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---
type: "Bill"
title: "INS CD-CANCER-GENETIC TESTING"
description: "Amends the Illinois Insurance Code. Defines terms. Provides that a group policy of accident and health insurance that provides coverage for hospital or medical treatment or services for illness on an expense-incurred basis and that is amended, delivered, issued, or renewed after January 1, 2025 shall provide coverage, without imposing any cost-sharing requirement, for clinical genetic testing for an inherited gene mutation for individuals with a personal or family history of cancer that is recommended by a health care professional; and evidence-based cancer imaging for individuals with an increased risk of cancer as recommended by National Comprehensive Cancer Network clinical practice guidelines. Provides that the requirements do not apply to coverage of genetic testing or evidence-based cancer imaging to the extent such coverage would disqualify a high-deductible health plan from eligibility for a health savings account pursuant to the Internal Revenue Code."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "103rd"
identifier: "SB 2697"
citation: "Illinois SB 2697 (103rd)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Camille Y. Lilly", "Julie A. Morrison"]
version_count: 5
action_count: 84
vote_count: 6
first_action: "2024-01-10"
last_action: "2024-08-09"
source: "openstates"
source_identifier: "ocd-bill/f4b90252-3e55-4d25-8426-989663b8d464"
source_url: "https://beta.ilga.gov/Legislation/BillStatus?DocNum=2697&GAID=17&DocTypeID=SB&LegId=151344&SessionID=112"
source_hash: "18e3e848ebb83b9d317855a82c283c4b01e4073ed12418946f9ce77d5abf8899"
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 SB 2697 (103rd) — INS CD-CANCER-GENETIC TESTING
Amends the Illinois Insurance Code. Defines terms. Provides that a group policy of accident and health insurance that provides coverage for hospital or medical treatment or services for illness on an expense-incurred basis and that is amended, delivered, issued, or renewed after January 1, 2025 shall provide coverage, without imposing any cost-sharing requirement, for clinical genetic testing for an inherited gene mutation for individuals with a personal or family history of cancer that is recommended by a health care professional; and evidence-based cancer imaging for individuals with an increased risk of cancer as recommended by National Comprehensive Cancer Network clinical practice guidelines. Provides that the requirements do not apply to coverage of genetic testing or evidence-based cancer imaging to the extent such coverage would disqualify a high-deductible health plan from eligibility for a health savings account pursuant to the Internal Revenue Code.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Introduced** (filed) — [source](https://beta.ilga.gov/documents/legislation/103/SB/PDF/10300SB2697.pdf)
2. **Engrossed** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/SB/PDF/10300SB2697eng.pdf)
3. **Senate Amendment 001** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/SB/PDF/10300SB2697sam001.pdf)
4. **Senate Amendment 002** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/SB/PDF/10300SB2697sam002.pdf)
5. **Enrolled** (enrolled) — [source](https://beta.ilga.gov/documents/legislation/103/SB/PDF/10300SB2697enr.pdf)
## Votes
- Insurance — **80** (pass) · lower
- Insurance — **80** (pass) · lower
- Insurance — **150** (pass) · lower
- Third Reading — **1060** (pass) · lower
- Insurance, Amendment 2 — **80** (pass) · lower
- Third Reading — **590** (pass) · lower
## Sponsors
- Camille Y. Lilly — primary (person)
- Julie A. Morrison — primary (person)
- Andrew S. Chesney — cosponsor (person)
- Anne Stava-Murray — cosponsor (person)
- Anthony DeLuca — cosponsor (person)
- Bob Morgan — cosponsor (person)
- Celina Villanueva — cosponsor (person)
- Christopher Belt — cosponsor (person)
- Cristina Castro — cosponsor (person)
- Dagmara Avelar — cosponsor (person)
- David Koehler — cosponsor (person)
- Debbie Meyers-Martin — cosponsor (person)
- Diane Blair-Sherlock — cosponsor (person)
- Elgie R. Sims, Jr. — cosponsor (person)
- Emanuel "Chris" Welch — cosponsor (person)
- Javier L. Cervantes — cosponsor (person)
- Jawaharial Williams — cosponsor (person)
- Jenn Ladisch Douglass — cosponsor (person)
- John F. Curran — cosponsor (person)
- Joyce Mason — cosponsor (person)
- Katie Stuart — cosponsor (person)
- Kimberly Du Buclet — cosponsor (person)
- La Shawn K. Ford — cosponsor (person)
- Laura Ellman — cosponsor (person)
- Laura Faver Dias — cosponsor (person)
- Laura Fine — cosponsor (person)
- Lilian Jiménez — cosponsor (person)
- Linda Holmes — cosponsor (person)
- Marcus C. Evans, Jr. — cosponsor (person)
- Margaret Croke — cosponsor (person)
- Mary Edly-Allen — cosponsor (person)
- Mattie Hunter — cosponsor (person)
- Meg Loughran Cappel — cosponsor (person)
- Michael E. Hastings — cosponsor (person)
- Norma Hernandez — cosponsor (person)
- Rita Mayfield — cosponsor (person)
- Sally J. Turner — cosponsor (person)
- Seth Lewis — cosponsor (person)
- Sharon Chung — cosponsor (person)
- Sonya M. Harper — cosponsor (person)
- Stephanie A. Kifowit — cosponsor (person)
- Steve Stadelman — cosponsor (person)
- Sue Rezin — cosponsor (person)
- Suzanne M. Ness — cosponsor (person)
- Terri Bryant — cosponsor (person)
- Thaddeus Jones — cosponsor (person)
- Tracy Katz Muhl — cosponsor (person)
- Willie Preston — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2024-01-10** Filed with Secretary by Sen. Julie A. Morrison `filing`
- **2024-01-10** First Reading `reading-1`
- **2024-01-10** Referred to Assignments
- **2024-01-31** Assigned to Insurance `referral-committee`
- **2024-02-08** Added as Chief Co-Sponsor Sen. Javier L. Cervantes
- **2024-02-21** Added as Co-Sponsor Sen. Sue Rezin
- **2024-02-21** Added as Chief Co-Sponsor Sen. Christopher Belt
- **2024-02-22** Added as Chief Co-Sponsor Sen. Mattie Hunter
- **2024-02-27** Added as Chief Co-Sponsor Sen. Laura Fine
- **2024-03-05** Added as Co-Sponsor Sen. Terri Bryant
- **2024-03-05** Added as Co-Sponsor Sen. Sally J. Turner
- **2024-03-08** Senate Committee Amendment No. 1 Filed with Secretary by Sen. Julie A. Morrison `amendment-introduction`
- **2024-03-08** Senate Committee Amendment No. 1 Referred to Assignments
- **2024-03-12** Senate Committee Amendment No. 1 Assignments Refers to Insurance
- **2024-03-12** Senate Committee Amendment No. 1 Adopted `amendment-passage`
- **2024-03-13** Do Pass as Amended Insurance; 008-000-000
- **2024-03-13** Placed on Calendar Order of 2nd Reading March 14, 2024 `reading-2`
- **2024-03-14** Second Reading `reading-2`
- **2024-03-14** Placed on Calendar Order of 3rd Reading March 20, 2024
- **2024-04-04** Senate Floor Amendment No. 2 Filed with Secretary by Sen. Julie A. Morrison `amendment-introduction`
- **2024-04-04** Senate Floor Amendment No. 2 Referred to Assignments
- **2024-04-09** Senate Floor Amendment No. 2 Assignments Refers to Insurance
- **2024-04-09** Added as Co-Sponsor Sen. David Koehler
- **2024-04-10** Senate Floor Amendment No. 2 Recommend Do Adopt Insurance; 008-000-000
- **2024-04-10** Recalled to Second Reading `reading-2`
- **2024-04-10** Senate Floor Amendment No. 2 Adopted `amendment-passage`
- **2024-04-10** Placed on Calendar Order of 3rd Reading
- **2024-04-10** Third Reading - Passed; 059-000-000 `passage, reading-3`
- **2024-04-10** Added as Co-Sponsor Sen. Linda Holmes
- **2024-04-10** Added as Co-Sponsor Sen. Seth Lewis
- **2024-04-10** Added as Co-Sponsor Sen. Mary Edly-Allen
- **2024-04-10** Added as Co-Sponsor Sen. Andrew S. Chesney
- **2024-04-10** Added as Co-Sponsor Sen. John F. Curran
- **2024-04-10** Added as Co-Sponsor Sen. Celina Villanueva
- **2024-04-10** Added as Co-Sponsor Sen. Willie Preston
- **2024-04-10** Arrived in House `introduction`
- **2024-04-11** Chief House Sponsor Rep. Camille Y. Lilly
- **2024-04-11** First Reading `reading-1`
- **2024-04-11** Referred to Rules Committee
- **2024-04-11** Added as Co-Sponsor Sen. Meg Loughran Cappel
- **2024-04-11** Added as Co-Sponsor Sen. Laura Ellman
- **2024-04-11** Added as Co-Sponsor Sen. Elgie R. Sims, Jr.
- **2024-04-12** Added as Co-Sponsor Sen. Michael E. Hastings
- **2024-04-16** Added as Co-Sponsor Sen. Cristina Castro
- **2024-04-18** Added as Co-Sponsor Sen. Steve Stadelman
- **2024-04-24** Assigned to Insurance Committee `referral-committee`
- **2024-04-30** Do Pass / Short Debate Insurance Committee; 015-000-000
- **2024-04-30** Added Alternate Co-Sponsor Rep. Thaddeus Jones
- **2024-04-30** Added Alternate Co-Sponsor Rep. Bob Morgan
- **2024-04-30** Added Alternate Co-Sponsor Rep. Rita Mayfield
- **2024-04-30** Added Alternate Co-Sponsor Rep. La Shawn K. Ford
- **2024-04-30** Added Alternate Co-Sponsor Rep. Jawaharial Williams
- **2024-04-30** Added Alternate Co-Sponsor Rep. Lilian Jiménez
- **2024-04-30** Added Alternate Co-Sponsor Rep. Tracy Katz Muhl
- **2024-04-30** Added Alternate Co-Sponsor Rep. Anthony DeLuca
- **2024-04-30** Added Alternate Co-Sponsor Rep. Margaret Croke
- **2024-04-30** Alternate Co-Sponsor Removed Rep. Thaddeus Jones
- **2024-05-01** Placed on Calendar 2nd Reading - Short Debate `reading-2`
- **2024-05-06** Added Alternate Co-Sponsor Rep. Emanuel "Chris" Welch
- **2024-05-06** Second Reading - Short Debate `reading-2`
- **2024-05-06** Placed on Calendar Order of 3rd Reading - Short Debate
- **2024-05-13** Added Alternate Co-Sponsor Rep. Sonya M. Harper
- **2024-05-17** Third Reading/Final Action Deadline Extended-9(b) May 24, 2024
- **2024-05-20** Added Alternate Co-Sponsor Rep. Katie Stuart
- **2024-05-20** Added Alternate Co-Sponsor Rep. Diane Blair-Sherlock
- **2024-05-22** Added Alternate Co-Sponsor Rep. Jenn Ladisch Douglass
- **2024-05-22** Added Alternate Co-Sponsor Rep. Dagmara Avelar
- **2024-05-22** Added Alternate Co-Sponsor Rep. Norma Hernandez
- **2024-05-22** Added Alternate Co-Sponsor Rep. Anne Stava-Murray
- **2024-05-22** Added Alternate Co-Sponsor Rep. Stephanie A. Kifowit
- **2024-05-22** Third Reading - Short Debate - Passed 106-000-000 `passage, reading-3`
- **2024-05-22** Passed Both Houses
- **2024-05-22** Added Alternate Co-Sponsor Rep. Joyce Mason
- **2024-05-22** Added Alternate Co-Sponsor Rep. Sharon Chung
- **2024-05-22** Added Alternate Co-Sponsor Rep. Kimberly Du Buclet
- **2024-05-22** Added Alternate Co-Sponsor Rep. Suzanne M. Ness
- **2024-05-22** Added Alternate Co-Sponsor Rep. Debbie Meyers-Martin
- **2024-05-22** Added Alternate Chief Co-Sponsor Rep. Laura Faver Dias
- **2024-05-22** Added Alternate Chief Co-Sponsor Rep. Thaddeus Jones
- **2024-05-22** Added Alternate Chief Co-Sponsor Rep. Marcus C. Evans, Jr.
- **2024-06-20** Sent to the Governor `executive-receipt`
- **2024-08-09** Governor Approved `executive-signature`
- **2024-08-09** Effective Date January 1, 2025
- **2024-08-09** Public Act . . . . . . . . . 103-0914 `became-law`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/f4b90252-3e55-4d25-8426-989663b8d464`. Confidence: reported (aggregated from official Illinois legislature records).