IllinoisHB4203104th General Assembly (2025–2026)HouseWALLET

INS CD-CANCER SCREENINGS

Sponsored By: Sponsor information unavailable

Signed by Governor

Summary

Amends the Illinois Insurance Code. In a provision concerning coverage of certain cancer screenings, adds having a high level of CA-125, as indicated by a blood test screening, to the definition of "at risk for ovarian cancer". Provides that "surveillance tests for ovarian cancer" means all medically viable methods for the detection and diagnosis of ovarian cancer, including, but not limited to, ultrasounds, magnetic resonance imagings (MRIs), x-rays, computed tomography (CT) scans, and CA-125 blood test screenings (instead of an annual screening using (i) CA-125 serum tumor marker testing, (ii) transvaginal ultrasound, (iii) pelvic examination). Effective January 1, 2028.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 0 benefits, 0 costs, 1 mixed.

More ovarian tests, costs may remain

Starting January 1, 2028, qualifying Illinois group health policies cover annual ovarian cancer surveillance for people at risk. This includes CA-125 blood tests, transvaginal ultrasounds, and pelvic exams. The law also requires coverage for all medically viable ways to detect and diagnose ovarian cancer, including ultrasounds, MRI, CT scans, and CA-125 tests. People at risk include those with certain family histories, BRCA1 or BRCA2 mutations, or a high CA-125 level. Policies may require cost sharing for the additional detection and diagnosis coverage.

Sponsors & Cosponsors

Sponsors

There is no primary sponsor on record.

Cosponsors

  • Jackie Haas

    Republican • House

  • Janet Yang Rohr

    Democratic • House

  • Jennifer Sanalitro

    Republican • House

  • Kimberly A. Lightford

    Democratic • Senate

  • Michael J. Coffey, Jr.

    Republican • House

  • Norine K. Hammond

    Republican • House

  • Terri Bryant

    Republican • Senate

  • Tony M. McCombie

    Republican • House

Roll Call Votes

All Roll Calls

Yes: 332 • No: 0

House vote • 5/31/2026

Senate Floor Amendment No. 1 House Concurs

Yes: 115 • No: 0

House vote • 5/29/2026

Senate Floor Amendment No. 1 Motion to Concur Recommends Be Adopted Insurance Committee;

Yes: 16 • No: 0

Senate vote • 5/28/2026

Third Reading - Passed;

Yes: 58 • No: 0

Senate vote • 5/19/2026

Senate Floor Amendment No. 1 Recommend Do Adopt Insurance;

Yes: 10 • No: 0

Senate vote • 5/6/2026

Do Pass Insurance;

Yes: 9 • No: 0

House vote • 4/14/2026

Third Reading - Short Debate - Passed

Yes: 109 • No: 0

House vote • 3/24/2026

Do Pass / Short Debate Insurance Committee;

Yes: 15 • No: 0

Actions Timeline

  1. Public Act . . . . . . . . . 104-0548

    7/10/2026House
  2. Effective Date January 1, 2028

    7/10/2026House
  3. Governor Approved

    7/10/2026House
  4. Sent to the Governor

    6/26/2026House
  5. Added Chief Co-Sponsor Rep. Michael J. Coffey, Jr.

    5/31/2026House
  6. Added Chief Co-Sponsor Rep. Jennifer Sanalitro

    5/31/2026House
  7. Passed Both Houses

    5/31/2026House
  8. House Concurs

    5/31/2026House
  9. Senate Floor Amendment No. 1 House Concurs 115-000-000

    5/31/2026House
  10. Senate Floor Amendment No. 1 Motion to Concur Recommends Be Adopted Insurance Committee; 016-000-000

    5/29/2026House
  11. Senate Floor Amendment No. 1 Motion to Concur Rules Referred to Insurance Committee

    5/29/2026House
  12. Added as Alternate Co-Sponsor Sen. Kimberly A. Lightford

    5/28/2026Senate
  13. Senate Floor Amendment No. 1 Motion to Concur Referred to Rules Committee

    5/28/2026House
  14. Senate Floor Amendment No. 1 Motion Filed Concur Rep. Norine K. Hammond

    5/28/2026House
  15. Placed on Calendar Order of Concurrence Senate Amendment(s) 1

    5/28/2026House
  16. Arrived in House

    5/28/2026House
  17. Third Reading - Passed; 058-000-000

    5/28/2026Senate
  18. Rule 2-10 Third Reading Deadline Established As May 31, 2026

    5/22/2026Senate
  19. Placed on Calendar Order of 3rd Reading May 21, 2026

    5/20/2026Senate
  20. Senate Floor Amendment No. 1 Adopted; Bryant

    5/20/2026Senate
  21. Second Reading

    5/20/2026Senate
  22. Senate Floor Amendment No. 1 Recommend Do Adopt Insurance; 010-000-000

    5/19/2026Senate
  23. Senate Floor Amendment No. 1 Postponed - Insurance

    5/12/2026Senate
  24. Senate Floor Amendment No. 1 Assignments Refers to Insurance

    5/12/2026Senate
  25. Senate Floor Amendment No. 1 Referred to Assignments

    5/7/2026Senate

Bill Text

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