| Newly Enacted Illinois Mandated Benefits: 2007- 2008 |
Recently Enacted Mandated Benefits for Group Accident and Health, and HMO Illinois Contracts and List of Current Illinois Insurance Mandates
In the 4th quarter of 2007 the Illinois state legislature enacted into law four new Public acts that apply to all individual and group health insurance and all individual group HMO contracts. The new laws require coverage and reimbursement for specified services and or supplies. A synopsis of each newly enacted law is outlined below:
| Public Act |
Law Title |
Mandated Benefit |
Effective Date |
| 095-520 |
Amino Acid Based formulas |
Requires coverage of non-prescription & specialized amino acid based elemental formulas |
8/28/07 |
| 095-189 |
Breast Exam |
Requires coverage of a complete & thorough physical examination of the breast at least every 3 years |
8/16/07 |
| 095-431 |
Breast Ultrasound Screening |
Requires coverage of a comprehensive ultrasound screening when a mammogram demonstrates heterogeneous or dense breast tissue when found medically necessary by a physician |
8/24/07 |
| 095-422 |
HPV Vaccine |
Requires coverage for the human papillomavirus vaccine |
8/24/07 |
For more detailed information regarding Illinois mandated benefits, mandated coverages and mandated offers required by Illinois health insurance and HMO laws and regulations, go to the Illinois Division of Insurance's State Mandate Consumer Fact Sheet. |
