Illinois HB 5389: INS-LUNG CANCER SCREENING

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
HB5389

Introduced 2/10/2026, by Rep. Nabeela Syed 

SYNOPSIS AS INTRODUCED:

55 ILCS 5/5-1069.3

60 ILCS 1/100-15

65 ILCS 5/10-4-2.3

215 ILCS 5/356z.88 new

305 ILCS 5/5-16.8

 Amends the Illinois Insurance Code. Provides that no policy of accident and health insurance shall be issued, amended, delivered, or renewed in this State on or after January 1, 2027 unless the policy provides coverage for annual lung cancer screenings for any beneficiary currently employed as an active firefighter or any person eligible for or currently receiving a retirement annuity, retirement pension, disability pension, or disability benefit pursuant to the Downstate Firefighter or Chicago Firefighter Article of the Illinois Pension Code. Requires the coverage to be provided without cost sharing. Amends the Counties Code, the Township Code, the Illinois Municipal Code, and the Illinois Public Aid Code to require coverage under the provisions of those Acts.

LRB104 15434 BAB 28589 b

A BILL FOR

HB5389LRB104 15434 BAB 28589 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 Counties Code is amended by changing 

5Section 5-1069.3 as follows:

6 (55 ILCS 5/5-1069.3)

7 Sec. 5-1069.3. Required health benefits. If a county, 

8including a home rule county, is a self-insurer for purposes 

9of providing health insurance coverage for its employees, the 

10coverage shall include coverage for the post-mastectomy care 

11benefits required to be covered by a policy of accident and 

12health insurance under Section 356t and the coverage required 

13under Sections 356g, 356g.5, 356g.5-1, 356m, 356q, 356u,