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IL SB2158
Bill
AI Summary
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Requires group and individual health insurance policies, managed care plans, and HMOs to cover treatment for port-wine stains (nevus flammeus), including those caused by Sturge-Weber syndrome, effective January 1, 2022
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Covered treatments include early intervention therapies such as topical, intralesional, or systemic medical therapy, surgery, and FDA-approved laser treatments for children aged 18 and younger
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Treatment coverage applies when intended to prevent functional impairments related to vision, oral function, inflammation, bleeding, infection, and other medical complications associated with port-wine stains
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Coverage excludes treatments performed solely for cosmetic purposes
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Extends the coverage requirement to self-insured counties, municipalities, school districts, state employee health plans, and the Medicaid program by adding Section 356z.43 of the Illinois Insurance Code to their required health benefits
Legislative Description
INSURANCE/PORT-WINE STAINS
Last Action
Public Act . . . . . . . . . 102-0642
8/27/2021