IllinoisHB4327104th General Assembly (2025–2026)HouseWALLET

AUDITOR GENERAL-340B AUDIT

Sponsored By: Sponsor information unavailable

Became Law

Summary

Amends the Illinois State Auditing Act. Provides that, as soon as practical after the effective date of the amendatory Act, the Auditor General shall conduct a comprehensive investigation of how 340B covered entities within Illinois participate in the 340B Drug Discount Program. Provides that the investigation shall examine the impact of this participation by 340B covered entities on State health programs, such as Medicaid and the State Employees Group Insurance Program, and shall include the specified assessments. Requires the Auditor General to make recommendations to the General Assembly based on the findings from the investigation.

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Bill Overview

Analyzed Economic Effects

5 provisions identified: 1 benefits, 2 costs, 2 mixed.

Privacy rules for 340B data

The Department keeps submitted data confidential when the sender asks for FOIA protection and meets the legal test. Confidential data is not subject to subpoena in private civil lawsuits. The Department can share data with state or federal authorities that are investigating possible law violations.

Fines for late 340B reporting

If an entity misses the Department’s deadline and then 30 more days pass, the Director can fine it $500 per day. Hospitals with fewer than 100 beds, Critical Access Hospitals, Safety‑Net Hospitals, and 340B grantees pay $100 per day. Collected fines go to the Vulnerable Community Hospital Capital Investment Fund.

State 340B study and reporting

The Department of Insurance runs a statewide study of the 340B drug discount program. It collects data from 340B hospitals, clinics, and drug makers, starting with 2020. Covered entities and manufacturers must submit data in the format and timeframe the Department sets. The Department can make rules to carry out these duties. By July 1, 2028, it sends an aggregated report to the Governor and lawmakers.

Law ends July 1, 2032

This law is repealed on July 1, 2032. After that date, its duties and enforcement no longer apply.

Attorney General enforcement for 340B

The Attorney General can bring civil cases for violations of Section 15. Courts can order injunctions, award money damages to covered entities, and fine up to $1,000 per violation. Penalties and settlement payments go to the Attorney General’s State Projects and Court Ordered Distribution Fund. This authority applies only if House Bill 2371 of the 104th General Assembly becomes law.

Sponsors & Cosponsors

Sponsors

There is no primary sponsor on record.

Cosponsors

  • Angelica Guerrero-Cuellar

    Affiliation unavailable

  • Anna Moeller

    Affiliation unavailable

  • Barbara Hernandez

    Affiliation unavailable

  • Bill Cunningham

    Affiliation unavailable

  • Bob Morgan

    Affiliation unavailable

  • Camille Y. Lilly

    Affiliation unavailable

  • Carol Ammons

    Affiliation unavailable

  • Dagmara Avelar

    Affiliation unavailable

  • David Koehler

    Affiliation unavailable

  • Debbie Meyers-Martin

    Affiliation unavailable

  • Elgie R. Sims, Jr.

    Affiliation unavailable

  • Emanuel "Chris" Welch

    Affiliation unavailable

  • Janet Yang Rohr

    Affiliation unavailable

  • Jehan Gordon-Booth

    Affiliation unavailable

  • Justin Slaughter

    Affiliation unavailable

  • Kimberly Du Buclet

    Affiliation unavailable

  • La Shawn K. Ford

    Affiliation unavailable

  • Laura Faver Dias

    Affiliation unavailable

  • Lilian Jiménez

    Affiliation unavailable

  • Lisa Davis

    Affiliation unavailable

  • Marcus C. Evans, Jr.

    Affiliation unavailable

  • Margaret A. DeLaRosa

    Affiliation unavailable

  • Martha Deuter

    Affiliation unavailable

  • Mary Beth Canty

    Affiliation unavailable

  • Mary Edly-Allen

    Affiliation unavailable

  • Maura Hirschauer

    Affiliation unavailable

  • Maurice A. West, II

    Affiliation unavailable

  • Michael Crawford

    Affiliation unavailable

  • Michael J. Kelly

    Affiliation unavailable

  • Michael W. Halpin

    Affiliation unavailable

  • Nicolle Grasse

    Affiliation unavailable

  • Norma Hernandez

    Affiliation unavailable

  • Rita Mayfield

    Affiliation unavailable

  • Robert F. Martwick

    Affiliation unavailable

  • Robyn Gabel

    Affiliation unavailable

  • Sonya M. Harper

    Affiliation unavailable

  • Suzanne M. Ness

    Affiliation unavailable

  • Thaddeus Jones

    Affiliation unavailable

  • William "Will" Davis

    Affiliation unavailable

  • Yolonda Morris

    Affiliation unavailable

Roll Call Votes

All Roll Calls

Yes: 340 • No: 84

House vote 5/31/2026

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

Yes: 4 • No: 0

Senate vote 5/31/2026

Third Reading - Passed;

Yes: 57 • No: 0

House vote 5/31/2026

Senate Committee Amendment No. 1 House Concurs

Yes: 106 • No: 8

Senate vote 5/30/2026

Do Pass as Amended Executive;

Yes: 13 • No: 0

House vote 5/28/2026

Third Reading - Short Debate - Passed

Yes: 75 • No: 37

House vote 5/28/2026

House Floor Amendment No. 2 Recommends Be Adopted Executive Committee;

Yes: 8 • No: 4

House vote 5/28/2026

House Floor Amendment No. 3 Recommends Be Adopted Rules Committee;

Yes: 3 • No: 2

House vote 5/26/2026

Do Pass as Amended / Short Debate Executive Committee;

Yes: 8 • No: 4

House vote 5/25/2026

Motion to Suspend Rule 21 - Prevailed

Yes: 66 • No: 29

Actions Timeline

  1. Public Act . . . . . . . . . 104-0769

    8/7/2026House
  2. Effective Date August 7, 2026

    8/7/2026House
  3. Governor Approved

    8/7/2026House
  4. Sent to the Governor

    6/26/2026House
  5. Added as Alternate Co-Sponsor Sen. Elgie R. Sims, Jr.

    6/1/2026Senate
  6. Added Co-Sponsor Rep. Nicolle Grasse

    6/1/2026House
  7. Added Co-Sponsor Rep. Angelica Guerrero-Cuellar

    6/1/2026House
  8. Added Co-Sponsor Rep. Lilian Jiménez

    6/1/2026House
  9. Added Co-Sponsor Rep. Robyn Gabel

    6/1/2026House
  10. Added Co-Sponsor Rep. Suzanne M. Ness

    6/1/2026House
  11. Added Co-Sponsor Rep. Thaddeus Jones

    6/1/2026House
  12. Added Co-Sponsor Rep. Bob Morgan

    6/1/2026House
  13. Added Co-Sponsor Rep. Marcus C. Evans, Jr.

    6/1/2026House
  14. Added Co-Sponsor Rep. Mary Beth Canty

    6/1/2026House
  15. Added Co-Sponsor Rep. Carol Ammons

    6/1/2026House
  16. Added Co-Sponsor Rep. Debbie Meyers-Martin

    6/1/2026House
  17. Added Co-Sponsor Rep. Yolonda Morris

    6/1/2026House
  18. Added Co-Sponsor Rep. Michael Crawford

    6/1/2026House
  19. Added Co-Sponsor Rep. Sonya M. Harper

    6/1/2026House
  20. Added Co-Sponsor Rep. Justin Slaughter

    6/1/2026House
  21. Added Co-Sponsor Rep. Rita Mayfield

    6/1/2026House
  22. Added Co-Sponsor Rep. William "Will" Davis

    6/1/2026House
  23. Added Co-Sponsor Rep. Lisa Davis

    6/1/2026House
  24. Added Co-Sponsor Rep. Jehan Gordon-Booth

    6/1/2026House
  25. Added Co-Sponsor Rep. Kimberly Du Buclet

    6/1/2026House

Bill Text

  • Engrossed

  • Enrolled

  • House Amendment 1

  • House Amendment 2

  • House Amendment 3

  • Introduced

  • Senate Amendment 1

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