IllinoisHB1443104th General Assembly (2025–2026)House

HEALTH CARE AVAILABILITY

Sponsored By: Nabeela Syed (Democratic)

In Committee

Summary

Creates the Health Care Availability and Access Board Act. Establishes the Health Care Availability and Access Board to protect State residents, State and local governments, commercial health plans, health care providers, pharmacies licensed in the State, and other stakeholders within the health care system from the high costs of prescription drug products. Contains provisions concerning Board membership and terms; staff for the Board; Board meetings; circumstances under which Board members must recuse themselves; and other matters. Provides that the Board shall perform the following actions in open session: (i) deliberations on whether to subject a prescription drug product to a cost review; and (ii) any vote on whether to impose an upper payment limit on purchases, payments, and payor reimbursements of prescription drug products in the State. Permits the Board to adopt rules to implement the Act and to enter into a contract with a qualified, independent third party for any service necessary to carry out the powers and duties of the Board. Creates the Health Care Availability and Access Stakeholder Council to provide stakeholder input to assist the Board in making decisions as required by the Act. Contains provisions concerning Council membership, member terms, and other matters. Provides that the Board shall adopt the federal Medicare Maximum Fair Price as the upper payment limit for a prescription drug product intended for use by individuals in the State. Prohibits the Board from creating an upper payment limit that is different from the Medicare Maximum Fair Price for the prescription drug product that has a Medicare Maximum Fair Price. Requires the Board to implement an upper payment limit that is the same as the Medicare Maximum Fair Price no sooner than the Medicare implementation date. Provides that Medicare Part C and D plans are not required to reimburse at the upper payment limit. Provides that the Attorney General may enforce the Act and may pursue any available remedy under State law when enforcing the Act. Effective 180 days after becoming law.

health care availability & accessibility

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Bill Overview

No Economic Impacts Identified for this Bill

Sponsors & Cosponsors

Sponsor

  • Nabeela Syed

    Democratic • House

Cosponsors

  • Abdelnasser Rashid

    Democratic • House

  • Anna Moeller

    Democratic • House

  • Anne Stava

    Democratic • House

  • Camille Y. Lilly

    Democratic • House

  • Dagmara Avelar

    Democratic • House

  • Debbie Meyers-Martin

    Democratic • House

  • Diane Blair-Sherlock

    Democratic • House

  • Emanuel "Chris" Welch

    Democratic • House

  • Gregg Johnson

    Democratic • House

  • Janet Yang Rohr

    Democratic • House

  • Joyce Mason

    Democratic • House

  • Katie Stuart

    Democratic • House

  • Kelly M. Cassidy

    Democratic • House

  • Kevin John Olickal

    Democratic • House

  • Kimberly Du Buclet

    Democratic • House

  • La Shawn K. Ford

    Democratic • House

  • Laura Faver Dias

    Democratic • House

  • Lisa Davis

    Democratic • House

  • Mary Beth Canty

    Democratic • House

  • Maura Hirschauer

    Democratic • House

  • Michael Crawford

    Democratic • House

  • Michelle Mussman

    Democratic • House

  • Nicolle Grasse

    Democratic • House

  • Norma Hernandez

    Democratic • House

  • Rita Mayfield

    Democratic • House

  • Suzanne M. Ness

    Democratic • House

  • Theresa Mah

    Democratic • House

  • Will Guzzardi

    Democratic • House

  • Yolonda Morris

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 17 • No: 9

House vote • 4/16/2026

House Floor Amendment No. 4 Recommends Be Adopted Health Care Availability & Accessibility Committee;

Yes: 9 • No: 5

House vote • 3/24/2026

Do Pass / Short Debate Health Care Availability & Accessibility Committee;

Yes: 8 • No: 4

Actions Timeline

  1. House Floor Amendment No. 3 Rule 19(c) / Re-referred to Rules Committee

    4/17/2026House
  2. House Floor Amendment No. 2 Rule 19(c) / Re-referred to Rules Committee

    4/17/2026House
  3. House Floor Amendment No. 1 Rule 19(c) / Re-referred to Rules Committee

    4/17/2026House
  4. Rule 19(a) / Re-referred to Rules Committee

    4/17/2026House
  5. Placed on Calendar Order of 3rd Reading - Standard Debate

    4/16/2026House
  6. Chair Rules Standard Debate

    4/16/2026House
  7. Placed on Calendar Order of 3rd Reading - Short Debate

    4/16/2026House
  8. Removed Co-Sponsor Rep. Will Guzzardi

    4/16/2026House
  9. Added Chief Co-Sponsor Rep. Will Guzzardi

    4/16/2026House
  10. Added Co-Sponsor Rep. Yolonda Morris

    4/16/2026House
  11. House Floor Amendment No. 4 Adopted

    4/16/2026House
  12. State Debt Impact Note Requested - Withdrawn by Rep. Nabeela Syed

    4/16/2026House
  13. Racial Impact Note Requested - Withdrawn by Rep. Nabeela Syed

    4/16/2026House
  14. State Mandates Fiscal Note Requested - Withdrawn by Rep. Nabeela Syed

    4/16/2026House
  15. Pension Note Requested - Withdrawn by Rep. Nabeela Syed

    4/16/2026House
  16. Land Conveyance Appraisal Note Requested - Withdrawn by Rep. Nabeela Syed

    4/16/2026House
  17. Judicial Note Requested - Withdrawn by Rep. Nabeela Syed

    4/16/2026House
  18. Housing Affordability Impact Note Requested - Withdrawn by Rep. Nabeela Syed

    4/16/2026House
  19. Home Rule Note Requested - Withdrawn by Rep. Nabeela Syed

    4/16/2026House
  20. Fiscal Note Requested - Withdrawn by Rep. Nabeela Syed

    4/16/2026House
  21. Correctional Note Requested - Withdrawn by Rep. Nabeela Syed

    4/16/2026House
  22. Balanced Budget Note Requested - Withdrawn by Rep. Nabeela Syed

    4/16/2026House
  23. House Floor Amendment No. 4 Recommends Be Adopted Health Care Availability & Accessibility Committee; 009-005-000

    4/16/2026House
  24. House Floor Amendment No. 4 Rules Refers to Health Care Availability & Accessibility Committee

    4/16/2026House
  25. House Floor Amendment No. 4 Referred to Rules Committee

    4/15/2026House

Bill Text

  • Engrossed

  • House Amendment 1

  • House Amendment 2

  • House Amendment 3

  • House Amendment 4

  • Introduced

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