SB0466 Summary

• Amends the Illinois Insurance Code to require insurers to cover breast tomosynthesis (3D mammography) as part of low-dose mammography screening for women 35 years and older.

• Includes a federal compliance clause making breast tomosynthesis coverage inoperative if the U.S. Department of Health and Human Services requires the State to defray costs under the Affordable Care Act's essential health benefits provisions.

• Extends breast tomosynthesis coverage requirements to Health Maintenance Organizations (HMOs) under the Health Maintenance Organization Act.

• Requires the Illinois Department of Healthcare and Family Services to cover breast tomosynthesis for Medicaid-eligible women as part of breast cancer screening services.

• Effective date changed from July 1, 2016 to unconditional implementation on July 1, 2016, removing previous federal approval conditions.