All Roll Calls
Yes: 204 • No: 0
IllinoisHB1141104th General Assembly (2025–2026)HouseWALLET
GENERAL ANESTHESIA COVERAGE
Sponsored By: William E Hauter (Republican)
Became Law
insuranceassignments
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 3 benefits, 0 costs, 0 mixed.
Anesthesia coverage for public employees
State, county, city, and school employee plans must include the required anesthesia coverage. This applies when those governments self-insure or run the plan. Beginning 2026-01-01, these plans cover medically necessary anesthesia for covered procedures. The Departments of Insurance and Central Management Services share enforcement.
Health plans must cover anesthesia
Beginning 2026-01-01, group and individual health plans and managed care plans cover medically necessary anesthesia for any covered procedure. Plans cannot deny payment just because anesthesia lasts longer than a preset time. The rule applies when your policy is amended, delivered, issued, or renewed on or after 2026-01-01.
HMOs and limited plans add anesthesia
Beginning 2026-01-01, if you are in an HMO, it must follow the new anesthesia coverage rules. Limited health plans follow these rules only when anesthesia is part of their limited covered services. Some exclusions for small employers and certain Medicare supplement policies still apply.
Sponsors & Cosponsors
Sponsor
William E Hauter
Republican • House
Cosponsors
Abdelnasser Rashid
Democratic • House
Adam M. Niemerg
Republican • House
Adriane Johnson
Democratic • Senate
Amy Briel
Democratic • House
Amy Elik
Republican • House
Amy L. Grant
Republican • House
Anthony DeLuca
Democratic • House
Camille Y. Lilly
Democratic • House
Christopher Belt
Democratic • Senate
Dagmara Avelar
Democratic • House
Dave Severin
Republican • House
Debbie Meyers-Martin
Democratic • House
Dennis Tipsword
Republican • House
Diane Blair-Sherlock
Democratic • House
Doris Turner
Democratic • Senate
Emanuel "Chris" Welch
Democratic • House
Harry Benton
Democratic • House
Jackie Haas
Republican • House
Jason R. Bunting
Republican • House
Javier L. Cervantes
Democratic • Senate
Jawaharial Williams
Democratic • House
Jeff Keicher
Republican • House
Jennifer Sanalitro
Republican • House
John M. Cabello
Republican • House
Kevin Schmidt
Republican • House
Kimberly A. Lightford
Democratic • Senate
Laura Faver Dias
Democratic • House
Laura M. Murphy
Democratic • Senate
Li Arellano, Jr.
Republican • Senate
Lilian Jiménez
Democratic • House
Lisa Davis
Democratic • House
Martha Deuter
Democratic • House
Mary Beth Canty
Democratic • House
Mary Edly-Allen
Democratic • Senate
Matt Hanson
Democratic • House
Maura Hirschauer
Democratic • House
Maurice A. West, II
Democratic • House
Michael E. Hastings
Democratic • Senate
Michael J. Coffey, Jr.
Republican • House
Michael W. Halpin
Democratic • Senate
Michelle Mussman
Democratic • House
Nabeela Syed
Democratic • House
Nicole La Ha
Republican • House
Nicolle Grasse
Democratic • House
Norma Hernandez
Democratic • House
Rick Ryan
Democratic • House
Sharon Chung
Democratic • House
Steven Reick
Republican • House
Suzy Glowiak Hilton
Democratic • Senate
Tracy Katz Muhl
Democratic • House
Travis Weaver
Republican • House
Will Guzzardi
Democratic • House
Yolonda Morris
Democratic • House
Roll Call Votes
Senate vote • 5/22/2025
Third Reading - Passed;
Yes: 58 • No: 0
Senate vote • 4/30/2025
Do Pass Insurance;
Yes: 9 • No: 0
House vote • 4/7/2025
Third Reading - Short Debate - Passed
Yes: 107 • No: 0
House vote • 3/4/2025
House Floor Amendment No. 2 Recommends Be Adopted Insurance Committee;
Yes: 14 • No: 0
House vote • 2/25/2025
Do Pass / Short Debate Insurance Committee;
Yes: 16 • No: 0
Actions Timeline
Public Act . . . . . . . . . 104-0042
8/1/2025HouseEffective Date August 1, 2025
8/1/2025HouseGovernor Approved
8/1/2025HouseSent to the Governor
6/20/2025HouseAdded as Alternate Co-Sponsor Sen. Laura M. Murphy
5/29/2025SenateAdded as Alternate Co-Sponsor Sen. Christopher Belt
5/27/2025SenateAdded as Alternate Co-Sponsor Sen. Suzy Glowiak Hilton
5/27/2025SenateAdded as Alternate Co-Sponsor Sen. Kimberly A. Lightford
5/26/2025SenatePassed Both Houses
5/22/2025HouseAdded as Alternate Co-Sponsor Sen. Javier L. Cervantes
5/22/2025SenateThird Reading - Passed; 058-000-000
5/22/2025SenateAdded as Alternate Co-Sponsor Sen. Mary Edly-Allen
5/22/2025SenateAdded as Alternate Co-Sponsor Sen. Michael E. Hastings
5/22/2025SenateAdded as Alternate Co-Sponsor Sen. Adriane Johnson
5/22/2025SenateAdded as Alternate Co-Sponsor Sen. Michael W. Halpin
5/22/2025SenatePlaced on Calendar Order of 3rd Reading **
5/20/2025SenateAdded Co-Sponsor Rep. Jawaharial Williams
5/1/2025HousePlaced on Calendar Order of 3rd Reading May 6, 2025
5/1/2025SenateSecond Reading
5/1/2025SenatePlaced on Calendar Order of 2nd Reading May 1, 2025
4/30/2025SenateDo Pass Insurance; 009-000-000
4/30/2025SenateAssigned to Insurance
4/23/2025SenateAdded Co-Sponsor Rep. Maurice A. West, II
4/16/2025HouseAdded as Alternate Chief Co-Sponsor Sen. Li Arellano, Jr.
4/11/2025SenateReferred to Assignments
4/8/2025Senate
Bill Text
Engrossed
Enrolled
House Amendment 1
House Amendment 2
Introduced