INS-GENETIC TESTING & SCREEN

Amends the Illinois Insurance Code. Provides that the coverage required under provisions concerning genetic testing and evidence-based screenings for an inherited gene mutation shall be provided without cost sharing, except as specified. Changes the date of coverage to January 1, 2028 (rather than January 1, 2026) and provides that the coverage requirements apply to an individual or group policy (rather than only a group policy) of accident and health insurance or managed care plan. Excludes the State Employees Group Insurance Program or any other health care plan established or maintained under the State Employees Group Insurance Act of 1971 from the coverage requirements. Amends the State Employees Group Insurance Act of 1971. Requires the State Employees Group Insurance Program to provide coverage for clinical genetic testing for an inherited gene mutation for individuals with a personal or family history of cancer, as recommended by a health care professional in accordance with current evidence-based clinical practice guidelines. For individuals with a genetic test that is positive for an inherited mutation associated with an increased risk of cancer, requires the coverage to include any evidence-based screenings, as recommended by a health care professional in accordance with current evidence-based clinical practice guidelines, to the extent that the management recommendation is not already covered by the policy. Provides that the coverage is subject to specified cost sharing requirements.

Status

Engrossed

Passed its first chamber

Status date

Apr 16, 2026

210 days ago

Current chamber

Senate

Session

2025-2026 Regular Session