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<title>Illinois General Assembly - Bill Status for HB 1565         </title>
<shortdesc>INS-VAGINAL ESTROGEN COVERAGE</shortdesc>
<sponsor>
<sponsorhead1>House Sponsors</sponsorhead1><sponsors>Rep. Katie Stuart, Kelly M. Cassidy, Lilian Jiménez, Mary Beth Canty, Laura Faver Dias, Will Guzzardi, Maura Hirschauer, Robyn Gabel, Jennifer Gong-Gershowitz and Suzanne M. Ness</sponsors>
<sponsorhead2>Senate Sponsors</sponsorhead2><altsponsors>(Sen. Meg Loughran Cappel)</altsponsors>
</sponsor>
<lastaction>
<statusdate>8/4/2023</statusdate><chamber>House</chamber><action>Public Act . . . . . . . . . 103-0420</action>
</lastaction>
<synopsis>
<synopsistitle></synopsistitle>
<reference>5 ILCS 375/6.11</reference><aliasreference></aliasreference><reference>55 ILCS 5/5-1069.3</reference><aliasreference></aliasreference><reference>65 ILCS 5/10-4-2.3</reference><aliasreference></aliasreference><reference>105 ILCS 5/10-22.3f</reference><aliasreference></aliasreference><reference>215 ILCS 5/356z.61 new</reference><aliasreference></aliasreference><reference>215 ILCS 125/5-3</reference><aliasreference>from Ch. 111 1/2, par. 1411.2</aliasreference><reference>215 ILCS 130/4003</reference><aliasreference>from Ch. 73, par. 1504-3</aliasreference><reference>215 ILCS 165/10</reference><aliasreference>from Ch. 32, par. 604</aliasreference><reference>305 ILCS 5/5-16.8</reference><aliasreference></aliasreference><SynopsisText>     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, 2024 and that provides coverage for prescription drugs shall provide coverage for vaginal estrogen, and that coverage for vaginal estrogen shall not impose a deductible, coinsurance, copayment, or any other cost-sharing requirement. 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.</SynopsisText><synopsistitle>House Floor Amendment No. 2</synopsistitle>
<SynopsisText>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, 2025 (rather than January 1, 2024) and that provides coverage for prescription drugs shall include coverage for one or more therapeutic equivalent versions of vaginal estrogen in its formulary.</SynopsisText><synopsistitle>Senate Committee Amendment No. 1</synopsistitle>
<SynopsisText>Provides that if (rather than if an individual's attending provider recommends) a particular vaginal estrogen product or its therapeutic equivalent version approved by the United States Food and Drug Administration is determined to be medically necessary (rather than based on the provider's determination), the issuer must cover that service or item pursuant to the cost-sharing requirement in specified provisions (rather than without cost sharing). Provides that a policy subject to the provisions shall not impose a deductible, coinsurance, copayment, or any other cost-sharing requirement that exceeds any deductible, coinsurance, copayment, or any other cost-sharing requirement imposed on any prescription drug authorized for the treatment of erectile dysfunction covered by the policy (rather than on the coverage provided). Removes language providing that a policy is not required to include all therapeutic equivalent versions of vaginal estrogen in its formulary so long as at least one is included and covered without cost sharing and in accordance with the provisions.</SynopsisText></synopsis>
<actions>
<statusdate>1/30/2023</statusdate><chamber>House</chamber><action>Filed with the Clerk by Rep. Katie Stuart</action>
<statusdate>1/31/2023</statusdate><chamber>House</chamber><action>First Reading</action>
<statusdate>1/31/2023</statusdate><chamber>House</chamber><action>Referred to Rules Committee</action>
<statusdate>2/15/2023</statusdate><chamber>House</chamber><action>Assigned to Insurance Committee</action>
<statusdate>2/28/2023</statusdate><chamber>House</chamber><action>House Committee Amendment No. 1 Filed with Clerk by Rep. Katie Stuart</action>
<statusdate>2/28/2023</statusdate><chamber>House</chamber><action>House Committee Amendment No. 1 Referred to Rules Committee</action>
<statusdate>2/28/2023</statusdate><chamber>House</chamber><action>Do Pass / Short Debate Insurance Committee;  013-001-000</action>
<statusdate>2/28/2023</statusdate><chamber>House</chamber><action>House Committee Amendment No. 1 Tabled</action>
<statusdate>3/1/2023</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Kelly M. Cassidy</action>
<statusdate>3/1/2023</statusdate><chamber>House</chamber><action>Placed on Calendar 2nd Reading - Short Debate</action>
<statusdate>3/6/2023</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Lilian Jiménez</action>
<statusdate>3/14/2023</statusdate><chamber>House</chamber><action>Second Reading - Short Debate</action>
<statusdate>3/14/2023</statusdate><chamber>House</chamber><action>Placed on Calendar Order of 3rd Reading - Short Debate</action>
<statusdate>3/16/2023</statusdate><chamber>House</chamber><action>House Floor Amendment No. 2 Filed with Clerk by Rep. Katie Stuart</action>
<statusdate>3/16/2023</statusdate><chamber>House</chamber><action>House Floor Amendment No. 2 Referred to Rules Committee</action>
<statusdate>3/16/2023</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Mary Beth Canty</action>
<statusdate>3/16/2023</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Laura Faver Dias</action>
<statusdate>3/16/2023</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Will Guzzardi</action>
<statusdate>3/16/2023</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Maura Hirschauer</action>
<statusdate>3/16/2023</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Robyn Gabel</action>
<statusdate>3/16/2023</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Jennifer Gong-Gershowitz</action>
<statusdate>3/16/2023</statusdate><chamber>House</chamber><action>Added Co-Sponsor Rep. Suzanne M. Ness</action>
<statusdate>3/20/2023</statusdate><chamber>House</chamber><action>House Floor Amendment No. 2 Recommends Be Adopted Rules Committee;  004-000-000</action>
<statusdate>3/23/2023</statusdate><chamber>House</chamber><action>Recalled to Second Reading - Short Debate</action>
<statusdate>3/23/2023</statusdate><chamber>House</chamber><action>House Floor Amendment No. 2 Adopted by Voice Vote</action>
<statusdate>3/23/2023</statusdate><chamber>House</chamber><action>Placed on Calendar Order of 3rd Reading - Short Debate</action>
<statusdate>3/23/2023</statusdate><chamber>House</chamber><action>Third Reading - Short Debate - Passed 108-000-001</action>
<statusdate>3/24/2023</statusdate><chamber>Senate</chamber><action>Arrive in Senate</action>
<statusdate>3/24/2023</statusdate><chamber>Senate</chamber><action>Placed on Calendar Order of First Reading</action>
<statusdate>3/24/2023</statusdate><chamber>Senate</chamber><action>Chief Senate Sponsor Sen. Meg Loughran Cappel</action>
<statusdate>3/24/2023</statusdate><chamber>Senate</chamber><action>First Reading</action>
<statusdate>3/24/2023</statusdate><chamber>Senate</chamber><action>Referred to Assignments</action>
<statusdate>4/12/2023</statusdate><chamber>Senate</chamber><action>Assigned to Insurance</action>
<statusdate>4/14/2023</statusdate><chamber>Senate</chamber><action>Senate Committee Amendment No. 1 Filed with Secretary by Sen. Meg Loughran Cappel</action>
<statusdate>4/14/2023</statusdate><chamber>Senate</chamber><action>Senate Committee Amendment No. 1 Referred to Assignments</action>
<statusdate>4/18/2023</statusdate><chamber>Senate</chamber><action>Senate Committee Amendment No. 1 Assignments Refers to Insurance</action>
<statusdate>4/18/2023</statusdate><chamber>Senate</chamber><action>Senate Committee Amendment No. 1 Adopted; Insurance</action>
<statusdate>4/19/2023</statusdate><chamber>Senate</chamber><action>Do Pass as Amended Insurance;  011-000-000</action>
<statusdate>4/19/2023</statusdate><chamber>Senate</chamber><action>Placed on Calendar Order of 2nd Reading April 20, 2023</action>
<statusdate>4/25/2023</statusdate><chamber>Senate</chamber><action>Second Reading</action>
<statusdate>4/25/2023</statusdate><chamber>Senate</chamber><action>Placed on Calendar Order of 3rd Reading April 26, 2023</action>
<statusdate>5/4/2023</statusdate><chamber>Senate</chamber><action>Third Reading - Passed; 057-000-000</action>
<statusdate>5/8/2023</statusdate><chamber>House</chamber><action>Arrived in House</action>
<statusdate>5/8/2023</statusdate><chamber>House</chamber><action>Placed on Calendar Order of Concurrence Senate Amendment(s) 1</action>
<statusdate>5/9/2023</statusdate><chamber>House</chamber><action>Senate Committee Amendment No. 1 Motion Filed Concur Rep. Katie Stuart</action>
<statusdate>5/9/2023</statusdate><chamber>House</chamber><action>Senate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee</action>
<statusdate>5/15/2023</statusdate><chamber>House</chamber><action>Senate Committee Amendment No. 1 Motion to Concur Referred to Insurance Committee</action>
<statusdate>5/16/2023</statusdate><chamber>House</chamber><action>Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Insurance Committee;  012-000-000</action>
<statusdate>5/17/2023</statusdate><chamber>House</chamber><action>Senate Committee Amendment No. 1 House Concurs 113-000-000</action>
<statusdate>5/17/2023</statusdate><chamber>House</chamber><action>House Concurs</action>
<statusdate>5/17/2023</statusdate><chamber>House</chamber><action>Passed Both Houses</action>
<statusdate>6/15/2023</statusdate><chamber>House</chamber><action>Sent to the Governor</action>
<statusdate>8/4/2023</statusdate><chamber>House</chamber><action>Governor Approved</action>
<statusdate>8/4/2023</statusdate><chamber>House</chamber><action>Effective Date January 1, 2024</action>
<statusdate>8/4/2023</statusdate><chamber>House</chamber><action>Public Act . . . . . . . . . 103-0420</action>
</actions>
</xml>

