SB1238 - 104th General Assembly

NONOPIOID ALTERNATIVES
Last Action

6/20/2025 - Senate: Sent to the Governor
Statutes Amended In Order of Appearance

20 ILCS 2310/2310-735 new
215 ILCS 5/370c.3 new
305 ILCS 5/5-58 new
Synopsis As Introduced

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.

Senate Committee Amendment No. 1

Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill concerning the amendatory changes to the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois. Replaces the changes to the Illinois Insurance Code. Provides that beginning January 1, 2027, a health insurance issuer shall develop a plan to provide adequate coverage and access to a broad spectrum of pain management services, including, but not limited to, nonopioid, nonnarcotic pain management services and non-medication pain management services that serve as alternatives to the prescribing of opioid or narcotic drugs in accordance with guidelines developed by the Department of Insurance. Provides that a health insurance issuer shall file the plan required under this provision with the Department of Insurance and shall post information about the pain management plan on the insurer's publicly accessible website. Replaces the amendatory changes to the Illinois Public Aid Code. Provides that in establishing and maintaining the Illinois Medicaid Preferred Drug List, the Department of Healthcare and Family Services shall ensure that nonopioid drugs on the Department's preferred drug list, and approved by the U.S. Food and Drug Administration, 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 acute pain as long as the Department retains its authority to manage the Preferred Drug List process pursuant to State or federal law, rules, regulations, and policies and the Department's authority over the Preferred Drug List process is not undermined or compromised.
Actions

Date Chamber Action
1/24/2025 Senate Filed with Secretary by Sen. Karina Villa
1/24/2025 Senate First Reading
1/24/2025 Senate Referred to Assignments
2/04/2025 Senate Assigned to Insurance
2/04/2025 Senate Added as Co-Sponsor Sen. Michael W. Halpin
2/04/2025 Senate Added as Co-Sponsor Sen. Javier L. Cervantes
2/04/2025 Senate Added as Co-Sponsor Sen. Mary Edly-Allen
2/05/2025 Senate Added as Co-Sponsor Sen. Robert Peters
2/05/2025 Senate Added as Co-Sponsor Sen. Mike Porfirio
2/07/2025 Senate Added as Co-Sponsor Sen. Laura Fine
2/11/2025 Senate Added as Co-Sponsor Sen. Graciela Guzmán
2/18/2025 Senate Added as Co-Sponsor Sen. Cristina Castro
2/19/2025 Senate Postponed - Insurance
2/19/2025 Senate Added as Chief Co-Sponsor Sen. Mattie Hunter
3/05/2025 Senate Postponed - Insurance
3/05/2025 Senate Added as Co-Sponsor Sen. Mark L. Walker
3/06/2025 Senate Added as Co-Sponsor Sen. Seth Lewis
3/12/2025 Senate Senate Committee Amendment No. 1 Filed with Secretary by Sen. Karina Villa
3/12/2025 Senate Senate Committee Amendment No. 1 Referred to Assignments
3/12/2025 Senate Added as Co-Sponsor Sen. Julie A. Morrison
3/18/2025 Senate Senate Committee Amendment No. 1 Assignments Refers to Insurance
3/18/2025 Senate Senate Committee Amendment No. 1 Adopted
3/19/2025 Senate Do Pass as Amended Insurance; 012-000-000
3/19/2025 Senate Placed on Calendar Order of 2nd Reading March 20, 2025
3/20/2025 Senate Second Reading
3/20/2025 Senate Placed on Calendar Order of 3rd Reading April 1, 2025
4/02/2025 Senate Added as Co-Sponsor Sen. Li Arellano, Jr.
4/03/2025 Senate Third Reading - Passed; 053-000-000
4/03/2025 Senate Added as Co-Sponsor Sen. Sara Feigenholtz
4/04/2025 House Arrived in House
4/04/2025 House Chief House Sponsor Rep. Janet Yang Rohr
4/07/2025 House First Reading
4/07/2025 House Referred to Rules Committee
4/17/2025 House Assigned to Health Care Availability & Accessibility Committee
4/29/2025 House Do Pass / Short Debate Health Care Availability & Accessibility Committee; 011-000-000
4/30/2025 House Placed on Calendar 2nd Reading - Short Debate
5/16/2025 House Second Reading - Short Debate
5/16/2025 House Held on Calendar Order of Second Reading - Short Debate
5/20/2025 House Added Alternate Chief Co-Sponsor Rep. Kevin Schmidt
5/20/2025 House Added Alternate Chief Co-Sponsor Rep. Lindsey LaPointe
5/20/2025 House Added Alternate Chief Co-Sponsor Rep. Laura Faver Dias
5/22/2025 House Placed on Calendar Order of 3rd Reading - Short Debate
5/22/2025 House Third Reading - Short Debate - Passed 113-000-000
5/22/2025 Senate Passed Both Houses
5/22/2025 House Added Alternate Co-Sponsor Rep. Nicolle Grasse
6/20/2025 Senate Sent to the Governor