PRIA Logo™
IllinoisHB3489104th General Assembly (2025–2026)HouseWALLET

PHARMACISTS-CONTRACEPTIVES

Sponsored By: Michelle Mussman (Democratic)

Became Law

health care availability & accessibilityassignmentsexecutive

Your PRIA Score

Score Hidden

Personalized for You

How does this bill affect your finances?

Sign up for a PRIA Policy Scan to see your personalized alignment score for this bill and every other piece of legislation we track. We analyze your financial profile against policy provisions to show you exactly what matters to your wallet.

Free to start

Bill Overview

Analyzed Economic Effects

6 provisions identified: 5 benefits, 1 costs, 0 mixed.

Get birth control at the pharmacy

Beginning 2022-01-01, you can get up to a 12-month supply of hormonal birth control from a pharmacist. It can be filled with a valid prescription or a standing order from authorized public health or doctors. Illinois pharmacists may assess you and dispense hormonal contraceptives, including emergency contraception. You do not need a prior relationship with the pharmacy to use a standing order. These access rules last through 2028-01-01.

Health plans must pay pharmacists

If a pharmacist orders or gives allowed tests or treatments, your health plan must cover them like a doctor visit. Insurers and pharmacy benefit managers cannot deny participation or pay less because it is done by a pharmacist. This includes point-of-care tests and FDA-authorized therapeutics within a pharmacist’s license. This rule is in effect 2022-01-01 through 2028-01-01.

Medicaid coverage for pharmacy birth control and HIV prevention

Subject to federal CMS approval, Illinois Medicaid covers pharmacist services for hormonal birth control and emergency contraception. It also covers pharmacist assessment and consultation for HIV PrEP and PEP. Coverage applies in both fee-for-service and managed care. After CMS approval, the Department must file rules within six months. Coverage starts only after CMS approval.

Private consults and safety checks for birth control

Before you get hormonal birth control at a pharmacy, you complete a short self-screen based on CDC rules. The pharmacist gives private counseling on all methods and refers you if needed. The pharmacy keeps appropriate records. Pharmacists must finish a state-approved training on assessment and safe dispensing. These rules apply 2022-01-01 through 2028-01-01.

Protections and rules for standing orders

The Department can make rules to run the pharmacist contraception program. Public health employees who issue standing orders are protected from discipline, civil suits, and criminal charges when acting under this law. These authorities and protections apply from 2022-01-01 through 2028-01-01.

Pharmacists may decline standing-order birth control

Pharmacists are not required to dispense hormonal birth control under a standing order. They can decline to participate. This rule is in effect from 2022-01-01 through 2028-01-01.

Sponsors & Cosponsors

Sponsor

  • Michelle Mussman

    Democratic • House

Cosponsors

  • Amy Briel

    Democratic • House

  • Anna Moeller

    Democratic • House

  • Anne Stava

    Democratic • House

  • Graciela Guzmán

    Democratic • Senate

  • Jennifer Gong-Gershowitz

    Democratic • House

  • Katie Stuart

    Democratic • House

  • Kelly M. Cassidy

    Democratic • House

  • Laura Fine

    Democratic • Senate

  • Mary Beth Canty

    Democratic • House

  • Maura Hirschauer

    Democratic • House

  • Nicolle Grasse

    Democratic • House

  • Rachel Ventura

    Democratic • Senate

  • Robert Peters

    Democratic • Senate

  • Robyn Gabel

    Democratic • House

  • Thaddeus Jones

    Democratic • House

  • Tracy Katz Muhl

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 133 • No: 57

Senate vote • 5/22/2025

Third Reading - Passed;

Yes: 41 • No: 16

Senate vote • 5/15/2025

Do Pass Executive;

Yes: 7 • No: 3

House vote • 4/8/2025

Third Reading - Short Debate - Passed

Yes: 77 • No: 36

House vote • 3/18/2025

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

Yes: 8 • No: 2

Actions Timeline

  1. Public Act . . . . . . . . . 104-0312

    8/15/2025House

  2. Effective Date January 1, 2026

    8/15/2025House

  3. Governor Approved

    8/15/2025House

  4. Sent to the Governor

    6/20/2025House

  5. Added as Alternate Co-Sponsor Sen. Graciela Guzmán

    5/27/2025Senate

  6. Added as Alternate Co-Sponsor Sen. Laura Fine

    5/22/2025Senate

  7. Added as Alternate Co-Sponsor Sen. Robert Peters

    5/22/2025Senate

  8. Passed Both Houses

    5/22/2025House

  9. Third Reading - Passed; 041-016-000

    5/22/2025Senate

  10. Placed on Calendar Order of 3rd Reading May 20, 2025

    5/15/2025Senate

  11. Second Reading

    5/15/2025Senate

  12. Placed on Calendar Order of 2nd Reading

    5/15/2025Senate

  13. Do Pass Executive; 007-003-000

    5/15/2025Senate

  14. Rule 2-10 Committee Deadline Established As May 23, 2025

    5/9/2025Senate

  15. Added Co-Sponsor Rep. Thaddeus Jones

    5/8/2025House

  16. Assigned to Executive

    4/23/2025Senate

  17. Referred to Assignments

    4/9/2025Senate

  18. First Reading

    4/9/2025Senate

  19. Chief Senate Sponsor Sen. Rachel Ventura

    4/9/2025Senate

  20. Placed on Calendar Order of First Reading

    4/9/2025Senate

  21. Arrive in Senate

    4/9/2025Senate

  22. Third Reading - Short Debate - Passed 077-036-000

    4/8/2025House

  23. Added Co-Sponsor Rep. Anna Moeller

    4/7/2025House

  24. Added Co-Sponsor Rep. Anne Stava

    4/7/2025House

  25. Added Co-Sponsor Rep. Amy Briel

    4/7/2025House

Bill Text

Related Bills

Back to State Legislation