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 Bill Status of SB0126  104th General Assembly

Short Description:  INS CD-ALZHEIMER'S TREATMENT

Senate Sponsors
Sen. Laura M. Murphy - Mike Simmons, Sally J. Turner, Mary Edly-Allen, Mark L. Walker, Javier L. Cervantes, Laura Ellman, Seth Lewis, Napoleon Harris, III, Julie A. Morrison, Graciela Guzmán, Linda Holmes, Meg Loughran Cappel, Sara Feigenholtz, Adriane Johnson, Paul Faraci, Karina Villa and Christopher Belt

House Sponsors
(Rep. Mary Gill - Natalie A. Manley, Anthony DeLuca, Martha Deuter, Dave Vella, Michael J. Kelly, Martin J. Moylan, Joyce Mason, Maura Hirschauer, Nicholas K. Smith, Nicolle Grasse, Janet Yang Rohr, Michael Crawford, Lindsey LaPointe, Dagmara Avelar, Camille Y. Lilly, Ann M. Williams, Jennifer Sanalitro, Stephanie A. Kifowit, Michelle Mussman, Margaret Croke, Katie Stuart, Amy L. Grant, Anne Stava-Murray and Emanuel "Chris" Welch)

Last Action
DateChamber Action
  4/17/2025HouseAssigned to Insurance Committee

Statutes Amended In Order of Appearance
55 ILCS 5/5-1069.3
65 ILCS 5/10-4-2.3
105 ILCS 5/10-22.3f
215 ILCS 5/356z.80 new
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


Synopsis As Introduced
Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or a managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2027 shall provide coverage for all medically necessary diagnostic testing and U.S. Food and Drug Administration-approved treatments or medications prescribed to slow the progression of Alzheimer's disease or another related dementia, in accordance with the U.S. Food and Drug Administration label, as determined by a physician licensed to practice medicine in all its branches. Provides that coverage of U.S. Food and Drug Administration-approved treatments or medications prescribed to slow the progression of Alzheimer's disease or another related dementia shall not be subject to step therapy. 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 under those provisions. Effective immediately.

Senate Committee Amendment No. 1
Adds reference to:
5 ILCS 375/6.11
5 ILCS 375/6.11E

Replaces everything after the enacting clause with the provisions of the introduced bill with the following changes. Specifies that nothing in provisions of the Illinois Insurance Code requiring coverage of certain treatments or medications prescribed to slow the progression of Alzheimer's disease or another related dementia prohibits a group or individual policy of accident and health insurance or managed care plan from requiring a pharmacist to effect substitutions of prescription drugs under certain provisions of the Pharmacy Practice Act. Provides that the required coverage shall not apply to managed care plans that are under contract with the Department of Healthcare and Family Services. Amends the State Employees Group Insurance Act of 1971 to require the same coverage as provided under the Illinois Insurance Code for treatments to slow the progression of Alzheimer's disease and related dementias. Provides for repeal of existing provisions for such coverage in that Act on July 1, 2027. Effective immediately, except some provisions amending the State Employees Group Insurance Act of 1971 are effective July 1, 2027.

Actions 
DateChamber Action
  1/17/2025SenateFiled with Secretary by Sen. Laura M. Murphy
  1/17/2025SenateFirst Reading
  1/17/2025SenateReferred to Assignments
  3/4/2025SenateAssigned to Insurance
  3/5/2025SenateAdded as Co-Sponsor Sen. Sally J. Turner
  3/5/2025SenateAdded as Co-Sponsor Sen. Mary Edly-Allen
  3/5/2025SenateAdded as Co-Sponsor Sen. Mark L. Walker
  3/5/2025SenateAdded as Co-Sponsor Sen. Javier L. Cervantes
  3/7/2025SenateAdded as Co-Sponsor Sen. Laura Ellman
  3/11/2025SenateSenate Committee Amendment No. 1 Filed with Secretary by Sen. Laura M. Murphy
  3/11/2025SenateSenate Committee Amendment No. 1 Referred to Assignments
  3/18/2025SenateSenate Committee Amendment No. 1 Assignments Refers to Insurance
  3/18/2025SenateSenate Committee Amendment No. 1 Adopted
  3/19/2025SenateDo Pass as Amended Insurance; 012-000-000
  3/19/2025SenatePlaced on Calendar Order of 2nd Reading March 20, 2025
  3/19/2025SenateAdded as Co-Sponsor Sen. Seth Lewis
  3/20/2025SenateAdded as Co-Sponsor Sen. Napoleon Harris, III
  3/20/2025SenateSecond Reading
  3/20/2025SenatePlaced on Calendar Order of 3rd Reading April 1, 2025
  3/20/2025SenateAdded as Co-Sponsor Sen. Julie A. Morrison
  3/20/2025SenateAdded as Co-Sponsor Sen. Graciela Guzmán
  3/20/2025SenateAdded as Co-Sponsor Sen. Linda Holmes
  3/20/2025SenateAdded as Co-Sponsor Sen. Meg Loughran Cappel
  3/20/2025SenateAdded as Co-Sponsor Sen. Sara Feigenholtz
  3/27/2025SenateAdded as Co-Sponsor Sen. Adriane Johnson
  4/1/2025SenateAdded as Co-Sponsor Sen. Paul Faraci
  4/2/2025SenateAdded as Co-Sponsor Sen. Karina Villa
  4/3/2025SenateThird Reading - Passed; 055-000-000
  4/3/2025SenateAdded as Chief Co-Sponsor Sen. Mike Simmons
  4/3/2025SenateAdded as Co-Sponsor Sen. Christopher Belt
  4/4/2025HouseArrived in House
  4/4/2025HouseChief House Sponsor Rep. Mary Gill
  4/7/2025HouseFirst Reading
  4/7/2025HouseReferred to Rules Committee
  4/8/2025HouseAdded Alternate Co-Sponsor Rep. Anthony DeLuca
  4/8/2025HouseAdded Alternate Co-Sponsor Rep. Martha Deuter
  4/8/2025HouseAdded Alternate Co-Sponsor Rep. Dave Vella
  4/8/2025HouseAdded Alternate Co-Sponsor Rep. Michael J. Kelly
  4/8/2025HouseAdded Alternate Co-Sponsor Rep. Martin J. Moylan
  4/8/2025HouseAdded Alternate Co-Sponsor Rep. Joyce Mason
  4/8/2025HouseAdded Alternate Co-Sponsor Rep. Maura Hirschauer
  4/9/2025HouseAdded Alternate Co-Sponsor Rep. Nicholas K. Smith
  4/9/2025HouseAdded Alternate Co-Sponsor Rep. Nicolle Grasse
  4/9/2025HouseAdded Alternate Co-Sponsor Rep. Janet Yang Rohr
  4/9/2025HouseAdded Alternate Co-Sponsor Rep. Michael Crawford
  4/9/2025HouseAdded Alternate Co-Sponsor Rep. Lindsey LaPointe
  4/9/2025HouseAdded Alternate Co-Sponsor Rep. Dagmara Avelar
  4/9/2025HouseAdded Alternate Co-Sponsor Rep. Camille Y. Lilly
  4/9/2025HouseAdded Alternate Co-Sponsor Rep. Natalie A. Manley
  4/9/2025HouseAdded Alternate Chief Co-Sponsor Rep. Natalie A. Manley
  4/9/2025HouseAlternate Co-Sponsor Removed Rep. Natalie A. Manley
  4/9/2025HouseAdded Alternate Co-Sponsor Rep. Ann M. Williams
  4/9/2025HouseAdded Alternate Co-Sponsor Rep. Jennifer Sanalitro
  4/9/2025HouseAdded Alternate Co-Sponsor Rep. Stephanie A. Kifowit
  4/9/2025HouseAdded Alternate Co-Sponsor Rep. Michelle Mussman
  4/9/2025HouseAdded Alternate Co-Sponsor Rep. Margaret Croke
  4/9/2025HouseAdded Alternate Co-Sponsor Rep. Katie Stuart
  4/10/2025HouseAdded Alternate Co-Sponsor Rep. Amy L. Grant
  4/10/2025HouseAdded Alternate Co-Sponsor Rep. Anne Stava-Murray
  4/14/2025HouseAdded Alternate Co-Sponsor Rep. Emanuel "Chris" Welch
  4/17/2025HouseAssigned to Insurance Committee

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