Illinois SB 2943: SCH CD-CHARTER SCH DISTRICT

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
SB2943

Introduced 1/27/2026, by Sen. Adriane Johnson 

SYNOPSIS AS INTRODUCED:

215 ILCS 5/356z.55

305 ILCS 5/5-5

 Amends the Illinois Insurance Code. In provisions concerning coverage for cleft lip and cleft palate, provides that an individual or group policy of accident and health insurance amended, delivered, issued, or renewed on or after the effective date of the amendatory Act shall provide coverage for the medically necessary care and treatment of cleft lip and cleft palate for children or adults (instead of only for children under the age of 19). Amends the Medical Assistance Article of the Illinois Public Aid Code. Includes the care and treatment of cleft lip and cleft palate in provisions concerning coverage for dental services. Effective immediately.

LRB104 17357 BAB 30782 b

A BILL FOR

SB2943LRB104 17357 BAB 30782 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.55 as follows:

6 (215 ILCS 5/356z.55)

7 Sec. 356z.55. Coverage for cleft lip and cleft palate.

8 (a) As used in this Section, "medically necessary care and 

9treatment" to address congenital anomalies associated with a 

10cleft lip or palate, or both, includes:

11 (1) oral and facial surgery, including reconstructive 

12 services and procedures necessary to improve and restore 

13 and maintain vital functions;

14 (2) prosthetic treatment such as obturators, speech 

15 appliances, and feeding appliances;

16 (3) orthodontic treatment and management;

17 (4) prosthodontic treatment and management; and

18 (5) otolaryngology treatment