# Illinois HB0035: AI USE IN HEALTH INSURANCE ACT

Illinois HB0035, AI USE IN HEALTH INSURANCE ACT, is a 104th General Assembly (2025–2026) House bill sponsored by no sponsor on record; status passed house, last action 2025-06-02 (Senate Committee Amendment No. 1 Rule 3-9(a) / Re-referred to Assignments) (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/IL-HB0035-2025-2026
- As of: 2026-11-01
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Illinois HB0035
- State: Illinois
- Session: 104th General Assembly (2025–2026)
- Title: AI USE IN HEALTH INSURANCE ACT
- Status: passed house
- Chamber: House
- Introduced: 2024-12-06
- Last action: 2025-06-02, Senate Committee Amendment No. 1 Rule 3-9(a) / Re-referred to Assignments
- Sponsors: no sponsor on record
- Cosponsors: 9
- Subjects: insurance, assignments, executive
- Touches household money: no
- Roll calls: 3 (100 yes, 45 no in all)
- Economic provisions PRIA read: 0

## Summary

Creates the Artificial Intelligence Systems Use in Health Insurance Act. Provides that the Department of Insurance's regulatory oversight of insurers includes oversight of an insurer's use of AI systems to make or support adverse determinations that affect consumers. Provides that any insurer authorized to operate in the State is subject to review by the Department in an investigation or market conduct action regarding the development, implementation, and use of AI systems or predictive models and the outcomes from the use of those AI systems or predictive models. Provides that an insurer authorized to do business in Illinois shall not issue an adverse consumer outcome with regard to the denial, reduction, or termination of insurance plans or benefits that result solely from the use or application of any AI system or predictive model. Provides that any decision-making process for the denial, reduction, or termination of insurance plans or benefits that results from the use of AI systems or predictive models shall be meaningfully reviewed, in accordance with review procedures determined by Department rules, by an individual with authority to override the AI systems and determinations. Authorizes the Department to adopt emergency rules to implement the Act and to adopt rules concerning standards for full and fair disclosure of an insurer's use of AI systems. Makes a conforming change in the Illinois Administrative Procedure Act.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Cosponsor: Bob Morgan (Democratic), House
- Cosponsor: Curtis J. Tarver, II (Democratic), House
- Cosponsor: Graciela Guzmán (Democratic), Senate
- Cosponsor: Hoan Huynh (Democratic), House
- Cosponsor: Janet Yang Rohr (Democratic), House
- Cosponsor: Jennifer Gong-Gershowitz (Democratic), House
- Cosponsor: Laura Fine (Democratic), Senate
- Cosponsor: Lilian Jiménez (Democratic), House
- Cosponsor: Nicolle Grasse (Democratic), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-04-09 | House | Third Reading - Short Debate - Passed | pass | 79 | 35 |   |
| 2025-04-08 | House | House Floor Amendment No. 1 Recommends Be Adopted Insurance Committee; | pass | 10 | 4 |   |
| 2025-03-11 | House | Do Pass / Short Debate Insurance Committee; | pass | 11 | 6 |   |

## Actions (35)

- 2025-06-02: Senate Committee Amendment No. 1 Rule 3-9(a) / Re-referred to Assignments (Senate)
- 2025-06-02: Rule 3-9(a) / Re-referred to Assignments (Senate)
- 2025-05-27: Added as Alternate Co-Sponsor Sen. Graciela Guzmán (Senate)
- 2025-05-23: Rule 2-10 Committee Deadline Established As June 1, 2025 (Senate)
- 2025-05-13: Senate Committee Amendment No. 1 Assignments Refers to Executive (Senate)
- 2025-05-12: Senate Committee Amendment No. 1 Referred to Assignments (Senate)
- 2025-05-12: Senate Committee Amendment No. 1 Filed with Secretary by Sen. Laura Fine (Senate)
- 2025-05-09: Rule 2-10 Committee Deadline Established As May 23, 2025 (Senate)
- 2025-04-23: Assigned to Executive (Senate)
- 2025-04-10: Referred to Assignments (Senate)
- 2025-04-10: First Reading (Senate)
- 2025-04-10: Chief Senate Sponsor Sen. Laura Fine (Senate)
- 2025-04-10: Placed on Calendar Order of First Reading (Senate)
- 2025-04-10: Arrive in Senate (Senate)
- 2025-04-10: Added Co-Sponsor Rep. Hoan Huynh (House)
- 2025-04-09: Added Co-Sponsor Rep. Curtis J. Tarver, II (House)
- 2025-04-09: Added Co-Sponsor Rep. Jennifer Gong-Gershowitz (House)
- 2025-04-09: Added Co-Sponsor Rep. Nicolle Grasse (House)
- 2025-04-09: Third Reading - Short Debate - Passed 079-035-000 (House)
- 2025-04-09: Placed on Calendar Order of 3rd Reading - Short Debate (House)
- 2025-04-09: House Floor Amendment No. 1 Adopted (House)
- 2025-04-09: Added Co-Sponsor Rep. Janet Yang Rohr (House)
- 2025-04-08: House Floor Amendment No. 1 Recommends Be Adopted Insurance Committee; 010-004-000 (House)
- 2025-04-07: House Floor Amendment No. 1 Rules Refers to Insurance Committee (House)
- 2025-04-04: House Floor Amendment No. 1 Referred to Rules Committee (House)
- 2025-04-04: House Floor Amendment No. 1 Filed with Clerk by Rep. Bob Morgan (House)
- 2025-03-26: Held on Calendar Order of Second Reading - Short Debate (House)
- 2025-03-26: Second Reading - Short Debate (House)
- 2025-03-12: Placed on Calendar 2nd Reading - Short Debate (House)
- 2025-03-11: Added Co-Sponsor Rep. Lilian Jiménez (House)
- 2025-03-11: Do Pass / Short Debate Insurance Committee; 011-006-000 (House)
- 2025-02-04: Assigned to Insurance Committee (House)
- 2025-01-09: Referred to Rules Committee (House)
- 2025-01-09: First Reading (House)
- 2024-12-06: Prefiled with Clerk by Rep. Bob Morgan (House)

## Bill text

- Engrossed: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB0035eng.pdf)
- House Amendment 1: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB0035ham001.pdf)
- Introduced: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB0035.pdf)
- Senate Amendment 1: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB0035sam001.pdf)

## Related bills

- HB5198: AFFORDABLE HOUSING-CILAS (passed house)
- SB1937: PENSION CODE-VARIOUS (passed senate)
- HB2563: CONDO-RESERVE STUDY (in committee)
- HB4701: LIMITATIONS FACILITY FEES ACT (in committee)
- SB3008: DHS-ABLE PROGRAM INFO MATERIAL (passed senate)
- SB3484: VEH CD-PLATES-REGISTRATION (signed)

## Sources
- [Engrossed (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB0035eng.pdf)
- [House Amendment 1 (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB0035ham001.pdf)
- [Introduced (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB0035.pdf)
- [Senate Amendment 1 (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB0035sam001.pdf)

## Related
- [HB5198: AFFORDABLE HOUSING-CILAS](https://policyrisk.com/state-bill/IL-HB5198-2025-2026)
- [SB1937: PENSION CODE-VARIOUS](https://policyrisk.com/state-bill/IL-SB1937-2025-2026)
- [HB2563: CONDO-RESERVE STUDY](https://policyrisk.com/state-bill/IL-HB2563-2025-2026)
- [HB4701: LIMITATIONS FACILITY FEES ACT](https://policyrisk.com/state-bill/IL-HB4701-2025-2026)
- [SB3008: DHS-ABLE PROGRAM INFO MATERIAL](https://policyrisk.com/state-bill/IL-SB3008-2025-2026)
- [SB3484: VEH CD-PLATES-REGISTRATION](https://policyrisk.com/state-bill/IL-SB3484-2025-2026)
- [Illinois bills](https://policyrisk.com/states/illinois/bills)
- [Illinois state hub](https://policyrisk.com/states/illinois)
- [All state legislation](https://policyrisk.com/state-bills)

Source: PRIA, https://policyrisk.com/state-bill/IL-HB0035-2025-2026 (as of 2026-11-01).
