215 ILCS 5/356z.56

Current through Public Act 103-1052
Section 215 ILCS 5/356z.56 - [Effective 1/1/2026] Coverage for hormonal and non-hormonal therapy to treat menopause

A group or individual policy of accident and health insurance or a managed care plan that is amended, delivered, issued, or renewed in this State shall provide coverage for medically necessary hormone therapy treatment to treat menopause that has been induced by a hysterectomy. This coverage applies only to coverage provided on or after January 1, 2024 and before January 1, 2026.

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 medically necessary hormonal and non-hormonal therapy to treat menopausal symptoms if the therapy is recommended by a qualified health care provider who is licensed, accredited, or certified under Illinois law and the therapy has been proven safe and effective in peer-reviewed scientific studies. Coverage for therapy to treat menopausal symptoms shall include all federal Food and Drug Administration-approved modalities of hormonal and non-hormonal administration, including, but not limited to, oral, transdermal, topical, and vaginal rings.

215 ILCS 5/356z.56

Amended by P.A. 103-0703,§ 5, eff. 1/1/2026.
Renumbered from 215 ILCS 5/356z.53 by P.A. 103-0154,§ 430, eff. 6/30/2023.
Added by P.A. 102-0804,§ 25, eff. 1/1/2023.
This section is set out more than once due to postponed, multiple, or conflicting amendments.