ILL LEG Pregnancy Test Ins Coverage


On May 16, ILL LEG passed bill requiring coverage of prescribed tests.


  • ILL LEG passed bill HB 5643 to require insurance cover prescribed pregnancy tests.
  • Amended the Illinois insurance code to add new section, ILL INS 215-5/356z.71.
  • Insurance Code Amendments
  • Required insurance coverage of prescribed at-home, urine-based pregnancy tests.
  • By group or individual policies of accident, health insurance or managed care plan.
  • Must cover, regardless of whether the tests are otherwise available over-the-counter.
  • Legislative History
  • On Feb. 9, 2024, bill was introduced into House; on Apr. 19, 2024, bill passed House.
  • On Apr. 24, 2024, bill was introduced in Senate; on May 16, 2024, bill passed Senate.
  • Effectiveness
  • If enacted, bill effective Jan. 1, 2025.
  • Aug. 2024 ILL LEG Governor Approval
  • On Aug. 9, 2024, ILL LEG enacted bill HB5643 signed by governor; Pub Act 103-0870.

Regulators ILL LEG
Entity Types Ins
Reference Pub Act 103-0870, 8/9/2024; Bill HB5643, 5/16/2024; Citation: ILL INS 215-5;
Functions Claims/Accelerated Benefits; Compliance; Legal; Operations; Product Administration; Reporting
Countries United States of America
Category
State
Products Accident; Insurance; Insurance-Health
Regions Am
Rule Type Final
Rule Date 5/16/2024
Effective Date 1/1/2025
Rule Id 212561
Linked to N/A
Reg. Last Update 8/9/2024
Report Section US Insurance

Last substantive update on 08/19/2024