IllinoisHB4834104th General Assembly (2025–2026)HouseWALLET

CONTROLLED SUB-TESTOSTERONE

Sponsored By: Sponsor information unavailable

Became Law

Summary

Amends the Illinois Controlled Substances Act. Provides that the Prescription Monitoring Program does not apply to testosterone, mifepristone, misoprostol, GnRH analogues, or estrogen. Provides that the Department of Human Services shall purge from the records of the Prescription Monitoring Program all existing information concerning the prescribing or dispensing of testosterone, including any such information contained in the central repository or database, on or before January 1, 2027, and shall ensure that no further records concerning the prescribing and dispensing of testosterone are created or maintained by the Prescription Monitoring Program. Provides that the Department shall update and adopt rules consistent with the provision no later than January 1, 2027. Effective immediately.

human servicesassignmentsexecutive

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Bill Overview

Analyzed Economic Effects

9 provisions identified: 5 benefits, 1 costs, 3 mixed.

Same-day reporting and fines for pharmacies

Pharmacies must send PMP data by the end of the business day they dispense a controlled substance, unless rules set a different deadline. They must send it electronically and include patient name, address, birth date, gender, NDC, quantity, days’ supply, prescriber and dispenser DEA numbers, fill dates, payment type, and patient location code. The Department can fine willful nonreporting up to $100 per day from the due date until the problem is fixed. Fines are paid to the PMP.

EHR systems must connect to prescription program

The Department requires Electronic Health Record and pharmacy systems to connect to the state’s PMP. Systems must interface by January 1, 2024. The Department sets rules and will act if a prescriber’s system does not connect effectively once the problem is known.

State can add more drugs to tracking

The Department may add some non‑scheduled drugs to the state’s Prescription Monitoring Program by rule. That could expand which prescriptions are tracked. Some medicines remain excluded by law, including testosterone and certain reproductive and hormone therapies.

Consent protects opioid treatment program data

Opioid treatment programs must try to get your written consent before sending your data to the PMP. They must document these attempts and cannot send your data without consent. These documents cannot be used for law enforcement under 42 CFR Part 2. You cannot be denied treatment for refusing consent.

Monthly reports for long-term care residents

Long‑term care pharmacies must send resident medication profiles to the PMP every month. The Department may require more frequent reports by rule. This helps oversight of medications for residents, including many seniors.

Testosterone removed from prescription tracking

The state’s Prescription Monitoring Program (PMP) no longer covers testosterone. Prescribers and pharmacies do not report testosterone to the PMP. By January 1, 2027, the Department must delete all past testosterone records and stop creating any new ones. Rules are updated by that date to enforce this.

Trained staff can check prescription monitoring program

Prescribers and pharmacists may let trained designees check the PMP for them. Designees must complete HIPAA and 42 CFR Part 2 training, and rules set who can be authorized. Clinical pharmacists working for Medicaid managed care plans may do limited clinical reviews and must notify prescribers about those reviews.

Full-time clinical director for program

The Department of Human Services appoints a full‑time Clinical Director for the state’s Prescription Monitoring Program. This adds clinical leadership to guide and improve program use.

Vets exempt and must report suspected fraud

Licensed veterinarians do not have to report animal prescriptions to the PMP. If a vet suspects someone is fraudulently getting a controlled drug for an animal, the vet must report it to local law enforcement.

Sponsors & Cosponsors

Sponsors

There is no primary sponsor on record.

Cosponsors

  • Adriane Johnson

    Affiliation unavailable

  • Amy Briel

    Affiliation unavailable

  • Anna Moeller

    Affiliation unavailable

  • Celina Villanueva

    Affiliation unavailable

  • Dagmara Avelar

    Affiliation unavailable

  • Daniel Didech

    Affiliation unavailable

  • David Koehler

    Affiliation unavailable

  • Elgie R. Sims, Jr.

    Affiliation unavailable

  • Emanuel "Chris" Welch

    Affiliation unavailable

  • Emil Jones, III

    Affiliation unavailable

  • Graciela Guzmán

    Affiliation unavailable

  • Jaime M. Andrade, Jr.

    Affiliation unavailable

  • Javier L. Cervantes

    Affiliation unavailable

  • Joyce Mason

    Affiliation unavailable

  • Justin Cochran

    Affiliation unavailable

  • Karina Villa

    Affiliation unavailable

  • Kelly M. Cassidy

    Affiliation unavailable

  • Kevin John Olickal

    Affiliation unavailable

  • Kimberly A. Lightford

    Affiliation unavailable

  • Laura Ellman

    Affiliation unavailable

  • Laura Fine

    Affiliation unavailable

  • Lindsey LaPointe

    Affiliation unavailable

  • Mark L. Walker

    Affiliation unavailable

  • Mary Edly-Allen

    Affiliation unavailable

  • Mattie Hunter

    Affiliation unavailable

  • Maura Hirschauer

    Affiliation unavailable

  • Michael Crawford

    Affiliation unavailable

  • Mike Simmons

    Affiliation unavailable

  • Rachel Ventura

    Affiliation unavailable

  • Ram Villivalam

    Affiliation unavailable

  • Robert Peters

    Affiliation unavailable

  • Sara Feigenholtz

    Affiliation unavailable

  • Sharon Chung

    Affiliation unavailable

  • Theresa Mah

    Affiliation unavailable

Roll Call Votes

All Roll Calls

Yes: 124 • No: 64

Senate vote 5/20/2026

Third Reading - Passed;

Yes: 39 • No: 19

Senate vote 4/30/2026

Do Pass Executive;

Yes: 9 • No: 4

House vote 4/8/2026

Third Reading - Short Debate - Passed

Yes: 68 • No: 37

House vote 3/25/2026

Do Pass / Short Debate Human Services Committee;

Yes: 8 • No: 4

Actions Timeline

  1. Public Act . . . . . . . . . 104-0535

    6/29/2026House
  2. Effective Date June 29, 2026

    6/29/2026House
  3. Governor Approved

    6/29/2026House
  4. Sent to the Governor

    6/11/2026House
  5. Added as Alternate Co-Sponsor Sen. Mattie Hunter

    6/1/2026Senate
  6. Added as Alternate Co-Sponsor Sen. Elgie R. Sims, Jr.

    6/1/2026Senate
  7. Added as Alternate Co-Sponsor Sen. Kimberly A. Lightford

    5/20/2026Senate
  8. Passed Both Houses

    5/20/2026House
  9. Third Reading - Passed; 039-019-000

    5/20/2026Senate
  10. Placed on Calendar Order of 3rd Reading May 18, 2026

    5/14/2026Senate
  11. Second Reading

    5/14/2026Senate
  12. Added as Alternate Co-Sponsor Sen. Robert Peters

    5/11/2026Senate
  13. Added as Alternate Co-Sponsor Sen. Ram Villivalam

    5/8/2026Senate
  14. Added Co-Sponsor Rep. Sharon Chung

    5/4/2026House
  15. Placed on Calendar Order of 2nd Reading May 5, 2026

    4/30/2026Senate
  16. Do Pass Executive; 009-004-000

    4/30/2026Senate
  17. Added as Alternate Co-Sponsor Sen. Emil Jones, III

    4/29/2026Senate
  18. Added as Alternate Co-Sponsor Sen. Mike Simmons

    4/29/2026Senate
  19. Added as Alternate Co-Sponsor Sen. Laura Fine

    4/24/2026Senate
  20. Added as Alternate Co-Sponsor Sen. Rachel Ventura

    4/24/2026Senate
  21. Assigned to Executive

    4/22/2026Senate
  22. Added as Alternate Co-Sponsor Sen. Laura Ellman

    4/21/2026Senate
  23. Added as Alternate Chief Co-Sponsor Sen. Karina Villa

    4/21/2026Senate
  24. Added Chief Co-Sponsor Rep. Emanuel "Chris" Welch

    4/16/2026House
  25. Added as Alternate Co-Sponsor Sen. Mark L. Walker

    4/16/2026Senate

Bill Text

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