# Illinois SB1238: NONOPIOID ALTERNATIVES Illinois SB1238, NONOPIOID ALTERNATIVES, is a 104th General Assembly (2025–2026) Senate bill sponsored by Karina Villa (Democratic); status signed, last action 2025-08-15 (Public Act . . . . . . . . . 104-0369); PRIA reads it as touching household money (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/IL-SB1238-2025-2026 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Illinois SB1238 - State: Illinois - Session: 104th General Assembly (2025–2026) - Title: NONOPIOID ALTERNATIVES - Status: signed - Chamber: Senate - Introduced: 2025-01-24 - Last action: 2025-08-15, Public Act . . . . . . . . . 104-0369 - Sponsor: Karina Villa (Democratic) - Cosponsors: 19 - Subjects: assignments, insurance, health care availability & accessibility - Touches household money: yes - Roll calls: 4 (189 yes, 0 no in all) - Economic provisions PRIA read: 3 ## Summary Amends the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois. Allows the Department of Public Health to develop and publish on its website a nonopioid alternatives pamphlet, with certain requirements. Amends the Illinois Insurance Code. Prohibits a health insurance issuer to deny coverage of a nonopioid prescription drug in favor of an opioid prescription drug. Amends the Illinois Public Aid Code. Provides that coverage shall not be denied for a nonopioid prescription drug in favor of an opioid prescription drug. Requires that nonopioid drugs preferred on a specific list for the treatment or management of pain shall not be disadvantaged or discouraged with respect to coverage relative to any opioid or narcotic drug for the treatment or management of pain. Effective July 1, 2027. ## Bill overview: provisions PRIA read - Insurers must plan for pain treatment alternatives: benefit, low. Beginning January 1, 2027, health insurers must develop plans for adequate coverage and access to a broad range of pain treatments. These must include nonopioid, nonnarcotic medicines and treatments without medication as alternatives to opioids or narcotics. Insurers must follow Illinois Department… - Medicaid protects coverage for nonopioid pain drugs: benefit, low. Illinois Medicaid must not give qualifying nonopioid pain drugs worse coverage or discourage their use compared with opioids for acute pain. Nonopioid drugs qualify when they are FDA-approved for pain treatment or management and on Medicaid’s Preferred Drug List. This protection applies while the s… - State may publish nonopioid pain guide: benefit, low. The Illinois Department of Public Health may create and publish a pamphlet on its website about nonopioid pain treatments. It can address short-term pain without surgery, pain around surgery, pain lasting beyond the acute stage, and chronic pain. Any pamphlet must explain available nonopioid medici… ## Sponsors and cosponsors - Sponsor: Karina Villa (Democratic), Senate - Cosponsor: Cristina Castro (Democratic), Senate - Cosponsor: Graciela Guzmán (Democratic), Senate - Cosponsor: Janet Yang Rohr (Democratic), House - Cosponsor: Javier L. Cervantes (Democratic), Senate - Cosponsor: Julie A. Morrison (Democratic), Senate - Cosponsor: Kevin Schmidt (Republican), House - Cosponsor: Laura Faver Dias (Democratic), House - Cosponsor: Laura Fine (Democratic), Senate - Cosponsor: Li Arellano, Jr. (Republican), Senate - Cosponsor: Lindsey LaPointe (Democratic), House - 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: Nicolle Grasse (Democratic), House - Cosponsor: Robert Peters (Democratic), Senate - Cosponsor: Sara Feigenholtz (Democratic), Senate - Cosponsor: Seth Lewis (Republican), Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-05-22 | House | Third Reading - Short Debate - Passed | pass | 113 | 0 | | | 2025-04-29 | House | Do Pass / Short Debate Health Care Availability & Accessibility Committee; | pass | 11 | 0 | | | 2025-04-03 | Senate | Third Reading - Passed; | pass | 53 | 0 | | | 2025-03-19 | Senate | Do Pass as Amended Insurance; | pass | 12 | 0 | | ## Actions (49) - 2025-08-15: Public Act . . . . . . . . . 104-0369 (Senate) - 2025-08-15: Effective Date January 1, 2026 (Senate) - 2025-08-15: Governor Approved (Senate) - 2025-06-20: Sent to the Governor (Senate) - 2025-05-22: Added Alternate Co-Sponsor Rep. Nicolle Grasse (House) - 2025-05-22: Passed Both Houses (Senate) - 2025-05-22: Third Reading - Short Debate - Passed 113-000-000 (House) - 2025-05-22: Placed on Calendar Order of 3rd Reading - Short Debate (House) - 2025-05-20: Added Alternate Chief Co-Sponsor Rep. Laura Faver Dias (House) - 2025-05-20: Added Alternate Chief Co-Sponsor Rep. Lindsey LaPointe (House) - 2025-05-20: Added Alternate Chief Co-Sponsor Rep. Kevin Schmidt (House) - 2025-05-16: Held on Calendar Order of Second Reading - Short Debate (House) - 2025-05-16: Second Reading - Short Debate (House) - 2025-04-30: Placed on Calendar 2nd Reading - Short Debate (House) - 2025-04-29: Do Pass / Short Debate Health Care Availability & Accessibility Committee; 011-000-000 (House) - 2025-04-17: Assigned to Health Care Availability & Accessibility Committee (House) - 2025-04-07: Referred to Rules Committee (House) - 2025-04-07: First Reading (House) - 2025-04-04: Chief House Sponsor Rep. Janet Yang Rohr (House) - 2025-04-04: Arrived in House (House) - 2025-04-03: Added as Co-Sponsor Sen. Sara Feigenholtz (Senate) - 2025-04-03: Third Reading - Passed; 053-000-000 (Senate) - 2025-04-02: Added as Co-Sponsor Sen. Li Arellano, Jr. (Senate) - 2025-03-20: Placed on Calendar Order of 3rd Reading April 1, 2025 (Senate) - 2025-03-20: Second Reading (Senate) - 2025-03-19: Placed on Calendar Order of 2nd Reading March 20, 2025 (Senate) - 2025-03-19: Do Pass as Amended Insurance; 012-000-000 (Senate) - 2025-03-18: Senate Committee Amendment No. 1 Adopted (Senate) - 2025-03-18: Senate Committee Amendment No. 1 Assignments Refers to Insurance (Senate) - 2025-03-12: Added as Co-Sponsor Sen. Julie A. Morrison (Senate) - 2025-03-12: Senate Committee Amendment No. 1 Referred to Assignments (Senate) - 2025-03-12: Senate Committee Amendment No. 1 Filed with Secretary by Sen. Karina Villa (Senate) - 2025-03-06: Added as Co-Sponsor Sen. Seth Lewis (Senate) - 2025-03-05: Added as Co-Sponsor Sen. Mark L. Walker (Senate) - 2025-03-05: Postponed - Insurance (Senate) - 2025-02-19: Added as Chief Co-Sponsor Sen. Mattie Hunter (Senate) - 2025-02-19: Postponed - Insurance (Senate) - 2025-02-18: Added as Co-Sponsor Sen. Cristina Castro (Senate) - 2025-02-11: Added as Co-Sponsor Sen. Graciela Guzmán (Senate) - 2025-02-07: Added as Co-Sponsor Sen. Laura Fine (Senate) - 2025-02-05: Added as Co-Sponsor Sen. Mike Porfirio (Senate) - 2025-02-05: Added as Co-Sponsor Sen. Robert Peters (Senate) - 2025-02-04: Added as Co-Sponsor Sen. Mary Edly-Allen (Senate) - 2025-02-04: Added as Co-Sponsor Sen. Javier L. Cervantes (Senate) - 2025-02-04: Added as Co-Sponsor Sen. Michael W. Halpin (Senate) - 2025-02-04: Assigned to Insurance (Senate) - 2025-01-24: Referred to Assignments (Senate) - 2025-01-24: First Reading (Senate) - 2025-01-24: Filed with Secretary by Sen. Karina Villa (Senate) ## Bill text - Engrossed: [PDF](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB1238eng.pdf) - Enrolled: [PDF](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB1238enr.pdf) - Introduced: [PDF](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB1238.pdf) - Senate Amendment 1: [PDF](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB1238sam001.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/SB/PDF/10400SB1238eng.pdf) - [Enrolled (PDF)](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB1238enr.pdf) - [Introduced (PDF)](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB1238.pdf) - [Senate Amendment 1 (PDF)](https://www.ilga.gov/documents/legislation/104/SB/PDF/10400SB1238sam001.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-SB1238-2025-2026 (as of 2026-11-01).