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IllinoisSB1238104th General Assembly (2025–2026)SenateWALLET

NONOPIOID ALTERNATIVES

Sponsored By: Karina Villa (Democratic)

Became Law

assignmentsinsurancehealth care availability & accessibility

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 3 benefits, 0 costs, 0 mixed.

Insurers must plan nonopioid pain options

Beginning January 1, 2027, health insurers in Illinois must create a pain management coverage plan. The plan must ensure adequate coverage and access to nonopioid, nonnarcotic medicines and non-medication therapies. Insurers must follow Department of Insurance guidelines. They must file the plan with the Department and post details on a public website. This makes nonopioid options easier to find and use.

Medicaid protects nonopioid pain drugs

Illinois Medicaid must not treat FDA-approved nonopioid pain drugs on its Preferred Drug List worse than opioids for acute pain. The rule applies only to drugs on the list that are approved to treat or manage pain. This protects coverage and access to nonopioid options for members. The Department still manages the list under state and federal rules.

State posts nonopioid pain pamphlet

The Department of Public Health can publish an online pamphlet about nonopioid ways to treat pain. It explains FDA-approved nonopioid drugs and non-drug therapies, with pros and cons. People and providers can read it on the Department's website. This is information only and does not change coverage or payments.

Sponsors & Cosponsors

Sponsor

  • Karina Villa

    Democratic • Senate

Cosponsors

  • Cristina Castro

    Democratic • Senate

  • Graciela Guzmán

    Democratic • Senate

  • Janet Yang Rohr

    Democratic • House

  • Javier L. Cervantes

    Democratic • Senate

  • Julie A. Morrison

    Democratic • Senate

  • Kevin Schmidt

    Republican • House

  • Laura Faver Dias

    Democratic • House

  • Laura Fine

    Democratic • Senate

  • Li Arellano, Jr.

    Republican • Senate

  • Lindsey LaPointe

    Democratic • House

  • Mark L. Walker

    Democratic • Senate

  • Mary Edly-Allen

    Democratic • Senate

  • Mattie Hunter

    Democratic • Senate

  • Michael W. Halpin

    Democratic • Senate

  • Mike Porfirio

    Democratic • Senate

  • Nicolle Grasse

    Democratic • House

  • Robert Peters

    Democratic • Senate

  • Sara Feigenholtz

    Democratic • Senate

  • Seth Lewis

    Republican • Senate

Roll Call Votes

All Roll Calls

Yes: 189 • No: 0

House vote • 5/22/2025

Third Reading - Short Debate - Passed

Yes: 113 • No: 0

House vote • 4/29/2025

Do Pass / Short Debate Health Care Availability & Accessibility Committee;

Yes: 11 • No: 0

Senate vote • 4/3/2025

Third Reading - Passed;

Yes: 53 • No: 0

Senate vote • 3/19/2025

Do Pass as Amended Insurance;

Yes: 12 • No: 0

Actions Timeline

  1. Public Act . . . . . . . . . 104-0369

    8/15/2025Senate

  2. Effective Date January 1, 2026

    8/15/2025Senate

  3. Governor Approved

    8/15/2025Senate

  4. Sent to the Governor

    6/20/2025Senate

  5. Added Alternate Co-Sponsor Rep. Nicolle Grasse

    5/22/2025House

  6. Passed Both Houses

    5/22/2025Senate

  7. Third Reading - Short Debate - Passed 113-000-000

    5/22/2025House

  8. Placed on Calendar Order of 3rd Reading - Short Debate

    5/22/2025House

  9. Added Alternate Chief Co-Sponsor Rep. Laura Faver Dias

    5/20/2025House

  10. Added Alternate Chief Co-Sponsor Rep. Lindsey LaPointe

    5/20/2025House

  11. Added Alternate Chief Co-Sponsor Rep. Kevin Schmidt

    5/20/2025House

  12. Held on Calendar Order of Second Reading - Short Debate

    5/16/2025House

  13. Second Reading - Short Debate

    5/16/2025House

  14. Placed on Calendar 2nd Reading - Short Debate

    4/30/2025House

  15. Do Pass / Short Debate Health Care Availability & Accessibility Committee; 011-000-000

    4/29/2025House

  16. Assigned to Health Care Availability & Accessibility Committee

    4/17/2025House

  17. Referred to Rules Committee

    4/7/2025House

  18. First Reading

    4/7/2025House

  19. Chief House Sponsor Rep. Janet Yang Rohr

    4/4/2025House

  20. Arrived in House

    4/4/2025House

  21. Added as Co-Sponsor Sen. Sara Feigenholtz

    4/3/2025Senate

  22. Third Reading - Passed; 053-000-000

    4/3/2025Senate

  23. Added as Co-Sponsor Sen. Li Arellano, Jr.

    4/2/2025Senate

  24. Placed on Calendar Order of 3rd Reading April 1, 2025

    3/20/2025Senate

  25. Second Reading

    3/20/2025Senate

Bill Text

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