*LRB10416645BAB30048b**LRB10416645BAB35238a* SB2962 104TH GENERAL ASSEMBLY State of Illinois and 2026 SB2962 Introduced 1/27/2026, by Sen.

Suzy Glowiak Hilton SYNOPSISFiled: AS INTRODUCED:

ILCS3/5/2026 5/356z.3310400SB2962sam001 AmendsLRB104 the16645 IllinoisBAB Insurance35238 Code.a AMENDMENT TO SENATE BILL 2962 AMENDMENT NO.

Provides______. that a group or individual policy of accident and health insurance or a managed care plan that is amended, issued, delivered, or renewed on or after January 1, 2028 shall provide coverage for medically necessary epinephrine delivery systems.

RemovesAmend languageSenate providingBill that2962 "epinephrineon injector"page has2, theline meaning8, setafter forth"systems", inby theinserting Epinephrine"for Injectorpersons Act.18 years of age or younger";

Provides that "epinephrine injector" includes an auto-injector approved by the United States Food and Drugon Administrationpage for2, theline administration22, of epinephrine and a pre-filled syringe approved by thereplacing United"subsection States(b) Foodor and(c)" Drugwith Administration"subsection and(d) used(b)". for the administration of epinephrine that contains a pre-measured dose of epinephrine that is equivalent to the dosages used in an auto-injector.

Includes epinephrine delivery systems in provisions concerning cost limitations for medically necessary epinephrine injectors.

LRB104 16645 BAB 30048 b A BILL FOR SB2962 LRB104 16645 BAB 30048 b AN ACT concerning regulation.

Be it enacted by the People of the State of Illinois, represented in the General Assembly:

Section 5.

The Illinois Insurance Code is amended by changing Section 356z.33 as follows:

(215 ILCS 5/356z.33) Sec.

356z.33.

Coverage for epinephrine injectors and epinephrine delivery systems.

(a) As used in this Section:

"Epinephrine delivery system" has the meaning given to that term in Section 5 of the Epinephrine Injector Act.

"Epinephrine injector" includes an auto-injector approved by the United States Food and Drug Administration for the administration of epinephrine and a pre-filled syringe approved by the United States Food and Drug Administration and used for the administration of epinephrine that contains a pre-measured dose of epinephrine that is equivalent to the dosages used in an auto-injector.

(b) (a) 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 January 1, 2020 (the effective date of Public Act 101-281) shall provide coverage for medically necessary epinephrine injectors for persons 18 SB2962 - 2 - LRB104 16645 BAB 30048 b years of age or under.

As used in this Section, "epinephrine injector" has the meaning given to that term in Section 5 of the Epinephrine Injector Act.

(c) A group or individual policy of accident and health insurance or a managed care plan that is amended, issued, delivered, or renewed on or after January 1, 2028 shall provide coverage for medically necessary epinephrine delivery systems.

(d) (b) An insurer that provides coverage for medically necessary epinephrine injectors or epinephrine delivery systems shall limit the total amount that an insured is required to pay for a twin-pack of medically necessary epinephrine injectors or epinephrine delivery systems, at an amount not to exceed $60, regardless of the type of epinephrine injector or delivery system;

except that this provision does not apply to the extent such coverage would disqualify a high-deductible health plan from eligibility for a health savings account pursuant to Section 223 of the Internal Revenue Code (26 U.S.C.

223).

(e) (c) Nothing in this Section prevents an insurer from reducing an insured's cost sharing by an amount greater than the amount specified in subsection (b) or (c).

(f) (d) The Department may adopt rules as necessary to implement and administer this Section.

(Source:

P.A.

102-558, eff.

8-20-21;

103-454, eff.

1-1-25;

103-718, eff.

7-19-24.)