Amends the Illinois Insurance Code. Requires every insurer to provide in each group or individual policy, contract, or certificate of insurance issued or renewed for persons who are residents of the State, coverage for screening by low-dose mammography for all patients 30 (instead of 35) years of age or older for the presence of occult breast cancer within the provisions of the policy, contract, or certificate. Requires coverage for a baseline mammogram for patients 30 to 34 (instead of 35 to 39) years of age and an annual mammogram for patients 35 (instead of 40) years of age or older. Effective January 1, 2027.
House Floor Amendment No. 1: Further amends the Illinois Insurance Code. In provisions concerning coverage for mammograms and mastectomies, provides that, notwithstanding any specified age requirement, coverage shall be consistent with evidence-based clinical guidelines and shall be provided in accordance with the determination of a health care provider, including coverage for individuals under 35 years of age when appropriate. Nothing in this Section shall be construed to limit coverage otherwise required under this Section based on age.
House Floor Amendment No. 2: Replaces everything after the enacting clause. Amends the Illinois Insurance Code. In provisions concerning coverage for mammograms and mastectomies, provides that, notwithstanding any specified age requirement, coverage shall be consistent with evidence-based clinical guidelines and shall be provided in accordance with the determination of a health care provider, including coverage for individuals under 35 years of age when appropriate. Provides that this coverage requirement shall not be construed to limit coverage otherwise required under the provisions concerning coverage for mammograms and mastectomies. Effective January 1, 2028.

Statutes affected:
Introduced: 215 ILCS 5/356
Engrossed: 215 ILCS 5/356