All Roll Calls
Yes: 702 • No: 11
Sponsored By: Sponsor information unavailable
Signed by Governor
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.
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17 provisions identified: 14 benefits, 2 costs, 1 mixed.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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 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.
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 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.
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.
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.
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.
There is no primary sponsor on record.
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
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
Public Act . . . . . . . . . 104-0027
Effective Date January 1, 2026; some provisions
Effective Date July 1, 2025; some provisions
Governor Approved
Sent to the Governor
Added as Alternate Co-Sponsor Sen. Meg Loughran Cappel
Added as Alternate Co-Sponsor Sen. Steve Stadelman
Added as Alternate Co-Sponsor Sen. Doris Turner
Added Co-Sponsor Rep. Tom Weber
Added as Alternate Co-Sponsor Sen. Napoleon Harris III
Added as Alternate Co-Sponsor Sen. Christopher Belt
Added as Alternate Co-Sponsor Sen. Erica Harriss
Added Co-Sponsor Rep. Jennifer Sanalitro
Added Co-Sponsor Rep. Michael J. Coffey, Jr.
Added Co-Sponsor Rep. Dan Swanson
Added Co-Sponsor Rep. Wayne A. Rosenthal
Added Co-Sponsor Rep. Charles Meier
Added Co-Sponsor Rep. Kevin Schmidt
Added Co-Sponsor Rep. Regan Deering
Added Co-Sponsor Rep. Amy Elik
Added Co-Sponsor Rep. Stephanie A. Kifowit
Added Co-Sponsor Rep. Steven Reick
Added Co-Sponsor Rep. Jason R. Bunting
Added Co-Sponsor Rep. Patrick Windhorst
Added Co-Sponsor Rep. Blaine Wilhour
Engrossed
Enrolled
House Amendment 1
Introduced
Senate Amendment 1
Senate Amendment 2
Senate Amendment 3
Senate Amendment 4
Senate Amendment 5
HB5198, AFFORDABLE HOUSING-CILAS
Amends the Affordable Housing Planning and Appeal Act. Requires non-exempt local governments to provide residents with notice and the opportunity for comment at a public hearing prior to adopting an affordable housing plan. Requires a non-exempt local government to provide proof of its compliance with the notice and public hearing requirements when it submits a copy of its affordable housing plan to the Illinois Housing Development Authority. Expands the list of information that must be provided in the affordable housing plan to include, (i) an identification of "specific lands" (rather than "lands") within the jurisdiction that are most appropriate for the construction of affordable housing, (ii) proposed timelines to commence "specific actions and deadlines" (rather than "actions") to implement the components of the affordable housing plan, and (iii) incentives, including certain measures to address the need for affordable housing, that the local government may provide for the purpose of attracting affordable housing. In a provision permitting certain persons to appeal a local government's denial of a proposed affordable housing plan, expands the list to include a service provider that is under contract to provide services for potential residents of a proposed supportive housing project or community-integrated living arrangement that is included in the proposed affordable housing plan. Contains provisions concerning final actions or decisions by the governing body of the local government on the proposed affordable housing plans; appeal procedures and timelines; and other matters. Expands the Illinois Housing Development Authority's rulemaking authority to include the adoption of rules and regulations concerning the substance of affordable housing plans consistent with the changes made in the amendatory Act.
SB1937, PENSION CODE-VARIOUS
Amends the State Employee Article of the Illinois Pension Code. Provides that a member who is eligible to receive an alternative retirement annuity may elect to receive an estimated payment that shall commence no later than 30 days after the later of either the member's last day of employment or 30 days after the member files for the retirement benefit with the System. Provides that the estimated payment shall be the best estimate by the System of the total monthly amount due to the member based on the information that the System possesses at the time of the estimate. Provides that if the amount of the estimate is greater or less than the actual amount of the monthly annuity, the System shall pay or recover the difference within 6 months after the start of the monthly annuity. Excludes a benefit increase resulting from the amendatory Act from the definition of "new benefit increase". Effective immediately.
HB2563, CONDO-RESERVE STUDY
Amends the Common Interest Community Association Act. Requires a common interest association to conduct and update a reserve study every 5 years. "Reserve study" means an analysis of the reserves required for future major maintenance, repairs, and replacements of the common elements. Grants a 5-year window for an association to conduct a reserve study or update a current study. Requires a reserve study to be made available to any prospective purchaser of a unit upon request for a resale of any unit in the community. Exempts an association with 15 or fewer units but still requires the board to comply with the budgeting and reserve requirements elsewhere in the Act. Amends the Condominium Property Act to make similar changes.
HB4701, LIMITATIONS FACILITY FEES ACT
Creates the Limitations on Facility Fees Act. Provides that no health care provider shall charge, bill, or collect a facility fee, except for: (i) services provided on a hospital's campus; (ii) services provided at a facility that includes a licensed hospital emergency department; or (iii) emergency services provided at a freestanding emergency center. Provides that, except as specified, no health care provider shall charge, bill, or collect a facility fee for: (i) outpatient evaluation and management services; or (ii) any other outpatient, diagnostic, or imaging services identified by the Department of Public Health. Requires the Department to annually identify services subject to the limitations on specified facility fees that may reliably be provided safely and effectively in settings other than hospitals. Sets forth provisions concerning reporting, rulemaking, and enforcement of the Act. Amends the Fair Patient Billing Act to make a conforming change. Amends the Consumer Fraud and Deceptive Business Practices Act. Provides that any person who violates the Limitations on Facility Fees Act commits an unlawful practice.
SB3008, DHS-ABLE PROGRAM INFO MATERIAL
Amends the Mental Health and Developmental Disabilities Administrative Act and the Rehabilitation of Persons with Disabilities Act. Required the Department of Human Services to provide informational materials about the Senator Scott Bennett ABLE Program to: persons who are placed in a facility licensed under the ID/DD Community Care Act, the MC/DD Act, or the Specialized Mental Health Rehabilitation Act of 2013; persons with disabilities who receive services funded by or administered in conjunction with the Department, including, but not limited to, home and community based services, home-based support services, PUNS services, home care services, and services at a Center for Independent Living. Provides that the informational materials shall be provided when a person first enrolls for such services and as part of any annual process required for the person to maintain eligibility for such services. Requires the Office of the State Treasurer to prepare and deliver the informational materials in an electronic format to the Department and distribute the materials to eligible persons.
SB3484, VEH CD-PLATES-REGISTRATION
Amends the Illinois Vehicle Code. Provides that the design and color of registration plates shall be wholly within the discretion of the Secretary of State. Provides that plates for veterans with disabilities who have been approved for benefits under the Senior Citizens and Persons with Disabilities Property Tax Relief Act shall pay a specified fee (instead of $24). Authorizes the Secretary to suspend or revoke a certificate or the special plates issued to tow truck or wrecker operator upon determining that the person is not lawfully entitled thereto or has made or knowingly permitted any illegal use of the plates or has committed fraud in the registration of vehicles or failed to give notices of transfers. Prohibits a vehicle from being registered in the name of a person who is not an owner or lessee of that vehicle. Requires a vehicle owner seeking to register a vehicle in the State to register that vehicle to a State address. Provides that it is a violation for a person to alter, forge, or counterfeit a license plate or digital license plate. Provides that if no assignable title is available when auctioning a vehicle, the auctioneer or dealer must apply for Illinois title for the purpose of assigning title. Provides that the renewal fee for licenses and permits issued to 18, 19, and 20 year olds is $5. Provides that the Secretary shall issue a meter-exempt decal or device to the parent of a person with a disability who is under 18 years of age and incapable of driving or the legal guardian of a person with a disability incapable of driving. Makes other changes.