Illinois General Assembly - Bill Status for HB2584
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 Bill Status of HB2584  104th General Assembly

Short Description:  INS-PRIOR AUTH HIV DRUG ACCESS

House Sponsors
Rep. Kelly M. Cassidy - Terra Costa Howard - Harry Benton, Lilian Jiménez, Rita Mayfield, Edgar González, Jr., Tracy Katz Muhl, Kevin John Olickal, Will Guzzardi, Mary Beth Canty, Laura Faver Dias, Norma Hernandez, Abdelnasser Rashid, Nabeela Syed, Barbara Hernandez, Lisa Davis, Amy Briel, Michael Crawford, Diane Blair-Sherlock, Stephanie A. Kifowit, Jennifer Gong-Gershowitz, Daniel Didech, Bob Morgan, Jehan Gordon-Booth, Justin Slaughter, Camille Y. Lilly, Martha Deuter, Lindsey LaPointe, Ann M. Williams, Hoan Huynh, Janet Yang Rohr, Anna Moeller and Nicolle Grasse

Senate Sponsors
(Sen. Laura Fine - Sara Feigenholtz - Graciela Guzmán, Mike Simmons and Karina Villa)

Last Action
DateChamber Action
  6/2/2025SenateRule 3-9(a) / Re-referred to Assignments

Statutes Amended In Order of Appearance
215 ILCS 200/52 new
305 ILCS 5/5-54 new


Synopsis As Introduced
Amends the Prior Authorization Reform Act and the Illinois Public Aid Code. Provides that a health insurance issuer, the fee-for-service medical assistance program, and a Medicaid managed care organization may not require prior authorization for the following prescription drug types and their therapeutic equivalents approved by the United States Food and Drug Administration: human immunodeficiency virus pre-exposure prophylaxis and post-exposure prophylaxis medication or human immunodeficiency virus treatment medication. Effective January 1, 2027.

House Committee Amendment No. 1
Adds reference to:
215 ILCS 5/356z.60
305 ILCS 5/5-5.12from Ch. 23, par. 5-5.12

Replaces everything after the enacting clause with the provisions of the introduced bill with the following changes. Amends the Illinois Public Aid Code. In provisions concerning utilization controls, removes provisions concerning drugs for the treatment of HIV or AIDS. Amends the Illinois Insurance Code to include pre-PrEP HIV screening, sexually transmitted infection screening, kidney function analysis, routine laboratory testing, and routine provider visits as covered follow-up services in provisions requiring an individual or group policy of accident and health insurance to provide coverage for all abortifacients, hormonal therapy medication, human immunodeficiency virus pre-exposure prophylaxis, and post-exposure prophylaxis drugs approved by the United States Food and Drug Administration, and follow-up services related to that coverage. Effective on January 1, 2027.

 Judicial Note (Admin Office of the Illinois Courts)
 Based on a review of HB2584, as amended by House Amendment 1, the legislation will not increase or decrease the number of judges needed in the state of Illinois.

 Balanced Budget Note (Office of Management and Budget)
 Please be advised that the Balanced Budget Note Act does not apply to House Bill 2584, as amended by House Amendment 1 as it is not a supplemental appropriation that increases or decreases appropriations. Under the Act, a balanced budget note must be prepared only for bills that change a general funds appropriation for the fiscal year in which the new bill is enacted.

 Housing Affordability Impact Note (Housing Development Authority)
 This bill will have no effect on the cost of constructing, purchasing, owning, or selling a single-family residence.

 Pension Note (Government Forecasting & Accountability)
 HB 2584, as amended by HA 1, will not impact any public pension fund or retirement system in the State of Illinois.

 State Debt Impact Note (Government Forecasting & Accountability)
 HB 2584, House Amendment 1, would not change the amount of authorization for any type of State-issued bond, and, therefore, would not affect the level of State indebtedness.

 Fiscal Note (Dept. of Healthcare & Family Services)
 HB2584 has an estimated annualized cost to the Illinois Medical Assistance Program of $48.8 million due to a total loss of supplemental rebate revenue for the Illinois Department of Healthcare and Family Services and utilization shifts to higher-cost medications. The majority of this annual cost is due to the loss of supplemental rebate revenue.

 Racial Impact Note (Dept. of Healthcare & Family Services)
 Changes to the Public Aid Code proposed in House Bill 2584, as amended by House Amendment # 1, would impact approximately 18,000 Medicaid customers currently utilizing the medications as described. A total of 62% of current Medicaid customers utilizing these medications self-report as racial or ethnic minorities. This is higher than 35% of the entire population of Medicaid customers who identify as racial or ethnic minorities. The trend over the last 3 years is mostly steady for Medicaid customers identifying as racial or ethnic minorities who utilize the medications. The procedural changes proposed by HA #1 would impact all Medicaid customers utilizing or who may utilize these medications in the future.

House Floor Amendment No. 2
Deletes reference to:
305 ILCS 5/5-5.12from Ch. 23, par. 5-5.12
305 ILCS 5/5-54 new

Replaces everything after the enacting clause with the provisions of bill, as amended by House Amendment No. 1, with the following change: Removes provisions amending the Illinois Public Aid Code. Effective on January 1, 2027.

Actions 
DateChamber Action
  2/4/2025HouseFiled with the Clerk by Rep. Kelly M. Cassidy
  2/6/2025HouseFirst Reading
  2/6/2025HouseReferred to Rules Committee
  3/4/2025HouseAdded Co-Sponsor Rep. Lilian Jiménez
  3/4/2025HouseAdded Co-Sponsor Rep. Rita Mayfield
  3/4/2025HouseAdded Co-Sponsor Rep. Edgar González, Jr.
  3/4/2025HouseAdded Co-Sponsor Rep. Tracy Katz Muhl
  3/4/2025HouseAdded Co-Sponsor Rep. Kevin John Olickal
  3/4/2025HouseAdded Co-Sponsor Rep. Will Guzzardi
  3/4/2025HouseAdded Co-Sponsor Rep. Mary Beth Canty
  3/4/2025HouseAdded Co-Sponsor Rep. Laura Faver Dias
  3/4/2025HouseAdded Co-Sponsor Rep. Norma Hernandez
  3/4/2025HouseAdded Co-Sponsor Rep. Abdelnasser Rashid
  3/4/2025HouseAdded Co-Sponsor Rep. Nabeela Syed
  3/4/2025HouseAdded Co-Sponsor Rep. Barbara Hernandez
  3/4/2025HouseAdded Co-Sponsor Rep. Lisa Davis
  3/4/2025HouseAdded Co-Sponsor Rep. Amy Briel
  3/4/2025HouseAdded Co-Sponsor Rep. Michael Crawford
  3/4/2025HouseAssigned to Insurance Committee
  3/6/2025HouseAdded Co-Sponsor Rep. Diane Blair-Sherlock
  3/6/2025HouseAdded Co-Sponsor Rep. Stephanie A. Kifowit
  3/6/2025HouseAdded Co-Sponsor Rep. Jennifer Gong-Gershowitz
  3/6/2025HouseAdded Co-Sponsor Rep. Daniel Didech
  3/6/2025HouseAdded Co-Sponsor Rep. Bob Morgan
  3/6/2025HouseAdded Co-Sponsor Rep. Jehan Gordon-Booth
  3/6/2025HouseAdded Co-Sponsor Rep. Justin Slaughter
  3/10/2025HouseHouse Committee Amendment No. 1 Filed with Clerk by Rep. Kelly M. Cassidy
  3/10/2025HouseHouse Committee Amendment No. 1 Referred to Rules Committee
  3/10/2025HouseAdded Co-Sponsor Rep. Camille Y. Lilly
  3/11/2025HouseHouse Committee Amendment No. 1 Rules Refers to Insurance Committee
  3/11/2025HouseBalanced Budget Note Requested by Rep. Kelly M. Cassidy
  3/11/2025HouseCorrectional Note Requested by Rep. Kelly M. Cassidy
  3/11/2025HouseFiscal Note Requested by Rep. Kelly M. Cassidy
  3/11/2025HouseHome Rule Note Requested by Rep. Kelly M. Cassidy
  3/11/2025HouseHousing Affordability Impact Note Requested by Rep. Kelly M. Cassidy
  3/11/2025HouseJudicial Note Requested by Rep. Kelly M. Cassidy
  3/11/2025HouseLand Conveyance Appraisal Note Requested by Rep. Kelly M. Cassidy
  3/11/2025HousePension Note Requested by Rep. Kelly M. Cassidy
  3/11/2025HouseRacial Impact Note Requested by Rep. Kelly M. Cassidy
  3/11/2025HouseState Debt Impact Note Requested by Rep. Kelly M. Cassidy
  3/11/2025HouseState Mandates Fiscal Note Requested by Rep. Kelly M. Cassidy
  3/11/2025HouseHouse Committee Amendment No. 1 Adopted in Insurance Committee; by Voice Vote
  3/11/2025HouseDo Pass as Amended / Short Debate Insurance Committee; 013-003-000
  3/12/2025HouseJudicial Note Filed
  3/12/2025HouseBalanced Budget Note Filed
  3/12/2025HousePlaced on Calendar 2nd Reading - Short Debate
  3/12/2025HouseHousing Affordability Impact Note Filed
  3/12/2025HousePension Note Filed
  3/12/2025HouseState Debt Impact Note Filed
  3/13/2025HouseAdded Chief Co-Sponsor Rep. Terra Costa Howard
  3/13/2025HouseChief Co-Sponsor Changed to Rep. Terra Costa Howard
  3/24/2025HouseAdded Co-Sponsor Rep. Martha Deuter
  3/24/2025HouseAdded Co-Sponsor Rep. Lindsey LaPointe
  3/26/2025HouseSecond Reading - Short Debate
  3/26/2025HouseHeld on Calendar Order of Second Reading - Short Debate
  3/27/2025HouseAdded Co-Sponsor Rep. Ann M. Williams
  3/31/2025HouseAdded Co-Sponsor Rep. Hoan Huynh
  4/2/2025HouseFiscal Note Filed
  4/2/2025HouseRacial Impact Note Filed
  4/4/2025HouseAdded Co-Sponsor Rep. Janet Yang Rohr
  4/7/2025HouseHouse Floor Amendment No. 2 Filed with Clerk by Rep. Kelly M. Cassidy
  4/7/2025HouseHouse Floor Amendment No. 2 Referred to Rules Committee
  4/8/2025HouseHouse Floor Amendment No. 2 Rules Refers to Insurance Committee
  4/8/2025HouseHouse Floor Amendment No. 2 Recommends Be Adopted Insurance Committee; 010-004-000
  4/9/2025HouseAdded Co-Sponsor Rep. Anna Moeller
  4/11/2025HouseHouse Floor Amendment No. 2 Adopted
  4/11/2025HousePlaced on Calendar Order of 3rd Reading - Short Debate
  4/11/2025HouseThird Reading - Short Debate - Passed 078-035-000
  4/11/2025HouseAdded Co-Sponsor Rep. Nicolle Grasse
  4/11/2025HouseAdded Chief Co-Sponsor Rep. Harry Benton
  4/14/2025SenateArrive in Senate
  4/14/2025SenatePlaced on Calendar Order of First Reading
  4/14/2025SenateChief Senate Sponsor Sen. Laura Fine
  4/14/2025SenateFirst Reading
  4/14/2025SenateReferred to Assignments
  4/29/2025SenateAssigned to Appropriations- Health and Human Services
  4/30/2025SenateAdded as Alternate Co-Sponsor Sen. Mike Simmons
  4/30/2025SenateAdded as Alternate Co-Sponsor Sen. Karina Villa
  4/30/2025SenateAdded as Alternate Chief Co-Sponsor Sen. Sara Feigenholtz
  5/2/2025SenateAdded as Alternate Chief Co-Sponsor Sen. Graciela Guzmán
  5/9/2025SenateRule 2-10 Committee Deadline Established As May 23, 2025
  5/23/2025SenateRule 3-9(a) / Re-referred to Assignments
  5/27/2025SenateRule 2-10 Committee Deadline Established As June 1, 2025
  5/27/2025SenateRe-referred to Insurance
  6/2/2025SenateRule 3-9(a) / Re-referred to Assignments

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