HB 1360 Illinois House · 104th Regular Session

INS CD-ALZHEIMER'S TREATMENT

Summary
Amends the Illinois Insurance Code. Provides that 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, 2027 shall provide coverage for all medically necessary diagnostic testing and U.S. Food and Drug Administration-approved treatments or medications prescribed to slow the progression of Alzheimer's disease or another related dementia, in accordance with the U.S. Food and Drug Administration label, as determined by a physician licensed to practice medicine in all its branches. Provides that coverage of U.S. Food and Drug Administration-approved treatments or medications prescribed to slow the progression of Alzheimer's disease or another related dementia shall not be subject to step therapy. Amends the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, the Limited Health Service Organization Act, and the Voluntary Health Services Plans Act to require coverage under those provisions. Effective immediately.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2025
Committee Review
Floor Vote
Governor
Introduced Jan 14, 2025 Last action Apr 11, 2025
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What changed between versions

Introduced Engrossed · 6 edits
MODERATE
This bill updates the Illinois State Employees Group Insurance Act and amends the Counties and Municipal Codes to require coverage for FDA-approved treatments to slow Alzheimer's disease and related dementias. It establishes a new mandate for the state employee program starting July 1, 2025, and updates local government codes to align with this requirement. The changes ensure that diagnostic testing and necessary treatments are covered without restrictions like step therapy.
Scope change
The scope of the bill expanded from a general insurance mandate to include specific Alzheimer's disease treatments for state employees, while simultaneously updating the legal requirements for counties and municipalities to match this new standard.
REQUIREMENT

Added a requirement for the State Employees Group Insurance Program to cover FDA-approved treatments and medications prescribed to slow the progression of Alzheimer's disease or related dementias.

Added a requirement that coverage for these Alzheimer's treatments must not be subject to step therapy.

Added a requirement for the State Employees Group Insurance Program to cover any diagnostic testing necessary to determine the appropriate use of these treatments.

Modified the Counties Code and Municipal Code to include the new Alzheimer's coverage requirements, ensuring local self-insured entities provide the same benefits as the state.

TIMELINE

Set the effective date for the state employee coverage requirement to July 1, 2025, with a sunset provision for this specific section on July 1, 2027.

DEFINITION

Clarified that coverage is determined by a physician licensed to practice medicine in all its branches.

Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
28
Key actions
6
Committee
9
Amendments
4
Apr 11, 2025
Committee
Rule 19(a) / Re-referred to Rules Committee
lower
Mar 26, 2025
Lower · Passed
House Floor Amendment No. 2 Adopted
lower
Mar 25, 2025
Lower · Passed
House Floor Amendment No. 2 Recommends Be Adopted Insurance Committee; 016-000-000
lower
Mar 13, 2025
Lower · Passed
House Floor Amendment No. 2 Rules Refers to Insurance Committee
lower
Mar 12, 2025
Committee
House Floor Amendment No. 2 Referred to Rules Committee
lower
Mar 12, 2025
Introduced
House Floor Amendment No. 2 Filed with Clerk by Rep. Mary Gill
lower
Mar 11, 2025
Lower · Passed
Do Pass as Amended / Short Debate Insurance Committee; 017-000-000
lower
Mar 11, 2025
Lower · Passed
House Committee Amendment No. 1 Adopted in Insurance Committee; by Voice Vote
lower
Feb 25, 2025
Lower · Passed
House Committee Amendment No. 1 Rules Refers to Insurance Committee
lower
Feb 20, 2025
Committee
House Committee Amendment No. 1 Referred to Rules Committee
lower
Feb 20, 2025
Introduced
House Committee Amendment No. 1 Filed with Clerk by Rep. Mary Gill
lower
Feb 11, 2025
Committee
Assigned to Insurance Committee
lower
Jan 28, 2025
Committee
Referred to Rules Committee
lower
1 primary · 10 co-sponsors

Sponsors