All Roll Calls
Yes: 117 • No: 47
Sponsored By: Camille Y. Lilly (Democratic)
Passed
Amends the Illinois Insurance Code. Makes changes to defined terms. Provides that a group policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed after January 1, 2026 shall provide coverage for evidence-based cancer imaging for individuals with an increased risk of cancer as recommended by the current National Comprehensive Cancer Network clinical practice guidelines. Provides that this coverage shall be provided without cost-sharing, and the requirements of the Act shall not apply to the extent that providing coverage would disqualify a high-deductible health plan from eligibility for a health savings account.
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Camille Y. Lilly
Democratic • House
Anne Stava
Democratic • House
Bill Cunningham
Democratic • Senate
Cristina Castro
Democratic • Senate
Darby A. Hills
Republican • Senate
Janet Yang Rohr
Democratic • House
Julie A. Morrison
Democratic • Senate
Kimberly A. Lightford
Democratic • Senate
Marcus C. Evans, Jr.
Democratic • House
Mattie Hunter
Democratic • Senate
Nabeela Syed
Democratic • House
Nicholas K. Smith
Democratic • House
Stephanie A. Kifowit
Democratic • House
Sue Rezin
Republican • Senate
William "Will" Davis
Democratic • House
Willie Preston
Democratic • Senate
All Roll Calls
Yes: 117 • No: 47
Senate vote • 5/13/2026
Do Pass as Amended Insurance;
Yes: 11 • No: 2
House vote • 4/16/2026
Third Reading - Short Debate - Passed
Yes: 70 • No: 33
House vote • 4/16/2026
House Floor Amendment No. 4 Recommends Be Adopted Insurance Committee;
Yes: 10 • No: 6
House vote • 3/12/2026
House Floor Amendment No. 1 Recommends Be Adopted Rules Committee;
Yes: 5 • No: 0
House vote • 3/12/2026
Approved for Consideration Rules Committee;
Yes: 5 • No: 0
House vote • 3/26/2025
House Floor Amendment No. 1 Recommends Be Adopted Rules Committee;
Yes: 5 • No: 0
House vote • 3/20/2025
Do Pass / Short Debate Insurance Committee;
Yes: 11 • No: 6
Rule 3-9(a) / Re-referred to Assignments
Rule 2-10 Third Reading Deadline Established As May 31, 2026
Added as Alternate Co-Sponsor Sen. Darby A. Hills
Placed on Calendar Order of 3rd Reading May 20, 2026
Second Reading
Added as Alternate Chief Co-Sponsor Sen. Bill Cunningham
Placed on Calendar Order of 2nd Reading May 14, 2026
Do Pass as Amended Insurance; 011-002-000
Senate Committee Amendment No. 1 Adopted
Rule 2-10 Committee Deadline Established As May 15, 2026
Added as Alternate Co-Sponsor Sen. Sue Rezin
Added as Alternate Co-Sponsor Sen. Willie Preston
Senate Committee Amendment No. 1 Assignments Refers to Insurance
Added as Alternate Chief Co-Sponsor Sen. Cristina Castro
Postponed - Insurance
Senate Committee Amendment No. 1 Referred to Assignments
Senate Committee Amendment No. 1 Filed with Secretary by Sen. Mattie Hunter
Added as Alternate Chief Co-Sponsor Sen. Kimberly A. Lightford
Added as Alternate Chief Co-Sponsor Sen. Julie A. Morrison
Assigned to Insurance
Referred to Assignments
First Reading
Chief Senate Sponsor Sen. Mattie Hunter
Placed on Calendar Order of First Reading
Arrive in Senate
Engrossed
House Amendment 1
House Amendment 2
House Amendment 3
House Amendment 4
Introduced
Senate Amendment 1
HB4154 — PHARMACIST APPLICATION/EXAM
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