INS CD-PREGNANCY TESTS

Session: 103rd General Assembly
Year: 2024
Bill #: HB5643
Category: Labor, Personnel and Pensions
Position: No position
Mandate? Yes
Revenue Loss? Yes
Authority Preemption?

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Summary as Introduced

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, delivered, issued, or renewed on or after the effective date of the amendatory Act shall provide coverage for at-home, urine-based pregnancy tests that are prescribed to the covered person, regardless of whether the tests are otherwise available over-the-counter.

Staff Analysis

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, delivered, issued, or renewed on or after the effective date of the amendatory Act shall provide coverage for at-home, urine-based pregnancy tests that are prescribed to the covered person, regardless of whether the tests are otherwise available over-the-counter. Provides that, beginning January 1, 2025, the medical assistance program shall provide coverage for at-home, urine-based pregnancy tests that are ordered directly by a clinician or furnished through a standing order for patient use, regardless of whether the tests are otherwise available over the counter. Provides that the coverage is limited to a multipack, as defined by the Department of Healthcare and Family Services, of at-home, urine-based pregnancy tests every 30 days. (



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