Illinois HB 4500: INS-BLOOD PRESSURE MONITORS

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
HB4500

Introduced 1/20/2026, by Rep. Margaret Croke 

SYNOPSIS AS INTRODUCED:

215 ILCS 5/356z.40

 Amends the Illinois Insurance Code. Provides that, for policies of accident and health insurance amended, delivered, issued, or renewed on or after January 1, 2027, coverage for pregnancy and postpartum care shall include medically necessary blood pressure monitors for pregnant or postpartum insured persons or beneficiaries. Effective immediately.

LRB104 17655 BAB 31086 b

A BILL FOR

HB4500LRB104 17655 BAB 31086 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 25. The Illinois Insurance Code is amended by 

5adding Section 356z.40 as follows:

6 (215 ILCS 5/356z.40)

7 Sec. 356z.40. Pregnancy and postpartum coverage.

8 (a) An individual or group policy of accident and health 

9insurance or managed care plan amended, delivered, issued, or 

10renewed on or after October 8, 2021 (the effective date of 

11Public Act 102-665) shall provide coverage for pregnancy and 

12newborn care in accordance with 42 U.S.C. 18022(b) regarding 

13essential health benefits. For policies amended, delivered, 

14issued, or renewed on or after January 1, 2026, this 

15subsection also applies to coverage for postpartum care.

16 (b) Benefits under this Section shall be as follows:

17 (1) An individual who has been identified as 

18 experiencing a high-risk pregnancy by the individual's 

19 treating provider shall have access to clinically 

20 appropriate case management programs. As used in this 

21 subsection, "case management" means a mechanism to