All Roll Calls
Yes: 195 • No: 0
Sponsored By: Laura M. Murphy (Democratic)
Signed by Governor
Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or a managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2027 shall provide coverage for all medically necessary diagnostic testing and U.S. Food and Drug Administration-approved treatments or medications prescribed to slow the progression of Alzheimer's disease or another related dementia, in accordance with the U.S. Food and Drug Administration label, as determined by a physician licensed to practice medicine in all its branches. Provides that coverage of U.S. Food and Drug Administration-approved treatments or medications prescribed to slow the progression of Alzheimer's disease or another related dementia shall not be subject to step therapy. Amends the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, the Limited Health Service Organization Act, and the Voluntary Health Services Plans Act to require coverage under those provisions. Effective immediately.
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3 provisions identified: 3 benefits, 0 costs, 0 mixed.
For policies amended, delivered, issued, or renewed starting January 1, 2027, qualifying individual and group plans must cover Alzheimer’s care. The law also applies these requirements to covered health maintenance organizations, limited health service organizations, and health service plan corporations. Coverage includes medically necessary testing and doctor-prescribed, FDA-approved treatments that slow Alzheimer’s or related dementia, used according to FDA labeling. Plans cannot require patients to try another treatment first, but pharmacists retain authority for specified generic-drug and interchangeable-biologic substitutions. The requirement excludes managed care plans under contract with the Illinois Department of Healthcare and Family Services.
The law extends Alzheimer’s and related dementia coverage requirements to school employee health benefits. It also covers county and municipal employee plans when the local government is self-insured. These plans must cover medically necessary testing and doctor-prescribed, FDA-approved treatments to slow the disease, following FDA labeling. Plans cannot require patients to try another treatment first; specified generic-drug and interchangeable-biologic substitutions remain allowed.
Beginning July 1, 2025, the Illinois State Employees Group Insurance Program must cover eligible Alzheimer’s and related dementia care. Coverage includes medically necessary, FDA-approved treatments or medicines prescribed by a doctor to slow the disease. It also includes testing the doctor needs to decide whether treatment is appropriate. The program cannot require patients to try another treatment first. This special coverage requirement is repealed July 1, 2027.
Laura M. Murphy
Democratic • Senate
Abdelnasser Rashid
Democratic • House
Adriane L. Johnson
Democratic • Senate
Amy L. Grant
Republican • House
Ann M. Williams
Democratic • House
Anna Moeller
Democratic • House
Anne Stava
Democratic • House
Anthony DeLuca
Democratic • House
Barbara Hernandez
Democratic • House
Bob Morgan
Democratic • House
Camille Y. Lilly
Democratic • House
Carol Ammons
Democratic • House
Christopher Belt
Democratic • Senate
Dagmara Avelar
Democratic • House
Dave Vella
Democratic • House
Emanuel "Chris" Welch
Democratic • House
Graciela Guzmán
Democratic • Senate
Jaime M. Andrade, Jr.
Democratic • House
Janet Yang Rohr
Democratic • House
Javier L. Cervantes
Democratic • Senate
Jawaharial Williams
Democratic • House
Jennifer Sanalitro
Republican • House
Joyce Mason
Democratic • House
Julie A. Morrison
Democratic • Senate
Karina Villa
Democratic • Senate
Katie Stuart
Democratic • House
Kevin John Olickal
Democratic • House
Laura Ellman
Democratic • Senate
Linda Holmes
Democratic • Senate
Lindsey LaPointe
Democratic • House
Margaret Croke
Democratic • House
Mark L. Walker
Democratic • Senate
Martha Deuter
Democratic • House
Martin J. Moylan
Democratic • House
Mary Edly-Allen
Democratic • Senate
Mary Gill
Democratic • House
Matt Hanson
Democratic • House
Maura Hirschauer
Democratic • House
Maurice A. West, II
Democratic • House
Meg Loughran Cappel
Democratic • Senate
Michael Crawford
Democratic • House
Michael J. Kelly
Democratic • House
Michelle Mussman
Democratic • House
Mike Simmons
Democratic • Senate
Napoleon Harris III
Democratic • Senate
Natalie A. Manley
Democratic • House
Nicholas K. Smith
Democratic • House
Nicole La Ha
Republican • House
Nicolle Grasse
Democratic • House
Norma Hernandez
Democratic • House
Paul Faraci
Democratic • Senate
Rick Ryan
Democratic • House
Sally J. Turner
Republican • Senate
Sara Feigenholtz
Democratic • Senate
Seth Lewis
Republican • Senate
Sharon Chung
Democratic • House
Stephanie A. Kifowit
Democratic • House
Sue Scherer
Democratic • House
Terra Costa Howard
Democratic • House
Tracy Katz Muhl
Democratic • House
All Roll Calls
Yes: 195 • No: 0
House vote • 5/20/2025
Third Reading - Short Debate - Passed
Yes: 113 • No: 0
House vote • 4/29/2025
Do Pass / Short Debate Insurance Committee;
Yes: 15 • No: 0
Senate vote • 4/3/2025
Third Reading - Passed;
Yes: 55 • No: 0
Senate vote • 3/19/2025
Do Pass as Amended Insurance;
Yes: 12 • No: 0
Public Act . . . . . . . . . 104-0001
Effective Date July 1, 2027; ;Some Provisions
Effective Date June 9, 2025; ;Some Provisions
Governor Approved
Sent to the Governor
Passed Both Houses
Third Reading - Short Debate - Passed 113-000-000
Added Alternate Co-Sponsor Rep. Kevin John Olickal
Added Alternate Co-Sponsor Rep. Norma Hernandez
Placed on Calendar Order of 3rd Reading - Short Debate
Second Reading - Short Debate
Added Alternate Co-Sponsor Rep. Maurice A. West, II
Added Alternate Co-Sponsor Rep. Matt Hanson
Added Alternate Co-Sponsor Rep. Carol Ammons
Added Alternate Co-Sponsor Rep. Abdelnasser Rashid
Added Alternate Co-Sponsor Rep. Sue Scherer
Added Alternate Co-Sponsor Rep. Anna Moeller
Added Alternate Co-Sponsor Rep. Rick Ryan
Added Alternate Co-Sponsor Rep. Bob Morgan
Added Alternate Co-Sponsor Rep. Sharon Chung
Added Alternate Co-Sponsor Rep. Jawaharial Williams
Added Alternate Co-Sponsor Rep. Terra Costa Howard
Added Alternate Co-Sponsor Rep. Tracy Katz Muhl
Added Alternate Co-Sponsor Rep. Barbara Hernandez
Added Alternate Co-Sponsor Rep. Jaime M. Andrade, Jr.
Engrossed
Enrolled
Introduced
Senate Amendment 1
HB5198, AFFORDABLE HOUSING-CILAS
Amends the Affordable Housing Planning and Appeal Act. Requires non-exempt local governments to provide residents with notice and the opportunity for comment at a public hearing prior to adopting an affordable housing plan. Requires a non-exempt local government to provide proof of its compliance with the notice and public hearing requirements when it submits a copy of its affordable housing plan to the Illinois Housing Development Authority. Expands the list of information that must be provided in the affordable housing plan to include, (i) an identification of "specific lands" (rather than "lands") within the jurisdiction that are most appropriate for the construction of affordable housing, (ii) proposed timelines to commence "specific actions and deadlines" (rather than "actions") to implement the components of the affordable housing plan, and (iii) incentives, including certain measures to address the need for affordable housing, that the local government may provide for the purpose of attracting affordable housing. In a provision permitting certain persons to appeal a local government's denial of a proposed affordable housing plan, expands the list to include a service provider that is under contract to provide services for potential residents of a proposed supportive housing project or community-integrated living arrangement that is included in the proposed affordable housing plan. Contains provisions concerning final actions or decisions by the governing body of the local government on the proposed affordable housing plans; appeal procedures and timelines; and other matters. Expands the Illinois Housing Development Authority's rulemaking authority to include the adoption of rules and regulations concerning the substance of affordable housing plans consistent with the changes made in the amendatory Act.
SB1937, PENSION CODE-VARIOUS
Amends the State Employee Article of the Illinois Pension Code. Provides that a member who is eligible to receive an alternative retirement annuity may elect to receive an estimated payment that shall commence no later than 30 days after the later of either the member's last day of employment or 30 days after the member files for the retirement benefit with the System. Provides that the estimated payment shall be the best estimate by the System of the total monthly amount due to the member based on the information that the System possesses at the time of the estimate. Provides that if the amount of the estimate is greater or less than the actual amount of the monthly annuity, the System shall pay or recover the difference within 6 months after the start of the monthly annuity. Excludes a benefit increase resulting from the amendatory Act from the definition of "new benefit increase". Effective immediately.
HB2563, CONDO-RESERVE STUDY
Amends the Common Interest Community Association Act. Requires a common interest association to conduct and update a reserve study every 5 years. "Reserve study" means an analysis of the reserves required for future major maintenance, repairs, and replacements of the common elements. Grants a 5-year window for an association to conduct a reserve study or update a current study. Requires a reserve study to be made available to any prospective purchaser of a unit upon request for a resale of any unit in the community. Exempts an association with 15 or fewer units but still requires the board to comply with the budgeting and reserve requirements elsewhere in the Act. Amends the Condominium Property Act to make similar changes.
HB4701, LIMITATIONS FACILITY FEES ACT
Creates the Limitations on Facility Fees Act. Provides that no health care provider shall charge, bill, or collect a facility fee, except for: (i) services provided on a hospital's campus; (ii) services provided at a facility that includes a licensed hospital emergency department; or (iii) emergency services provided at a freestanding emergency center. Provides that, except as specified, no health care provider shall charge, bill, or collect a facility fee for: (i) outpatient evaluation and management services; or (ii) any other outpatient, diagnostic, or imaging services identified by the Department of Public Health. Requires the Department to annually identify services subject to the limitations on specified facility fees that may reliably be provided safely and effectively in settings other than hospitals. Sets forth provisions concerning reporting, rulemaking, and enforcement of the Act. Amends the Fair Patient Billing Act to make a conforming change. Amends the Consumer Fraud and Deceptive Business Practices Act. Provides that any person who violates the Limitations on Facility Fees Act commits an unlawful practice.
SB3008, DHS-ABLE PROGRAM INFO MATERIAL
Amends the Mental Health and Developmental Disabilities Administrative Act and the Rehabilitation of Persons with Disabilities Act. Required the Department of Human Services to provide informational materials about the Senator Scott Bennett ABLE Program to: persons who are placed in a facility licensed under the ID/DD Community Care Act, the MC/DD Act, or the Specialized Mental Health Rehabilitation Act of 2013; persons with disabilities who receive services funded by or administered in conjunction with the Department, including, but not limited to, home and community based services, home-based support services, PUNS services, home care services, and services at a Center for Independent Living. Provides that the informational materials shall be provided when a person first enrolls for such services and as part of any annual process required for the person to maintain eligibility for such services. Requires the Office of the State Treasurer to prepare and deliver the informational materials in an electronic format to the Department and distribute the materials to eligible persons.
SB3484, VEH CD-PLATES-REGISTRATION
Amends the Illinois Vehicle Code. Provides that the design and color of registration plates shall be wholly within the discretion of the Secretary of State. Provides that plates for veterans with disabilities who have been approved for benefits under the Senior Citizens and Persons with Disabilities Property Tax Relief Act shall pay a specified fee (instead of $24). Authorizes the Secretary to suspend or revoke a certificate or the special plates issued to tow truck or wrecker operator upon determining that the person is not lawfully entitled thereto or has made or knowingly permitted any illegal use of the plates or has committed fraud in the registration of vehicles or failed to give notices of transfers. Prohibits a vehicle from being registered in the name of a person who is not an owner or lessee of that vehicle. Requires a vehicle owner seeking to register a vehicle in the State to register that vehicle to a State address. Provides that it is a violation for a person to alter, forge, or counterfeit a license plate or digital license plate. Provides that if no assignable title is available when auctioning a vehicle, the auctioneer or dealer must apply for Illinois title for the purpose of assigning title. Provides that the renewal fee for licenses and permits issued to 18, 19, and 20 year olds is $5. Provides that the Secretary shall issue a meter-exempt decal or device to the parent of a person with a disability who is under 18 years of age and incapable of driving or the legal guardian of a person with a disability incapable of driving. Makes other changes.