{"data":{"id":"us-il/215-ilcs-125-4-16","jurisdiction":"us-il","citation":"215 ILCS 125/4-16","heading":"Fibrocystic condition; denial of coverage.","body":"No contract or evidence of coverage issued by a Health Maintenance Organization shall be denied by the Organization, nor shall any contract or evidence of coverage contain any exception or exclusion of benefits, solely because the enrollee has been diagnosed as having a fibrocystic breast condition, unless the condition is diagnosed by a breast biopsy that demonstrates an increased disposition to the development of breast cancer or unless the enrollee's medical history confirms a chronic, relapsing, symptomatic breast condition.","path":["CHAPTER 215 INSURANCE","Health Maintenance Organization Act."],"source_url":"https://www.ilga.gov/legislation/ILCS/details?ActID=1263\u0026ChapterID=22\u0026ChapAct=FullText\u0026Print=True","current_through":"at least Public Act 104-790","vintage":"","retrieved_at":"2026-09-15T04:46:30Z","sha256":"0b0414f0f36e6cac92a9d6781bebd262604072f72f7897b1fd431dd3ded769e1","source_id":"us-il","stale":false,"prev":"us-il/215-ilcs-125-4-15","next":"us-il/215-ilcs-125-4-17"},"notice":"GroundRules: Original legal text. Not legal advice."}