SB 2880

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	SB2880 - 104th General Assembly
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104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
SB2880
Introduced 1/16/2026, by Sen. Meg Loughran Cappel
SYNOPSIS AS INTRODUCED:
5 ILCS 375/6.11
55 ILCS 5/5-1069.3
65 ILCS 5/10-4-2.3
105 ILCS 5/10-22.3f
215 ILCS 5/356z.88 new
215 ILCS 125/5-3	  from Ch. 111 1/2, par. 1411.2
215 ILCS 130/4003	  from Ch. 73, par. 1504-3
215 ILCS 165/10	  from Ch. 32, par. 604
305 ILCS 5/5-16.8
Amends the Illinois Insurance Code. Requires 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, 2028 to provide coverage for medically necessary assistive technology devices. Amends the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, the Limited Health Service Organization Act, the Voluntary Health Services Plans Act, and the Illinois Public Aid Code to require coverage under the provisions of those Acts.
LRB104 17577 BAB 31005 b
A BILL FOR
		SB2880		LRB104 17577 BAB 31005 b
1    AN ACT concerning regulation.
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
4    Section 5. The State Employees Group Insurance Act of 1971
5is amended by changing Section 6.11 as follows:
6    (5 ILCS 375/6.11)
7    (Text of Section before amendment by P.A. 104-1)
8    Sec. 6.11. Required health benefits; Illinois Insurance
9Code requirements. The program of health benefits shall
10provide the post-mastectomy care benefits required to be
11covered by a policy of accident and health insurance under
12Section 356t of the Illinois Insurance Code. The program of
13health benefits shall provide the coverage required under
14Sections 356g, 356g.5, 356g.5-1, 356m, 356q, 356u, 356u.10,
15356w, 356x, 356z.2, 356z.4, 356z.4a, 356z.5, 356z.6, 356z.8,
16356z.9, 356z.10, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15,
17356z.17, 356z.22, 356z.25, 356z.26, 356z.29, 356z.30, 356z.32,
18356z.33, 356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47,
19356z.51, 356z.53, 356z.54, 356z.55, 356z.56, 356z.57, 356z.59,
20356z.60, 356z.61, 356z.62, 356z.64, 356z.67, 356z.68, 356z.70,
21356z.71, 356z.74, 356z.76, [and] 356z.77, [and] 356z.80, 356z.81, 
22356z.82, 356z.83, 356z.84, 356z.85, and 356z.88 of the
23Illinois Insurance Code. The program of health benefits must
		SB2880	- 2 -	LRB104 17577 BAB 31005 b
1comply with Sections 155.22a, 155.37, 355b, 356z.19, 370c, and
2370c.1 and Article XXXIIB of the Illinois Insurance Code. The
3program of health benefits shall provide the coverage required
4under Section 356m of the Illinois Insurance Code and, for the
5employees of the State Employee Group Insurance Program only,
6the coverage as also provided in Section 6.11B of this Act. The
7Department of Insurance shall enforce the requirements of this
8Section with respect to Sections 370c and 370c.1 and Article
9XXXIIB of the Illinois Insurance Code; all other requirements
10of this Section shall be enforced by the Department of Central
11Management Services.
12    Rulemaking authority to implement Public Act 95-1045, if
13any, is conditioned on the rules being adopted in accordance
14with all provisions of the Illinois Administrative Procedure
15Act and all rules and procedures of the Joint Committee on
16Administrative Rules; any purported rule not so adopted, for
17whatever reason, is unauthorized.
18(Source: P.A. 103-8, eff. 1-1-24; 103-84, eff. 1-1-24; 103-91,
19eff. 1-1-24; 103-420, eff. 1-1-24; 103-445, eff. 1-1-24;
20103-535, eff. 8-11-23; 103-551, eff. 8-11-23; 103-605, eff.
217-1-24; 103-718, eff. 7-19-24; 103-751, eff. 8-2-24; 103-870,
22eff. 1-1-25; 103-914, eff. 1-1-25; 103-918, eff. 1-1-25;
23103-951, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-27, eff.
241-1-26, 104-42, eff. 8-1-25; 104-68, eff. 1-1-26; 104-73, eff.
251-1-26; 104-289, eff. 1-1-26; 104-324, eff. 1-1-26; 104-379,
26eff. 1-1-26; 104-417, eff. 8-15-25; revised 11-19-25.)
		SB2880	- 3 -	LRB104 17577 BAB 31005 b
1    (Text of Section after amendment by P.A. 104-1)
2    Sec. 6.11. Required health benefits; Illinois Insurance
3Code requirements. The program of health benefits shall
4provide the post-mastectomy care benefits required to be
5covered by a policy of accident and health insurance under
6Section 356t of the Illinois Insurance Code. The program of
7health benefits shall provide the coverage required under
8Sections 356g, 356g.5, 356g.5-1, 356m, 356q, 356u, 356u.10,
9356w, 356x, 356z.2, 356z.4, 356z.4a, 356z.5, 356z.6, 356z.8,
10356z.9, 356z.10, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15,
11356z.17, 356z.22, 356z.25, 356z.26, 356z.29, 356z.30, 356z.32,
12356z.33, 356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47,
13356z.51, 356z.53, 356z.54, 356z.55, 356z.56, 356z.57, 356z.59,
14356z.60, 356z.61, 356z.62, 356z.64, 356z.67, 356z.68, 356z.70,
15356z.71, 356z.74, 356z.76, [and] 356z.77, 356z.79, [and] 356z.80, 
16356z.81, 356z.82, 356z.83, 356z.84, 356z.85, and 356z.88 of
17the Illinois Insurance Code. The program of health benefits
18must comply with Sections 155.22a, 155.37, 355b, 356z.19,
19370c, and 370c.1 and Article XXXIIB of the Illinois Insurance
20Code. The program of health benefits shall provide the
21coverage required under Section 356m of the Illinois Insurance
22Code and, for the employees of the State Employee Group
23Insurance Program only, the coverage as also provided in
24Section 6.11B of this Act. The Department of Insurance shall
25enforce the requirements of this Section with respect to
		SB2880	- 4 -	LRB104 17577 BAB 31005 b
1Sections 370c and 370c.1 and Article XXXIIB of the Illinois
2Insurance Code; all other requirements of this Section shall
3be enforced by the Department of Central Management Services.
4    Rulemaking authority to implement Public Act 95-1045, if
5any, is conditioned on the rules being adopted in accordance
6with all provisions of the Illinois Administrative Procedure
7Act and all rules and procedures of the Joint Committee on
8Administrative Rules; any purported rule not so adopted, for
9whatever reason, is unauthorized.
10(Source: P.A. 103-8, eff. 1-1-24; 103-84, eff. 1-1-24; 103-91,
11eff. 1-1-24; 103-420, eff. 1-1-24; 103-445, eff. 1-1-24;
12103-535, eff. 8-11-23; 103-551, eff. 8-11-23; 103-605, eff.
137-1-24; 103-718, eff. 7-19-24; 103-751, eff. 8-2-24; 103-870,
14eff. 1-1-25; 103-914, eff. 1-1-25; 103-918, eff. 1-1-25;
15103-951, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-1, eff.
167-1-27; 104-27, eff. 1-1-26, 104-42, eff. 8-1-25; 104-68, eff.
171-1-26; 104-73, eff. 1-1-26; 104-289, eff. 1-1-26; 104-324,
18eff. 1-1-26; 104-379, eff. 1-1-26; 104-417, eff. 8-15-25;
19revised 11-19-25.)
20    Section 10. The Counties Code is amended by changing
21Section 5-1069.3 as follows:
22    (55 ILCS 5/5-1069.3)
23    (Text of Section before amendment by P.A. 104-446)
24    Sec. 5-1069.3. Required health benefits. If a county,
		SB2880	- 5 -	LRB104 17577 BAB 31005 b
1including a home rule county, is a self-insurer for purposes
2of providing health insurance coverage for its employees, the
3coverage shall include coverage for the post-mastectomy care
4benefits required to be covered by a policy of accident and
5health insurance under Section 356t and the coverage required
6under Sections 356g, 356g.5, 356g.5-1, 356m, 356q, 356u,
7356u.10, 356w, 356x, 356z.4, 356z.4a, 356z.6, 356z.8, 356z.9,
8356z.10, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.22,
9356z.25, 356z.26, 356z.29, 356z.30, 356z.32, 356z.33, 356z.36,
10356z.40, 356z.41, 356z.45, 356z.46, 356z.47, 356z.48, 356z.51,
11356z.53, 356z.54, 356z.56, 356z.57, 356z.59, 356z.60, 356z.61,
12356z.62, 356z.64, 356z.67, 356z.68, 356z.70, 356z.71, 356z.74,
13[and] 356z.77, 356z.79, [and] 356z.80, 356z.81, 356z.82, 356z.83, 
14356z.84, 356z.85, and 356z.88 of the Illinois Insurance Code.
15The coverage shall comply with Sections 155.22a, 355b,
16356z.19, and 370c of the Illinois Insurance Code. The
17Department of Insurance shall enforce the requirements of this
18Section. The requirement that health benefits be covered as
19provided in this Section is an exclusive power and function of
20the State and is a denial and limitation under Article VII,
21Section 6, subsection (h) of the Illinois Constitution. A home
22rule county to which this Section applies must comply with
23every provision of this Section.
24    Rulemaking authority to implement Public Act 95-1045, if
25any, is conditioned on the rules being adopted in accordance
26with all provisions of the Illinois Administrative Procedure
		SB2880	- 6 -	LRB104 17577 BAB 31005 b
1Act and all rules and procedures of the Joint Committee on
2Administrative Rules; any purported rule not so adopted, for
3whatever reason, is unauthorized.
4(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24;
5103-420, eff. 1-1-24; 103-445, eff. 1-1-24; 103-535, eff.
68-11-23; 103-551, eff. 8-11-23; 103-605, eff. 7-1-24; 103-718,
7eff. 7-19-24; 103-751, eff. 8-2-24; 103-914, eff. 1-1-25;
8103-918, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-1, eff.
96-9-25; 104-42, eff. 8-1-25; 104-68, eff. 1-1-26; 104-73, eff.
101-1-26; 104-289, eff. 1-1-26; 104-324, eff. 1-1-26; 104-379,
11eff. 1-1-26; 104-417, eff. 8-15-25; revised 1-7-26.)
12    (Text of Section after amendment by P.A. 104-446)
13    Sec. 5-1069.3. Required health benefits. If a county,
14including a home rule county, is a self-insurer for purposes
15of providing health insurance coverage for its employees, the
16coverage shall include coverage for the post-mastectomy care
17benefits required to be covered by a policy of accident and
18health insurance under Section 356t and the coverage required
19under Sections 356g, 356g.5, 356g.5-1, 356m, 356q, 356u,
20356u.10, 356w, 356x, 356z.4, 356z.4a, 356z.6, 356z.8, 356z.9,
21356z.10, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.22,
22356z.25, 356z.26, 356z.29, 356z.30, 356z.32, 356z.33, 356z.36,
23356z.40, 356z.41, 356z.45, 356z.46, 356z.47, 356z.48, 356z.51,
24356z.53, 356z.54, 356z.56, 356z.57, 356z.59, 356z.60, 356z.61,
25356z.62, 356z.64, 356z.67, 356z.68, 356z.70, 356z.71, 356z.74,
		SB2880	- 7 -	LRB104 17577 BAB 31005 b
1[and] 356z.77, 356z.79, [and] 356z.80, 356z.81, 356z.82, 356z.83, 
2356z.84, 356z.85, and 356z.88 of the Illinois Insurance Code.
3The coverage shall comply with Sections 155.22a, 355b,
4356z.19, 370c, and 370c.4 of the Illinois Insurance Code. The
5Department of Insurance shall enforce the requirements of this
6Section. The requirement that health benefits be covered as
7provided in this Section is an exclusive power and function of
8the State and is a denial and limitation under Article VII,
9Section 6, subsection (h) of the Illinois Constitution. A home
10rule county to which this Section applies must comply with
11every provision of this Section.
12    Rulemaking authority to implement Public Act 95-1045, if
13any, is conditioned on the rules being adopted in accordance
14with all provisions of the Illinois Administrative Procedure
15Act and all rules and procedures of the Joint Committee on
16Administrative Rules; any purported rule not so adopted, for
17whatever reason, is unauthorized.
18(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24;
19103-420, eff. 1-1-24; 103-445, eff. 1-1-24; 103-535, eff.
208-11-23; 103-551, eff. 8-11-23; 103-605, eff. 7-1-24; 103-718,
21eff. 7-19-24; 103-751, eff. 8-2-24; 103-914, eff. 1-1-25;
22103-918, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-1, eff.
236-9-25; 104-42, eff. 8-1-25; 104-68, eff. 1-1-26; 104-73, eff.
241-1-26; 104-289, eff. 1-1-26; 104-324, eff. 1-1-26; 104-379,
25eff. 1-1-26; 104-417, eff. 8-15-25; 104-446, eff. 6-1-26;
26revised 1-7-26.)
		SB2880	- 8 -	LRB104 17577 BAB 31005 b
1    Section 15. The Illinois Municipal Code is amended by
2changing Section 10-4-2.3 as follows:
3    (65 ILCS 5/10-4-2.3)
4    (Text of Section before amendment by P.A. 104-446)
5    Sec. 10-4-2.3. Required health benefits. If a
6municipality, including a home rule municipality, is a
7self-insurer for purposes of providing health insurance
8coverage for its employees, the coverage shall include
9coverage for the post-mastectomy care benefits required to be
10covered by a policy of accident and health insurance under
11Section 356t and the coverage required under Sections 356g,
12356g.5, 356g.5-1, 356m, 356q, 356u, 356u.10, 356w, 356x,
13356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 356z.10, 356z.11,
14356z.12, 356z.13, 356z.14, 356z.15, 356z.22, 356z.25, 356z.26,
15356z.29, 356z.30, 356z.32, 356z.33, 356z.36, 356z.40, 356z.41,
16356z.45, 356z.46, 356z.47, 356z.48, 356z.51, 356z.53, 356z.54,
17356z.56, 356z.57, 356z.59, 356z.60, 356z.61, 356z.62, 356z.64,
18356z.67, 356z.68, 356z.70, 356z.71, 356z.74, [and] 356z.77,
19356z.79, [and] 356z.80, 356z.81, 356z.82, 356z.83, 356z.84, 
20356z.85, and 356z.88 of the Illinois Insurance Code. The
21coverage shall comply with Sections 155.22a, 355b, 356z.19,
22and 370c of the Illinois Insurance Code. The Department of
23Insurance shall enforce the requirements of this Section. The
24requirement that health benefits be covered as provided in
		SB2880	- 9 -	LRB104 17577 BAB 31005 b
1this Section is an exclusive power and function of the State
2and is a denial and limitation under Article VII, Section 6,
3subsection (h) of the Illinois Constitution. A home rule
4municipality to which this Section applies must comply with
5every provision of this Section.
6    Rulemaking authority to implement Public Act 95-1045, if
7any, is conditioned on the rules being adopted in accordance
8with all provisions of the Illinois Administrative Procedure
9Act and all rules and procedures of the Joint Committee on
10Administrative Rules; any purported rule not so adopted, for
11whatever reason, is unauthorized.
12(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24;
13103-420, eff. 1-1-24; 103-445, eff. 1-1-24; 103-535, eff.
148-11-23; 103-551, eff. 8-11-23; 103-605, eff. 7-1-24; 103-718,
15eff. 7-19-24; 103-751, eff. 8-2-24; 103-914, eff. 1-1-25;
16103-918, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-1, eff.
176-9-25; 104-42, eff. 8-1-25; 104-68, eff. 1-1-26; 104-73, eff.
181-1-26; 104-289, eff. 1-1-26; 104-324, eff. 1-1-26; 104-379,
19eff. 1-1-26; 104-417, eff. 8-15-25; revised 1-8-26.)
20    (Text of Section after amendment by P.A. 104-446)
21    Sec. 10-4-2.3. Required health benefits. If a
22municipality, including a home rule municipality, is a
23self-insurer for purposes of providing health insurance
24coverage for its employees, the coverage shall include
25coverage for the post-mastectomy care benefits required to be
		SB2880	- 10 -	LRB104 17577 BAB 31005 b
1covered by a policy of accident and health insurance under
2Section 356t and the coverage required under Sections 356g,
3356g.5, 356g.5-1, 356m, 356q, 356u, 356u.10, 356w, 356x,
4356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 356z.10, 356z.11,
5356z.12, 356z.13, 356z.14, 356z.15, 356z.22, 356z.25, 356z.26,
6356z.29, 356z.30, 356z.32, 356z.33, 356z.36, 356z.40, 356z.41,
7356z.45, 356z.46, 356z.47, 356z.48, 356z.51, 356z.53, 356z.54,
8356z.56, 356z.57, 356z.59, 356z.60, 356z.61, 356z.62, 356z.64,
9356z.67, 356z.68, 356z.70, 356z.71, 356z.74, [and] 356z.77,
10356z.79, [and] 356z.80, 356z.81, 356z.82, 356z.83, 356z.84, 
11356z.85, and 356z.88 of the Illinois Insurance Code. The
12coverage shall comply with Sections 155.22a, 355b, 356z.19,
13370c, and 370c.4 of the Illinois Insurance Code. The
14Department of Insurance shall enforce the requirements of this
15Section. The requirement that health benefits be covered as
16provided in this Section is an exclusive power and function of
17the State and is a denial and limitation under Article VII,
18Section 6, subsection (h) of the Illinois Constitution. A home
19rule municipality to which this Section applies must comply
20with every provision of this Section.
21    Rulemaking authority to implement Public Act 95-1045, if
22any, is conditioned on the rules being adopted in accordance
23with all provisions of the Illinois Administrative Procedure
24Act and all rules and procedures of the Joint Committee on
25Administrative Rules; any purported rule not so adopted, for
26whatever reason, is unauthorized.
		SB2880	- 11 -	LRB104 17577 BAB 31005 b
1(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24;
2103-420, eff. 1-1-24; 103-445, eff. 1-1-24; 103-535, eff.
38-11-23; 103-551, eff. 8-11-23; 103-605, eff. 7-1-24; 103-718,
4eff. 7-19-24; 103-751, eff. 8-2-24; 103-914, eff. 1-1-25;
5103-918, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-1, eff.
66-9-25; 104-42, eff. 8-1-25; 104-68, eff. 1-1-26; 104-73, eff.
71-1-26; 104-289, eff. 1-1-26; 104-324, eff. 1-1-26; 104-379,
8eff. 1-1-26; 104-417, eff. 8-15-25; 104-446, eff. 6-1-26;
9revised 1-8-26.)
10    Section 20. The School Code is amended by changing Section
1110-22.3f as follows:
12    (105 ILCS 5/10-22.3f)
13    (Text of Section before amendment by P.A. 104-446)
14    Sec. 10-22.3f. Required health benefits. Insurance
15protection and benefits for employees shall provide the
16post-mastectomy care benefits required to be covered by a
17policy of accident and health insurance under Section 356t and
18the coverage required under Sections 356g, 356g.5, 356g.5-1,
19356m, 356q, 356u, 356u.10, 356w, 356x, 356z.4, 356z.4a,
20356z.6, 356z.8, 356z.9, 356z.11, 356z.12, 356z.13, 356z.14,
21356z.15, 356z.22, 356z.25, 356z.26, 356z.29, 356z.30, 356z.32,
22356z.33, 356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47,
23356z.51, 356z.53, 356z.54, 356z.56, 356z.57, 356z.59, 356z.60,
24356z.61, 356z.62, 356z.64, 356z.67, 356z.68, 356z.70, 356z.71,
		SB2880	- 12 -	LRB104 17577 BAB 31005 b
1356z.74, [and] 356z.77, 356z.79, [and] 356z.80, 356z.81, 356z.82, 
2356z.83, 356z.84, 356z.85, and 356z.88 of the Illinois
3Insurance Code. Insurance policies shall comply with Section
4356z.19 of the Illinois Insurance Code. The coverage shall
5comply with Sections 155.22a, 355b, and 370c and Article
6XXXIIB of the Illinois Insurance Code. The Department of
7Insurance shall enforce the requirements of this Section.
8    Rulemaking authority to implement Public Act 95-1045, if
9any, is conditioned on the rules being adopted in accordance
10with all provisions of the Illinois Administrative Procedure
11Act and all rules and procedures of the Joint Committee on
12Administrative Rules; any purported rule not so adopted, for
13whatever reason, is unauthorized.
14(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24;
15103-420, eff. 1-1-24; 103-445, eff. 1-1-24; 103-535, eff.
168-11-23; 103-551, eff. 8-11-23; 103-605, eff. 7-1-24; 103-718,
17eff. 7-19-24; 103-751, eff. 8-2-24; 103-914, eff. 1-1-25;
18103-918, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-1, eff.
196-9-25; 104-27, eff. 1-1-26; 104-42, eff. 8-1-25; 104-68, eff.
201-1-26; 104-73, eff. 1-1-26; 104-289, eff. 1-1-26; 104-324,
21eff. 1-1-26; 104-379, eff. 1-1-26; 104-417, eff. 8-15-25;
22revised 1-8-26.)
23    (Text of Section after amendment by P.A. 104-446)
24    Sec. 10-22.3f. Required health benefits. Insurance
25protection and benefits for employees shall provide the
		SB2880	- 13 -	LRB104 17577 BAB 31005 b
1post-mastectomy care benefits required to be covered by a
2policy of accident and health insurance under Section 356t and
3the coverage required under Sections 356g, 356g.5, 356g.5-1,
4356m, 356q, 356u, 356u.10, 356w, 356x, 356z.4, 356z.4a,
5356z.6, 356z.8, 356z.9, 356z.11, 356z.12, 356z.13, 356z.14,
6356z.15, 356z.22, 356z.25, 356z.26, 356z.29, 356z.30, 356z.32,
7356z.33, 356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47,
8356z.51, 356z.53, 356z.54, 356z.56, 356z.57, 356z.59, 356z.60,
9356z.61, 356z.62, 356z.64, 356z.67, 356z.68, 356z.70, 356z.71,
10356z.74, [and] 356z.77, 356z.79, [and] 356z.80, 356z.81, 356z.82, 
11356z.83, 356z.84, 356z.85, and 356z.88 of the Illinois
12Insurance Code. Insurance policies shall comply with Section
13356z.19 of the Illinois Insurance Code. The coverage shall
14comply with Sections 155.22a, 355b, 370c, and 370c.4 and
15Article XXXIIB of the Illinois Insurance Code. The Department
16of Insurance shall enforce the requirements of this Section.
17    Rulemaking authority to implement Public Act 95-1045, if
18any, is conditioned on the rules being adopted in accordance
19with all provisions of the Illinois Administrative Procedure
20Act and all rules and procedures of the Joint Committee on
21Administrative Rules; any purported rule not so adopted, for
22whatever reason, is unauthorized.
23(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24;
24103-420, eff. 1-1-24; 103-445, eff. 1-1-24; 103-535, eff.
258-11-23; 103-551, eff. 8-11-23; 103-605, eff. 7-1-24; 103-718,
26eff. 7-19-24; 103-751, eff. 8-2-24; 103-914, eff. 1-1-25;
		SB2880	- 14 -	LRB104 17577 BAB 31005 b
1103-918, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-1, eff.
26-9-25; 104-27, eff. 1-1-26; 104-42, eff. 8-1-25; 104-68, eff.
31-1-26; 104-73, eff. 1-1-26; 104-289, eff. 1-1-26; 104-324,
4eff. 1-1-26; 104-379, eff. 1-1-26; 104-417, eff. 8-15-25;
5104-446, eff. 6-1-26; revised 1-8-26.)
6    Section 25. The Illinois Insurance Code is amended by
7adding Section 356z.88 as follows:
8    (215 ILCS 5/356z.88 new)
9    Sec. 356z.88. Coverage for assistive technology devices.
10    (a) In this Section, "assistive technology device" means 
11any item, piece of equipment, or product system, whether 
12acquired commercially, modified, or customized, that is 
13purchased or leased, or whose transfer is accepted in this 
14State, and that is used to increase, maintain, or improve 
15functional capabilities of individuals with disabilities. 
16"Assistive technology device" does not include any medical 
17device, surgical device, or organ implanted or transplanted 
18into or attached directly to an individual, or a hearing 
19instrument or hearing aid as defined in the Hearing Instrument 
20Consumer Protection Act.
21    (b) A group or individual policy of accident and health 
22insurance or a managed care plan that is amended, delivered, 
23issued, or renewed on or after January 1, 2028 shall provide 
24coverage for medically necessary assistive technology devices.
		SB2880	- 15 -	LRB104 17577 BAB 31005 b
1    Section 30. The Health Maintenance Organization Act is
2amended by changing Section 5-3 as follows:
3    (215 ILCS 125/5-3)  (from Ch. 111 1/2, par. 1411.2)
4    Sec. 5-3. Illinois Insurance Code provisions.
5    (a) Health Maintenance Organizations shall be subject to
6the provisions of Sections 133, 134, 136, 137, 139, 140,
7141.1, 141.2, 141.3, 143, 143.31, 143c, 147, 148, 149, 151,
8152, 153, 154, 154.5, 154.6, 154.7, 154.8, 155.04, 155.22a,
9155.49, 352c, 355.2, 355.3, 355.6, 355.7, 355b, 355c, 356f,
10356g, 356g.5-1, 356m, 356q, 356u.10, 356v, 356w, 356x, 356z.2,
11356z.3a, 356z.4, 356z.4a, 356z.5, 356z.6, 356z.8, 356z.9,
12356z.10, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.17,
13356z.18, 356z.19, 356z.20, 356z.21, 356z.22, 356z.23, 356z.24,
14356z.25, 356z.26, 356z.28, 356z.29, 356z.30, 356z.31, 356z.32,
15356z.33, 356z.34, 356z.35, 356z.36, 356z.37, 356z.38, 356z.39,
16356z.40, 356z.40a, 356z.41, 356z.44, 356z.45, 356z.46,
17356z.47, 356z.48, 356z.49, 356z.50, 356z.51, 356z.53, 356z.54,
18356z.55, 356z.56, 356z.57, 356z.58, 356z.59, 356z.60, 356z.61,
19356z.62, 356z.63, 356z.64, 356z.65, 356z.66, 356z.67, 356z.68,
20356z.69, 356z.70, 356z.71, 356z.72, 356z.73, 356z.74, 356z.75,
21356z.76, 356z.77, 356z.78, 356z.79, 356z.80, 356z.81, 356z.82, 
22356z.83, 356z.84, 356z.85, 356z.88, 364, 364.01, 364.3, 367.2,
23367.2-5, 367i, 368a, 368b, 368c, 368d, 368e, 370a, 370c,
24370c.1, 401, 401.1, 402, 403, 403A, 408, 408.2, 409, 412, 444,
		SB2880	- 16 -	LRB104 17577 BAB 31005 b
1and 444.1, paragraph (c) of subsection (2) of Section 367, and
2Articles IIA, VIII 1/2, XII, XII 1/2, XIII, XIII 1/2, XXV,
3XXVI, and XXXIIB of the Illinois Insurance Code.
4    (b) For purposes of the Illinois Insurance Code, except
5for Sections 444 and 444.1 and Articles XIII and XIII 1/2,
6Health Maintenance Organizations in the following categories
7are deemed to be "domestic companies":
8        (1) a corporation authorized under the Dental Service
9    Plan Act or the Voluntary Health Services Plans Act;
10        (2) a corporation organized under the laws of this
11    State; or
12        (3) a corporation organized under the laws of another
13    state, 30% or more of the enrollees of which are residents
14    of this State, except a corporation subject to
15    substantially the same requirements in its state of
16    organization as is a "domestic company" under Article VIII
17    1/2 of the Illinois Insurance Code.
18    (c) In considering the merger, consolidation, or other
19acquisition of control of a Health Maintenance Organization
20pursuant to Article VIII 1/2 of the Illinois Insurance Code,
21        (1) the Director shall give primary consideration to
22    the continuation of benefits to enrollees and the
23    financial conditions of the acquired Health Maintenance
24    Organization after the merger, consolidation, or other
25    acquisition of control takes effect;
26        (2)(i) the criteria specified in subsection (1)(b) of
		SB2880	- 17 -	LRB104 17577 BAB 31005 b
1    Section 131.8 of the Illinois Insurance Code shall not
2    apply and (ii) the Director, in making his determination
3    with respect to the merger, consolidation, or other
4    acquisition of control, need not take into account the
5    effect on competition of the merger, consolidation, or
6    other acquisition of control;
7        (3) the Director shall have the power to require the
8    following information:
9            (A) certification by an independent actuary of the
10        adequacy of the reserves of the Health Maintenance
11        Organization sought to be acquired;
12            (B) pro forma financial statements reflecting the
13        combined balance sheets of the acquiring company and
14        the Health Maintenance Organization sought to be
15        acquired as of the end of the preceding year and as of
16        a date 90 days prior to the acquisition, as well as pro
17        forma financial statements reflecting projected
18        combined operation for a period of 2 years;
19            (C) a pro forma business plan detailing an
20        acquiring party's plans with respect to the operation
21        of the Health Maintenance Organization sought to be
22        acquired for a period of not less than 3 years; and
23            (D) such other information as the Director shall
24        require.
25    (d) The provisions of Article VIII 1/2 of the Illinois
26Insurance Code and this Section 5-3 shall apply to the sale by
		SB2880	- 18 -	LRB104 17577 BAB 31005 b
1any health maintenance organization of greater than 10% of its
2enrollee population (including, without limitation, the health
3maintenance organization's right, title, and interest in and
4to its health care certificates).
5    (e) In considering any management contract or service
6agreement subject to Section 141.1 of the Illinois Insurance
7Code, the Director (i) shall, in addition to the criteria
8specified in Section 141.2 of the Illinois Insurance Code,
9take into account the effect of the management contract or
10service agreement on the continuation of benefits to enrollees
11and the financial condition of the health maintenance
12organization to be managed or serviced, and (ii) need not take
13into account the effect of the management contract or service
14agreement on competition.
15    (f) Except for small employer groups as defined in the
16Small Employer Rating, Renewability and Portability Health
17Insurance Act and except for medicare supplement policies as
18defined in Section 363 of the Illinois Insurance Code, a
19Health Maintenance Organization may by contract agree with a
20group or other enrollment unit to effect refunds or charge
21additional premiums under the following terms and conditions:
22        (i) the amount of, and other terms and conditions with
23    respect to, the refund or additional premium are set forth
24    in the group or enrollment unit contract agreed in advance
25    of the period for which a refund is to be paid or
26    additional premium is to be charged (which period shall
		SB2880	- 19 -	LRB104 17577 BAB 31005 b
1    not be less than one year); and
2        (ii) the amount of the refund or additional premium
3    shall not exceed 20% of the Health Maintenance
4    Organization's profitable or unprofitable experience with
5    respect to the group or other enrollment unit for the
6    period (and, for purposes of a refund or additional
7    premium, the profitable or unprofitable experience shall
8    be calculated taking into account a pro rata share of the
9    Health Maintenance Organization's administrative and
10    marketing expenses, but shall not include any refund to be
11    made or additional premium to be paid pursuant to this
12    subsection (f)). The Health Maintenance Organization and
13    the group or enrollment unit may agree that the profitable
14    or unprofitable experience may be calculated taking into
15    account the refund period and the immediately preceding 2
16    plan years.
17    The Health Maintenance Organization shall include a
18statement in the evidence of coverage issued to each enrollee
19describing the possibility of a refund or additional premium,
20and upon request of any group or enrollment unit, provide to
21the group or enrollment unit a description of the method used
22to calculate (1) the Health Maintenance Organization's
23profitable experience with respect to the group or enrollment
24unit and the resulting refund to the group or enrollment unit
25or (2) the Health Maintenance Organization's unprofitable
26experience with respect to the group or enrollment unit and
		SB2880	- 20 -	LRB104 17577 BAB 31005 b
1the resulting additional premium to be paid by the group or
2enrollment unit.
3    In no event shall the Illinois Health Maintenance
4Organization Guaranty Association be liable to pay any
5contractual obligation of an insolvent organization to pay any
6refund authorized under this Section.
7    (g) Rulemaking authority to implement Public Act 95-1045,
8if any, is conditioned on the rules being adopted in
9accordance with all provisions of the Illinois Administrative
10Procedure Act and all rules and procedures of the Joint
11Committee on Administrative Rules; any purported rule not so
12adopted, for whatever reason, is unauthorized.
13(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24;
14103-123, eff. 1-1-24; 103-154, eff. 6-30-23; 103-420, eff.
151-1-24; 103-426, eff. 8-4-23; 103-445, eff. 1-1-24; 103-551,
16eff. 8-11-23; 103-605, eff. 7-1-24; 103-618, eff. 1-1-25;
17103-649, eff. 1-1-25; 103-656, eff. 1-1-25; 103-700, eff.
181-1-25; 103-718, eff. 7-19-24; 103-751, eff. 8-2-24; 103-753,
19eff. 8-2-24; 103-758, eff. 1-1-25; 103-777, eff. 8-2-24;
20103-808, eff. 1-1-26; 103-914, eff. 1-1-25; 103-918, eff.
211-1-25; 103-1024, eff. 1-1-25; 104-1, eff. 6-9-25; 104-28,
22eff. 1-1-26; 104-42, eff. 8-1-25; 104-68, eff. 1-1-26; 104-73,
23eff. 1-1-26; 104-98, eff. 1-1-26; 104-289, eff. 1-1-26;
24104-324, eff. 1-1-26; 104-334, eff. 8-15-25; 104-379, eff.
251-1-26; 104-417, eff. 8-15-25; revised 11-21-25.)
		SB2880	- 21 -	LRB104 17577 BAB 31005 b
1    Section 35. The Limited Health Service Organization Act is
2amended by changing Section 4003 as follows:
3    (215 ILCS 130/4003)  (from Ch. 73, par. 1504-3)
4    Sec. 4003. Illinois Insurance Code provisions. Limited
5health service organizations shall be subject to the
6provisions of Sections 133, 134, 136, 137, 139, 140, 141.1,
7141.2, 141.3, 143, 143.31, 143c, 147, 148, 149, 151, 152, 153,
8154, 154.5, 154.6, 154.7, 154.8, 155.04, 155.37, 155.49, 352c,
9355.2, 355.3, 355b, 355d, 356m, 356q, 356v, 356z.4, 356z.4a,
10356z.10, 356z.21, 356z.22, 356z.25, 356z.26, 356z.29, 356z.32,
11356z.33, 356z.41, 356z.46, 356z.47, 356z.51, 356z.53, 356z.54,
12356z.57, 356z.59, 356z.61, 356z.64, 356z.67, 356z.68, 356z.71,
13356z.73, 356z.74, 356z.75, 356z.79, 356z.80, 356z.81, 356z.83, 
14356z.84, 356z.85, 356z.88, 364.3, 368a, 370a, 401, 401.1, 402,
15403, 403A, 408, 408.2, 409, 412, 444, and 444.1 and Articles
16IIA, VIII 1/2, XII, XII 1/2, XIII, XIII 1/2, XXV, XXVI, and
17XXXIIB of the Illinois Insurance Code. Nothing in this Section
18shall require a limited health care plan to cover any service
19that is not a limited health service. For purposes of the
20Illinois Insurance Code, except for Sections 444 and 444.1 and
21Articles XIII and XIII 1/2, limited health service
22organizations in the following categories are deemed to be
23domestic companies:
24        (1) a corporation under the laws of this State; or
25        (2) a corporation organized under the laws of another
		SB2880	- 22 -	LRB104 17577 BAB 31005 b
1    state, 30% or more of the enrollees of which are residents
2    of this State, except a corporation subject to
3    substantially the same requirements in its state of
4    organization as is a domestic company under Article VIII
5    1/2 of the Illinois Insurance Code.
6(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24;
7103-420, eff. 1-1-24; 103-426, eff. 8-4-23; 103-445, eff.
81-1-24; 103-605, eff. 7-1-24; 103-649, eff. 1-1-25; 103-656,
9eff. 1-1-25; 103-700, eff. 1-1-25; 103-718, eff. 7-19-24;
10103-751, eff. 8-2-24; 103-758, eff. 1-1-25; 103-832, eff.
111-1-25; 103-1024, eff. 1-1-25; 104-1, eff. 6-9-25; 104-42,
12eff. 8-1-25; 104-73, eff. 1-1-26; 104-98, eff. 1-1-26;
13104-289, eff. 1-1-26; 104-324, eff. 1-1-26; 104-334, eff.
148-15-25; 104-379, eff. 1-1-26; 104-417, eff. 8-15-25; revised
1511-21-25.)
16    Section 40. The Voluntary Health Services Plans Act is
17amended by changing Section 10 as follows:
18    (215 ILCS 165/10)  (from Ch. 32, par. 604)
19    Sec. 10. Application of Illinois Insurance Code
20provisions. Health services plan corporations and all persons
21interested therein or dealing therewith shall be subject to
22the provisions of Articles IIA and XII 1/2 and Sections 3.1,
23133, 136, 139, 140, 143, 143.31, 143c, 149, 155.22a, 155.37,
24354, 355.2, 355.3, 355.7, 355b, 355d, 356g, 356g.5, 356g.5-1,
		SB2880	- 23 -	LRB104 17577 BAB 31005 b
1356m, 356q, 356r, 356t, 356u, 356u.10, 356v, 356w, 356x, 356y,
2356z.1, 356z.2, 356z.3a, 356z.4, 356z.4a, 356z.5, 356z.6,
3356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13, 356z.14,
4356z.15, 356z.18, 356z.19, 356z.21, 356z.22, 356z.25, 356z.26,
5356z.29, 356z.30, 356z.32, 356z.32a, 356z.33, 356z.40,
6356z.41, 356z.46, 356z.47, 356z.51, 356z.53, 356z.54, 356z.56,
7356z.57, 356z.59, 356z.60, 356z.61, 356z.62, 356z.64, 356z.67,
8356z.68, 356z.71, 356z.72, 356z.74, 356z.75, 356z.77, 356z.79,
9356z.80, 356z.81, 356z.83, 356z.84, 356z.85, 356z.88, 364.01,
10364.3, 367.2, 368a, 370a, 401, 401.1, 402, 403, 403A, 408,
11408.2, and 412, and paragraphs (7) and (15) of Section 367 of
12the Illinois Insurance Code.
13    Rulemaking authority to implement Public Act 95-1045, if
14any, is conditioned on the rules being adopted in accordance
15with all provisions of the Illinois Administrative Procedure
16Act and all rules and procedures of the Joint Committee on
17Administrative Rules; any purported rule not so adopted, for
18whatever reason, is unauthorized.
19(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24;
20103-420, eff. 1-1-24; 103-445, eff. 1-1-24; 103-551, eff.
218-11-23; 103-605, eff. 7-1-24; 103-656, eff. 1-1-25; 103-718,
22eff. 7-19-24; 103-751, eff. 8-2-24; 103-753, eff. 8-2-24;
23103-758, eff. 1-1-25; 103-832, eff. 1-1-25; 103-914, eff.
241-1-25; 103-918, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-1,
25eff. 6-9-25; 104-28, eff. 1-1-26; 104-42, eff. 8-1-25; 104-73,
26eff. 1-1-26; 104-98, eff. 1-1-26; 104-289, eff. 1-1-26;
		SB2880	- 24 -	LRB104 17577 BAB 31005 b
1104-324, eff. 1-1-26; 104-379, eff. 1-1-26; 104-417, eff.
28-15-25; revised 11-21-25.)
3    Section 45. The Illinois Public Aid Code is amended by
4changing Section 5-16.8 as follows:
5    (305 ILCS 5/5-16.8)
6    Sec. 5-16.8. Required health benefits. The medical
7assistance program shall (i) provide the post-mastectomy care
8benefits required to be covered by a policy of accident and
9health insurance under Section 356t and the coverage required
10under Sections 356g.5, 356q, 356u, 356w, 356x, 356z.6,
11356z.26, 356z.29, 356z.32, 356z.33, 356z.34, 356z.35, 356z.46,
12356z.47, 356z.51, 356z.53, 356z.59, 356z.60, 356z.61, 356z.64,
13356z.67, 356z.71, [and] 356z.75, [and] 356z.80, 356z.84, 356z.85, 
14and 356z.88 of the Illinois Insurance Code, (ii) be subject to
15the provisions of Sections 356z.19, 356z.44, 356z.49, 364.01,
16370c, and 370c.1 of the Illinois Insurance Code, and (iii) be
17subject to the provisions of subsection (d-5) of Section 10 of
18the Network Adequacy and Transparency Act.
19    The Department, by rule, shall adopt a model similar to
20the requirements of Section 356z.39 of the Illinois Insurance
21Code.
22    On and after July 1, 2012, the Department shall reduce any
23rate of reimbursement for services or other payments or alter
24any methodologies authorized by this Code to reduce any rate
		SB2880	- 25 -	LRB104 17577 BAB 31005 b
1of reimbursement for services or other payments in accordance
2with Section 5-5e.
3    To ensure full access to the benefits set forth in this
4Section, on and after January 1, 2016, the Department shall
5ensure that provider and hospital reimbursement for
6post-mastectomy care benefits required under this Section are
7no lower than the Medicare reimbursement rate.
8(Source: P.A. 103-84, eff. 1-1-24; 103-91, eff. 1-1-24;
9103-420, eff. 1-1-24; 103-605, eff. 7-1-24; 103-703, eff.
101-1-25; 103-758, eff. 1-1-25; 103-1024, eff. 1-1-25; 104-73,
11eff. 1-1-26; 104-324, eff. 1-1-26; 104-379, eff. 1-1-26;
12104-417, eff. 8-15-25; revised 11-21-25.)
13    Section 95. No acceleration or delay. Where this Act makes
14changes in a statute that is represented in this Act by text
15that is not yet or no longer in effect (for example, a Section
16represented by multiple versions), the use of that text does
17not accelerate or delay the taking effect of (i) the changes
18made by this Act or (ii) provisions derived from any other
19Public Act.