---
type: "Bill"
title: "INS CODE-COLONOSCOPY COVERAGE"
description: "Amends the Illinois Insurance Code to require a group policy of accident and health insurance that is amended, delivered, issued, or renewed on or after January 1, 2022 to provide coverage for a colonoscopy that is a follow-up exam based on an initial screen where the colonoscopy was determined to be medically necessary by a physician licensed to practice medicine in all its branches, an advanced practice registered nurse, or a physician assistant. Provides that a group insurance policy shall not impose a deductible, coinsurance, copayment, or any other cost-sharing requirement on colonoscopy coverage, except to the extent such coverage would disqualify a high-deductible health plan from eligibility for a health savings account under the Internal Revenue Code. Makes conforming changes in the Counties Code, the Illinois Municipal Code, and the Health Maintenance Organization Act. Effective January 1, 2022."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "102nd"
identifier: "HB 2653"
citation: "Illinois HB 2653 (102nd)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Adriane Johnson", "Joyce Mason"]
version_count: 4
action_count: 40
vote_count: 1
first_action: "2021-02-18"
last_action: "2021-08-20"
source: "openstates"
source_identifier: "ocd-bill/1ccfd8a4-1db7-456c-8b27-eb00864f4e6f"
source_url: "https://ilga.gov/legislation/BillStatus.asp?DocNum=2653&GAID=16&DocTypeID=HB&LegId=131491&SessionID=110&GA=102"
source_hash: "fa0b8fcd8048862d086e2c3a0f08da80ad7582d68f15899bf2ed67f48e70c21c"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-il"]
---

# Illinois HB 2653 (102nd) — INS CODE-COLONOSCOPY COVERAGE

Amends the Illinois Insurance Code to require a group policy of accident and health insurance that is amended, delivered, issued, or renewed on or after January 1, 2022 to provide coverage for a colonoscopy that is a follow-up exam based on an initial screen where the colonoscopy was determined to be medically necessary by a physician licensed to practice medicine in all its branches, an advanced practice registered nurse, or a physician assistant. Provides that a group insurance policy shall not impose a deductible, coinsurance, copayment, or any other cost-sharing requirement on colonoscopy coverage, except to the extent such coverage would disqualify a high-deductible health plan from eligibility for a health savings account under the Internal Revenue Code. Makes conforming changes in the Counties Code, the Illinois Municipal Code, and the Health Maintenance Organization Act. Effective January 1, 2022.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Introduced** (filed) — [source](https://ilga.gov/legislation/102/HB/PDF/10200HB2653.pdf)
2. **Engrossed** (committee substitute) — [source](https://ilga.gov/legislation/102/HB/PDF/10200HB2653eng.pdf)
3. **Senate Amendment 001** (committee substitute) — [source](https://ilga.gov/legislation/102/HB/PDF/10200HB2653sam001.pdf)
4. **Enrolled** (enrolled) — [source](https://ilga.gov/legislation/102/HB/PDF/10200HB2653enr.pdf)

## Votes

- Third Reading — **55–1** (pass) · upper

## Sponsors

- Adriane Johnson — primary (person)
- Joyce Mason — primary (person)
- Daniel Didech — cosponsor (person)
- Deb Conroy — cosponsor (person)
- Doris Turner — cosponsor (person)
- Julie A. Morrison — cosponsor (person)
- Laura Fine — cosponsor (person)
- Laura M. Murphy — cosponsor (person)
- Melinda Bush — cosponsor (person)
- Ram Villivalam — cosponsor (person)
- Sara Feigenholtz — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2021-02-18** Filed with the Clerk by Rep. Joyce Mason `filing`
- **2021-02-19** First Reading `reading-1`
- **2021-02-19** Referred to Rules Committee `referral-committee`
- **2021-03-09** Assigned to Insurance Committee `referral-committee`
- **2021-03-22** Do Pass / Short Debate Insurance Committee; 011-005-000 `committee-passage`
- **2021-04-08** Placed on Calendar 2nd Reading - Short Debate
- **2021-04-14** Added Co-Sponsor Rep. Daniel Didech
- **2021-04-14** Added Co-Sponsor Rep. Deb Conroy
- **2021-04-21** Second Reading - Short Debate `reading-2`
- **2021-04-21** Held on Calendar Order of Second Reading - Short Debate `reading-2`
- **2021-04-22** Placed on Calendar Order of 3rd Reading - Short Debate
- **2021-04-22** Third Reading - Short Debate - Passed 075-036-001 `passage, reading-3`
- **2021-04-23** Arrive in Senate `introduction`
- **2021-04-23** Placed on Calendar Order of First Reading `reading-1`
- **2021-04-23** Chief Senate Sponsor Sen. Adriane Johnson
- **2021-04-23** First Reading `reading-1`
- **2021-04-23** Referred to Assignments `referral-committee`
- **2021-04-29** Added as Alternate Chief Co-Sponsor Sen. Laura Fine
- **2021-05-04** Assigned to Insurance `referral-committee`
- **2021-05-04** Senate Committee Amendment No. 1 Filed with Secretary by Sen. Adriane Johnson `amendment-introduction`
- **2021-05-04** Senate Committee Amendment No. 1 Referred to Assignments `referral-committee`
- **2021-05-05** Added as Alternate Co-Sponsor Sen. Julie A. Morrison
- **2021-05-05** Senate Committee Amendment No. 1 Assignments Refers to Insurance
- **2021-05-06** Added as Alternate Co-Sponsor Sen. Laura M. Murphy
- **2021-05-06** Added as Alternate Co-Sponsor Sen. Doris Turner
- **2021-05-07** Added as Alternate Co-Sponsor Sen. Ram Villivalam
- **2021-05-13** Do Pass Insurance; 011-000-000 `committee-passage`
- **2021-05-13** Placed on Calendar Order of 2nd Reading May 14, 2021
- **2021-05-13** Added as Alternate Chief Co-Sponsor Sen. Melinda Bush
- **2021-05-14** Second Reading `reading-2`
- **2021-05-14** Placed on Calendar Order of 3rd Reading May 17, 2021
- **2021-05-21** Added as Alternate Co-Sponsor Sen. Sara Feigenholtz
- **2021-05-24** Placed on Calendar Order of 3rd Reading ** May 25, 2021
- **2021-05-27** Third Reading - Passed; 055-001-000 `passage, reading-3`
- **2021-05-27** Senate Committee Amendment No. 1 Tabled Pursuant to Rule 5-4(a) `amendment-failure`
- **2021-05-27** Passed Both Houses
- **2021-06-23** Sent to the Governor `executive-receipt`
- **2021-08-20** Governor Approved `executive-signature`
- **2021-08-20** Effective Date January 1, 2022
- **2021-08-20** Public Act . . . . . . . . . 102-0443 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/1ccfd8a4-1db7-456c-8b27-eb00864f4e6f`. Confidence: reported (aggregated from official Illinois legislature records).