HB 4207 Illinois House · 104th Regular Session

INS-HEALTH/CORONARY SCAN

Summary

Amends the Accident and Health Article of the Illinois Insurance Code. Provides that an individual or group policy of accident and health insurance that is amended, delivered, issued, or renewed on or after January 1, 2028 shall cover a medically necessary coronary calcium scan and scoring every 36 months for individuals over the age of 40. Defines "coronary calcium scan and scoring". Makes conforming changes in 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 Medical Assistance Article of the Illinois Public Aid Code. Effective January 1, 2027.

Issues: ✓ Healthcare

Bill status passed 3 of 5 stages cleared

Introduction

Apr 2026

Committee Review

May 2026

House Passage

Apr 2026

Senate Passage

Governor

Introduced Apr 15, 2026 Last action May 19, 2026

Maddy AI version diff · 1 comparison

What changed between versions

Introduced → Engrossed · 4 edits · Apr 14, 2026

MODERATE

This bill adds a new requirement for Illinois health insurance policies to cover coronary calcium scans and scoring for individuals aged 40 to 75. The coverage applies to policies amended, issued, or renewed on or after January 1, 2028, and must be ordered by a provider who has documented a cardiovascular risk assessment. The law also updates several other state insurance codes to include this new benefit in their lists of required coverage.

Scope change

The bill expands the scope of required health benefits under the Illinois Insurance Code and related acts to include coronary calcium scans, whereas the previous version only listed existing benefit categories.

REQUIREMENT

Added a mandate for accident and health insurance policies to cover medically necessary coronary calcium scans and scoring for individuals between 40 and 75 years old.

ELIGIBILITY

Established specific eligibility criteria requiring the scan to be ordered by a licensed provider who has conducted a documented cardiovascular risk assessment.

TIMELINE

Set the effective date for the new coverage requirement to January 1, 2028, for policies that are amended, delivered, issued, or renewed on or after that date.

TECHNICAL

Updated the text of the Health Maintenance Organization Act and other insurance codes to include the new Section 356z.88 in their lists of required benefits.

Floor votes · House Apr 14, 2026

How they voted

108–0

Passed · 8 other

Total votes 116

Apr 14, 2026

D Democratic76

71 Yea 5

93% Yea

R Republican40

37 Yea 3

92% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

May 15, 2026

Committee

Rule 3-9(a) / Re-referred to Assignments

upper

May 8, 2026

Upper · Passed

Rule 2-10 Committee Deadline Established As May 15, 2026

upper

Apr 28, 2026

Committee

Assigned to Insurance

upper

Apr 15, 2026

Committee

Referred to Assignments

upper

Apr 15, 2026

Introduced

Arrive in Senate

upper

Apr 14, 2026

Lower · Passed

Third Reading - Short Debate - Passed 110-000-000

lower

Mar 18, 2026

Lower · Passed

Do Pass as Amended / Short Debate Insurance Committee; 014-000-000

lower

Mar 18, 2026

Lower · Passed

House Committee Amendment No. 1 Adopted in Insurance Committee; by Voice Vote

lower

Mar 18, 2026

Lower · Passed

House Committee Amendment No. 1 Rules Refers to Insurance Committee

lower

Mar 17, 2026

Committee

House Committee Amendment No. 1 Referred to Rules Committee

lower

Mar 17, 2026

Introduced

House Committee Amendment No. 1 Filed with Clerk by Rep. Yolonda Morris

lower

Feb 11, 2026

Committee

Assigned to Insurance Committee

lower

Jan 14, 2026

Committee

Referred to Rules Committee

lower

1 primary · 14 co-sponsors