IllinoisHB1697104th General Assembly (2025–2026)HouseWALLET

9-1-1 TELECOMMUNICATOR CPR

Sponsored By: Sponsor information unavailable

Signed by Governor

Summary

Amends the Illinois State Police Law. Provides that, beginning January 1, 2026, all 9-1-1 telecommunicators who provide dispatch for emergency medical conditions shall be required to be trained, utilizing the most current nationally recognized emergency cardiovascular care guidelines, in high-quality telecommunicator cardiopulmonary resuscitation (T-CPR). Defines telecommunicator cardiopulmonary resuscitation for the purposes of the provisions.

police & fireassignmentsexecutive

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Bill Overview

Analyzed Economic Effects

17 provisions identified: 14 benefits, 2 costs, 1 mixed.

Courts can authorize medicine for minors

Courts can authorize needed medicine for minors in temporary custody, detention, or shelter care. The medicine must be necessary to protect the minor's life or health. A doctor, hospital, or other appropriate health care provider can provide it with court approval.

Drug manager rules reach more plans

The law extends pharmacy benefit manager rules to more plans and payers, including self-funded employee plans and specified Medicaid arrangements. Self-funded multiemployer plans are excluded from this expansion unless they are nonfederal government plans. Plan-related changes apply when drug coverage is amended, delivered, issued, or renewed on or after January 1, 2026. Beginning that date, Medicaid managed care drug managers also face Pharmacy Practice Act requirements, subject to statutory exceptions. Insurance rules apply only where they do not prevent application of public-aid or federal law; existing Medicaid enforcement powers remain.

Higher payment cap for critical pharmacies

The Critical Access Care Pharmacy Program's annual payment ceiling rises from $10 million to $45 million. Payments still depend on appropriations and federal approval. Per-prescription payments cannot exceed Medicaid's brand-name dispensing rate as of July 1, 2024. The old quarterly payment system ends December 31, 2025. Starting January 1, 2026, the Department directs quarterly payments through managed care plans for eligible prescriptions and determines prescription counts annually.

More small pharmacies qualify for support

Illinois expands Critical Access Care Pharmacy Program eligibility for Illinois-based, brick-and-mortar retail pharmacies whose owners own or control fewer than 10 pharmacies. Locations must be in counties below 50,000 residents, or medically underserved areas in counties with at least 50,000 residents. Pharmacies must attest to participation and receive Department approval. The Department can also adopt rules allowing Illinois-based, brick-and-mortar pharmacies owning fewer than 10 pharmacies to qualify despite other eligibility limits.

Lower payment limits at pharmacy counters

Insurers and pharmacy benefit managers cannot require patients to pay more than the lowest available qualifying price. They must compare the plan's cost-sharing amount, the cash retail price, and eligible discounts presented at checkout. Discounts can include no-cost drug programs, manufacturer vouchers, and discounted health care service plans.

More protection for patients' pharmacy choice

Pharmacy benefit managers and their affiliates cannot steer patients to pharmacies they own through plan design or payment practices. Agreements signed before the law's effective date keep their current terms until that term ends. Managers also cannot wrongly label a covered drug as a specialty drug to block access to an enrolled pharmacy. That pharmacy must accept the plan's generally offered terms in its coverage area.

Required coverage for public employee plans

State employee and school employee health plans must include additional coverage required by Illinois insurance law. The changes include comprehensive care after a mastectomy. The provisions do not state household savings or specific coverage dollar amounts.

Custody drug contracts gain insurance oversight

Qualifying drug-management contracts for minors in temporary care or Department of Corrections settings face Illinois insurance oversight and enforcement. These contracts cover medicine needed to protect a minor's life or health. Responsible temporary-care providers and correctional coverage providers gain plan-sponsor rights under those rules. Beginning January 1, 2026, qualifying jail drug contracts receive the same oversight, and jails or local governments gain plan-sponsor rights. The jail rule covers medicine needed to protect a person in custody.

Drug managers lose conflict reporting duty

Pharmacy benefit managers no longer must send the Department written notices about certain conflicts of interest. The removed duty covered conflicts interfering with their contractual duties to managed care organizations. This removes a reporting obligation, not a stated patient coverage or price rule.

Drug rebates must pass through fully

Pharmacy benefit managers and affiliated rebate collectors must pass through at least 100% of covered drug-industry payments, including rebates and fees. Recipients can be a plan sponsor, covered person, or employer; the law does not set their shares. Managers must report remitted rebates and fees to Illinois each year. Managers and affiliates also cannot keep the gap between what plans pay and pharmacies receive, a practice called spread pricing.

Health plans gain drug spending oversight

Plan sponsors and insurers gain annual audits of managers' compliance, rebate records, and contracts; managers bear audit costs unless otherwise agreed. Managers must send audit findings to Illinois within 60 days and disclose actual pharmacy payments on request. They must also disclose manufacturer incentives for dispense-as-written prescriptions when generic or biologically similar drugs become available. Annual reports due September 1 cover drug spending, rebates, fees, transactions, compensation, affiliated pharmacies, and unredacted contracts; details stay confidential, but patients can request public summaries. Incomplete reports can bring fines up to $10,000 per day per offense; Illinois decides extension requests within five business days.

Illinois strengthens checks on drug managers

Illinois can examine pharmacy benefit managers across their business lines, including government programs, and obtain records involving related companies. Starting in 2026, or after ongoing market conduct exams end, the three largest managers face exams at least every five years. Illinois identifies the largest using factors such as enrollment, claims, spending, rebates, fees, violations, and complaints. Managers remain responsible for following Illinois rules even when affiliates perform the work.

Pharmacy grants support underserved communities

Illinois deposits drug-manager registration collections into the Prescription Drug Affordability Fund. Each fiscal year, the first $25 million collected goes to the DCEO Projects Fund for pharmacy grants. Subject to appropriation, the state grants the money to a statewide retail association representing pharmacies. The association must make funds available to pharmacies meeting at least one listed rural, underserved, ownership, Medicaid-claim, poverty, or access test. Individual pharmacy grant amounts are not set.

Retail associations gain development funding access

Retail associations can receive grants or loans from the DCEO Projects Fund for municipal development projects. Funding depends on an appropriation. Each award must follow the applicable gift, grant, or award terms; no funding amount is specified.

Drug managers pay annual enrollment fees

Registered pharmacy benefit managers must report their plans and covered-person counts by August 1, 2025. Their first assessment is due September 1, 2025, based on Illinois enrollment during the preceding calendar year. The charge is $15 per covered person, unless the Director sets another amount by rule. Payments are due each September 1 thereafter, using annually reported counts starting in 2026. Payment is required to do business in Illinois; the law does not charge patients directly.

Some pharmacy reimbursements face cost limits

A 340B discount-drug pharmacy in the Critical Access Care Pharmacy Program can receive reimbursement only for actual acquisition costs. This limit covers 340B drugs dispensed to Illinois Medical Assistance participants. The provision does not set a new amount for patients to pay.

Employer plans gain drug contracting exception

Some direct contracts between 340B discount-drug entities and self-funded employer plan sponsors are exempt from state contract restrictions. The exception covers single-employer or multiemployer plans subject to the specified federal employee-benefit law. Plan sponsors gain contracting flexibility, while 340B entities lose these statutory contract protections in those direct arrangements.

Sponsors & Cosponsors

Sponsors

There is no primary sponsor on record.

Cosponsors

  • Abdelnasser Rashid

    Democratic • House

  • Adam M. Niemerg

    Republican • House

  • Adriane L. Johnson

    Democratic • Senate

  • Amy Briel

    Democratic • House

  • Amy Elik

    Republican • House

  • Angelica Guerrero-Cuellar

    Democratic • House

  • Anna Moeller

    Democratic • House

  • Anthony DeLuca

    Democratic • House

  • Blaine Wilhour

    Republican • House

  • Bob Morgan

    Democratic • House

  • Brad Stephens

    Republican • House

  • Brandun Schweizer

    Republican • House

  • Celina Villanueva

    Democratic • Senate

  • Charles Meier

    Republican • House

  • Christopher "C.D." Davidsmeyer

    Republican • House

  • Christopher Belt

    Democratic • Senate

  • Curtis J. Tarver, II

    Democratic • House

  • Dagmara Avelar

    Democratic • House

  • Dale Fowler

    Republican • Senate

  • Dan Swanson

    Republican • House

  • Dave Severin

    Republican • House

  • Dave Vella

    Democratic • House

  • David Koehler

    Democratic • Senate

  • Debbie Meyers-Martin

    Democratic • House

  • Dennis Tipsword

    Republican • House

  • Diane Blair-Sherlock

    Democratic • House

  • Doris Turner

    Democratic • Senate

  • Emanuel "Chris" Welch

    Democratic • House

  • Emil Jones, III

    Democratic • Senate

  • Erica Harriss

    Republican • Senate

  • Graciela Guzmán

    Democratic • Senate

  • Gregg Johnson

    Democratic • House

  • Harry Benton

    Democratic • House

  • Hoan Huynh

    Democratic • House

  • Jackie Haas

    Republican • House

  • Janet Yang Rohr

    Democratic • House

  • Jason R. Bunting

    Republican • House

  • Jawaharial Williams

    Democratic • House

  • Jehan Gordon-Booth

    Democratic • House

  • Jennifer Gong-Gershowitz

    Democratic • House

  • Jennifer Sanalitro

    Republican • House

  • John M. Cabello

    Republican • House

  • Joyce Mason

    Democratic • House

  • Julie A. Morrison

    Democratic • Senate

  • Justin Slaughter

    Democratic • House

  • Kam Buckner

    Democratic • House

  • Karina Villa

    Democratic • Senate

  • Katie Stuart

    Democratic • House

  • Kelly M. Cassidy

    Democratic • House

  • Kevin John Olickal

    Democratic • House

  • Kevin Schmidt

    Republican • House

  • Kimberly Du Buclet

    Democratic • House

  • Kyle Moore

    Republican • House

  • Laura Ellman

    Democratic • Senate

  • Laura Faver Dias

    Democratic • House

  • Laura Fine

    Democratic • Senate

  • Laura M. Murphy

    Democratic • Senate

  • Lindsey LaPointe

    Democratic • House

  • Marcus C. Evans, Jr.

    Democratic • House

  • Margaret Croke

    Democratic • House

  • Martha Deuter

    Democratic • House

  • Martin J. Moylan

    Democratic • House

  • Mary Beth Canty

    Democratic • House

  • Mary Edly-Allen

    Democratic • Senate

  • Mary Gill

    Democratic • House

  • Matt Hanson

    Democratic • House

  • Maura Hirschauer

    Democratic • House

  • Maurice A. West, II

    Democratic • House

  • Meg Loughran Cappel

    Democratic • Senate

  • Michael J. Coffey, Jr.

    Republican • House

  • Michael J. Kelly

    Democratic • House

  • Michael W. Halpin

    Democratic • Senate

  • Michelle Mussman

    Democratic • House

  • Mike Simmons

    Democratic • Senate

  • Nabeela Syed

    Democratic • House

  • Napoleon Harris III

    Democratic • Senate

  • Natalie A. Manley

    Democratic • House

  • Nicholas K. Smith

    Democratic • House

  • Nicole La Ha

    Republican • House

  • Nicolle Grasse

    Democratic • House

  • Norine K. Hammond

    Republican • House

  • Norma Hernandez

    Democratic • House

  • Patrick Sheehan

    Republican • House

  • Patrick Windhorst

    Republican • House

  • Rachel Ventura

    Democratic • Senate

  • Regan Deering

    Republican • House

  • Rick Ryan

    Democratic • House

  • Rita Mayfield

    Democratic • House

  • Robert "Bob" Rita

    Democratic • House

  • Ryan Spain

    Republican • House

  • Sally J. Turner

    Republican • Senate

  • Sara Feigenholtz

    Democratic • Senate

  • Sharon Chung

    Democratic • House

  • Sonya M. Harper

    Democratic • House

  • Stephanie A. Kifowit

    Democratic • House

  • Steve McClure

    Republican • Senate

  • Steve Stadelman

    Democratic • Senate

  • Steven Reick

    Republican • House

  • Sue Scherer

    Democratic • House

  • Suzanne M. Ness

    Democratic • House

  • Tom Weber

    Republican • House

  • Tony M. McCombie

    Republican • House

  • Tracy Katz Muhl

    Democratic • House

  • Wayne A. Rosenthal

    Republican • House

  • Will Guzzardi

    Democratic • House

  • William "Will" Davis

    Democratic • House

  • William E Hauter

    Republican • House

  • Willie Preston

    Democratic • Senate

  • Yolonda Morris

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 702 • No: 11

House vote • 5/31/2025

Senate Floor Amendment No. 4 House Concurs

Yes: 115 • No: 1 • Other: 1

House vote • 5/31/2025

Senate Floor Amendment No. 5 House Concurs

Yes: 115 • No: 1 • Other: 1

House vote • 5/31/2025

Senate Committee Amendment No. 1 House Concurs

Yes: 115 • No: 1 • Other: 1

House vote • 5/31/2025

Senate Floor Amendment No. 2 House Concurs

Yes: 115 • No: 1 • Other: 1

House vote • 5/30/2025

Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Executive Committee;

Yes: 12 • No: 0

House vote • 5/30/2025

Senate Floor Amendment No. 4 Motion to Concur Recommends Be Adopted Executive Committee;

Yes: 12 • No: 0

House vote • 5/30/2025

Senate Floor Amendment No. 2 Motion to Concur Recommends Be Adopted Executive Committee;

Yes: 12 • No: 0

House vote • 5/30/2025

Senate Floor Amendment No. 5 Motion to Concur Recommends Be Adopted Executive Committee;

Yes: 12 • No: 0

Senate vote • 5/29/2025

Third Reading - Passed;

Yes: 56 • No: 1

Senate vote • 5/28/2025

Senate Floor Amendment No. 2 Recommend Do Adopt Executive;

Yes: 11 • No: 2

Senate vote • 5/15/2025

Do Pass as Amended Executive;

Yes: 9 • No: 4

House vote • 4/7/2025

Third Reading - Short Debate - Passed

Yes: 105 • No: 0

House vote • 3/6/2025

Do Pass as Amended / Short Debate Police & Fire Committee;

Yes: 13 • No: 0

Actions Timeline

  1. Public Act . . . . . . . . . 104-0027

    7/1/2025House
  2. Effective Date January 1, 2026; some provisions

    7/1/2025House
  3. Effective Date July 1, 2025; some provisions

    7/1/2025House
  4. Governor Approved

    7/1/2025House
  5. Sent to the Governor

    6/24/2025House
  6. Added as Alternate Co-Sponsor Sen. Meg Loughran Cappel

    6/4/2025Senate
  7. Added as Alternate Co-Sponsor Sen. Steve Stadelman

    5/31/2025Senate
  8. Added as Alternate Co-Sponsor Sen. Doris Turner

    5/31/2025Senate
  9. Added Co-Sponsor Rep. Tom Weber

    5/31/2025House
  10. Added as Alternate Co-Sponsor Sen. Napoleon Harris III

    5/31/2025Senate
  11. Added as Alternate Co-Sponsor Sen. Christopher Belt

    5/31/2025Senate
  12. Added as Alternate Co-Sponsor Sen. Erica Harriss

    5/31/2025Senate
  13. Added Co-Sponsor Rep. Jennifer Sanalitro

    5/31/2025House
  14. Added Co-Sponsor Rep. Michael J. Coffey, Jr.

    5/31/2025House
  15. Added Co-Sponsor Rep. Dan Swanson

    5/31/2025House
  16. Added Co-Sponsor Rep. Wayne A. Rosenthal

    5/31/2025House
  17. Added Co-Sponsor Rep. Charles Meier

    5/31/2025House
  18. Added Co-Sponsor Rep. Kevin Schmidt

    5/31/2025House
  19. Added Co-Sponsor Rep. Regan Deering

    5/31/2025House
  20. Added Co-Sponsor Rep. Amy Elik

    5/31/2025House
  21. Added Co-Sponsor Rep. Stephanie A. Kifowit

    5/31/2025House
  22. Added Co-Sponsor Rep. Steven Reick

    5/31/2025House
  23. Added Co-Sponsor Rep. Jason R. Bunting

    5/31/2025House
  24. Added Co-Sponsor Rep. Patrick Windhorst

    5/31/2025House
  25. Added Co-Sponsor Rep. Blaine Wilhour

    5/31/2025House

Bill Text

  • Engrossed

  • Enrolled

  • House Amendment 1

  • Introduced

  • Senate Amendment 1

  • Senate Amendment 2

  • Senate Amendment 3

  • Senate Amendment 4

  • Senate Amendment 5

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