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---
type: "Bill"
title: "INS CD-CONGENITAL ANOMALY"
description: "Amends the Illinois Insurance Code. In provisions requiring coverage for newborn infants, provides that coverage for congenital defects shall include treatment of cranial facial anomalies. Provides that an individual or group policy of accident and health insurance amended, delivered, issued, or renewed after the effective date of the amendatory Act shall cover charges incurred and services provided for outpatient and inpatient care in conjunction with services that are provided to a covered individual related to the diagnosis and treatment of a congenital anomaly or birth defect. Provides that the required coverage includes any services to functionally improve, repair, or restore a body part involving the cranial facial area that is medically necessary to achieve normal function or appearance. Provides that any coverage provided may be subject to coverage limits, such as pre-authorization or pre-certification, as required by the plan or issuer that are no more restrictive than the predominant treatment limitations applied to substantially all medical and surgical benefits covered by the plan. Provides that coverage for a congenital anomaly or birth defect shall include expenses for specified services and items up to the age of 19. Provides that coverage shall not be denied solely on the grounds that the treatment is for cosmetic purposes or is not for a functional defect or impairment. Provides that the coverage does not apply to a policy that covers only dental care. Defines \"treatment\". Makes conforming changes in the State Employees Group Insurance Act of 1971. Effective January 1, 2024."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "102nd"
identifier: "HB 4349"
citation: "Illinois HB 4349 (102nd)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Kathleen Willis", "Laura Fine"]
version_count: 4
action_count: 64
vote_count: 2
first_action: "2022-01-04"
last_action: "2022-05-13"
source: "openstates"
source_identifier: "ocd-bill/e36238bb-6e13-43f9-9181-a91f73b4bfed"
source_url: "https://ilga.gov/legislation/BillStatus.asp?DocNum=4349&GAID=16&DocTypeID=HB&LegId=137557&SessionID=110&GA=102"
source_hash: "470076291d2acde495e23b63eb4788cf6d9fecae7a6fe39a92190193c9523142"
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 4349 (102nd) — INS CD-CONGENITAL ANOMALY
Amends the Illinois Insurance Code. In provisions requiring coverage for newborn infants, provides that coverage for congenital defects shall include treatment of cranial facial anomalies. Provides that an individual or group policy of accident and health insurance amended, delivered, issued, or renewed after the effective date of the amendatory Act shall cover charges incurred and services provided for outpatient and inpatient care in conjunction with services that are provided to a covered individual related to the diagnosis and treatment of a congenital anomaly or birth defect. Provides that the required coverage includes any services to functionally improve, repair, or restore a body part involving the cranial facial area that is medically necessary to achieve normal function or appearance. Provides that any coverage provided may be subject to coverage limits, such as pre-authorization or pre-certification, as required by the plan or issuer that are no more restrictive than the predominant treatment limitations applied to substantially all medical and surgical benefits covered by the plan. Provides that coverage for a congenital anomaly or birth defect shall include expenses for specified services and items up to the age of 19. Provides that coverage shall not be denied solely on the grounds that the treatment is for cosmetic purposes or is not for a functional defect or impairment. Provides that the coverage does not apply to a policy that covers only dental care. Defines "treatment". Makes conforming changes in the State Employees Group Insurance Act of 1971. Effective January 1, 2024.
## 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/10200HB4349.pdf)
2. **Engrossed** (committee substitute) — [source](https://ilga.gov/legislation/102/HB/PDF/10200HB4349eng.pdf)
3. **House Amendment 001** (committee substitute) — [source](https://ilga.gov/legislation/102/HB/PDF/10200HB4349ham001.pdf)
4. **Enrolled** (enrolled) — [source](https://ilga.gov/legislation/102/HB/PDF/10200HB4349enr.pdf)
## Votes
- Third Reading — **560** (pass) · upper
- Third Reading — **1030** (pass) · lower
## Sponsors
- Kathleen Willis — primary (person)
- Laura Fine — primary (person)
- Adriane Johnson — cosponsor (person)
- Ann Gillespie — cosponsor (person)
- Antonio Muñoz — cosponsor (person)
- Camille Y. Lilly — cosponsor (person)
- Christopher Belt — cosponsor (person)
- Cristina Castro — cosponsor (person)
- Dagmara Avelar — cosponsor (person)
- Dave Syverson — cosponsor (person)
- Edgar Gonzalez, Jr. — cosponsor (person)
- Eric Mattson — cosponsor (person)
- Frances Ann Hurley — cosponsor (person)
- Jacqueline Y. Collins — cosponsor (person)
- Jim Durkin — cosponsor (person)
- John Connor — cosponsor (person)
- Karina Villa — cosponsor (person)
- Katie Stuart — cosponsor (person)
- Laura Ellman — cosponsor (person)
- Laura M. Murphy — cosponsor (person)
- Linda Holmes — cosponsor (person)
- Margaret Croke — cosponsor (person)
- Maura Hirschauer — cosponsor (person)
- Maurice A. West, II — cosponsor (person)
- Michael E. Hastings — cosponsor (person)
- Michelle Mussman — cosponsor (person)
- Napoleon Harris, III — cosponsor (person)
- Natalie A. Manley — cosponsor (person)
- Omar Aquino — cosponsor (person)
- Rita Mayfield — cosponsor (person)
- Robyn Gabel — cosponsor (person)
- Scott M. Bennett — cosponsor (person)
- Steve McClure — cosponsor (person)
- Sue Scherer — cosponsor (person)
- Terra Costa Howard — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2022-01-04** Filed with the Clerk by Rep. Kathleen Willis `filing`
- **2022-01-05** First Reading `reading-1`
- **2022-01-05** Referred to Rules Committee `referral-committee`
- **2022-01-20** Added Co-Sponsor Rep. Margaret Croke
- **2022-01-21** Added Co-Sponsor Rep. Jim Durkin
- **2022-01-31** Added Co-Sponsor Rep. Edgar Gonzalez, Jr.
- **2022-02-09** Assigned to Insurance Committee `referral-committee`
- **2022-02-09** House Committee Amendment No. 1 Filed with Clerk by Rep. Kathleen Willis `amendment-introduction`
- **2022-02-09** House Committee Amendment No. 1 Referred to Rules Committee `referral-committee`
- **2022-02-15** House Committee Amendment No. 1 Rules Refers to Insurance Committee
- **2022-02-15** House Committee Amendment No. 1 Adopted in Insurance Committee; by Voice Vote `amendment-passage`
- **2022-02-15** Do Pass as Amended / Consent Calendar Insurance Committee; 016-000-000 `committee-passage`
- **2022-02-16** Placed on Calendar 2nd Reading - Consent Calendar
- **2022-02-17** Second Reading - Consent Calendar `reading-2`
- **2022-02-17** Held on Calendar Order of Second Reading - Consent Calendar `reading-2`
- **2022-02-24** Added Co-Sponsor Rep. Terra Costa Howard
- **2022-02-28** Added Co-Sponsor Rep. Dagmara Avelar
- **2022-02-28** Added Co-Sponsor Rep. Michelle Mussman
- **2022-02-28** Added Co-Sponsor Rep. Katie Stuart
- **2022-02-28** Added Co-Sponsor Rep. Rita Mayfield
- **2022-03-01** Added Co-Sponsor Rep. Sue Scherer
- **2022-03-01** Placed on Calendar Order of 3rd Reading - Consent Calendar
- **2022-03-02** Third Reading - Consent Calendar - First Day `reading-3`
- **2022-03-03** Added Co-Sponsor Rep. Maurice A. West, II
- **2022-03-03** Added Co-Sponsor Rep. Robyn Gabel
- **2022-03-03** Added Co-Sponsor Rep. Frances Ann Hurley
- **2022-03-03** Added Co-Sponsor Rep. Natalie A. Manley
- **2022-03-03** Added Co-Sponsor Rep. Maura Hirschauer
- **2022-03-03** Added Co-Sponsor Rep. Camille Y. Lilly
- **2022-03-03** Third Reading - Consent Calendar - Passed 103-000-001 `passage, reading-3`
- **2022-03-04** Arrive in Senate `introduction`
- **2022-03-04** Placed on Calendar Order of First Reading `reading-1`
- **2022-03-04** Chief Senate Sponsor Sen. Laura Fine
- **2022-03-04** First Reading `reading-1`
- **2022-03-04** Referred to Assignments `referral-committee`
- **2022-03-08** Assigned to Insurance `referral-committee`
- **2022-03-09** Added as Alternate Co-Sponsor Sen. Dave Syverson
- **2022-03-09** Added as Alternate Co-Sponsor Sen. Laura Ellman
- **2022-03-09** Added as Alternate Co-Sponsor Sen. Karina Villa
- **2022-03-09** Added as Alternate Co-Sponsor Sen. Cristina Castro
- **2022-03-09** Added as Alternate Co-Sponsor Sen. Antonio Muñoz
- **2022-03-10** Added as Alternate Chief Co-Sponsor Sen. Christopher Belt
- **2022-03-10** Added as Alternate Chief Co-Sponsor Sen. Adriane Johnson
- **2022-03-10** Added as Alternate Chief Co-Sponsor Sen. Linda Holmes
- **2022-03-10** Added as Alternate Chief Co-Sponsor Sen. Jacqueline Y. Collins
- **2022-03-10** Added as Alternate Co-Sponsor Sen. Scott M. Bennett
- **2022-03-10** Added as Alternate Co-Sponsor Sen. John Connor
- **2022-03-10** Added as Alternate Co-Sponsor Sen. Ann Gillespie
- **2022-03-23** Added as Alternate Co-Sponsor Sen. Laura M. Murphy
- **2022-03-23** Do Pass Insurance; 011-000-000 `committee-passage`
- **2022-03-23** Placed on Calendar Order of 2nd Reading
- **2022-03-23** Second Reading `reading-2`
- **2022-03-23** Placed on Calendar Order of 3rd Reading March 24, 2022
- **2022-03-30** Added as Alternate Co-Sponsor Sen. Steve McClure
- **2022-03-30** Added as Alternate Co-Sponsor Sen. Michael E. Hastings
- **2022-03-30** Added as Alternate Co-Sponsor Sen. Omar Aquino
- **2022-03-30** Added as Alternate Co-Sponsor Sen. Napoleon Harris, III
- **2022-03-30** Third Reading - Passed; 056-000-000 `passage, reading-3`
- **2022-03-30** Passed Both Houses
- **2022-04-28** Sent to the Governor `executive-receipt`
- **2022-05-10** Added as Alternate Co-Sponsor Sen. Eric Mattson
- **2022-05-13** Governor Approved `executive-signature`
- **2022-05-13** Effective Date January 1, 2024
- **2022-05-13** Public Act . . . . . . . . . 102-0768 `became-law`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/e36238bb-6e13-43f9-9181-a91f73b4bfed`. Confidence: reported (aggregated from official Illinois legislature records).