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IL HB5576

Bill

Status

Passed

7/29/2016

Primary Sponsor

Elaine Nekritz

Click for details

Origin

House of Representatives

99th General Assembly

AI Summary

  • Requires individual and group health insurance policies amended, delivered, issued, or renewed in Illinois after the effective date to cover all FDA-approved contraceptive drugs, devices, and products without cost-sharing, excluding male condoms.

  • Mandates coverage for voluntary sterilization procedures, contraceptive services, patient education, counseling, and follow-up services including device insertion and removal.

  • Allows insurance plans to include only one therapeutic equivalent version of a contraceptive drug or device on their formulary if multiple FDA-approved versions exist, provided at least one is covered without cost-sharing.

  • Requires coverage of 12 months' worth of contraception dispensed at one time and establishes an accessible appeals process for non-covered contraceptives based on attending provider medical necessity determinations.

  • Becomes inoperative if federal regulations require the State to defray costs under the Affordable Care Act; in that case, a fallback provision applies coverage requirements only to the extent authorized by Social Security Act Section 1902.

Legislative Description

INS CD-CONTRACEPTIVE COVERAGE

Last Action

Public Act . . . . . . . . . 99-0672

7/29/2016

Committee Referrals

Executive5/4/2016
Assignments4/22/2016
Human Services2/23/2016
Rules2/10/2016

Full Bill Text

No bill text available