INS-CONTINUOUS GLUCOSE MONITOR Senate SponsorsSen. Julie A. Morrison, Sally J. Turner, Erica Harriss, John F. Curran-Steve Stadelman and Laura M. Murphy House Sponsors(Rep. Jenn Ladisch Douglass-Nabeela Syed-Emanuel "Chris" Welch-Stephanie A. Kifowit-William "Will" Davis, Hoan Huynh, Norma Hernandez, Sue Scherer, Barbara Hernandez, Lance Yednock, Dagmara Avelar, Lindsey LaPointe, Harry Benton, Diane Blair-Sherlock, Gregg Johnson, Daniel Didech, Camille Y. Lilly, Katie Stuart, Mary Gill, Mark L. Walker, La Shawn K. Ford, Michelle Mussman, Kelly M. Cassidy, Cyril Nichols, Mary Beth Canty, Kam Buckner, Abdelnasser Rashid, Will Guzzardi, Laura Faver Dias, Rita Mayfield, Theresa Mah, Joyce Mason, Sonya M. Harper, Suzanne M. Ness, Kevin John Olickal, Norine K. Hammond, Ann M. Williams, Bob Morgan, Janet Yang Rohr, Kevin Schmidt, Tony M. McCombie, Brad Stephens, Jennifer Sanalitro, Nicole La Ha, Michael J. Coffey, Jr. and Brandun Schweizer) 7/1/2024SenatePublic Act . . . . . . . . . 103-0639 215 ILCS 5/356z.59Amends 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 before January 1, 2025 shall provide coverage for medically necessary continuous glucose monitors for individuals who are diagnosed with any form of diabetes mellitus (instead of type 1 or type 2 diabetes) and require insulin for the management of their diabetes. 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 shall provide coverage for continuous glucose monitors, related supplies, and training in the use of continuous glucose monitors for any individual who is diagnosed with diabetes, who requires at least one daily injection or infusion of insulin, and who has been prescribed a continuous glucose monitor by a physician, a certified nurse practitioner, or a physician assistant. Provides that an individual who is diagnosed with diabetes and meets the specified requirements shall not be required to obtain prior authorization for coverage for a continuous glucose monitor, and coverage shall be continuous once the continuous glucose monitor is prescribed. 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 shall not impose a deductible, coinsurance, copayment, or any other cost-sharing requirement on the coverage required under the provisions. Effective July 1, 2024.Senate Committee Amendment No. 2 Adds reference to:305 ILCS 5/5-16.8a newReplaces everything after the enacting clause. Reinserts the provisions of the introduced bill with changes that include the following. Provides that a group or individual policy of accident and health insurance or a managed care plan that is amended, delivered, issued, or renewed before January 1, 2026 (rather than January 1, 2025) shall provide coverage for medically necessary continuous glucose monitors for individuals who are diagnosed with any form of diabetes mellitus and require insulin for the management of their diabetes. 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, 2026 shall provide coverage for continuous glucose monitors, related supplies, and training in the use of continuous glucose monitors for any individual if specified requirements are met and the policy is in full alignment with Medicare. Sets forth eligibility requirements and requirements for covered glucose monitors. Provides that the coverage of one glucose monitor shall be provided with a deductible, coinsurance, copayment, or any other cost-sharing requirement. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall adopt rules to implement the changes made by the amendatory Act. Specifies that the rules shall, at a minimum contain certain provisions concerning the ordering provider, continuous glucose monitors not being required to have certain functionalities, eligibility requirements for a beneficiary, and not requiring prior authorization. Effective July 1, 2024.Senate Floor Amendment No. 3 Replaces everything after the enacting clause. Reinserts the provisions of the bill, as amended by Senate Amendment No. 2, with the following changes. 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, 2026 shall not impose a deductible, coinsurance, copayment, or any other cost-sharing requirement on the coverage of a one-month supply of continuous glucose monitors, including one transmitter if necessary, as provided under the provisions (instead of on the coverage of continuous glucose monitors). Effective July 1, 2024.House Floor Amendment No. 2 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, 2026 shall provide coverage for continuous glucose monitors, related supplies, and training in the use of continuous glucose monitors for any individual if certain requirements are met (rather than if the policy is in full alignment with Medicare and certain requirements are met). In provisions of the Illinois Public Aid Code concerning rules for continuous glucose monitor coverage, provides that an ordering provider is not required to obtain continuing medical education in order to prescribe a continuous glucose monitor. Removes language providing that a beneficiary is not required to obtain prior authorization for coverage for a continuous glucose monitor and that coverage is continuous once the continuous glucose monitor is prescribed. Provides that prior authorization is required for a prescription of a continuous glucose monitor. Provides that once a continuous glucose monitor is prescribed, the prior authorization shall be approved for a 12-month period. 2/8/2024SenateFiled with Secretary by Sen. Julie A. Morrison 2/8/2024SenateFirst Reading 2/8/2024SenateReferred to Assignments 2/20/2024SenateAssigned to Insurance 3/5/2024SenateSenate Committee Amendment No. 1 Filed with Secretary by Sen. Julie A. Morrison 3/5/2024SenateSenate Committee Amendment No. 1 Referred to Assignments 3/6/2024SenatePostponed - Insurance 3/8/2024SenateSenate Committee Amendment No. 2 Filed with Secretary by Sen. Julie A. Morrison 3/8/2024SenateSenate Committee Amendment No. 2 Referred to Assignments 3/12/2024SenateSenate Committee Amendment No. 1 Pursuant to Senate Rule 3-8 (b-1), this committee amendment will remain in the Committee on Assignments. 3/12/2024SenateSenate Committee Amendment No. 2 Assignments Refers to Insurance 3/12/2024SenateSenate Committee Amendment No. 2 Adopted 3/13/2024SenateDo Pass as Amended Insurance; 008-000-000 3/13/2024SenatePlaced on Calendar Order of 2nd Reading March 14, 2024 3/14/2024SenateSecond Reading 3/14/2024SenatePlaced on Calendar Order of 3rd Reading March 20, 2024 4/5/2024SenateSenate Floor Amendment No. 3 Filed with Secretary by Sen. Julie A. Morrison 4/5/2024SenateSenate Floor Amendment No. 3 Referred to Assignments 4/9/2024SenateSenate Floor Amendment No. 3 Assignments Refers to Insurance 4/10/2024SenateSenate Floor Amendment No. 3 Recommend Do Adopt Insurance; 008-000-000 4/10/2024SenateRecalled to Second Reading 4/10/2024SenateSenate Floor Amendment No. 3 Adopted 4/10/2024SenatePlaced on Calendar Order of 3rd Reading 4/10/2024SenateThird Reading - Passed; 059-000-000 4/10/2024SenateSenate Committee Amendment No. 1 Tabled Pursuant to Rule 5-4a 4/10/2024SenateAdded as Co-Sponsor Sen. Sally J. Turner 4/10/2024SenateAdded as Co-Sponsor Sen. Erica Harriss 4/10/2024SenateAdded as Co-Sponsor Sen. John F. Curran 4/10/2024HouseArrived in House 4/11/2024HouseChief House Sponsor Rep. Jenn Ladisch Douglass 4/11/2024HouseFirst Reading 4/11/2024HouseReferred to Rules Committee 4/24/2024HouseAssigned to Insurance Committee 4/29/2024HouseHouse Committee Amendment No. 1 Filed with Clerk by Rep. Jenn Ladisch Douglass 4/29/2024HouseHouse Committee Amendment No. 1 Referred to Rules Committee 4/29/2024HouseAdded Alternate Chief Co-Sponsor Rep. Nabeela Syed 4/30/2024HouseDo Pass / Short Debate Insurance Committee; 015-000-000 4/30/2024HouseHouse Committee Amendment No. 1 Tabled 5/1/2024HousePlaced on Calendar 2nd Reading - Short Debate 5/6/2024HouseAdded Alternate Chief Co-Sponsor Rep. Emanuel "Chris" Welch 5/7/2024HouseAdded Alternate Chief Co-Sponsor Rep. Stephanie A. Kifowit 5/7/2024HouseAdded Alternate Co-Sponsor Rep. Hoan Huynh 5/7/2024HouseAdded Alternate Co-Sponsor Rep. Norma Hernandez 5/7/2024HouseAdded Alternate Co-Sponsor Rep. Sue Scherer 5/7/2024HouseAdded Alternate Co-Sponsor Rep. Barbara Hernandez 5/7/2024HouseAdded Alternate Co-Sponsor Rep. Lance Yednock 5/7/2024HouseAdded Alternate Co-Sponsor Rep. Dagmara Avelar 5/7/2024HouseAdded Alternate Co-Sponsor Rep. Lindsey LaPointe 5/7/2024HouseAdded Alternate Co-Sponsor Rep. Harry Benton 5/7/2024HouseAdded Alternate Co-Sponsor Rep. Diane Blair-Sherlock 5/7/2024HouseAdded Alternate Co-Sponsor Rep. Gregg Johnson 5/7/2024HouseAdded Alternate Co-Sponsor Rep. Daniel Didech 5/7/2024HouseAdded Alternate Co-Sponsor Rep. Camille Y. Lilly 5/7/2024HouseAdded Alternate Co-Sponsor Rep. Katie Stuart 5/7/2024HouseAdded Alternate Co-Sponsor Rep. Mary Gill 5/7/2024HouseAdded Alternate Co-Sponsor Rep. Mark L. Walker 5/7/2024HouseAdded Alternate Co-Sponsor Rep. La Shawn K. Ford 5/7/2024HouseAdded Alternate Co-Sponsor Rep. Michelle Mussman 5/7/2024HouseAdded Alternate Co-Sponsor Rep. Kelly M. Cassidy 5/7/2024HouseAdded Alternate Co-Sponsor Rep. Cyril Nichols 5/7/2024HouseAdded Alternate Co-Sponsor Rep. Mary Beth Canty 5/7/2024HouseAdded Alternate Co-Sponsor Rep. Kam Buckner 5/7/2024HouseAdded Alternate Co-Sponsor Rep. Abdelnasser Rashid 5/7/2024HouseAdded Alternate Co-Sponsor Rep. Will Guzzardi 5/7/2024HouseAdded Alternate Co-Sponsor Rep. Laura Faver Dias 5/8/2024HouseAdded Alternate Co-Sponsor Rep. Rita Mayfield 5/8/2024HouseAdded Alternate Co-Sponsor Rep. Theresa Mah 5/8/2024HouseAdded Alternate Co-Sponsor Rep. Joyce Mason 5/8/2024HouseAdded Alternate Co-Sponsor Rep. Sonya M. Harper 5/8/2024HouseAdded Alternate Co-Sponsor Rep. Suzanne M. Ness 5/8/2024HouseAdded Alternate Co-Sponsor Rep. Kevin John Olickal 5/8/2024HouseAdded Alternate Co-Sponsor Rep. Norine K. Hammond 5/8/2024HouseAdded Alternate Co-Sponsor Rep. Ann M. Williams 5/10/2024HouseHouse Floor Amendment No. 2 Filed with Clerk by Rep. Jenn Ladisch Douglass 5/10/2024HouseHouse Floor Amendment No. 2 Referred to Rules Committee 5/14/2024HouseHouse Floor Amendment No. 2 Rules Refers to Insurance Committee 5/14/2024HouseHouse Floor Amendment No. 2 Recommends Be Adopted Insurance Committee; 013-000-000 5/16/2024HouseAdded Alternate Co-Sponsor Rep. Bob Morgan 5/16/2024SenateAdded as Chief Co-Sponsor Sen. Steve Stadelman 5/16/2024HouseSecond Reading - Short Debate 5/16/2024HouseHeld on Calendar Order of Second Reading - Short Debate 5/17/2024SenateAdded as Co-Sponsor Sen. Laura M. Murphy 5/17/2024HouseThird Reading/Final Action Deadline Extended-9(b) May 24, 2024 5/20/2024HouseAdded Alternate Co-Sponsor Rep. Janet Yang Rohr 5/24/2024HouseHouse Floor Amendment No. 2 Adopted 5/24/2024HousePlaced on Calendar Order of 3rd Reading - Short Debate 5/24/2024HouseThird Reading - Short Debate - Passed 111-000-000 5/24/2024HouseAdded Alternate Chief Co-Sponsor Rep. William "Will" Davis 5/24/2024HouseAdded Alternate Co-Sponsor Rep. Kevin Schmidt 5/24/2024HouseAdded Alternate Co-Sponsor Rep. Tony M. McCombie 5/24/2024HouseAdded Alternate Co-Sponsor Rep. Brad Stephens 5/24/2024HouseAdded Alternate Co-Sponsor Rep. Jennifer Sanalitro 5/24/2024HouseAdded Alternate Co-Sponsor Rep. Nicole La Ha 5/24/2024HouseAdded Alternate Co-Sponsor Rep. Michael J. Coffey, Jr. 5/24/2024HouseAdded Alternate Co-Sponsor Rep. Brandun Schweizer 5/24/2024SenateSecretary's Desk - Concurrence House Amendment(s) 2 5/24/2024SenatePlaced on Calendar Order of Concurrence House Amendment(s) 2 - May 24, 2024 5/25/2024SenateHouse Floor Amendment No. 2 Motion to Concur Filed with Secretary Sen. Julie A. Morrison 5/25/2024SenateHouse Floor Amendment No. 2 Motion to Concur Referred to Assignments 5/25/2024SenateHouse Floor Amendment No. 2 Motion to Concur Assignments Referred to Executive 5/25/2024SenateHouse Floor Amendment No. 2 Motion To Concur Recommended Do Adopt Executive; 012-000-000 5/26/2024SenateHouse Floor Amendment No. 2 Senate Concurs 058-000-000 5/26/2024SenateSenate Concurs 5/26/2024SenatePassed Both Houses 6/24/2024SenateSent to the Governor 7/1/2024SenateGovernor Approved 7/1/2024SenateEffective Date July 1, 2024 7/1/2024SenatePublic Act . . . . . . . . . 103-0639