HB 2584 Illinois House · 104th Regular Session

INS-PRIOR AUTH HIV DRUG ACCESS

Summary

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.

Issues: ✓ Healthcare

Bill status passed 3 of 5 stages cleared

Introduction

Apr 2025

Committee Review

Jun 2026

House Passage

Apr 2025

Senate Passage

Governor

Introduced Apr 14, 2025 Last action Jun 1, 2026

Maddy AI version diff · 1 comparison

What changed between versions

Introduced → Engrossed · 4 edits · Apr 11, 2025

MODERATE

This bill removes the requirement for prior authorization for HIV pre-exposure and post-exposure prophylaxis medications, allowing health insurers and Medicaid programs to cover these drugs without needing approval before dispensing. It also updates the effective date for these changes from January 1, 2027, to the date the act is enacted, ensuring immediate coverage. The bill retains existing mandates requiring insurance plans to cover abortion medications and gender-affirming hormonal therapy without cost-sharing.

Scope change

The bill's scope regarding HIV prevention and treatment medication coverage is expanded by eliminating the prior authorization barrier, while the scope for abortion and gender-affirming care remains unchanged.

REQUIREMENT

Removed the mandate that health insurers and Medicaid programs must obtain prior authorization before covering HIV pre-exposure and post-exposure prophylaxis medications.

Modified the Prior Authorization Reform Act to explicitly prohibit requiring prior authorization for the specified HIV medications and their therapeutic equivalents.

TIMELINE

Changed the effective date for the HIV medication coverage changes from January 1, 2027, to the date the act is enacted.

DEFINITION

Added specific definitions for 'abortifacients,' 'hormonal therapy medication,' and 'therapeutic equivalent version' to clarify coverage requirements for abortion and gender-affirming care.

Floor votes · House Apr 11, 2025

How they voted

78–35

Passed · 5 other

Total votes 118

Apr 11, 2025

D Democratic78

75 Yea 3

96% Yea

R Republican40

3 Yea 35 Nay 2

87% Nay

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

100

Key actions

Committee

Amendments

Jun 1, 2026

Committee

Senate Committee Amendment No. 2 Rule 3-9(a) / Re-referred to Assignments

upper

Jun 1, 2026

Committee

Senate Committee Amendment No. 1 Rule 3-9(a) / Re-referred to Assignments

upper

Jun 1, 2026

Committee

Rule 3-9(a) / Re-referred to Assignments

upper

May 15, 2026

Upper · Passed

Rule 2-10 Committee Deadline Established As May 22, 2026

upper

May 8, 2026

Upper · Passed

Rule 2-10 Committee Deadline Established As May 15, 2026

upper

May 6, 2026

Upper · Passed

Senate Committee Amendment No. 2 Assignments Refers to Insurance

upper

May 5, 2026

Committee

Senate Committee Amendment No. 2 Referred to Assignments

upper

May 5, 2026

Introduced

Senate Committee Amendment No. 2 Filed with Secretary by Sen. Sara Feigenholtz

upper

Apr 28, 2026

Upper · Passed

Senate Committee Amendment No. 1 Assignments Refers to Insurance

upper

Apr 27, 2026

Committee

Senate Committee Amendment No. 1 Referred to Assignments

upper

Apr 27, 2026

Introduced

Senate Committee Amendment No. 1 Filed with Secretary by Sen. Sara Feigenholtz

upper

Apr 22, 2026

Committee

Re-assigned to Insurance

upper

Jun 2, 2025

Committee

Rule 3-9(a) / Re-referred to Assignments

upper

May 27, 2025

Committee

Re-referred to Insurance

upper

May 27, 2025

Upper · Passed

Rule 2-10 Committee Deadline Established As June 1, 2025

upper

May 23, 2025

Committee

Rule 3-9(a) / Re-referred to Assignments

upper

May 9, 2025

Upper · Passed

Rule 2-10 Committee Deadline Established As May 23, 2025

upper

Apr 29, 2025

Committee

Assigned to Appropriations- Health and Human Services

upper

Apr 14, 2025

Committee

Referred to Assignments

upper

Apr 14, 2025

Introduced

Arrive in Senate

upper

Apr 11, 2025

Lower · Passed

Third Reading - Short Debate - Passed 078-035-000

lower

Apr 11, 2025

Lower · Passed

House Floor Amendment No. 2 Adopted

lower

Apr 8, 2025

Lower · Passed

House Floor Amendment No. 2 Recommends Be Adopted Insurance Committee; 010-004-000

lower

Apr 8, 2025

Lower · Passed

House Floor Amendment No. 2 Rules Refers to Insurance Committee

lower

Apr 7, 2025

Committee

House Floor Amendment No. 2 Referred to Rules Committee

lower

Apr 7, 2025

Introduced

House Floor Amendment No. 2 Filed with Clerk by Rep. Kelly M. Cassidy

lower

Mar 11, 2025

Lower · Passed

Do Pass as Amended / Short Debate Insurance Committee; 013-003-000

lower

Mar 11, 2025

Lower · Passed

House Committee Amendment No. 1 Adopted in Insurance Committee; by Voice Vote

lower

Mar 11, 2025

Lower · Passed

House Committee Amendment No. 1 Rules Refers to Insurance Committee

lower

Mar 10, 2025

Committee

House Committee Amendment No. 1 Referred to Rules Committee

lower

Mar 10, 2025

Introduced

House Committee Amendment No. 1 Filed with Clerk by Rep. Kelly M. Cassidy

lower

Mar 4, 2025

Committee

Assigned to Insurance Committee

lower

2 primary · 42 co-sponsors