PREGNANCY/POSTPARTUM CARE House SponsorsRep. Robyn Gabel-Anna Moeller-Katie Stuart, Mary Beth Canty, Diane Blair-Sherlock, Jay Hoffman, Margaret Croke, Emanuel "Chris" Welch, Jenn Ladisch Douglass, Robert "Bob" Rita, Stephanie A. Kifowit, Sue Scherer, Maura Hirschauer, Dagmara Avelar, Kam Buckner, Sharon Chung, Terra Costa Howard, Kimberly Du Buclet, Edgar Gonzalez, Jr., Will Guzzardi, Barbara Hernandez, Norma Hernandez, Hoan Huynh, Lilian Jiménez, Theresa Mah, Joyce Mason, Kevin John Olickal, Abdelnasser Rashid, Nicholas K. Smith, Nabeela Syed, Maurice A. West, II, Carol Ammons, Dave Vella, Eva-Dina Delgado, Jaime M. Andrade, Jr., Michael J. Kelly, Matt Hanson, Laura Faver Dias, Jennifer Gong-Gershowitz, Camille Y. Lilly and Debbie Meyers-Martin Senate Sponsors(Sen. Lakesia Collins-Willie Preston-Mattie Hunter, Paul Faraci, Mary Edly-Allen, Laura Ellman-Adriane Johnson, Doris Turner, Ram Villivalam, Suzy Glowiak Hilton, Rachel Ventura, Emil Jones, III, Laura Fine, Javier L. Cervantes, Christopher Belt, Kimberly A. Lightford, David Koehler, Mike Porfirio, Celina Villanueva, Sara Feigenholtz, Mike Simmons-Cristina Castro, Natalie Toro, Robert Peters, Napoleon Harris, III and Laura M. Murphy) 7/29/2024HousePublic Act . . . . . . . . . 103-0720 215 ILCS 5/356z.40305 ILCS 5/5-16.7305 ILCS 5/5-18.5305 ILCS 5/5-18.10 Amends the Illinois Insurance Code. Provides that insurers shall cover all services for pregnancy, postpartum, and newborn care that are rendered by perinatal doulas or licensed certified professional midwives, including home births, home visits, and support during labor, abortion, or miscarriage. Provides that the required coverage includes the necessary equipment and medical supplies for a home birth. Provides that coverage for pregnancy, postpartum, and newborn care shall include home visits by lactation consultants and the purchase of breast pumps and breast pump supplies, including such breast pumps, breast pump supplies, breastfeeding supplies, and feeding aids as recommended by the lactation consultant. Provides that coverage for postpartum services shall apply for at least one year after birth. Provides that certain pregnancy and postpartum coverage shall be provided without cost-sharing requirements. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that post-parturition care benefits shall not be subject to any cost-sharing requirement. Provides that the medical assistance program shall cover home visits for lactation counseling and support services. Provides that the medical assistance program shall cover counselor-recommended or provider-recommended breast pumps as well as breast pump supplies, breastfeeding supplies, and feeding aids. Provides that nothing in the provisions shall limit the number of lactation encounters, visits, or services; breast pumps; breast pump supplies; breastfeeding supplies; or feeding aids a beneficiary is entitled to receive under the program. Makes other changes. Effective January 1, 2026.House Committee Amendment No. 1 Deletes reference to:305 ILCS 5/5-18.10Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill with the following changes. Removes language providing that post-parturition care benefits shall not be subject to any cost-sharing requirement. Provides that coverage for postpartum services shall apply for at least one year after the end of the pregnancy (rather than one year after birth). Provides that beginning January 1, 2025, certified professional midwife services (instead of licensed certified professional midwife services) shall be covered under the medical assistance program. Removes language providing that midwifery services covered under the provisions shall include home births and home prenatal, labor and delivery, and postnatal care. Removes changes to a provision of the Illinois Public Aid Code concerning reimbursement for postpartum visits. Effective January 1, 2026, except that certain changes to the Illinois Public Aid Code are effective January 1, 2025.House Committee Amendment No. 2 Adds reference to:215 ILCS 5/356z.4aProvides that all outpatient coverage required under a provision concerning coverage for pregnancy, postpartum, and newborn care must be provided without cost sharing, except to the extent that such coverage would disqualify a high-deductible health plan from eligibility for a health savings account and except that, for treatment of substance use disorders, the prohibition on cost-sharing applies to the levels of treatment below and not including 3.1 (Clinically Managed Low-Intensity Residential) established by the American Society of Addiction Medicine. Makes a conforming change. Further amends the Illinois Insurance Code. Provides that coverage for abortion care may not impose any deductible, coinsurance, waiting period, or other cost-sharing (instead of other cost-sharing limitation that is greater than that required for other pregnancy-related benefits covered by the policy). Provides that the provision does not apply to the extent such coverage would disqualify a high-deductible health plan from eligibility for a health savings account.Fiscal Note (Dept. on Insurance) To ensure the expanded pregnancy, postpartum, and newborn care benefits are included and ensure the expanded providers able to deliver these services are included in policy forms, would require personnel to review the additional form filing review requirements. The potential for increased complaints received by DOI resulting from this legislation would require personnel to field such calls (complaints). Two additional employees under the title of Insurance Analyst will be needed. Fiscal Impact: $260,000 House Floor Amendment No. 5 Replaces everything after the enacting clause. Reinserts the provisions of the bill as amended by House Amendment No. 1 with changes. Further amends the Illinois Insurance Code. Provides that coverage for abortion care may not impose any deductible, coinsurance, waiting period, or other cost-sharing limitation, except to the extent that the coverage would disqualify a high-deductible health plan from eligibility for a health savings account (rather than coverage for abortion care may not impose any deductible, coinsurance, waiting period, or other cost-sharing limitation that is greater than that required for other pregnancy-related benefits covered by the policy). Defines "perinatal doula" and "lactation consultant". Provides that coverage for postpartum services shall apply for all covered services rendered within the first 12 months after the end of pregnancy (rather than the coverage shall apply for at least one year after the end of pregnancy), except that a policy is not required to cover more than $8,000 for doula visits for each pregnancy and subsequent postpartum period. Provides that all outpatient coverage, other than health care services for home births, required under a provision concerning coverage for pregnancy, postpartum, and newborn care must be provided without cost sharing, except that, for mental health services, the cost-sharing prohibition does not apply to inpatient or residential services, and, for treatment of substance use disorders, the prohibition on cost-sharing applies to the levels of treatment below and not including Level 3.1 (Clinically Managed Low-Intensity Residential) established by the American Society of Addiction Medicine. Makes other changes. Effective January 1, 2026, except that certain changes to the Illinois Public Aid Code are effective January 1, 2025.Senate Committee Amendment No. 1 Provides that beginning January 1, 2025, certified professional midwife services (in addition to licensed certified professional midwife services) shall be covered under the medical assistance program. 2/8/2024HouseFiled with the Clerk by Rep. Robyn Gabel 2/9/2024HouseFirst Reading 2/9/2024HouseReferred to Rules Committee 2/23/2024HouseAdded Co-Sponsor Rep. Mary Beth Canty 2/27/2024HouseAdded Co-Sponsor Rep. Diane Blair-Sherlock 2/28/2024HouseAssigned to Health Care Availability & Accessibility Committee 3/4/2024HouseHouse Committee Amendment No. 1 Filed with Clerk by Rep. Robyn Gabel 3/4/2024HouseHouse Committee Amendment No. 1 Referred to Rules Committee 3/5/2024HouseAdded Co-Sponsor Rep. Jay Hoffman 3/6/2024HouseAdded Chief Co-Sponsor Rep. Anna Moeller 3/6/2024HouseAdded Co-Sponsor Rep. Margaret Croke 3/7/2024HouseHouse Committee Amendment No. 2 Filed with Clerk by Rep. Robyn Gabel 3/7/2024HouseHouse Committee Amendment No. 2 Referred to Rules Committee 3/12/2024HouseHouse Committee Amendment No. 1 Rules Refers to Health Care Availability & Accessibility Committee 3/12/2024HouseHouse Committee Amendment No. 2 Rules Refers to Health Care Availability & Accessibility Committee 3/12/2024HouseHouse Committee Amendment No. 1 Adopted in Health Care Availability & Accessibility Committee; by Voice Vote 3/12/2024HouseHouse Committee Amendment No. 2 Adopted in Health Care Availability & Accessibility Committee; by Voice Vote 3/12/2024HouseDo Pass as Amended / Short Debate Health Care Availability & Accessibility Committee; 006-004-000 3/13/2024HousePlaced on Calendar 2nd Reading - Short Debate 3/14/2024HouseAdded Chief Co-Sponsor Rep. Katie Stuart 3/20/2024HouseFiscal Note Requested by Rep. Ryan Spain 3/22/2024HouseBalanced Budget Note Requested by Rep. Robyn Gabel 3/22/2024HouseCorrectional Note Requested by Rep. Robyn Gabel 3/22/2024HouseFiscal Note Requested by Rep. Robyn Gabel 3/22/2024HouseHome Rule Note Requested by Rep. Robyn Gabel 3/22/2024HouseHousing Affordability Impact Note Requested by Rep. Robyn Gabel 3/22/2024HouseJudicial Note Requested by Rep. Robyn Gabel 3/22/2024HouseLand Conveyance Appraisal Note Requested by Rep. Robyn Gabel 3/22/2024HousePension Note Requested by Rep. Robyn Gabel 3/22/2024HouseRacial Impact Note Requested by Rep. Robyn Gabel 3/22/2024HouseState Debt Impact Note Requested by Rep. Robyn Gabel 3/22/2024HouseState Mandates Fiscal Note Requested by Rep. Robyn Gabel 3/26/2024HouseFiscal Note Filed 4/1/2024HouseAdded Co-Sponsor Rep. Emanuel "Chris" Welch 4/8/2024HouseHouse Floor Amendment No. 3 Filed with Clerk by Rep. Robyn Gabel 4/8/2024HouseHouse Floor Amendment No. 3 Referred to Rules Committee 4/10/2024HouseHouse Floor Amendment No. 4 Filed with Clerk by Rep. Robyn Gabel 4/10/2024HouseHouse Floor Amendment No. 4 Referred to Rules Committee 4/12/2024HouseAdded Co-Sponsor Rep. Jenn Ladisch Douglass 4/15/2024HouseAdded Co-Sponsor Rep. Robert "Bob" Rita 4/15/2024HouseHouse Floor Amendment No. 3 Rules Refers to Health Care Availability & Accessibility Committee 4/15/2024HouseHouse Floor Amendment No. 4 Rules Refers to Health Care Availability & Accessibility Committee 4/15/2024HouseAdded Co-Sponsor Rep. Stephanie A. Kifowit 4/15/2024HouseAdded Co-Sponsor Rep. Sue Scherer 4/15/2024HouseAdded Co-Sponsor Rep. Maura Hirschauer 4/15/2024HouseHouse Floor Amendment No. 5 Filed with Clerk by Rep. Robyn Gabel 4/15/2024HouseHouse Floor Amendment No. 5 Referred to Rules Committee 4/16/2024HouseAdded Co-Sponsor Rep. Dagmara Avelar 4/16/2024HouseAdded Co-Sponsor Rep. Kam Buckner 4/16/2024HouseAdded Co-Sponsor Rep. Sharon Chung 4/16/2024HouseAdded Co-Sponsor Rep. Terra Costa Howard 4/16/2024HouseAdded Co-Sponsor Rep. Kimberly Du Buclet 4/16/2024HouseAdded Co-Sponsor Rep. Edgar Gonzalez, Jr. 4/16/2024HouseAdded Co-Sponsor Rep. Will Guzzardi 4/16/2024HouseAdded Co-Sponsor Rep. Barbara Hernandez 4/16/2024HouseAdded Co-Sponsor Rep. Norma Hernandez 4/16/2024HouseAdded Co-Sponsor Rep. Hoan Huynh 4/16/2024HouseAdded Co-Sponsor Rep. Lilian Jiménez 4/16/2024HouseAdded Co-Sponsor Rep. Theresa Mah 4/16/2024HouseAdded Co-Sponsor Rep. Joyce Mason 4/16/2024HouseAdded Co-Sponsor Rep. Kevin John Olickal 4/16/2024HouseAdded Co-Sponsor Rep. Abdelnasser Rashid 4/16/2024HouseAdded Co-Sponsor Rep. Nicholas K. Smith 4/16/2024HouseAdded Co-Sponsor Rep. Nabeela Syed 4/16/2024HouseAdded Co-Sponsor Rep. Maurice A. West, II 4/17/2024HouseHouse Floor Amendment No. 5 Rules Refers to Health Care Availability & Accessibility Committee 4/17/2024HouseSecond Reading - Short Debate 4/17/2024HouseHeld on Calendar Order of Second Reading - Short Debate 4/17/2024HouseHouse Floor Amendment No. 5 Recommends Be Adopted Health Care Availability & Accessibility Committee; 007-004-000 4/18/2024HouseAdded Co-Sponsor Rep. Carol Ammons 4/18/2024HouseAdded Co-Sponsor Rep. Dave Vella 4/18/2024HouseAdded Co-Sponsor Rep. Eva-Dina Delgado 4/18/2024HouseAdded Co-Sponsor Rep. Jaime M. Andrade, Jr. 4/18/2024HouseAdded Co-Sponsor Rep. Michael J. Kelly 4/18/2024HouseHouse Floor Amendment No. 5 Adopted 4/18/2024HouseState Mandates Fiscal Note Requested - Withdrawn by Rep. Robyn Gabel 4/18/2024HouseBalanced Budget Note Requested - Withdrawn by Rep. Robyn Gabel 4/18/2024HouseCorrectional Note Requested - Withdrawn by Rep. Robyn Gabel 4/18/2024HouseHome Rule Note Requested - Withdrawn by Rep. Robyn Gabel 4/18/2024HouseHousing Affordability Impact Note Requested - Withdrawn by Rep. Robyn Gabel 4/18/2024HouseJudicial Note Requested - Withdrawn by Rep. Robyn Gabel 4/18/2024HouseLand Conveyance Appraisal Note Requested - Withdrawn by Rep. Robyn Gabel 4/18/2024HousePension Note Requested - Withdrawn by Rep. Robyn Gabel 4/18/2024HouseRacial Impact Note Requested - Withdrawn by Rep. Robyn Gabel 4/18/2024HouseState Debt Impact Note Requested - Withdrawn by Rep. Robyn Gabel 4/18/2024HousePlaced on Calendar Order of 3rd Reading - Short Debate 4/18/2024HouseAdded Co-Sponsor Rep. Matt Hanson 4/18/2024HouseAdded Co-Sponsor Rep. Laura Faver Dias 4/18/2024HouseAdded Co-Sponsor Rep. Jennifer Gong-Gershowitz 4/18/2024HouseThird Reading - Short Debate - Passed 072-037-000 4/18/2024HouseHouse Floor Amendment No. 3 Tabled 4/18/2024HouseHouse Floor Amendment No. 4 Tabled 4/19/2024SenateArrive in Senate 4/19/2024SenatePlaced on Calendar Order of First Reading 4/19/2024SenateChief Senate Sponsor Sen. Lakesia Collins 4/19/2024SenateFirst Reading 4/19/2024SenateReferred to Assignments 4/30/2024SenateAssigned to Insurance 4/30/2024SenateAdded as Alternate Chief Co-Sponsor Sen. Willie Preston 4/30/2024SenateAdded as Alternate Chief Co-Sponsor Sen. Mattie Hunter 4/30/2024SenateRule 2-10 Committee Deadline Established As May 10, 2024 5/7/2024SenateAdded as Alternate Co-Sponsor Sen. Paul Faraci 5/7/2024SenateAdded as Alternate Co-Sponsor Sen. Mary Edly-Allen 5/7/2024SenateAdded as Alternate Co-Sponsor Sen. Laura Ellman 5/7/2024SenateAdded as Alternate Chief Co-Sponsor Sen. Adriane Johnson 5/7/2024SenateAdded as Alternate Co-Sponsor Sen. Doris Turner 5/8/2024SenateAdded as Alternate Co-Sponsor Sen. Ram Villivalam 5/8/2024SenateAdded as Alternate Co-Sponsor Sen. Suzy Glowiak Hilton 5/8/2024SenateAdded as Alternate Co-Sponsor Sen. Rachel Ventura 5/8/2024SenateAdded as Alternate Co-Sponsor Sen. Emil Jones, III 5/8/2024SenateAdded as Alternate Co-Sponsor Sen. Laura Fine 5/8/2024SenateAdded as Alternate Co-Sponsor Sen. Javier L. Cervantes 5/8/2024SenateAdded as Alternate Co-Sponsor Sen. Christopher Belt 5/9/2024SenateAdded as Alternate Co-Sponsor Sen. Kimberly A. Lightford 5/9/2024SenateAdded as Alternate Co-Sponsor Sen. David Koehler 5/10/2024SenateAdded as Alternate Co-Sponsor Sen. Mike Porfirio 5/10/2024SenateRule 2-10 Committee Deadline Established As May 17, 2024 5/14/2024SenateAdded as Alternate Co-Sponsor Sen. Celina Villanueva 5/14/2024SenateAdded as Alternate Co-Sponsor Sen. Sara Feigenholtz 5/15/2024SenateAdded as Alternate Co-Sponsor Sen. Mike Simmons 5/17/2024SenateAdded as Alternate Chief Co-Sponsor Sen. Cristina Castro 5/17/2024SenateRule 2-10 Committee Deadline Established As May 24, 2024 5/20/2024SenateSenate Committee Amendment No. 1 Filed with Secretary by Sen. Lakesia Collins 5/20/2024SenateSenate Committee Amendment No. 1 Referred to Assignments 5/21/2024SenateAdded as Alternate Co-Sponsor Sen. Natalie Toro 5/21/2024SenateAdded as Alternate Co-Sponsor Sen. Robert Peters 5/21/2024SenateSenate Committee Amendment No. 1 Assignments Refers to Insurance 5/21/2024SenateSenate Committee Amendment No. 1 Adopted 5/21/2024SenateDo Pass as Amended Insurance; 007-003-000 5/21/2024SenatePlaced on Calendar Order of 2nd Reading May 21, 2024 5/21/2024SenateRule 2-10 Third Reading/Passage Deadline Established As May 24, 2024 5/22/2024SenateSecond Reading 5/22/2024SenatePlaced on Calendar Order of 3rd Reading May 23, 2024 5/23/2024SenateThird Reading - Passed; 040-019-000 5/24/2024HouseArrived in House 5/24/2024HousePlaced on Calendar Order of Concurrence Senate Amendment(s) 1 5/24/2024HouseSenate Committee Amendment No. 1 Motion Filed Concur Rep. Robyn Gabel 5/24/2024HouseSenate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee 5/24/2024HouseSenate Committee Amendment No. 1 Motion to Concur Rules Referred to Health Care Availability & Accessibility Committee 5/24/2024SenateAdded as Alternate Co-Sponsor Sen. Napoleon Harris, III 5/24/2024HouseSenate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Health Care Availability & Accessibility Committee; 007-003-000 5/25/2024HouseSenate Committee Amendment No. 1 House Concurs 070-035-000 5/25/2024HouseHouse Concurs 5/25/2024HousePassed Both Houses 5/25/2024HouseAdded Co-Sponsor Rep. Camille Y. Lilly 5/25/2024HouseAdded Co-Sponsor Rep. Debbie Meyers-Martin 5/26/2024SenateAdded as Alternate Co-Sponsor Sen. Laura M. Murphy 6/21/2024HouseSent to the Governor 7/29/2024HouseGovernor Approved 7/29/2024HouseEffective Date January 1, 2025; some provisions effective 1/1/26 7/29/2024HousePublic Act . . . . . . . . . 103-0720