18046 BAB 31485 b
1
this
Section
is an exclusive power and function of the State
2
and is a denial and limitation under Article VII, Section 6,
3
subsection (h) of the Illinois Constitution. A home rule
4
municipality to which this Section applies must comply with
5
every provision of this Section.
6

Rulemaking authority to implement Public Act 95-1045, if
7
any, is conditioned on the rules being adopted in accordance
8
with all provisions of the Illinois Administrative Procedure
9
Act and all rules and procedures of the Joint Committee on
10
Administrative Rules; any purported rule not so adopted, for
11
whatever reason, is unauthorized.
12
(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24;
13
103-420, eff. 1-1-24; 103-445, eff. 1-1-24; 103-535, eff.
14
8-11-23; 103-551, eff. 8-11-23; 103-605, eff. 7-1-24; 103-718,
15
eff. 7-19-24; 103-751, eff. 8-2-24; 103-914, eff. 1-1-25;
16
103-918, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-1, eff.
17
6-9-25; 104-42, eff. 8-1-25; 104-68, eff. 1-1-26; 104-73, eff.
18
1-1-26; 104-289, eff. 1-1-26; 104-324, eff. 1-1-26; 104-379,
19
eff. 1-1-26; 104-417, eff. 8-15-25; revised 1-8-26.)

20

(Text of Section after amendment by P.A. 104-446
)
21

Sec. 10-4-2.3.
Required health benefits.
If a
22
municipality, including a home rule municipality, is a
23
self-insurer for purposes of providing health insurance
24
coverage for its employees, the coverage shall include
25
coverage for the post-mastectomy care benefits required to be

SB3295 Enrolled
- 10 -
LRB104 18046 BAB 31485 b
1
covered by a policy of accident and health insurance under
2
Section 356t and the coverage required under Sections 356g,
3
356g.5, 356g.5-1, 356m, 356q, 356u, 356u.10, 356w, 356x,
4
356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 356z.10, 356z.11,
5
356z.12, 356z.13, 356z.14, 356z.15, 356z.22, 356z.25, 356z.26,
6
356z.29, 356z.30, 356z.32, 356z.33, 356z.36, 356z.40, 356z.41,
7
356z.45, 356z.46, 356z.47, 356z.48, 356z.51, 356z.53, 356z.54,
8
356z.56, 356z.57, 356z.59, 356z.60, 356z.61, 356z.62, 356z.64,
9
356z.67, 356z.68, 356z.70, 356z.71, 356z.74,
and
356z.77,
10
356z.79,

and
356z.80
, 356z.81, 356z.82, 356z.83, 356z.84, and
11
356z.85
of the Illinois Insurance Code. The coverage shall
12
comply with Sections 155.22a, 355b, 356z.19,
356z.88,
370c,
13
and 370c.4 of the Illinois Insurance Code. The Department of
14
Insurance shall enforce the requirements of this Section. The
15
requirement that health benefits be covered as provided in
16
this
Section
is an exclusive power and function of the State
17
and is a denial and limitation under Article VII, Section 6,
18
subsection (h) of the Illinois Constitution. A home rule
19
municipality to which this Section applies must comply with
20
every provision of this Section.
21

Rulemaking authority to implement Public Act 95-1045, if
22
any, is conditioned on the rules being adopted in accordance
23
with all provisions of the Illinois Administrative Procedure
24
Act and all rules and procedures of the Joint Committee on
25
Administrative Rules; any purported rule not so adopted, for
26
whatever reason, is unauthorized.

SB3295 Enrolled
- 11 -
LRB104 18046 BAB 31485 b
1
(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24;
2
103-420, eff. 1-1-24; 103-445, eff. 1-1-24; 103-535, eff.
3
8-11-23; 103-551, eff. 8-11-23; 103-605, eff. 7-1-24; 103-718,
4
eff. 7-19-24; 103-751, eff. 8-2-24; 103-914, eff. 1-1-25;
5
103-918, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-1, eff.
6
6-9-25; 104-42, eff. 8-1-25; 104-68, eff. 1-1-26; 104-73, eff.
7
1-1-26; 104-289, eff. 1-1-26; 104-324, eff. 1-1-26; 104-379,
8
eff. 1-1-26; 104-417, eff. 8-15-25; 104-446, eff. 6-1-26;
9
revised 1-8-26.)

10

Section 20.
The School Code is amended by changing Section
11
10-22.3f as follows:

12

(105 ILCS 5/10-22.3f)
13

(Text of Section before amendment by P.A. 104-446
)
14

Sec. 10-22.3f.
Required health benefits.
Insurance
15
protection and benefits for employees shall provide the
16
post-mastectomy care benefits required to be covered by a
17
policy of accident and health insurance under Section 356t and
18
the coverage required under Sections 356g, 356g.5, 356g.5-1,
19
356m, 356q, 356u, 356u.10, 356w, 356x, 356z.4, 356z.4a,
20
356z.6, 356z.8, 356z.9, 356z.11, 356z.12, 356z.13, 356z.14,
21
356z.15, 356z.22, 356z.25, 356z.26, 356z.29, 356z.30, 356z.32,
22
356z.33, 356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47,
23
356z.51, 356z.53, 356z.54, 356z.56, 356z.57, 356z.59, 356z.60,
24
356z.61, 356z.62, 356z.64, 356z.67, 356z.68, 356z.70, 356z.71,

SB3295 Enrolled
- 12 -
LRB104 18046 BAB 31485 b
1
356z.74,
and
356z.77,
356z.79,

and
356z.80
, 356z.81, 356z.82,
2
356z.83, 356z.84, and 356z.85
of the Illinois Insurance Code.
3
Insurance policies shall comply with
Sections

Section
356z.19
4
and 356z.88
of the Illinois Insurance Code. The coverage shall
5
comply with Sections 155.22a, 355b, and 370c and Article
6
XXXIIB of the Illinois Insurance Code. The Department of
7
Insurance shall enforce the requirements of this Section.
8

Rulemaking authority to implement Public Act 95-1045, if
9
any, is conditioned on the rules being adopted in accordance
10
with all provisions of the Illinois Administrative Procedure
11
Act and all rules and procedures of the Joint Committee on
12
Administrative Rules; any purported rule not so adopted, for
13
whatever reason, is unauthorized.
14
(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24;
15
103-420, eff. 1-1-24; 103-445, eff. 1-1-24; 103-535, eff.
16
8-11-23; 103-551, eff. 8-11-23; 103-605, eff. 7-1-24; 103-718,
17
eff. 7-19-24; 103-751, eff. 8-2-24; 103-914, eff. 1-1-25;
18
103-918, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-1, eff.
19
6-9-25; 104-27, eff. 1-1-26; 104-42, eff. 8-1-25; 104-68, eff.
20
1-1-26; 104-73, eff. 1-1-26; 104-289, eff. 1-1-26; 104-324,
21
eff. 1-1-26; 104-379, eff. 1-1-26; 104-417, eff. 8-15-25;
22
revised 1-8-26.)

23

(Text of Section after amendment by P.A. 104-446
)
24

Sec. 10-22.3f.
Required health benefits.
Insurance
25
protection and benefits for employees shall provide the

SB3295 Enrolled
- 13 -
LRB104 18046 BAB 31485 b
1
post-mastectomy care benefits required to be covered by a
2
policy of accident and health insurance under Section 356t and
3
the coverage required under Sections 356g, 356g.5, 356g.5-1,
4
356m, 356q, 356u, 356u.10, 356w, 356x, 356z.4, 356z.4a,
5
356z.6, 356z.8, 356z.9, 356z.11, 356z.12, 356z.13, 356z.14,
6
356z.15, 356z.22, 356z.25, 356z.26, 356z.29, 356z.30, 356z.32,
7
356z.33, 356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47,
8
356z.51, 356z.53, 356z.54, 356z.56, 356z.57, 356z.59, 356z.60,
9
356z.61, 356z.62, 356z.64, 356z.67, 356z.68, 356z.70, 356z.71,
10
356z.74,
and
356z.77,
356z.79,

and
356z.80
, 356z.81, 356z.82,
11
356z.83, 356z.84, and 356z.85
of the Illinois Insurance Code.
12
Insurance policies shall comply with
Sections

Section
356z.19
13
and 356z.88
of the Illinois Insurance Code. The coverage shall
14
comply with Sections 155.22a, 355b, 370c, and 370c.4 and
15
Article XXXIIB of the Illinois Insurance Code. The Department
16
of Insurance shall enforce the requirements of this Section.
17

Rulemaking authority to implement Public Act 95-1045, if
18
any, is conditioned on the rules being adopted in accordance
19
with all provisions of the Illinois Administrative Procedure
20
Act and all rules and procedures of the Joint Committee on
21
Administrative Rules; any purported rule not so adopted, for
22
whatever reason, is unauthorized.
23
(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24;
24
103-420, eff. 1-1-24; 103-445, eff. 1-1-24; 103-535, eff.
25
8-11-23; 103-551, eff. 8-11-23; 103-605, eff. 7-1-24; 103-718,
26
eff. 7-19-24; 103-751, eff. 8-2-24; 103-914, eff. 1-1-25;

SB3295 Enrolled
- 14 -
LRB104 18046 BAB 31485 b
1
103-918, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-1, eff.
2
6-9-25; 104-27, eff. 1-1-26; 104-42, eff. 8-1-25; 104-68, eff.
3
1-1-26; 104-73, eff. 1-1-26; 104-289, eff. 1-1-26; 104-324,
4
eff. 1-1-26; 104-379, eff. 1-1-26; 104-417, eff. 8-15-25;
5
104-446, eff. 6-1-26; revised 1-8-26.)

6

Section 25.
The Illinois Insurance Code is amended by
7
adding Section 356z.88 as follows:

8

(215 ILCS 5/356z.88 new)
9

Sec. 356z.88.
Durable medical equipment.
An individual or
10
group policy of accident and health insurance or managed care
11
plan that is amended, delivered, issued, or renewed on or
12
after January 1, 2028 that provides coverage for durable
13
medical equipment that is authorized or prescribed by a
14
physician licensed to practice medicine in all its branches
15
shall provide the same level of coverage for durable medical
16
equipment that is authorized or prescribed by a different
17
health care practitioner who lawfully prescribes or orders
18
home medical equipment and services or uses home medical
19
equipment and services to treat the health care practitioner's
20
patients.
21

For the purposes of this Section, "health care
22
practitioner" includes, but is not limited to, a nurse,
23
physical therapist, respiratory therapist, occupational
24
therapist, speech-language pathologist, optometrist,

SB3295 Enrolled
- 15 -
LRB104 18046 BAB 31485 b
1
chiropractic physician, or podiatric physician.

2

Section 30.
The Health Maintenance Organization Act is
3
amended by changing Section 5-3 as follows:

4

(215 ILCS 125/5-3)

(from Ch. 111 1/2, par. 1411.2)
5

Sec. 5-3.
Illinois Insurance Code provisions.
6

(a) Health Maintenance Organizations shall be subject to
7
the provisions of Sections 133, 134, 136, 137, 139, 140,
8
141.1, 141.2, 141.3, 143, 143.31, 143c, 147, 148, 149, 151,
9
152, 153, 154, 154.5, 154.6, 154.7, 154.8, 155.04, 155.22a,
10
155.49, 352c, 355.2, 355.3, 355.6, 355.7, 355b, 355c, 356f,
11
356g, 356g.5-1, 356m, 356q, 356u.10, 356v, 356w, 356x, 356z.2,
12
356z.3a, 356z.4, 356z.4a, 356z.5, 356z.6, 356z.8, 356z.9,
13
356z.10, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.17,
14
356z.18, 356z.19, 356z.20, 356z.21, 356z.22, 356z.23, 356z.24,
15
356z.25, 356z.26, 356z.28, 356z.29, 356z.30, 356z.31, 356z.32,
16
356z.33, 356z.34, 356z.35, 356z.36, 356z.37, 356z.38, 356z.39,
17
356z.40, 356z.40a, 356z.41, 356z.44, 356z.45, 356z.46,
18
356z.47, 356z.48, 356z.49, 356z.50, 356z.51, 356z.53, 356z.54,
19
356z.55, 356z.56, 356z.57, 356z.58, 356z.59, 356z.60, 356z.61,
20
356z.62, 356z.63, 356z.64, 356z.65, 356z.66, 356z.67, 356z.68,
21
356z.69, 356z.70, 356z.71, 356z.72, 356z.73, 356z.74, 356z.75,
22
356z.76, 356z.77, 356z.78,
356z.79,
356z.80,
356z.81, 356z.82,
23
356z.83, 356z.84, 356z.85, 356z.88,
364, 364.01, 364.3, 367.2,
24
367.2-5, 367i, 368a, 368b, 368c, 368d, 368e, 370a, 370c,

SB3295 Enrolled
- 16 -
LRB104 18046 BAB 31485 b
1
370c.1, 401, 401.1, 402, 403, 403A, 408, 408.2, 409, 412, 444,
2
and 444.1, paragraph (c) of subsection (2) of Section 367, and
3
Articles IIA, VIII 1/2, XII, XII 1/2, XIII, XIII 1/2, XXV,
4
XXVI, and XXXIIB of the Illinois Insurance Code.
5

(b) For purposes of the Illinois Insurance Code, except
6
for Sections 444 and 444.1 and Articles XIII and XIII 1/2,
7
Health Maintenance Organizations in the following categories
8
are deemed to be "domestic companies":
9

(1) a corporation authorized under the Dental Service
10

Plan Act or the Voluntary Health Services Plans Act;
11

(2) a corporation organized under the laws of this
12

State; or
13

(3) a corporation organized under the laws of another
14

state, 30% or more of the enrollees of which are residents
15

of this State, except a corporation subject to
16

substantially the same requirements in its state of
17

organization as is a "domestic company" under Article VIII
18

1/2 of the Illinois Insurance Code.
19

(c) In considering the merger, consolidation, or other
20
acquisition of control of a Health Maintenance Organization
21
pursuant to Article VIII 1/2 of the Illinois Insurance Code,
22

(1) the Director shall give primary consideration to
23

the continuation of benefits to enrollees and the
24

financial conditions of the acquired Health Maintenance
25

Organization after the merger, consolidation, or other
26

acquisition of control takes effect;

SB3295 Enrolled
- 17 -
LRB104 18046 BAB 31485 b
1

(2)(i) the criteria specified in subsection (1)(b) of
2

Section 131.8 of the Illinois Insurance Code shall not
3

apply and (ii) the Director, in making his determination
4

with respect to the merger, consolidation, or other
5

acquisition of control, need not take into account the
6

effect on competition of the merger, consolidation, or
7

other acquisition of control;
8

(3) the Director shall have the power to require the
9

following information:
10

(A) certification by an independent actuary of the
11

adequacy of the reserves of the Health Maintenance
12

Organization sought to be acquired;
13

(B) pro forma financial statements reflecting the
14

combined balance sheets of the acquiring company and
15

the Health Maintenance Organization sought to be
16

acquired as of the end of the preceding year and as of
17

a date 90 days prior to the acquisition, as well as pro
18

forma financial statements reflecting projected
19

combined operation for a period of 2 years;
20

(C) a pro forma business plan detailing an
21

acquiring party's plans with respect to the operation
22

of the Health Maintenance Organization sought to be
23

acquired for a period of not less than 3 years; and
24

(D) such other information as the Director shall
25

require.
26

(d) The provisions of Article VIII 1/2 of the Illinois

SB3295 Enrolled
- 18 -
LRB104 18046 BAB 31485 b
1
Insurance Code and this Section 5-3 shall apply to the sale by
2
any health maintenance organization of greater than 10% of its
3
enrollee population (including, without limitation, the health
4
maintenance organization's right, title, and interest in and
5
to its health care certificates).
6

(e) In considering any management contract or service
7
agreement subject to Section 141.1 of the Illinois Insurance
8
Code, the Director (i) shall, in addition to the criteria
9
specified in Section 141.2 of the Illinois Insurance Code,
10
take into account the effect of the management contract or
11
service agreement on the continuation of benefits to enrollees
12
and the financial condition of the health maintenance
13
organization to be managed or serviced, and (ii) need not take
14
into account the effect of the management contract or service
15
agreement on competition.
16

(f) Except for small employer groups as defined in the
17
Small Employer Rating, Renewability and Portability Health
18
Insurance Act and except for medicare supplement policies as
19
defined in Section 363 of the Illinois Insurance Code, a
20
Health Maintenance Organization may by contract agree with a
21
group or other enrollment unit to effect refunds or charge
22
additional premiums under the following terms and conditions:
23

(i) the amount of, and other terms and conditions with
24

respect to, the refund or additional premium are set forth
25

in the group or enrollment unit contract agreed in advance
26

of the period for which a refund is to be paid or

SB3295 Enrolled
- 19 -
LRB104 18046 BAB 31485 b
1

additional premium is to be charged (which period shall
2

not be less than one year); and
3

(ii) the amount of the refund or additional premium
4

shall not exceed 20% of the Health Maintenance
5

Organization's profitable or unprofitable experience with
6

respect to the group or other enrollment unit for the
7

period (and, for purposes of a refund or additional
8

premium, the profitable or unprofitable experience shall
9

be calculated taking into account a pro rata share of the
10

Health Maintenance Organization's administrative and
11

marketing expenses, but shall not include any refund to be
12

made or additional premium to be paid pursuant to this
13

subsection (f)). The Health Maintenance Organization and
14

the group or enrollment unit may agree that the profitable
15

or unprofitable experience may be calculated taking into
16

account the refund period and the immediately preceding 2
17

plan years.
18

The Health Maintenance Organization shall include a
19
statement in the evidence of coverage issued to each enrollee
20
describing the possibility of a refund or additional premium,
21
and upon request of any group or enrollment unit, provide to
22
the group or enrollment unit a description of the method used
23
to calculate (1) the Health Maintenance Organization's
24
profitable experience with respect to the group or enrollment
25
unit and the resulting refund to the group or enrollment unit
26
or (2) the Health Maintenance Organization's unprofitable

SB3295 Enrolled
- 20 -
LRB104 18046 BAB 31485 b
1
experience with respect to the group or enrollment unit and
2
the resulting additional premium to be paid by the group or
3
enrollment unit.
4

In no event shall the Illinois Health Maintenance
5
Organization Guaranty Association be liable to pay any
6
contractual obligation of an insolvent organization to pay any
7
refund authorized under this Section.
8

(g) Rulemaking authority to implement Public Act 95-1045,
9
if any, is conditioned on the rules being adopted in
10
accordance with all provisions of the Illinois Administrative
11
Procedure Act and all rules and procedures of the Joint
12
Committee on Administrative Rules; any purported rule not so
13
adopted, for whatever reason, is unauthorized.
14
(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24;
15
103-123, eff. 1-1-24; 103-154, eff. 6-30-23; 103-420, eff.
16
1-1-24; 103-426, eff. 8-4-23; 103-445, eff. 1-1-24; 103-551,
17
eff. 8-11-23; 103-605, eff. 7-1-24; 103-618, eff. 1-1-25;
18
103-649, eff. 1-1-25; 103-656, eff. 1-1-25; 103-700, eff.
19
1-1-25; 103-718, eff. 7-19-24; 103-751, eff. 8-2-24; 103-753,
20
eff. 8-2-24; 103-758, eff. 1-1-25; 103-777, eff. 8-2-24;
21
103-808, eff. 1-1-26; 103-914, eff. 1-1-25; 103-918, eff.
22
1-1-25; 103-1024, eff. 1-1-25; 104-1, eff. 6-9-25; 104-28,
23
eff. 1-1-26; 104-42, eff. 8-1-25; 104-68, eff. 1-1-26; 104-73,
24
eff. 1-1-26; 104-98, eff. 1-1-26; 104-289, eff. 1-1-26;
25
104-324, eff. 1-1-26; 104-334, eff. 8-15-25; 104-379, eff.
26
1-1-26; 104-417, eff. 8-15-25; revised 11-21-25.)

SB3295 Enrolled
- 21 -
LRB104 18046 BAB 31485 b
1

Section 35.
The Limited Health Service Organization Act is
2
amended by changing Section 4003 as follows:

3

(215 ILCS 130/4003)

(from Ch. 73, par. 1504-3)
4

Sec. 4003.
Illinois Insurance Code provisions.
Limited
5
health service organizations shall be subject to the
6
provisions of Sections 133, 134, 136, 137, 139, 140, 141.1,
7
141.2, 141.3, 143, 143.31, 143c, 147, 148, 149, 151, 152, 153,
8
154, 154.5, 154.6, 154.7, 154.8, 155.04, 155.37, 155.49, 352c,
9
355.2, 355.3, 355b, 355d, 356m, 356q, 356v, 356z.4, 356z.4a,
10
356z.10, 356z.21, 356z.22, 356z.25, 356z.26, 356z.29, 356z.32,
11
356z.33, 356z.41, 356z.46, 356z.47, 356z.51, 356z.53, 356z.54,
12
356z.57, 356z.59, 356z.61, 356z.64, 356z.67, 356z.68, 356z.71,
13
356z.73, 356z.74, 356z.75, 356z.79, 356z.80,
356z.81, 356z.83,
14
356z.84, 356z.85, 356z.88,
364.3, 368a, 370a, 401, 401.1, 402,
15
403, 403A, 408, 408.2, 409, 412, 444, and 444.1 and Articles
16
IIA, VIII 1/2, XII, XII 1/2, XIII, XIII 1/2, XXV, XXVI, and
17
XXXIIB of the Illinois Insurance Code. Nothing in this Section
18
shall require a limited health care plan to cover any service
19
that is not a limited health service. For purposes of the
20
Illinois Insurance Code, except for Sections 444 and 444.1 and
21
Articles XIII and XIII 1/2, limited health service
22
organizations in the following categories are deemed to be
23
domestic companies:
24

(1) a corporation under the laws of this State; or

SB3295 Enrolled
- 22 -
LRB104 18046 BAB 31485 b
1

(2) a corporation organized under the laws of another
2

state, 30% or more of the enrollees of which are residents
3

of this State, except a corporation subject to
4

substantially the same requirements in its state of
5

organization as is a domestic company under Article VIII
6

1/2 of the Illinois Insurance Code.
7
(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24;
8
103-420, eff. 1-1-24; 103-426, eff. 8-4-23; 103-445, eff.
9
1-1-24; 103-605, eff. 7-1-24; 103-649, eff. 1-1-25; 103-656,
10
eff. 1-1-25; 103-700, eff. 1-1-25; 103-718, eff. 7-19-24;
11
103-751, eff. 8-2-24; 103-758, eff. 1-1-25; 103-832, eff.
12
1-1-25; 103-1024, eff. 1-1-25; 104-1, eff. 6-9-25; 104-42,
13
eff. 8-1-25; 104-73, eff. 1-1-26; 104-98, eff. 1-1-26;
14
104-289, eff. 1-1-26; 104-324, eff. 1-1-26; 104-334, eff.
15
8-15-25; 104-379, eff. 1-1-26; 104-417, eff. 8-15-25; revised
16
11-21-25.)

17

Section 40.
The Voluntary Health Services Plans Act is
18
amended by changing Section 10 as follows:

19

(215 ILCS 165/10)

(from Ch. 32, par. 604)
20

Sec. 10.
Application of Illinois Insurance Code
21
provisions.
Health services plan corporations and all persons
22
interested therein or dealing therewith shall be subject to
23
the provisions of Articles IIA and XII 1/2 and Sections 3.1,
24
133, 136, 139, 140, 143, 143.31, 143c, 149, 155.22a, 155.37,

SB3295 Enrolled
- 23 -
LRB104 18046 BAB 31485 b
1
354, 355.2, 355.3, 355.7, 355b, 355d, 356g, 356g.5, 356g.5-1,
2
356m, 356q, 356r, 356t, 356u, 356u.10, 356v, 356w, 356x, 356y,
3
356z.1, 356z.2, 356z.3a, 356z.4, 356z.4a, 356z.5, 356z.6,
4
356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13, 356z.14,
5
356z.15, 356z.18, 356z.19, 356z.21, 356z.22, 356z.25, 356z.26,
6
356z.29, 356z.30, 356z.32, 356z.32a, 356z.33, 356z.40,
7
356z.41, 356z.46, 356z.47, 356z.51, 356z.53, 356z.54, 356z.56,
8
356z.57, 356z.59, 356z.60, 356z.61, 356z.62, 356z.64, 356z.67,
9
356z.68, 356z.71, 356z.72, 356z.74, 356z.75, 356z.77,
356z.79,

10
356z.80,
356z.81, 356z.83, 356z.84, 356z.85, 356z.88,
364.01,
11
364.3, 367.2, 368a, 370a, 401, 401.1, 402, 403, 403A, 408,
12
408.2, and 412, and paragraphs (7) and (15) of Section 367 of
13
the Illinois Insurance Code.
14

Rulemaking authority to implement Public Act 95-1045, if
15
any, is conditioned on the rules being adopted in accordance
16
with all provisions of the Illinois Administrative Procedure
17
Act and all rules and procedures of the Joint Committee on
18
Administrative Rules; any purported rule not so adopted, for
19
whatever reason, is unauthorized.
20
(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24;
21
103-420, eff. 1-1-24; 103-445, eff. 1-1-24; 103-551, eff.
22
8-11-23; 103-605, eff. 7-1-24; 103-656, eff. 1-1-25; 103-718,
23
eff. 7-19-24; 103-751, eff. 8-2-24; 103-753, eff. 8-2-24;
24
103-758, eff. 1-1-25; 103-832, eff. 1-1-25; 103-914, eff.
25
1-1-25; 103-918, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-1,
26
eff. 6-9-25; 104-28, eff. 1-1-26; 104-42, eff. 8-1-25; 104-73,

SB3295 Enrolled
- 24 -
LRB104 18046 BAB 31485 b
1
eff. 1-1-26; 104-98, eff. 1-1-26; 104-289, eff. 1-1-26;
2
104-324, eff. 1-1-26; 104-379, eff. 1-1-26; 104-417, eff.
3
8-15-25; revised 11-21-25.)

4

Section 45.
The Illinois Public Aid Code is amended by
5
changing Section 5-16.8 as follows:

6

(305 ILCS 5/5-16.8)
7

Sec. 5-16.8.
Required health benefits.
The medical
8
assistance program shall (i) provide the post-mastectomy care
9
benefits required to be covered by a policy of accident and
10
health insurance under Section 356t and the coverage required
11
under Sections 356g.5, 356q, 356u, 356w, 356x, 356z.6,
12
356z.26, 356z.29, 356z.32, 356z.33, 356z.34, 356z.35, 356z.46,
13
356z.47, 356z.51, 356z.53, 356z.59, 356z.60, 356z.61, 356z.64,
14
356z.67, 356z.71,
and
356z.75,
and
356z.80
, 356z.84, and
15
356z.85
of the Illinois Insurance Code, (ii) be subject to the
16
provisions of Sections 356z.19, 356z.44, 356z.49,
356z.88,

17
364.01, 370c, and 370c.1 of the Illinois Insurance Code, and
18
(iii) be subject to the provisions of subsection (d-5) of
19
Section 10 of the Network Adequacy and Transparency Act.
20

The Department, by rule, shall adopt a model similar to
21
the requirements of Section 356z.39 of the Illinois Insurance
22
Code.
23

On and after July 1, 2012, the Department shall reduce any
24
rate of reimbursement for services or other payments or alter

SB3295 Enrolled
- 25 -
LRB104 18046 BAB 31485 b
1
any methodologies authorized by this Code to reduce any rate
2
of reimbursement for services or other payments in accordance
3
with Section 5-5e.
4

To ensure full access to the benefits set forth in this
5
Section, on and after January 1, 2016, the Department shall
6
ensure that provider and hospital reimbursement for
7
post-mastectomy care benefits required under this Section are
8
no lower than the Medicare reimbursement rate.
9
(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24;
10
103-420, eff. 1-1-24; 103-605, eff. 7-1-24; 103-703, eff.
11
1-1-25; 103-758, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-73,
12
eff. 1-1-26; 104-324, eff. 1-1-26; 104-379, eff. 1-1-26;
13
104-417, eff. 8-15-25; revised 11-21-25.)

14

Section 95.
No acceleration or delay.
Where this Act makes
15
changes in a statute that is represented in this Act by text
16
that is not yet or no longer in effect (for example, a Section
17
represented by multiple versions), the use of that text does
18
not accelerate or delay the taking effect of (i) the changes
19
made by this Act or (ii) provisions derived from any other
20
Public Act.

21

Section 99.
Effective date.
This Act takes effect upon
22
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