# Illinois HB5492: PRESCRIPTION HORMONE THERAPY

Illinois HB5492, PRESCRIPTION HORMONE THERAPY, is a 104th General Assembly (2025–2026) House bill sponsored by no sponsor on record; status signed, last action 2026-06-29 (Public Act . . . . . . . . . 104-0537); PRIA reads it as touching household money (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/IL-HB5492-2025-2026
- As of: 2026-11-01
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Illinois HB5492
- State: Illinois
- Session: 104th General Assembly (2025–2026)
- Title: PRESCRIPTION HORMONE THERAPY
- Status: signed
- Chamber: House
- Introduced: 2026-02-06
- Last action: 2026-06-29, Public Act . . . . . . . . . 104-0537
- Sponsors: no sponsor on record
- Cosponsors: 30
- Subjects: insurance, assignments, executive
- Touches household money: yes
- Roll calls: 7 (227 yes, 111 no in all)
- Economic provisions PRIA read: 2

## Summary

Amends the Illinois Insurance Code. Sets forth provisions requiring an individual or group policy of accident and health insurance amended, delivered, issued, or renewed in this State on or after January 1, 2028 to provide coverage for up to a 12-month supply of prescription hormone therapy, and the necessary supplies for self-administration, that is prescribed by a network provider within the provider's scope of practice and dispensed at one time for an enrollee by a provider or pharmacist, or at a location licensed or otherwise authorized to dispense drugs or supplies. Amends the Pharmacy Practice Act. Provides that, notwithstanding any other provision of law, a dispensing provider or pharmacist shall dispense, at a patient's request, up to a 12-month supply of a prescription hormone therapy and the necessary supplies for self-administration pursuant to a valid prescription that specifies an initial quantity followed by periodic refills, except as specified. Amends the State Employees Group Insurance Act of 1971 and the Illinois Public Aid Code to require coverage under the provisions of those Acts.

## Bill overview: provisions PRIA read

- Hormone coverage for Medicaid members: mixed, medium. Illinois Medical Assistance must provide the coverage required by the cited state laws. For qualifying hormone therapy, this includes up to a six-month supply and needed self-administration supplies beginning January 1, 2028. GLP-1 drugs are excluded, and controlled medicines are limited to the amo…
- Six-month hormone coverage for plan members: mixed, medium. Beginning January 1, 2028, covered Illinois health plans must cover up to a six-month supply of qualifying hormone therapy and needed supplies dispensed at one time. The rule applies to individual and group plans, including covered employee plans; HMOs and health services plan corporations must fol…

## Sponsors and cosponsors

- Cosponsor: Ann M. Williams (Democratic), House
- Cosponsor: Barbara Hernandez (Democratic), House
- Cosponsor: Camille Y. Lilly (Democratic), House
- Cosponsor: Celina Villanueva (Democratic), Senate
- Cosponsor: Dagmara Avelar (Democratic), House
- Cosponsor: Daniel Didech (Democratic), House
- Cosponsor: David Koehler (Democratic), Senate
- Cosponsor: Edgar González, Jr. (Democratic), House
- Cosponsor: Emil Jones, III (Democratic), Senate
- Cosponsor: Eva-Dina Delgado (Democratic), House
- Cosponsor: Jaime M. Andrade, Jr. (Democratic), House
- Cosponsor: Joyce Mason (Democratic), House
- Cosponsor: Justin Cochran (Democratic), House
- Cosponsor: Karina Villa (Democratic), Senate
- Cosponsor: Katie Stuart (Democratic), House
- Cosponsor: Kelly M. Cassidy (Democratic), House
- Cosponsor: Lakesia Collins (Democratic), Senate
- Cosponsor: Laura Fine (Democratic), Senate
- Cosponsor: Mary Edly-Allen (Democratic), Senate
- Cosponsor: Maura Hirschauer (Democratic), House
- Cosponsor: Mike Simmons (Democratic), Senate
- Cosponsor: Natalie A. Manley (Democratic), House
- Cosponsor: Rachel Ventura (Democratic), Senate
- Cosponsor: Ram Villivalam (Democratic), Senate
- Cosponsor: Robert Peters (Democratic), Senate
- Cosponsor: Sara Feigenholtz (Democratic), Senate
- Cosponsor: Sharon Chung (Democratic), House
- Cosponsor: Suzanne M. Ness (Democratic), House
- Cosponsor: Theresa Mah (Democratic), House
- Cosponsor: Yolonda Morris (Democratic), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-06-01 | House | Senate Floor Amendment No. 2 House Concurs | pass | 75 | 39 |   |
| 2026-05-31 | House | Senate Floor Amendment No. 2 Motion to Concur Recommends Be Adopted Insurance Committee; | pass | 10 | 6 |   |
| 2026-05-30 | Senate | Third Reading - Passed; | pass | 38 | 19 |   |
| 2026-05-27 | Senate | Do Pass Executive; | pass | 12 | 1 |   |
| 2026-04-15 | House | Third Reading - Standard Debate - Passed | pass | 74 | 37 |   |
| 2026-04-08 | House | House Floor Amendment No. 1 Recommends Be Adopted Insurance Committee; | pass | 9 | 5 |   |
| 2026-03-18 | House | Do Pass / Short Debate Insurance Committee; | pass | 9 | 4 |   |

## Bill text

- Engrossed: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB5492eng.pdf)
- Enrolled: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB5492enr.pdf)
- House Amendment 1: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB5492ham001.pdf)
- Introduced: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB5492.pdf)
- Senate Amendment 1: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB5492sam001.pdf)
- Senate Amendment 2: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB5492sam002.pdf)

## Related bills

- HB5198: AFFORDABLE HOUSING-CILAS (passed house)
- SB1937: PENSION CODE-VARIOUS (passed senate)
- HB2563: CONDO-RESERVE STUDY (in committee)
- HB4701: LIMITATIONS FACILITY FEES ACT (in committee)
- SB3008: DHS-ABLE PROGRAM INFO MATERIAL (passed senate)
- SB3484: VEH CD-PLATES-REGISTRATION (signed)

## Sources
- [Engrossed (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB5492eng.pdf)
- [Enrolled (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB5492enr.pdf)
- [House Amendment 1 (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB5492ham001.pdf)
- [Introduced (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB5492.pdf)
- [Senate Amendment 1 (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB5492sam001.pdf)
- [Senate Amendment 2 (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB5492sam002.pdf)

## Related
- [HB5198: AFFORDABLE HOUSING-CILAS](https://policyrisk.com/state-bill/IL-HB5198-2025-2026)
- [SB1937: PENSION CODE-VARIOUS](https://policyrisk.com/state-bill/IL-SB1937-2025-2026)
- [HB2563: CONDO-RESERVE STUDY](https://policyrisk.com/state-bill/IL-HB2563-2025-2026)
- [HB4701: LIMITATIONS FACILITY FEES ACT](https://policyrisk.com/state-bill/IL-HB4701-2025-2026)
- [SB3008: DHS-ABLE PROGRAM INFO MATERIAL](https://policyrisk.com/state-bill/IL-SB3008-2025-2026)
- [SB3484: VEH CD-PLATES-REGISTRATION](https://policyrisk.com/state-bill/IL-SB3484-2025-2026)
- [Illinois bills](https://policyrisk.com/states/illinois/bills)
- [Illinois state hub](https://policyrisk.com/states/illinois)
- [All state legislation](https://policyrisk.com/state-bills)

Source: PRIA, https://policyrisk.com/state-bill/IL-HB5492-2025-2026 (as of 2026-11-01).