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HB5492 - 104th General Assembly
PRESCRIPTION HORMONE THERAPY
Last Action
House Sponsors
Rep. Katie Stuart - Natalie A. Manley - Yolonda Morris - Dagmara Avelar - Theresa Mah, Daniel Didech, Ann M. Williams, Barbara Hernandez, Joyce Mason, Justin Cochran, Suzanne M. Ness, Maura Hirschauer, Camille Y. Lilly, Jaime M. Andrade, Jr., Edgar González, Jr., Kelly M. Cassidy, Eva-Dina Delgado and Sharon ChungSenate Sponsors
(Sen. Lakesia Collins - Karina Villa - Celina Villanueva, David Koehler, Rachel Ventura, Laura Fine, Sara Feigenholtz, Mike Simmons, Emil Jones, III, Ram Villivalam, Robert Peters and Mary Edly-Allen)Statutes Amended In Order of Appearance
215 ILCS 5/356z.88 new
225 ILCS 85/45 new
Synopsis As Introduced
Amends the Illinois Insurance Code. Sets forth provisions requiring an individual or group policy of accident and health insurance amended, delivered, issued, or renewed in this State on or after January 1, 2028 to provide coverage for up to a 12-month supply of prescription hormone therapy, and the necessary supplies for self-administration, that is prescribed by a network provider within the provider's scope of practice and dispensed at one time for an enrollee by a provider or pharmacist, or at a location licensed or otherwise authorized to dispense drugs or supplies. Amends the Pharmacy Practice Act. Provides that, notwithstanding any other provision of law, a dispensing provider or pharmacist shall dispense, at a patient's request, up to a 12-month supply of a prescription hormone therapy and the necessary supplies for self-administration pursuant to a valid prescription that specifies an initial quantity followed by periodic refills, except as specified. Amends the State Employees Group Insurance Act of 1971 and the Illinois Public Aid Code to require coverage under the provisions of those Acts.
House Floor Amendment No. 1
Deletes reference to:
225 ILCS 85/45 new
Adds reference to:
215 ILCS 125/5-3from Ch. 111 1/2, par. 1411.2
215 ILCS 130/4003from Ch. 73, par. 1504-3
215 ILCS 165/10from Ch. 32, par. 604
Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill with the following changes. Removes provisions concerning out-of-network coverage and provisions amending the Pharmacy Practice Act. 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 for prescription hormone therapy under the provisions of those Acts.
Senate Floor Amendment No. 2
Provides that an individual or group policy of accident and health insurance amended, delivered, issued, or renewed in this State on or after January 1, 2028 shall provide coverage for up to a 6-month (rather than 12-month) supply of prescription hormone therapy, and the necessary supplies for self-administration, that is prescribed by a provider (rather than a network provider) within the provider's scope of practice and dispensed at one time for an enrollee by a provider or pharmacist, or at a location licensed or otherwise authorized to dispense drugs or supplies. Changes the supply amount of prescription hormone therapy to 6 months (rather than 12 months) in subsequent provisions within the bill. Provides that, if the prescription hormone therapy is a controlled substance, the policy shall provide coverage for the maximum supply allowed under State and federal law to be obtained at one time by the insured. Specifies that provisions concerning refill limits for prescription hormone therapy apply, except as otherwise provided in the Illinois Insurance Code.
Actions
| Date | Chamber | Action |
|---|---|---|
| 2/06/2026 | House | Filed with the Clerk by Rep. Katie Stuart |
| 2/06/2026 | House | Added Chief Co-Sponsor Rep. Yolonda Morris |
| 2/10/2026 | House | Added Chief Co-Sponsor Rep. Dagmara Avelar |
| 2/13/2026 | House | First Reading |
| 2/13/2026 | House | Referred to Rules Committee |
| 2/18/2026 | House | Added Co-Sponsor Rep. Daniel Didech |
| 2/18/2026 | House | Added Co-Sponsor Rep. Ann M. Williams |
| 2/19/2026 | House | Added Co-Sponsor Rep. Barbara Hernandez |
| 2/19/2026 | House | Added Chief Co-Sponsor Rep. Natalie A. Manley |
| 3/04/2026 | House | Assigned to Insurance Committee |
| 3/06/2026 | House | Added Co-Sponsor Rep. Joyce Mason |
| 3/12/2026 | House | Added Co-Sponsor Rep. Justin Cochran |
| 3/13/2026 | House | Added Co-Sponsor Rep. Suzanne M. Ness |
| 3/17/2026 | House | Added Co-Sponsor Rep. Maura Hirschauer |
| 3/18/2026 | House | Do Pass / Short Debate Insurance Committee; 009-004-000 |
| 3/19/2026 | House | Placed on Calendar 2nd Reading - Short Debate |
| 3/24/2026 | House | Added Chief Co-Sponsor Rep. Theresa Mah |
| 3/26/2026 | House | Added Co-Sponsor Rep. Camille Y. Lilly |
| 3/31/2026 | House | House Floor Amendment No. 1 Filed with Clerk by Rep. Katie Stuart |
| 3/31/2026 | House | House Floor Amendment No. 1 Referred to Rules Committee |
| 4/07/2026 | House | House Floor Amendment No. 1 Rules Refers to Insurance Committee |
| 4/08/2026 | House | Added Co-Sponsor Rep. Jaime M. Andrade, Jr. |
| 4/08/2026 | House | House Floor Amendment No. 1 Recommends Be Adopted Insurance Committee; 009-005-000 |
| 4/09/2026 | House | Added Co-Sponsor Rep. Edgar González, Jr. |
| 4/10/2026 | House | Second Reading - Short Debate |
| 4/10/2026 | House | Held on Calendar Order of Second Reading - Short Debate |
| 4/15/2026 | House | House Floor Amendment No. 1 Adopted |
| 4/15/2026 | House | Placed on Calendar Order of 3rd Reading - Short Debate |
| 4/15/2026 | House | Chair Rules Standard Debate |
| 4/15/2026 | House | Placed on Calendar Order of 3rd Reading - Standard Debate |
| 4/15/2026 | House | Third Reading - Standard Debate - Passed 074-037-000 |
| 4/15/2026 | House | Added Co-Sponsor Rep. Kelly M. Cassidy |
| 4/15/2026 | House | Added Co-Sponsor Rep. Eva-Dina Delgado |
| 4/16/2026 | Senate | Arrive in Senate |
| 4/16/2026 | Senate | Placed on Calendar Order of First Reading |
| 4/16/2026 | Senate | Chief Senate Sponsor Sen. Lakesia Collins |
| 4/16/2026 | Senate | First Reading |
| 4/16/2026 | Senate | Referred to Assignments |
| 4/21/2026 | Senate | Added as Alternate Co-Sponsor Sen. David Koehler |
| 4/21/2026 | Senate | Added as Alternate Chief Co-Sponsor Sen. Karina Villa |
| 4/24/2026 | Senate | Added as Alternate Co-Sponsor Sen. Rachel Ventura |
| 4/24/2026 | Senate | Added as Alternate Co-Sponsor Sen. Laura Fine |
| 4/28/2026 | Senate | Added as Alternate Co-Sponsor Sen. Sara Feigenholtz |
| 4/29/2026 | Senate | Added as Alternate Co-Sponsor Sen. Mike Simmons |
| 4/29/2026 | Senate | Added as Alternate Co-Sponsor Sen. Emil Jones, III |
| 5/01/2026 | House | Added Co-Sponsor Rep. Sharon Chung |
| 5/08/2026 | Senate | Added as Alternate Co-Sponsor Sen. Ram Villivalam |
| 5/11/2026 | Senate | Added as Alternate Co-Sponsor Sen. Robert Peters |
| 5/12/2026 | Senate | Rule 2-10 Committee Deadline Established As May 15, 2026 |
| 5/12/2026 | Senate | Assigned to Executive |
| 5/15/2026 | Senate | Rule 2-10 Committee Deadline Established As May 22, 2026 |
| 5/20/2026 | Senate | Senate Committee Amendment No. 1 Filed with Secretary by Sen. Lakesia Collins |
| 5/20/2026 | Senate | Senate Committee Amendment No. 1 Referred to Assignments |
| 5/21/2026 | Senate | Senate Committee Amendment No. 1 Assignments Refers to Executive |
| 5/22/2026 | Senate | Rule 2-10 Committee/3rd Reading Deadline Established As May 31, 2026 |
| 5/27/2026 | Senate | Senate Committee Amendment No. 1 Postponed - Executive |
| 5/27/2026 | Senate | Do Pass Executive; 012-001-000 |
| 5/27/2026 | Senate | Placed on Calendar Order of 2nd Reading |
| 5/27/2026 | Senate | Senate Floor Amendment No. 2 Filed with Secretary by Sen. Lakesia Collins |
| 5/27/2026 | Senate | Senate Floor Amendment No. 2 Referred to Assignments |
| 5/28/2026 | Senate | Second Reading |
| 5/28/2026 | Senate | Placed on Calendar Order of 3rd Reading May 29, 2026 |
| 5/28/2026 | Senate | Added as Alternate Chief Co-Sponsor Sen. Celina Villanueva |
| 5/28/2026 | Senate | Senate Floor Amendment No. 2 Be Approved for Consideration Assignments |
| 5/30/2026 | Senate | Recalled to Second Reading |
| 5/30/2026 | Senate | Senate Floor Amendment No. 2 Adopted; Collins |
| 5/30/2026 | Senate | Placed on Calendar Order of 3rd Reading |
| 5/30/2026 | Senate | Third Reading - Passed; 038-019-000 |
| 5/30/2026 | Senate | Senate Committee Amendment No. 1 Tabled Pursuant to Rule 5-4(a) |
| 5/30/2026 | House | Arrived in House |
| 5/30/2026 | House | Placed on Calendar Order of Concurrence Senate Amendment(s) 2 |
| 5/30/2026 | House | Senate Floor Amendment No. 2 Motion Filed Concur Rep. Katie Stuart |
| 5/30/2026 | House | Senate Floor Amendment No. 2 Motion to Concur Referred to Rules Committee |
| 5/30/2026 | House | Senate Floor Amendment No. 2 Motion to Concur Rules Referred to Insurance Committee |
| 5/31/2026 | House | Senate Floor Amendment No. 2 Motion to Concur Recommends Be Adopted Insurance Committee; 010-006-000 |
| 5/31/2026 | Senate | Added as Alternate Co-Sponsor Sen. Mary Edly-Allen |
| 6/01/2026 | House | Senate Floor Amendment No. 2 House Concurs 075-039-000 |
| 6/01/2026 | House | House Concurs |
| 6/01/2026 | House | Passed Both Houses |
| 6/10/2026 | House | Sent to the Governor |