Illinois 93rd Regular Session Status: Passed House

HB 485 — INS COVER MORE CONDITIONS

Last action — Third Reading - Short Debate - Lost 052-052-005

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill died with 93rd Regular Session. It reached “Passed House” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.

Summary

Amends the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Illinois Insurance Code, the Health Maintenance Organization Act, and the Voluntary Health Services Plans Act to provide that if a policy provides coverage for prescription drugs approved by the Food and Drug Administration for the treatment of impotency, then the policy must provide coverage for prescription drugs for the prevention of pregnancy. Also requires coverage under those Acts to include coverage for a federally approved AIDS vaccine, prescription nutritional supplements, physician prescribed or ordered pain medication, and intravenous feeding. Amends the State Mandates Act to require implementation without reimbursement.

Bill Text

What changed in the latest version

43 added · 43 removed

Plain-language change summary

The latest version of Bill HB 485 includes changes in wording that clarify the intent and improve the readability of the document. Specifically, some technical terms have been adjusted, and phrases have been simplified to make the bill easier to understand for the general public. These changes are important because they enhance transparency and ensure that more people can follow and engage with the legislative process.

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093_HB0485 LRB093 05219 JLS 05279 b AN ACT concerning insurance coverage.
HB0485 Engrossed LRB093 05219 JLS 05279 b AN ACT concerning insurance coverage.
The requirement that health benefits be covered as provided in -2- LRB093 05219 JLS 05279 b this Section is an exclusive power and function of the State and is a denial and limitation under Article VII, Section 6, subsection (h) of the Illinois Constitution.
The requirement that health benefits be covered as provided in HB0485 Engrossed -2- LRB093 05219 JLS 05279 b this Section is an exclusive power and function of the State and is a denial and limitation under Article VII, Section 6, subsection (h) of the Illinois Constitution.
Insurance protection and benefits for employees shall provide the post-mastectomy care benefits required to be covered by a -3- LRB093 05219 JLS 05279 b policy of accident and health insurance under Section 356t and the coverage required under Sections 356u, 356w, --- 356x___3___________________5______________________3______ of the Illinois Insurance Code.
Insurance protection and benefits for employees shall provide the post-mastectomy care benefits required to be covered by a HB0485 Engrossed -3- LRB093 05219 JLS 05279 b policy of accident and health insurance under Section 356t and the coverage required under Sections 356u, 356w, --- 356x___3___________________5______________________3______ of the Illinois Insurance Code.
(215 ILCS 5/356z.4 new) _e_______________________c_____________________A____________ _____i_____________________e______________________c_____________ _____p_____________________e______________________d_____________ _____t______________________a______________________9____________ _____b_____________________e______________________r_____________ _____e_____________________u______________________t_____________ _____p_____________________v______________________c_____________ _____v_____________________o______________________a_____________ _____n______________________t_____________________n_____________ _____e_____________________o______________________r_____________ ______a____________________r______________________n___________ (215 ILCS 5/356z.5 new) _e_____________________i____ _a_____________________i______________________n_____________ _____e_____________________n______________________d_____________ _____d_____________________r______________________e_____________ _____a_____________________9_______________________m____________ _____a______________________f________________________d__________ _____o_____________________p______________________y_____________ ______a____________________t______________________m_____________ _____d_____________________h__________ _b______________________n______________________o____________ -4- LRB093 05219 JLS 05279 b _____h_______________________p_____________________a____________ _____s______________________v_____________________A_____________ _______h_____________________b____________________o_____________ _____i______________________o_____________________a_____________ _____c_______ (215 ILCS 5/356z.6 new) _e_____________________p______________________p_____________ _______o___________________c______________________l_____________ _____n_____________________e________________________o___________ _______t____________________o_____________________t_____________ _____a_____________________o_______________________p____________ _______m___________________a______________________f_____________ _____p_____________________u_______________________w____________ _____p_____________________o_______________________i____________ _____h_____________________d______________________o_____________ _____n_____________________a________________________n___________ _____s___________ (215 ILCS 5/356z.7 new) _e_____________________m_______________________A____________ _____i_____________________e______________________c_____________ _____p_____________________e______________________d_____________ _____t______________________a______________________9____________ _____b_____________________e________________________d___________ _____d_____________________y______________________r_____________ _____e_____________________r__________________ (215 ILCS 5.356z.8 new) _e_____________________o______________________o_____________ _____y_____________________a______________________g_____________ _____e_____________________,______________________h_____________ _____o_____________________t______________________A_____________ _____d_____________________v______________________e_____________ -5- LRB093 05219 JLS 05279 b ______S____________________a_______________________a____________ _____a______________________a_____________________t_____________ _____r_______________________d_____________________c____________ _____r_____________________g______________________v_____________ _____o______ Section 30.
(215 ILCS 5/356z.4 new) _e_______________________c_____________________A____________ _____i_____________________e______________________c_____________ _____p_____________________e______________________d_____________ _____t______________________a______________________9____________ _____b_____________________e______________________r_____________ _____e_____________________u______________________t_____________ _____p_____________________v______________________c_____________ _____v_____________________o______________________a_____________ _____n______________________t_____________________n_____________ _____e_____________________o______________________r_____________ ______a____________________r______________________n___________ (215 ILCS 5/356z.5 new) _e_____________________i____ _a_____________________i______________________n_____________ _____a_____________________p______________________d_____________ _____e_____________________e______________________t_____________ _____3_____________________m______________________f_____________ _____a_____________________i______________________D_____________ _____v_______________________b____________________o_____________ _____i______________________r_____________________n_____________ _____c_________________ _b_____________________e______________________y_____________ HB0485 Engrossed -4- LRB093 05219 JLS 05279 b _____e_____________________o______________________a_____________ _____s_____________________I_______________________A____________ ______h_____________________b_____________________d_____________ _____i_____________________o______________________o_____________ _____c_______ (215 ILCS 5/356z.6 new) _e_____________________p______________________p_____________ ______o_____________________o_____________________t_____________ _____a_____________________n______________________d_____________ ______t____________________f______________________o_____________ _____a_____________________r_______________________p____________ ______m____________________e______________________o_____________ _____p_____________________u_______________________w____________ _______p_____________________t____________________n_____________ _____h_______________________s____________________n_____________ _____n______________________t_____________________l_____________ _____s___________ (215 ILCS 5/356z.7 new) _e_____________________e______________________A_____________ _____i_____________________e______________________c_____________ ______p____________________v______________________w_____________ _____t_____________________n______________________9_____________ _____b_____________________o______________________o_____________ _____d_____________________y______________________r_____________ _____e_____________________r__________________ (215 ILCS 5.356z.8 new) _e_____________________o______________________o_____________ _____y_____________________l______________________e_____________ _____e_____________________e______________________t_____________ _____o_____________________t______________________A_____________ _____d_____________________v______________________e_____________ HB0485 Engrossed -5- LRB093 05219 JLS 05279 b _____S_____________________e______________________s_____________ _____a_____________________i______________________t_____________ _____r_______________________d_____________________c____________ _____r_____________________n______________________e_____________ _____o______ Section 30.
(a) Health Maintenance Organizations shall be subject to the provisions of Sections 133, 134, 137, 140, 141.1, 141.2, 141.3, 143, 143c, 147, 148, 149, 151, 152, 153, 154, 154.5, 154.6, 154.7, 154.8, 155.04, 355.2, 356m, 356v, 356w, 356x, 356y, 356z.2, 3____________.______________________3______ 367i, 368a, 401, 401.1, 402, 403, 403A, 408, 408.2, 409, 412, 444, and 444.1, paragraph (c) of subsection (2) of Section 367, and Articles IIA, VIII 1/2, XII, XII 1/2, XIII, XIII 1/2, XXV, and XXVI of the Illinois Insurance Code.
(a) Health Maintenance Organizations shall be subject to the provisions of Sections 133, 134, 137, 140, 141.1, 141.2, 141.3, 143, 143c, 147, 148, 149, 151, 152, 153, 154, 154.5, 154.6, 154.7, 154.8, 155.04, 355.2, 356m, 356v, 356w, 356x, 356y, 356z.2, __________5_______________________3______ 367i, 368a, 401, 401.1, 402, 403, 403A, 408, 408.2, 409, 412, 444, and 444.1, paragraph (c) of subsection (2) of Section 367, and Articles IIA, VIII 1/2, XII, XII 1/2, XIII, XIII 1/2, XXV, and XXVI of the Illinois Insurance Code.
or (3) a corporation organized under the laws of another state, 30% or more of the enrollees of which are residents of this State, except a corporation subject to substantially the same requirements in its state of organization as is a "domestic company" under Article -6- LRB093 05219 JLS 05279 b VIII 1/2 of the Illinois Insurance Code.
or (3) a corporation organized under the laws of another state, 30% or more of the enrollees of which are residents of this State, except a corporation subject to substantially the same requirements in its state of organization as is a "domestic company" under Article HB0485 Engrossed -6- LRB093 05219 JLS 05279 b VIII 1/2 of the Illinois Insurance Code.
and -7- LRB093 05219 JLS 05279 b (D) such other information as the Director shall require.
and HB0485 Engrossed -7- LRB093 05219 JLS 05279 b (D) such other information as the Director shall require.
and (ii) the amount of the refund or additional premium shall not exceed 20% of the Health Maintenance Organization's profitable or unprofitable experience with -8- LRB093 05219 JLS 05279 b respect to the group or other enrollment unit for the period (and, for purposes of a refund or additional premium, the profitable or unprofitable experience shall be calculated taking into account a pro rata share of the Health Maintenance Organization's administrative and marketing expenses, but shall not include any refund to be made or additional premium to be paid pursuant to this subsection (f)).
and (ii) the amount of the refund or additional premium shall not exceed 20% of the Health Maintenance Organization's profitable or unprofitable experience with HB0485 Engrossed -8- LRB093 05219 JLS 05279 b respect to the group or other enrollment unit for the period (and, for purposes of a refund or additional premium, the profitable or unprofitable experience shall be calculated taking into account a pro rata share of the Health Maintenance Organization's administrative and marketing expenses, but shall not include any refund to be made or additional premium to be paid pursuant to this subsection (f)).
-9- LRB093 05219 JLS 05279 b (215 ILCS 165/10) (from Ch.
HB0485 Engrossed -9- LRB093 05219 JLS 05279 b (215 ILCS 165/10) (from Ch.
Health services plan corporations and all persons interested therein or dealing therewith shall be subject to the provisions of Articles IIA and XII 1/2 and Sections 3.1, 133, 140, 143, 143c, 149, 155.37, 354, 355.2, 356r, 356t, 356u, 356v, 356w, 356x, 356y, 356z.1, 356z.2, __6_____________ _____6__________________ 367.2, 368a, 401, 401.1, 402, 403, 403A, 408, 408.2, and 412, and paragraphs (7) and (15) of Section 367 of the Illinois Insurance Code.
Health services plan corporations and all persons interested therein or dealing therewith shall be subject to the provisions of Articles IIA and XII 1/2 and Sections 3.1, 133, 140, 143, 143c, 149, 155.37, 354, 355.2, 356r, 356t, 356u, 356v, 356w, 356x, 356y, 356z.1, 356z.2, ___z_____________ _____6____________________ 367.2, 368a, 401, 401.1, 402, 403, 403A, 408, 408.2, and 412, and paragraphs (7) and (15) of Section 367 of the Illinois Insurance Code.
(30 ILCS 805/8.27 new) _e_____________________a________________________S___________ _____8_____________________m______________________e_____________ _____t_____________________o______________________t_____________ _____a______________________G_________________
(30 ILCS 805/8.27 new) _e_____________________a______________________n_____________ ______o____________________b_______________________i____________ _____t_____________________o______________________t_____________ _____a______________________G_________________
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Action History

  1. Third Reading - Short Debate - Lost 052-052-005

  2. Third Reading Deadline Extended - Rule 9(b); April 8, 2003

  3. Added Co-Sponsor Rep. Larry McKeon

  4. Added Co-Sponsor Rep. Monique D. Davis

  5. Placed on Calendar - Consideration Postponed

  6. Third Reading - Consideration Postponed

  7. Placed on Calendar Order of 3rd Reading - Short Debate

  8. Second Reading - Short Debate

  9. Placed on Calendar 2nd Reading - Short Debate

  10. Do Pass / Short Debate Health Care Availability and Access Committee; 013-007-000

  11. Added Co-Sponsor Rep. Robin Kelly

  12. Added Chief Co-Sponsor Rep. Elaine Nekritz

  13. Added Chief Co-Sponsor Rep. Frank Aguilar

  14. Added Chief Co-Sponsor Rep. Linda Chapa LaVia

  15. Added Chief Co-Sponsor Rep. Ron Stephens

  16. Assigned to Health Care Availability and Access Committee

  17. Referred to Rules Committee

  18. First Reading

  19. Filed with the Clerk by Rep. Mary E. Flowers

Sponsors

  • Mary E. Flowers · Cosponsor

Sponsorship breakdown

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0 sponsors · 1 co-sponsors · 182 not signed on · 1 voted No

Sponsors (0)

None.

Co-sponsors (1)

  • Mary E. Flowers

Not signed on (182)

182 members have not signed on to this bill.

Show all 182 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Third Reading

Failed 52 Yea · 52 Nay · 14 Other
Party YeaNayPresentNot Voting
Unaffiliated 465109
Democrat 5004
Republican 1101
Total 5252014
% of votes cast 44%44%0%12%
How each member voted (118)
Member Party Vote
Saviano — Nay
Schmitz — Not Voting
Slone — Yea
Sommer — Nay
Soto — Yea
Krause — Nay
Acevedo — Yea
Aguilar — Nay
Mathias — Nay
Bassi — Nay
Beaubien — Nay
Bellock — Nay
Berrios — Yea
Mautino — Nay
Biggins — Nay
Black — Not Voting
Boland — Yea
May — Yea
Bost — Nay
Brauer — Nay
Brosnahan — Nay
Capparelli — Nay
Colvin — Nay
Morrow — Yea
Munson — Nay
Hultgren — Nay
Jefferson — Yea
O'Brien — Yea
Bailey — Yea
Reitz — Yea
Dunkin — Yea
Flowers — Yea
Franks — Yea
Fritchey — Yea
McGuire — Yea
Lang — Yea
Leitch — Nay
Lindner — Nay
Bradley, Richard — Yea
Madigan — Yea
McAuliffe — Nay
Hannig — Yea
McCarthy — Nay
Burke — Yea
McKeon — Yea
Mendoza — Yea
Meyer — Nay
Howard — Yea
Millner — Nay
Jones — Yea
Moffitt — Nay
Davis, Monique — Yea
Davis, Steve — Yea
Mulligan — Yea
Nekritz — Yea
Lyons, Eileen — Nay
Osterman — Yea
Parke — Nay
Pihos — Nay
Scully — Yea
Turner — Yea
Washington — Yea
Yarbrough — Yea
Younge — Yea
Mitchell, Jerry — Nay
Sullivan — Nay
Coulson — Yea
Currie — Yea
Dunn — Nay
Eddy — Nay
Flider — Nay
Forby — Nay
Froehlich — Nay
Giles — Yea
Graham — Yea
Granberg — Yea
Hamos — Yea
Hartke — Yea
Holbrook — Yea
Jakobsson — Yea
Kurtz — Nay
Watson — Nay
Lyons, Joseph — Not Voting
Brady — Not Voting
Molaro — Not Voting
Myers — Nay
Novak — Nay
Osmond — Nay
Mitchell, Bill — Not Voting
Pankau — Not Voting
Tenhouse — Nay
Verschoore — Nay
Wait — Nay
Winters — Nay
Wirsing — Nay
Churchill — Nay
Cross — Not Voting
Cultra — Nay
Daniels — Nay
Hassert — Not Voting
Kosel — Nay
Phelps — Nay
Poe — Nay
Ryg — Yea
Sacia — Nay
Chapa LaVia — Yea
Eva-Dina Delgado Democrat Yea
Jay Hoffman Democrat Yea
Lakesia Collins Democrat Yea
Michael J. Kelly Democrat Yea
Nicholas K. Smith Democrat Not Voting
Patrick J. Joyce Democrat Not Voting
Robert "Bob" Rita Democrat Not Voting
Sara Feigenholtz Democrat Not Voting
William "Will" Davis Democrat Yea
Brad Stephens Republican Not Voting
Chapin Rose Republican Nay
Chris Miller Republican Yea

Official roll call →

Subjects

Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does HB 485 do?
Amends the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Illinois Insurance Code, the Health Maintenance Organization Act, and the Voluntary Health Services Plans Act to provide that if a policy provides coverage for prescription drugs approved by the Food and Drug Administration for the treatment of impotency, then the policy must provide coverage for prescription drugs for the prevention of pregnancy. Also requires coverage under those Acts to include coverage for a federally approved AIDS vaccine, prescription nutritional supplements, physician prescribed or ordered pain medication, and intravenous feeding. Amends the State Mandates Act to require implementation without reimbursement.
Who sponsors HB 485?
HB 485 is sponsored by Mary E. Flowers.
What is the current status of HB 485?
This bill died with 93rd Regular Session. It reached “Passed House” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track HB 485?
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