# Illinois SB0066: HEALTH CARE AVAILABILITY Illinois SB0066, HEALTH CARE AVAILABILITY, is a 104th General Assembly (2025–2026) Senate bill sponsored by Graciela Guzmán (Democratic); status in committee, last action 2026-05-22 (Senate Committee Amendment No. 4 Rule 3-9(a) / Re-referred to Assignments) (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/IL-SB0066-2025-2026 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Illinois SB0066 - State: Illinois - Session: 104th General Assembly (2025–2026) - Title: HEALTH CARE AVAILABILITY - Status: in committee - Chamber: Senate - Introduced: 2025-01-13 - Last action: 2026-05-22, Senate Committee Amendment No. 4 Rule 3-9(a) / Re-referred to Assignments - Sponsor: Graciela Guzmán (Democratic) - Cosponsors: 18 - Subjects: assignments, executive - Touches household money: no - Economic provisions PRIA read: 0 ## Summary Creates the Health Care Availability and Access Board Act. Establishes the Health Care Availability and Access Board to protect State residents, State and local governments, commercial health plans, health care providers, pharmacies licensed in the State, and other stakeholders within the health care system from the high costs of prescription drug products. Contains provisions concerning Board membership and terms; staff for the Board; Board meetings; circumstances under which Board members must recuse themselves; and other matters. Provides that the Board shall perform the following actions in open session: (i) deliberations on whether to subject a prescription drug product to a cost review; and (ii) any vote on whether to impose an upper payment limit on purchases, payments, and payor reimbursements of prescription drug products in the State. Permits the Board to adopt rules to implement the Act and to enter into a contract with a qualified, independent third party for any service necessary to carry out the powers and duties of the Board. Creates the Health Care Availability and Access Stakeholder Council to provide stakeholder input to assist the Board in making decisions as required by the Act. Contains provisions concerning Council membership, member terms, and other matters. Provides that the Board shall adopt the federal Medicare Maximum Fair Price as the upper payment limit for a prescription drug product intended for use by individuals in the State. Prohibits the Board from creating an upper payment limit that is different from the Medicare Maximum Fair Price for the prescription drug product that has a Medicare Maximum Fair Price. Requires the Board to implement an upper payment limit that is the same as the Medicare Maximum Fair Price no sooner than the Medicare implementation date. Provides that Medicare Part C and D plans are not required to reimburse at the upper payment limit. Provides that the Attorney General may enforce the Act and may pursue any available remedy under State law when enforcing the Act. Effective 180 days after becoming law. ## Bill overview No economic impacts identified for this bill. ## Sponsors and cosponsors - Sponsor: Graciela Guzmán (Democratic), Senate - Cosponsor: Celina Villanueva (Democratic), Senate - Cosponsor: Christopher Belt (Democratic), Senate - Cosponsor: David Koehler (Democratic), Senate - Cosponsor: Doris Turner (Democratic), Senate - Cosponsor: Javier L. Cervantes (Democratic), Senate - Cosponsor: Karina Villa (Democratic), Senate - Cosponsor: Kimberly A. Lightford (Democratic), Senate - Cosponsor: Lakesia Collins (Democratic), Senate - Cosponsor: Laura M. Murphy (Democratic), Senate - Cosponsor: Mark L. Walker (Democratic), Senate - Cosponsor: Mary Edly-Allen (Democratic), Senate - Cosponsor: Mattie Hunter (Democratic), Senate - Cosponsor: Michael W. Halpin (Democratic), Senate - Cosponsor: Mike Porfirio (Democratic), Senate - Cosponsor: Mike Simmons (Democratic), Senate - Cosponsor: Napoleon Harris III (Democratic), Senate - Cosponsor: Rachel Ventura (Democratic), Senate - Cosponsor: Robert Peters (Democratic), Senate ## Actions (45) - 2026-05-22: Senate Committee Amendment No. 4 Rule 3-9(a) / Re-referred to Assignments (Senate) - 2026-05-22: Senate Committee Amendment No. 3 Rule 3-9(a) / Re-referred to Assignments (Senate) - 2026-05-22: Senate Committee Amendment No. 2 Rule 3-9(a) / Re-referred to Assignments (Senate) - 2026-05-22: Senate Committee Amendment No. 1 Rule 3-9(a) / Re-referred to Assignments (Senate) - 2026-05-22: Rule 3-9(a) / Re-referred to Assignments (Senate) - 2026-05-15: Rule 2-10 Committee/3rd Reading Deadline Established As May 22, 2026 (Senate) - 2026-05-07: Added as Co-Sponsor Sen. Lakesia Collins (Senate) - 2026-05-05: Senate Committee Amendment No. 4 Assignments Refers to Executive (Senate) - 2026-04-24: Rule 2-10 Committee/3rd Reading Deadline Established As May 15, 2026 (Senate) - 2026-04-17: Added as Co-Sponsor Sen. Mattie Hunter (Senate) - 2026-04-16: Added as Co-Sponsor Sen. Napoleon Harris III (Senate) - 2026-04-16: Senate Committee Amendment No. 3 Assignments Refers to Executive (Senate) - 2026-04-16: Senate Committee Amendment No. 2 Assignments Refers to Executive (Senate) - 2026-04-16: Senate Committee Amendment No. 4 Referred to Assignments (Senate) - 2026-04-16: Senate Committee Amendment No. 4 Filed with Secretary by Sen. Graciela Guzmán (Senate) - 2026-04-15: Senate Committee Amendment No. 3 Referred to Assignments (Senate) - 2026-04-15: Senate Committee Amendment No. 3 Filed with Secretary by Sen. Graciela Guzmán (Senate) - 2026-04-15: Senate Committee Amendment No. 2 Referred to Assignments (Senate) - 2026-04-15: Senate Committee Amendment No. 2 Filed with Secretary by Sen. Graciela Guzmán (Senate) - 2026-03-27: Rule 2-10 Committee Deadline Established As April 24, 2026 (Senate) - 2026-03-24: Senate Committee Amendment No. 1 Assignments Refers to Executive (Senate) - 2026-03-13: Rule 2-10 Committee Deadline Established As March 27, 2026 (Senate) - 2026-03-11: Senate Committee Amendment No. 1 Referred to Assignments (Senate) - 2026-03-11: Senate Committee Amendment No. 1 Filed with Secretary by Sen. Graciela Guzmán (Senate) - 2026-03-03: Assigned to Executive (Senate) - 2026-02-03: Added as Co-Sponsor Sen. Javier L. Cervantes (Senate) - 2026-01-16: Added as Chief Co-Sponsor Sen. Robert Peters (Senate) - 2026-01-16: Chief Sponsor Changed to Sen. Graciela Guzmán (Senate) - 2025-04-29: Added as Co-Sponsor Sen. Doris Turner (Senate) - 2025-04-04: Added as Co-Sponsor Sen. Kimberly A. Lightford (Senate) - 2025-03-19: Added as Co-Sponsor Sen. Mark L. Walker (Senate) - 2025-03-05: Added as Co-Sponsor Sen. Celina Villanueva (Senate) - 2025-02-25: Added as Co-Sponsor Sen. Christopher Belt (Senate) - 2025-02-25: Added as Chief Co-Sponsor Sen. Graciela Guzmán (Senate) - 2025-02-06: Added as Chief Co-Sponsor Sen. Karina Villa (Senate) - 2025-02-06: Added as Chief Co-Sponsor Sen. Mike Simmons (Senate) - 2025-02-06: Added as Co-Sponsor Sen. Laura M. Murphy (Senate) - 2025-02-05: Added as Chief Co-Sponsor Sen. David Koehler (Senate) - 2025-02-05: Added as Co-Sponsor Sen. Mike Porfirio (Senate) - 2025-02-03: Added as Co-Sponsor Sen. Rachel Ventura (Senate) - 2025-01-31: Added as Co-Sponsor Sen. Mary Edly-Allen (Senate) - 2025-01-30: Added as Co-Sponsor Sen. Michael W. Halpin (Senate) - 2025-01-13: Referred to Assignments (Senate) - 2025-01-13: First Reading (Senate) - 2025-01-13: Filed with Secretary by Sen. Robert Peters (Senate) ## Bill text - Introduced: [PDF](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB0066.pdf) - Senate Amendment 1: [PDF](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB0066sam001.pdf) - Senate Amendment 2: [PDF](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB0066sam002.pdf) - Senate Amendment 3: [PDF](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB0066sam003.pdf) - Senate Amendment 4: [PDF](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB0066sam004.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 - [Introduced (PDF)](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB0066.pdf) - [Senate Amendment 1 (PDF)](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB0066sam001.pdf) - [Senate Amendment 2 (PDF)](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB0066sam002.pdf) - [Senate Amendment 3 (PDF)](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB0066sam003.pdf) - [Senate Amendment 4 (PDF)](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB0066sam004.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-SB0066-2025-2026 (as of 2026-11-01).