All Roll Calls
Yes: 702 • No: 11
IllinoisHB1697104th General Assembly (2025–2026)HouseWALLET
9-1-1 TELECOMMUNICATOR CPR
Sponsored By: Natalie A. Manley (Democratic)
Became Law
police & fireassignmentsexecutive
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Bill Overview
Analyzed Economic Effects
16 provisions identified: 8 benefits, 2 costs, 6 mixed.
Lower pharmacy costs and more choice
Insurers and pharmacy benefit managers cannot charge you more at the counter than the lowest of your copay, the cash price, a manufacturer voucher or free‑program price, or a discounted plan price. Pharmacists can tell you if your copay is higher than cash or if a cheaper drug is available. PBMs cannot use spread pricing or steer you to certain pharmacies; older contracts can run until they end. PBMs also cannot misuse “specialty drug” labels to limit where you fill a covered drug.
More pre‑release help: jobs and housing
The Department of Corrections runs job‑prep programs for people in adult prisons before release. It also creates a Women’s and Children’s Pre‑release Program that offers housing and services to eligible women and their newborn or young children. The Department decides who qualifies and what services are provided.
Stronger prison security and gang controls
The Department tracks inmate gang ties and leaders and separates leaders from their gangs. It may monitor unprivileged communications of inmates who were gang members before commitment. It can run a super‑maximum security prison for high‑risk inmates. Custody and investigations staff have peace‑officer powers outside facilities. Sealed absconder orders act like arrest warrants to return people to custody.
Drug plan managers must pass rebates, share data
Pharmacy benefit managers must give 100% of drug-maker rebates and fees to the health plan, covered person, or employer. They must update MAC price lists at least every 7 days and let pharmacies appeal within 14 days; appeals need a 14‑day response. Plan sponsors can audit PBMs every year, and the state examines the 3 largest PBMs at least once every 5 years. PBMs must file detailed annual reports by September 1; most filings stay confidential, but the state posts any adverse decision for missing reports. Breaking these rules is an unfair insurance practice, and fines can reach up to $10,000 per day per offense.
Cuts to critical access pharmacy payments
Annual funding for the Critical Access Care Pharmacy program falls to $10 million, down from $45 million. Each prescription payment is also capped at the brand‑name dispensing rate the state used on April 1, 2018. If you rely on this program, payments and access may tighten.
Stronger bond rules for prison vendors
To win medical or commissary contracts at state prisons, bidders must have an irrevocable letter of credit or a performance bond. The bond must come from a company with investment‑grade or better ratings. This raises financial requirements for vendors.
Alternative program for technical violators
The Department offers a diversion program for people who violated parole or supervised release rules but did not commit a new crime. You must keep a job, pay room and board on a sliding scale, make court‑ordered payments, do community service and counseling, and pass drug and alcohol screening. Rules come from the Department.
PBM fees fund drug affordability and grants
Each PBM must pay a yearly fee based on how many people it covers in Illinois; the default is $15 per person, due every September 1 starting in 2025. PBMs must register to operate and pay up to $500 for initial and renewal filings on a two‑year cycle. The state creates a Prescription Drug Affordability Fund. Each year, the first $25 million collected goes to the DCEO Projects Fund to support pharmacy grants.
Jail drug coverage gets oversight
When a jail hires a PBM to manage needed drugs for people in custody, the contract must follow Illinois Insurance Code rules. The Director of Insurance can enforce those rules. The jail has the same audit and enforcement rights as a plan sponsor.
Lactation rooms in state prisons
The Department of Corrections must provide nursing rooms for employees in each facility. Rooms need a lock and “Occupied” sign, outlets, good lighting and air, a chair, a counter or table, a sink, a fridge for milk, cleaning supplies, and daily upkeep.
PBM rules now cover prisons and youth care
If the Department of Corrections or a juvenile care provider uses a pharmacy benefit manager, the contract must follow the state’s PBM rules. The insurance department can enforce those rules. When PBMs handle drugs needed to protect a minor’s life or health, those PBM activities also follow the PBM law. Providers have the same rights as plan sponsors under that law.
Protections for safety‑net pharmacies
PBMs and other payers cannot punish 340B providers. They cannot cut pay, add special fees, or block network access just because a pharmacy uses 340B discounts, unless a law requires it. This helps safety‑net clinics and the patients they serve.
Critical access pharmacy payments and 340B limits
The state pays critical access pharmacy program funds every quarter. The first payment, based on 2018 data, ends December 31, 2025. Starting January 1, 2026, quarterly payments cover prescriptions for managed care clients. 340B pharmacies in the program are paid only their actual purchase cost for Medicaid drugs. The Department can make rules so small, in‑state pharmacies with fewer than 10 locations can qualify for payments like critical access pharmacies.
Corrections programs, facilities, and public contact
The Department can have counties build or remodel facilities and lease them to the state for up to 40 years. It may charge counties a per‑day fee for regional juvenile detention centers. The Department can subpoena witnesses and records for investigations and partner with counties on impact‑incarceration programs. It must name a public point of contact for visitor complaints, supplies prisoners yearly to help clean highways, and may offer temporary, content‑controlled tablets as a privilege for education and visits. A past pilot tested pupillometer drug screening in a prison.
Health purchasing shifts back to Corrections
Beginning February 16, 2014, state health‑care buying for correctional facilities returns to the Department of Corrections. Buying for people in juvenile facilities stays with the Department of Juvenile Justice. This changes which agency handles these contracts.
Who pays jail medical bills and when
A jail must provide bedding, clothing, fuel, and medical services to people in custody. The arresting authority (not the county) pays qualified medical costs until the sheriff takes custody, unless the sheriff asked for the arrest. If the person was already eligible for medical assistance, the state pays hospital costs over $500. Qualified costs exclude pre‑existing conditions, self‑inflicted injuries before or during arrest, and some inpatient costs for people already on medical assistance. Counties can seek money from the County Jail Medical Costs Fund when the fund has money.
Sponsors & Cosponsors
Sponsor
Natalie A. Manley
Democratic • House
Cosponsors
Abdelnasser Rashid
Democratic • House
Adam M. Niemerg
Republican • House
Adriane 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
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
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 • 5/31/2025
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 • 5/30/2025
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 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. 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
Public Act . . . . . . . . . 104-0027
7/1/2025HouseEffective Date January 1, 2026; some provisions
7/1/2025HouseEffective Date July 1, 2025; some provisions
7/1/2025HouseGovernor Approved
7/1/2025HouseSent to the Governor
6/24/2025HouseAdded as Alternate Co-Sponsor Sen. Meg Loughran Cappel
6/4/2025SenateAdded as Alternate Co-Sponsor Sen. Steve Stadelman
5/31/2025SenateAdded as Alternate Co-Sponsor Sen. Doris Turner
5/31/2025SenateAdded Co-Sponsor Rep. Tom Weber
5/31/2025HouseAdded as Alternate Co-Sponsor Sen. Napoleon Harris, III
5/31/2025SenateAdded as Alternate Co-Sponsor Sen. Christopher Belt
5/31/2025SenateAdded as Alternate Co-Sponsor Sen. Erica Harriss
5/31/2025SenateAdded Co-Sponsor Rep. Jennifer Sanalitro
5/31/2025HouseAdded Co-Sponsor Rep. Michael J. Coffey, Jr.
5/31/2025HouseAdded Co-Sponsor Rep. Dan Swanson
5/31/2025HouseAdded Co-Sponsor Rep. Wayne A. Rosenthal
5/31/2025HouseAdded Co-Sponsor Rep. Charles Meier
5/31/2025HouseAdded Co-Sponsor Rep. Kevin Schmidt
5/31/2025HouseAdded Co-Sponsor Rep. Regan Deering
5/31/2025HouseAdded Co-Sponsor Rep. Amy Elik
5/31/2025HouseAdded Co-Sponsor Rep. Stephanie A. Kifowit
5/31/2025HouseAdded Co-Sponsor Rep. Steven Reick
5/31/2025HouseAdded Co-Sponsor Rep. Jason R. Bunting
5/31/2025HouseAdded Co-Sponsor Rep. Patrick Windhorst
5/31/2025HouseAdded 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