Illinois SB 2286: INS-PREVENTIVE CARE PRIOR AUTH

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
SB2286

Introduced 2/7/2025, by Sen. Mike Simmons 

SYNOPSIS AS INTRODUCED:

215 ILCS 5/356z.62

215 ILCS 200/78 new

 Amends the Prior Authorization Reform Act. Provides that, notwithstanding any other provision of law, a health insurance issuer or a contracted utilization review organization may not require prior authorization for preventive health services recommended by a health care professional. Amends the Illinois Insurance Code. Provides that a policy of group health insurance coverage or individual health insurance coverage shall, at a minimum, provide coverage and shall not require prior authorization or impose any cost-sharing requirements, including a copayment, coinsurance, or deductible, for specified preventive health services. Effective January 1, 2027.

LRB104 10418 BAB 20493 b

A BILL FOR

SB2286LRB104 10418 BAB 20493 b

1 AN ACT concerning regulation.

2 Be it enacted by the People of the State of Illinois, 

3represented in the General Assembly:

4 Section 5. The Illinois Insurance Code is amended by 

5changing Section 356z.62 as follows:

6 (215 ILCS 5/356z.62)

7 Sec. 356z.62. Coverage of preventive health services.

8 (a) A policy of group health insurance coverage or 

9individual health insurance coverage as defined in Section 5 

10of the Illinois Health Insurance Portability and 

11Accountability Act shall, at a minimum, provide coverage for 

12and shall not require prior authorization or impose any 

13cost-sharing requirements, including a copayment, coinsurance, 

14or deductible, for:

15 (1) evidence-based items or services that have in 

16 effect a rating of "A" or "B" in the current 

17 recommendations of the United States Preventive Serv