# Illinois HB1141: GENERAL ANESTHESIA COVERAGE

Illinois HB1141, GENERAL ANESTHESIA COVERAGE, is a 104th General Assembly (2025–2026) House bill sponsored by no sponsor on record; status signed, last action 2025-08-01 (Public Act . . . . . . . . . 104-0042); PRIA reads it as touching household money (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/IL-HB1141-2025-2026
- As of: 2026-11-01
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Illinois HB1141
- State: Illinois
- Session: 104th General Assembly (2025–2026)
- Title: GENERAL ANESTHESIA COVERAGE
- Status: signed
- Chamber: House
- Introduced: 2025-01-03
- Last action: 2025-08-01, Public Act . . . . . . . . . 104-0042
- Sponsors: no sponsor on record
- Cosponsors: 54
- Subjects: insurance, assignments
- Touches household money: yes
- Roll calls: 5 (204 yes, 0 no in all)
- Economic provisions PRIA read: 1

## Summary

Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2026 shall provide coverage for medically necessary general anesthesia, regardless of the duration, for any procedure covered by the policy, and that medical necessity shall be determined by the attending anesthesiologist or licensed anesthesia provider. Provides that an individual or group policy of accident and health insurance is prohibited from denying payment or reimbursement for anesthesia services solely because the duration of care exceeded a preset time limit. Amends the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, the Limited Health Service Organization Act, the Voluntary Services Plans Act, and the Illinois Public Aid Code to require coverage under those provisions. Effective immediately.

## Bill overview: provisions PRIA read

- Patients gain anesthesia coverage beyond time limits: benefit, medium. Affected Illinois health plans must cover medically necessary anesthesia for covered procedures, regardless of how long it lasts. They cannot deny payment or reimbursement solely because anesthesia exceeds a preset time limit. This applies to policies and managed care plans amended, delivered, issu…

## Sponsors and cosponsors

- Cosponsor: Abdelnasser Rashid (Democratic), House
- Cosponsor: Adam M. Niemerg (Republican), House
- Cosponsor: Adriane L. Johnson (Democratic), Senate
- Cosponsor: Amy Briel (Democratic), House
- Cosponsor: Amy Elik (Republican), House
- Cosponsor: Amy L. Grant (Republican), House
- Cosponsor: Anthony DeLuca (Democratic), House
- Cosponsor: Camille Y. Lilly (Democratic), House
- Cosponsor: Christopher Belt (Democratic), Senate
- Cosponsor: Dagmara Avelar (Democratic), House
- Cosponsor: Dave Severin (Republican), House
- Cosponsor: Debbie Meyers-Martin (Democratic), House
- Cosponsor: Dennis Tipsword (Republican), House
- Cosponsor: Diane Blair-Sherlock (Democratic), House
- Cosponsor: Doris Turner (Democratic), Senate
- Cosponsor: Emanuel "Chris" Welch (Democratic), House
- Cosponsor: Harry Benton (Democratic), House
- Cosponsor: Jackie Haas (Republican), House
- Cosponsor: Jason R. Bunting (Republican), House
- Cosponsor: Javier L. Cervantes (Democratic), Senate
- Cosponsor: Jawaharial Williams (Democratic), House
- Cosponsor: Jeff Keicher (Republican), House
- Cosponsor: Jennifer Sanalitro (Republican), House
- Cosponsor: John M. Cabello (Republican), House
- Cosponsor: Kevin Schmidt (Republican), House
- Cosponsor: Kimberly A. Lightford (Democratic), Senate
- Cosponsor: Laura Faver Dias (Democratic), House
- Cosponsor: Laura M. Murphy (Democratic), Senate
- Cosponsor: Li Arellano, Jr. (Republican), Senate
- Cosponsor: Lilian Jiménez (Democratic), House
- Cosponsor: Lisa Davis (Democratic), House
- Cosponsor: Martha Deuter (Democratic), House
- Cosponsor: Mary Beth Canty (Democratic), House
- Cosponsor: Mary Edly-Allen (Democratic), Senate
- Cosponsor: Matt Hanson (Democratic), House
- Cosponsor: Maura Hirschauer (Democratic), House
- Cosponsor: Maurice A. West, II (Democratic), House
- Cosponsor: Michael E. Hastings (Democratic), Senate
- Cosponsor: Michael J. Coffey, Jr. (Republican), House
- Cosponsor: Michael W. Halpin (Democratic), Senate
- Cosponsor: Michelle Mussman (Democratic), House
- Cosponsor: Nabeela Syed (Democratic), House
- Cosponsor: Nicole La Ha (Republican), House
- Cosponsor: Nicolle Grasse (Democratic), House
- Cosponsor: Norma Hernandez (Democratic), House
- Cosponsor: Rick Ryan (Democratic), House
- Cosponsor: Sharon Chung (Democratic), House
- Cosponsor: Steven Reick (Republican), House
- Cosponsor: Suzy Glowiak Hilton (Democratic), Senate
- Cosponsor: Tracy Katz Muhl (Democratic), House
- Cosponsor: Travis Weaver (Republican), House
- Cosponsor: Will Guzzardi (Democratic), House
- Cosponsor: William E Hauter (Republican), House
- Cosponsor: Yolonda Morris (Democratic), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-05-22 | Senate | Third Reading - Passed; | pass | 58 | 0 |   |
| 2025-04-30 | Senate | Do Pass Insurance; | pass | 9 | 0 |   |
| 2025-04-07 | House | Third Reading - Short Debate - Passed | pass | 107 | 0 |   |
| 2025-03-04 | House | House Floor Amendment No. 2 Recommends Be Adopted Insurance Committee; | pass | 14 | 0 |   |
| 2025-02-25 | House | Do Pass / Short Debate Insurance Committee; | pass | 16 | 0 |   |

## Actions (87)

- 2025-08-01: Public Act . . . . . . . . . 104-0042 (House)
- 2025-08-01: Effective Date August 1, 2025 (House)
- 2025-08-01: Governor Approved (House)
- 2025-06-20: Sent to the Governor (House)
- 2025-05-29: Added as Alternate Co-Sponsor Sen. Laura M. Murphy (Senate)
- 2025-05-27: Added as Alternate Co-Sponsor Sen. Christopher Belt (Senate)
- 2025-05-27: Added as Alternate Co-Sponsor Sen. Suzy Glowiak Hilton (Senate)
- 2025-05-26: Added as Alternate Co-Sponsor Sen. Kimberly A. Lightford (Senate)
- 2025-05-22: Passed Both Houses (House)
- 2025-05-22: Added as Alternate Co-Sponsor Sen. Javier L. Cervantes (Senate)
- 2025-05-22: Third Reading - Passed; 058-000-000 (Senate)
- 2025-05-22: Added as Alternate Co-Sponsor Sen. Mary Edly-Allen (Senate)
- 2025-05-22: Added as Alternate Co-Sponsor Sen. Michael E. Hastings (Senate)
- 2025-05-22: Added as Alternate Co-Sponsor Sen. Adriane L. Johnson (Senate)
- 2025-05-22: Added as Alternate Co-Sponsor Sen. Michael W. Halpin (Senate)
- 2025-05-20: Placed on Calendar Order of 3rd Reading ** (Senate)
- 2025-05-01: Added Co-Sponsor Rep. Jawaharial Williams (House)
- 2025-05-01: Placed on Calendar Order of 3rd Reading May 6, 2025 (Senate)
- 2025-05-01: Second Reading (Senate)
- 2025-04-30: Placed on Calendar Order of 2nd Reading May 1, 2025 (Senate)
- 2025-04-30: Do Pass Insurance; 009-000-000 (Senate)
- 2025-04-23: Assigned to Insurance (Senate)
- 2025-04-16: Added Co-Sponsor Rep. Maurice A. West, II (House)
- 2025-04-11: Added as Alternate Chief Co-Sponsor Sen. Li Arellano, Jr. (Senate)
- 2025-04-08: Referred to Assignments (Senate)
- 2025-04-08: First Reading (Senate)
- 2025-04-08: Chief Senate Sponsor Sen. Doris Turner (Senate)
- 2025-04-08: Placed on Calendar Order of First Reading (Senate)
- 2025-04-08: Arrive in Senate (Senate)
- 2025-04-07: Added Co-Sponsor Rep. Matt Hanson (House)
- 2025-04-07: Added Co-Sponsor Rep. Maura Hirschauer (House)
- 2025-04-07: Added Co-Sponsor Rep. Dagmara Avelar (House)
- 2025-04-07: Third Reading - Short Debate - Passed 107-000-000 (House)
- 2025-04-07: Added Co-Sponsor Rep. Martha Deuter (House)
- 2025-03-18: Added Co-Sponsor Rep. Emanuel "Chris" Welch (House)
- 2025-03-18: Added Co-Sponsor Rep. Jason R. Bunting (House)
- 2025-03-18: Added Co-Sponsor Rep. Amy L. Grant (House)
- 2025-03-18: Added Co-Sponsor Rep. Jennifer Sanalitro (House)
- 2025-03-18: Added Co-Sponsor Rep. Dave Severin (House)
- 2025-03-18: Added Co-Sponsor Rep. Steven Reick (House)
- 2025-03-18: Added Co-Sponsor Rep. Michael J. Coffey, Jr. (House)
- 2025-03-18: Added Co-Sponsor Rep. Nicole La Ha (House)
- 2025-03-18: Added Co-Sponsor Rep. Jackie Haas (House)
- 2025-03-18: Placed on Calendar Order of 3rd Reading - Short Debate (House)
- 2025-03-18: Second Reading - Short Debate (House)
- 2025-03-18: House Floor Amendment No. 2 Adopted (House)
- 2025-03-05: Added Co-Sponsor Rep. Jeff Keicher (House)
- 2025-03-04: House Floor Amendment No. 2 Recommends Be Adopted Insurance Committee; 014-000-000 (House)
- 2025-03-04: House Floor Amendment No. 2 Rules Refers to Insurance Committee (House)
- 2025-03-03: House Floor Amendment No. 2 Referred to Rules Committee (House)
- 2025-03-03: House Floor Amendment No. 2 Filed with Clerk by Rep. William E Hauter (House)
- 2025-02-27: Added Co-Sponsor Rep. Dennis Tipsword (House)
- 2025-02-27: Added Co-Sponsor Rep. Anthony DeLuca (House)
- 2025-02-27: Added Co-Sponsor Rep. John M. Cabello (House)
- 2025-02-27: Added Co-Sponsor Rep. Camille Y. Lilly (House)
- 2025-02-27: Added Co-Sponsor Rep. Debbie Meyers-Martin (House)
- 2025-02-27: Added Co-Sponsor Rep. Adam M. Niemerg (House)
- 2025-02-26: Placed on Calendar 2nd Reading - Short Debate (House)
- 2025-02-25: House Committee Amendment No. 1 Tabled (House)
- 2025-02-25: Do Pass / Short Debate Insurance Committee; 016-000-000 (House)
- 2025-02-25: House Committee Amendment No. 1 Rules Refers to Insurance Committee (House)
- 2025-02-20: House Committee Amendment No. 1 Referred to Rules Committee (House)
- 2025-02-20: House Committee Amendment No. 1 Filed with Clerk by Rep. William E Hauter (House)
- 2025-02-11: Assigned to Insurance Committee (House)
- 2025-01-28: Added Co-Sponsor Rep. Mary Beth Canty (House)
- 2025-01-28: Added Co-Sponsor Rep. Sharon Chung (House)
- 2025-01-28: Added Co-Sponsor Rep. Yolonda Morris (House)
- 2025-01-28: Added Co-Sponsor Rep. Laura Faver Dias (House)
- 2025-01-28: Added Co-Sponsor Rep. Nabeela Syed (House)
- 2025-01-28: Added Co-Sponsor Rep. Abdelnasser Rashid (House)
- 2025-01-28: Added Co-Sponsor Rep. Norma Hernandez (House)
- 2025-01-28: Added Chief Co-Sponsor Rep. Amy Elik (House)
- 2025-01-28: Added Chief Co-Sponsor Rep. Travis Weaver (House)
- 2025-01-28: Added Co-Sponsor Rep. Lilian Jiménez (House)
- 2025-01-28: Added Co-Sponsor Rep. Will Guzzardi (House)
- 2025-01-28: Added Co-Sponsor Rep. Kevin Schmidt (House)
- 2025-01-28: Added Co-Sponsor Rep. Michelle Mussman (House)
- 2025-01-28: Added Co-Sponsor Rep. Lisa Davis (House)
- 2025-01-28: Added Co-Sponsor Rep. Rick Ryan (House)
- 2025-01-28: Added Co-Sponsor Rep. Amy Briel (House)
- 2025-01-28: Added Co-Sponsor Rep. Nicolle Grasse (House)
- 2025-01-22: Added Co-Sponsor Rep. Harry Benton (House)
- 2025-01-22: Added Chief Co-Sponsor Rep. Tracy Katz Muhl (House)
- 2025-01-14: Added Chief Co-Sponsor Rep. Diane Blair-Sherlock (House)
- 2025-01-09: Referred to Rules Committee (House)
- 2025-01-09: First Reading (House)
- 2025-01-03: Prefiled with Clerk by Rep. William E Hauter (House)

## Bill text

- Engrossed: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB1141eng.pdf)
- Enrolled: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB1141enr.pdf)
- House Amendment 1: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB1141ham001.pdf)
- House Amendment 2: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB1141ham002.pdf)
- Introduced: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB1141.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/10400HB1141eng.pdf)
- [Enrolled (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB1141enr.pdf)
- [House Amendment 1 (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB1141ham001.pdf)
- [House Amendment 2 (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB1141ham002.pdf)
- [Introduced (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB1141.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-HB1141-2025-2026 (as of 2026-11-01).
