All Roll Calls
Yes: 151 • No: 36
IllinoisSB0069104th General Assembly (2025–2026)SenateWALLET
INS CODE-RIDING THERAPY
Sponsored By: Laura M. Murphy (Democratic)
Became Law
assignmentsinsurance
Your PRIA Score
Score Hidden
Personalized for You
How does this bill affect your finances?
Sign up for a PRIA Policy Scan to see your personalized alignment score for this bill and every other piece of legislation we track. We analyze your financial profile against policy provisions to show you exactly what matters to your wallet.
Bill Overview
Analyzed Economic Effects
3 provisions identified: 3 benefits, 0 costs, 0 mixed.
HMOs must follow state insurance rules
HMOs in Illinois must follow many Insurance Code benefit rules. This brings HMO plans under the same required coverage and consumer protections as other insurers. That includes hippotherapy coverage when policies renew after January 1, 2027. The Department of Insurance enforces these rules.
Post-mastectomy coverage for public employees
The law requires state, county, city, and school employee health plans to cover post‑mastectomy care and related coverage required by the Illinois Insurance Code. This applies even when a county or city self‑insures. The Department of Insurance enforces the rules for counties, cities, and school plans. For the State Employees Group Insurance Program, the Department of Insurance enforces some rules and the Department of Central Management Services enforces the rest.
Hippotherapy coverage starts January 2027
Beginning January 1, 2027, group and individual health policies issued, amended, delivered, or renewed after that date must cover medically necessary therapies that use horse movement (hippotherapy). A licensed occupational therapist, physical therapist, or speech‑language pathologist must provide the therapy with a professional horse handler and a therapy horse. Coverage applies only when your therapist finds it medically necessary.
Sponsors & Cosponsors
Sponsor
Laura M. Murphy
Democratic • Senate
Cosponsors
Bob Morgan
Democratic • House
Jawaharial Williams
Democratic • House
Nicole La Ha
Republican • House
Nicolle Grasse
Democratic • House
Rachel Ventura
Democratic • Senate
Stephanie A. Kifowit
Democratic • House
Tracy Katz Muhl
Democratic • House
Roll Call Votes
House vote • 5/20/2025
Third Reading - Short Debate - Passed
Yes: 78 • No: 33
House vote • 5/6/2025
Do Pass / Short Debate Insurance Committee;
Yes: 9 • No: 3
Senate vote • 4/9/2025
Third Reading - Passed;
Yes: 52 • No: 0 • Other: 2
Senate vote • 3/5/2025
Do Pass as Amended Insurance;
Yes: 12 • No: 0 • Other: 1
Actions Timeline
Public Act . . . . . . . . . 104-0068
8/1/2025SenateEffective Date January 1, 2026
8/1/2025SenateGovernor Approved
8/1/2025SenateSent to the Governor
6/18/2025SenateAdded Alternate Co-Sponsor Rep. Nicole La Ha
5/28/2025HouseAdded Alternate Chief Co-Sponsor Rep. Bob Morgan
5/20/2025HouseAdded Alternate Chief Co-Sponsor Rep. Stephanie A. Kifowit
5/20/2025HouseAdded Alternate Chief Co-Sponsor Rep. Nicolle Grasse
5/20/2025HousePassed Both Houses
5/20/2025SenateThird Reading - Short Debate - Passed 078-033-000
5/20/2025HousePlaced on Calendar Order of 3rd Reading - Short Debate
5/16/2025HouseSecond Reading - Short Debate
5/16/2025HousePlaced on Calendar 2nd Reading - Short Debate
5/7/2025HouseDo Pass / Short Debate Insurance Committee; 009-003-000
5/6/2025HouseAdded Alternate Chief Co-Sponsor Rep. Jawaharial Williams
5/6/2025HouseAlternate Chief Sponsor Changed to Rep. Tracy Katz Muhl
4/24/2025HouseAssigned to Insurance Committee
4/17/2025HouseReferred to Rules Committee
4/9/2025HouseFirst Reading
4/9/2025HouseChief House Sponsor Rep. Bob Morgan
4/9/2025HouseArrived in House
4/9/2025HouseThird Reading - Passed; 052-000-002
4/9/2025SenateAdded as Co-Sponsor Sen. Rachel Ventura
4/9/2025SenatePlaced on Calendar Order of 3rd Reading March 19, 2025
3/18/2025SenateSecond Reading
3/18/2025Senate
Bill Text
Engrossed
Enrolled
Introduced
Senate Amendment 1