HB5284 - 104th General Assembly (2025-2026)

HUMAN RIGHTS-MENOPAUSE CARE
Last Action

6/26/2026 - House: Sent to the Governor
Statutes Amended In Order of Appearance

Synopsis As Introduced

Creates the Illinois Menopause Equity and Care Act. Amends the Department of Public Health Powers and Duties Law. Requires the Department of Public Health to create educational materials regarding menopause, including symptoms, treatment options, and patient rights for distribution to the public online. Amends the Illinois Insurance Code. Provides that on or after January 1, 2028, all individual and group health insurance policies issued, renewed, or amended must provide coverage for medically necessary evaluation and treatment of perimenopause and menopause as determined by a licensed health care provider using evidence-based guidelines. Amends the Medical Practice Act of 1987. Provides if a licensee treats or evaluates patients suffering from menopause-related conditions, 5 hours of the required 50 hours must include continuing education on menopause care, including management of symptoms, hormonal and non-hormonal therapies, and bone health. Amends the Illinois Human Rights Act. Defines "menopause-related condition" includes perimenopause, menopause, and associated medical or symptomatic conditions, including, but not limited to, vasomotor symptoms, sleep disruption, cognitive or mood changes, and osteoporosis-related changes. Provides that it is a civil rights violation to unlawfully discriminate because of a menopause-related condition or fail or refuse to provide reasonable accommodations.

House Floor Amendment No. 1

Adds reference to:
Replaces everything after the enacting clause. Provides that the Act may be referred to as the Illinois Menopause Equity and Care Act. Provides that the purpose of this Act is to improve awareness, understanding, and quality of care for individuals experiencing menopause. Requires the Department of Public Health to develop and make publicly available educational materials about menopause, including symptoms, evidence-based treatment options, and patient rights. Amends the Illinois Insurance Code. Requires that any individual or group plan of accident or health insurance amended, delivered, issued, or renewed on or after January 1, 2028 to provide coverage for medically necessary evaluation and treatment of menopause and perimenopause conditions as determined by a licensed health care provider in accordance with current evidence-based guidelines. Provides that covered treatment includes, but is not limited to: (i) hormone therapy; (ii) non-hormonal therapies for vasomotor symptoms; (iii) medications for menopause-related osteoporosis; or (iv) other treatments as recommended by a licensed health care provider. Allows insurers to voluntarily report menopause-related claims to the Department of Insurance for policy analysis. Amends the Medical Practice Act of 1987. Authorizes the Department of Public Health to make voluntary educational resources available to support clinicians in providing patient-based care, but participation in these resources is voluntary and is not required for licensure, certification, or professional compliance. Amends the Illinois Human Rights Act. Defines a menopause-related condition to mean perimenopause, menopause, and associated medical or symptomatic conditions that includes, but is not limited to, vasomotor symptoms, sleep disruption, cognitive or mood changes, and osteoporosis-related changes. Provides that for an employer to discriminate in any way or refuse or fail to provide reasonable accommodations for an employee because of a menopause-related condition is a civil rights violation under this Act. Reasonable accommodations may include, but are not limited to, flexible scheduling or modified work hours; temperature control or climate-adjusted workspace; private spaces for rest or symptom management; remote work options; and light-duty assignments if safe and feasible. Employers must engage in a timely, good-faith interactive process with employees who request accommodations under this subsection. Employers must post notices of the rights provided in this subsection and provide them to employees on beginning employment or on request. Provides a severability clause.

Senate Floor Amendment No. 4

Adds reference to:
Replaces everything after the enacting clause. Reinserts the provisions of the engrossed bill with the following changes. In the Illinois Insurance Code: deletes changes affecting menopause-related conditions; provides that a group or individual policy of accident and health insurance or a managed care plan must provide coverage for medically necessary hormonal and non-hormonal therapy to treat menopausal and perimenopausal symptoms or conditions if the therapy is recommended by a qualified health care provider and the therapy has been proven safe and effective in peer-reviewed scientific studies and is prescribed in accordance with current evidence-based guidelines; provides that coverage for therapy to treat menopausal and perimenopausal symptoms or conditions must include all federal Food and Drug Administration-approved modalities of hormonal and non-hormonal administration; and provides that coverage must include medications for menopause-related osteoporosis and non-hormonal therapies for vasomotor symptoms. In the Illinois Human Rights Act, removes menopause-related conditions from the definition of "unlawful discrimination". In the Employment Article of the Illinois Human Rights Act: provides that "reasonable accommodations" for pregnancy include flexible scheduling or modified work hours and temperature or climate-adjusted workspace; removes language providing that it is a civil rights violation for an employer to discriminate in any way or refuse or fail to provide reasonable accommodations for an employee because of a menopause-related condition; and provides that the notice summarizing the requirements of the Article must include information about the right to reasonable accommodations for pregnancy, which includes the right to reasonable accommodations for menopause-related conditions. Effective January 1, 2027, except that the changes to the Illinois Insurance Code take effect January 1, 2028.
Actions

DateChamberAction
2/05/2026HouseFiled with the Clerk by Rep. Yolonda Morris
2/06/2026HouseAdded Chief Co-Sponsor Rep. Lisa Davis
2/06/2026HouseAdded Co-Sponsor Rep. Michael Crawford
2/10/2026HouseFirst Reading
2/10/2026HouseReferred to Rules Committee
3/25/2026HouseAssigned to Judiciary - Civil Committee
3/25/2026HouseMotion Filed to Suspend Rule 21 Judiciary - Civil Committee; Rep. Robyn Gabel
3/25/2026HouseMotion to Suspend Rule 21 - Prevailed 075-037-000
3/26/2026HouseDo Pass / Short Debate Judiciary - Civil Committee; 013-007-000
3/27/2026HousePlaced on Calendar 2nd Reading - Short Debate
4/10/2026HouseSecond Reading - Short Debate
4/10/2026HouseHeld on Calendar Order of Second Reading - Short Debate
4/14/2026HouseHouse Floor Amendment No. 1 Filed with Clerk by Rep. Yolonda Morris
4/14/2026HouseHouse Floor Amendment No. 1 Referred to Rules Committee
4/14/2026HouseHouse Floor Amendment No. 1 Rules Refers to Judiciary - Civil Committee
4/15/2026HouseHouse Floor Amendment No. 1 Recommends Be Adopted Judiciary - Civil Committee; 011-007-000
4/15/2026HouseAdded Chief Co-Sponsor Rep. Nicolle Grasse
4/15/2026HouseAdded Chief Co-Sponsor Rep. Kelly M. Cassidy
4/15/2026HouseAdded Chief Co-Sponsor Rep. Camille Y. Lilly
4/15/2026HouseAdded Co-Sponsor Rep. Jawaharial Williams
4/15/2026HouseAdded Co-Sponsor Rep. Marcus C. Evans, Jr.
4/15/2026HouseAdded Co-Sponsor Rep. Margaret Croke
4/15/2026HouseAdded Co-Sponsor Rep. Maura Hirschauer
4/15/2026HouseAdded Co-Sponsor Rep. Anna Moeller
4/15/2026HouseAdded Co-Sponsor Rep. Suzanne M. Ness
4/15/2026HouseAdded Co-Sponsor Rep. Debbie Meyers-Martin
4/15/2026HouseAdded Co-Sponsor Rep. Theresa Mah
4/15/2026HouseAdded Co-Sponsor Rep. William "Will" Davis
4/15/2026HouseAdded Co-Sponsor Rep. Jehan Gordon-Booth
4/15/2026HouseAdded Co-Sponsor Rep. Laura Faver Dias
4/15/2026HouseAdded Co-Sponsor Rep. Natalie A. Manley
4/15/2026HouseAdded Co-Sponsor Rep. Joyce Mason
4/15/2026HouseAdded Co-Sponsor Rep. Mary Gill
4/15/2026HouseAdded Co-Sponsor Rep. Margaret A. DeLaRosa
4/15/2026HouseAdded Co-Sponsor Rep. Angelica Guerrero-Cuellar
4/15/2026HouseAdded Co-Sponsor Rep. Diane Blair-Sherlock
4/15/2026HouseAdded Co-Sponsor Rep. Kimberly Du Buclet
4/15/2026HouseAdded Co-Sponsor Rep. Ann M. Williams
4/15/2026HouseAdded Co-Sponsor Rep. Barbara Hernandez
4/15/2026HouseAdded Co-Sponsor Rep. Amy Briel
4/15/2026HouseAdded Co-Sponsor Rep. Sue Scherer
4/15/2026HouseAdded Co-Sponsor Rep. Michelle Mussman
4/15/2026HouseAdded Co-Sponsor Rep. Curtis J. Tarver, II
4/15/2026HouseAdded Co-Sponsor Rep. Nicholas K. Smith
4/15/2026HouseAdded Co-Sponsor Rep. Tracy Katz Muhl
4/15/2026HouseAdded Co-Sponsor Rep. Lilian Jiménez
4/15/2026HouseAdded Co-Sponsor Rep. Jennifer Gong-Gershowitz
4/15/2026HouseAdded Co-Sponsor Rep. Eva-Dina Delgado
4/15/2026HouseAdded Co-Sponsor Rep. Sharon Chung
4/15/2026HouseAdded Co-Sponsor Rep. Sonya M. Harper
4/15/2026HouseAdded Co-Sponsor Rep. Rita Mayfield
4/15/2026HouseAdded Co-Sponsor Rep. Norma Hernandez
4/15/2026HouseAdded Co-Sponsor Rep. Mary Beth Canty
4/15/2026HouseAdded Co-Sponsor Rep. Janet Yang Rohr
4/15/2026HouseAdded Co-Sponsor Rep. Elizabeth "Lisa" Hernandez
4/17/2026HouseHouse Floor Amendment No. 1 Adopted
4/17/2026HousePlaced on Calendar Order of 3rd Reading - Short Debate
4/17/2026HouseThird Reading - Short Debate - Passed 071-032-000
4/17/2026HouseAdded Co-Sponsor Rep. Justin Slaughter
4/21/2026SenateArrive in Senate
4/21/2026SenatePlaced on Calendar Order of First Reading
4/21/2026SenateChief Senate Sponsor Sen. Kimberly A. Lightford
4/21/2026SenateFirst Reading
4/21/2026SenateReferred to Assignments
4/28/2026SenateAssigned to Insurance
4/29/2026SenateSenate Committee Amendment No. 1 Filed with Secretary by Sen. Kimberly A. Lightford
4/29/2026SenateSenate Committee Amendment No. 1 Referred to Assignments
5/01/2026SenateSenate Committee Amendment No. 2 Filed with Secretary by Sen. Kimberly A. Lightford
5/01/2026SenateSenate Committee Amendment No. 2 Referred to Assignments
5/05/2026SenateSenate Committee Amendment No. 1 Pursuant to Senate Rule 3-8(b-1), the following amendments will remain in the Committee on Assignments
5/05/2026SenateSenate Committee Amendment No. 2 Assignments Refers to Insurance
5/05/2026SenateSenate Committee Amendment No. 2 Postponed - Insurance
5/05/2026SenatePostponed - Insurance
5/08/2026SenateRule 2-10 Committee Deadline Established As May 15, 2026
5/12/2026SenatePostponed - Insurance
5/12/2026SenateSenate Committee Amendment No. 2 Postponed - Insurance
5/15/2026SenateRule 2-10 Committee Deadline Established As May 22, 2026
5/18/2026SenateSenate Committee Amendment No. 3 Filed with Secretary by Sen. Kimberly A. Lightford
5/18/2026SenateSenate Committee Amendment No. 3 Referred to Assignments
5/19/2026SenateSenate Committee Amendment No. 2 Postponed - Insurance
5/19/2026SenateDo Pass Insurance; 010-000-000
5/19/2026SenatePlaced on Calendar Order of 2nd Reading May 20, 2026
5/20/2026SenateSenate Floor Amendment No. 4 Filed with Secretary by Sen. Kimberly A. Lightford
5/20/2026SenateSenate Floor Amendment No. 4 Referred to Assignments
5/20/2026SenateSecond Reading
5/20/2026SenatePlaced on Calendar Order of 3rd Reading May 21, 2026
5/21/2026SenateAdded as Alternate Co-Sponsor Sen. Terri Bryant
5/21/2026SenateSenate Floor Amendment No. 4 Be Approved for Consideration Assignments
5/21/2026SenateAdded as Alternate Co-Sponsor Sen. Sue Rezin
5/21/2026SenateRecalled to Second Reading
5/21/2026SenateSenate Floor Amendment No. 4 Adopted; Lightford
5/21/2026SenatePlaced on Calendar Order of 3rd Reading
5/21/2026SenateThird Reading - Passed; 051-004-000
5/21/2026SenateSenate Committee Amendment No. 2 Tabled Pursuant to Rule 5-4(a)
5/21/2026SenateAdded as Alternate Chief Co-Sponsor Sen. Mattie Hunter
5/21/2026SenateAdded as Alternate Co-Sponsor Sen. Meg Loughran Cappel
5/21/2026SenateAdded as Alternate Co-Sponsor Sen. Julie A. Morrison
5/21/2026SenateAdded as Alternate Co-Sponsor Sen. Paul Faraci
5/21/2026SenateAdded as Alternate Co-Sponsor Sen. Lakesia Collins
5/21/2026SenateAdded as Alternate Co-Sponsor Sen. Suzy Glowiak Hilton
5/21/2026SenateAdded as Alternate Co-Sponsor Sen. Doris Turner
5/21/2026SenateAdded as Alternate Co-Sponsor Sen. Ram Villivalam
5/21/2026SenateAdded as Alternate Co-Sponsor Sen. Christopher Belt
5/21/2026SenateAdded as Alternate Co-Sponsor Sen. Javier L. Cervantes
5/21/2026SenateAdded as Alternate Co-Sponsor Sen. Sara Feigenholtz
5/21/2026SenateAdded as Alternate Co-Sponsor Sen. Michael W. Halpin
5/21/2026SenateAdded as Alternate Co-Sponsor Sen. Laura Fine
5/21/2026SenateAdded as Alternate Co-Sponsor Sen. Celina Villanueva
5/21/2026HouseArrived in House
5/21/2026HousePlaced on Calendar Order of Concurrence Senate Amendment(s) 4
5/22/2026HouseSenate Floor Amendment No. 4 Motion Filed Concur Rep. Yolonda Morris
5/22/2026HouseSenate Floor Amendment No. 4 Motion to Concur Referred to Rules Committee
5/25/2026HouseSenate Floor Amendment No. 4 Motion to Concur Rules Referred to Judiciary - Civil Committee
5/25/2026SenateAdded as Alternate Co-Sponsor Sen. Cristina Castro
5/27/2026HouseSenate Floor Amendment No. 4 Motion to Concur Recommends Be Adopted Judiciary - Civil Committee; 015-004-000
5/28/2026HouseSenate Floor Amendment No. 4 House Concurs 078-033-000
5/28/2026HouseHouse Concurs
5/28/2026HousePassed Both Houses
5/30/2026SenateAdded as Alternate Chief Co-Sponsor Sen. Elgie R. Sims, Jr.
5/31/2026SenateAdded as Alternate Co-Sponsor Sen. Mary Edly-Allen
5/31/2026SenateAdded as Alternate Co-Sponsor Sen. David Koehler
6/01/2026SenateAdded as Alternate Co-Sponsor Sen. Napoleon Harris, III
6/26/2026HouseSent to the Governor