All Companies Writing Accident and Health Insurance and Managed Care Plans in Illinois : Company Bulletin 2022-01 Health Benefit Mandate Coverage Passed and Signed into Law via 2021 Spring Legislative Session

Springfield Office 320 W. Washington Street Springfield, Illinois 62767 (217) 782-4515 Chicago Office 122 S. Michigan Ave., 19th Floor Chicago, Illinois 60603 (312) 814-2420 Illinois Department of Insurance JB PRITZKER Governor DANA POPISH SEVERINGHAUS Acting Director TO: All Companies Writing Accident and Health Insurance and Managed Care Plans in Illinois FROM: Dana Popish Severinghaus, Acting Director DATE: January 12, 2022 RE: Company Bulletin #2022-01 Health Benefit Mandate Coverage Passed and Signed into Law via 2021 Spring Legislative Session The purpose of this Bulletin is to provide overall awareness and requirements for new Illinois health mandates signed into law as a result of the 2021 Illinois Spring Legislative Session. Public Act Statute Topic Effective date P.A. 102-0391 215 ILCS 134/45.3 Prescription drugs 1/1/2023 P.A. 102-0304 215 ILCS 5/370.2 Disability Income Task Force* 8/6/2021 P.A. 102-0306 215 ILCS 5/356z.43 Pancreatic Cancer 1/1/2022 P.A. 102-0322 215 ILCS 5/356z.14; 215 ILCS 5/356z.15 Denial on basis of site of treatment 1/1/2022 P.A. 102-0203 215 ILCS 5/356z.43 Biomarker testing 1/1/2022 P.A. 102-0170 215 ILCS 5/356m Infertility 1/1/2022 P.A. 102-0142 215 ILCS 5/363 Med Supp Enrollment aka "Med Supp Birthday Rule"* 1/1/2022 P.A. 102-0144 215 ILCS 124/10(d- 5)(g) Network Adequacy MH/SUD* 1/1/2022 P.A. 102-0146 215 ILCS 111/et. AL Uniform Electronic Transactions in Dental Care Billing Act *NEW* Law went into effect 7/23/2021, but the right to reject claims that aren't billed electronically doesn't take effect until 1/1/2025 Page 2 of 4 Public Act Statute Topic Effective date P.A. 102-0153 225 ILCS 80/etc. IL Optometric Practice Act -- Telehealth billing* 1/1/2022 P.A. 102-0103 215 ILCS 5/356z.43 Pharmacist eligible to prescribe contraceptives 1/1/2022 P.A. 102-0104 215 ILCS 5/356z.22 Telehealth mandate 7/22/2021 P.A. 102-0092 215 ILCS 124/5 Telehealth provider directories* 7/9/2021 P.A. 102-0030 215 ILCS 125/5-3; 130/4003; and 215 ILCS 165/10 Add TMJ coverage to HMO, VHSO, and LHSO plans 1/1/2022 P.A. 102-0443 215 ILCS 5/356z.43 and 215 ILCS 125/5-3 Colonoscopy 1/1/2022 P.A. 102-0642 215 ILCS 5/356z.43 and 215 ILCS 125/5-3 Port Wine Stains 1/1/2022 P.A. 102-0589 215 ILCS 356z.43 and 215 ILCS 125/5-3 Comprehensive Cancer Testing 1/1/2022 P.A. 102-0409 215 ILCS 200/et. AL Prior Authorization Reform Act* 1/1/2022 P.A. 102-0462 215 ILCS 5/356z.17 and 215 ILCS 121/ Wellness coverage and Navigators* 8/20/2021 P.A 102-0530 215 ILCS 5/356z.43 and 215 ILCS 5/356z.44 A1C testing and Vitamin D testing 1/1/2022 P.A. 102-0632 215 ILCS 5/368d Recoupment* 1/1/2022 P.A. 102-0630 820 ILCS 46/et. AL Consumer Coverage Disclosure Act* 1/1/2022 Page 3 of 4 Public Act Statute Topic Effective date P.A. 102-0665 215 ILCS 5/356z.4b; 215 ILCS 5/356z.40; 215 ILCS 165/10 Improving Health Care for Pregnant and Post-Partum Individuals Act 10/8/2021 Please note, the Department will work to incorporate the above required mandates into all applicable Issuer Checklists posted in the Department’s website. Items with an “ * ” are either not benefit specific, not directly residing in the Insurance Code, or that would not normally appear in a policy document. Questions regarding this Company Bulletin should be directed to DOI.InfoDesk@illinois.gov.