SB 1238 Illinois Senate · 104th Regular Session

NONOPIOID ALTERNATIVES

Summary

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.

Issues: ✓ Healthcare

Bill status signed all 5 stages cleared

Introduction

Apr 2025

Committee Review

Apr 2025

Senate Passage

May 2025

House Passage

May 2025

Signed into Law

Aug 2025

Introduced Apr 4, 2025 Signed Aug 15, 2025

Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed → Enrolled · 1 edit · Aug 15, 2025

MINOR

The bill text was updated from its 'Engrossed' version to the final 'Enrolled' version, which is the official text signed into law. The substantive policy content regarding the Illinois Medicaid Preferred Drug List and nonopioid drugs remains unchanged, with the only modifications being the removal of draft headers and the addition of final page numbering.

Scope change

No change in the scope or applicability of the bill; this is a procedural update to the final text.

TECHNICAL

Removed draft headers identifying the text as 'Engrossed' and replaced them with 'Enrolled' to reflect the bill's final status.

Floor votes · Senate Apr 3, 2025 · House May 22, 2025

How they voted

53–0

Passed · 5 other

Total votes 58

Apr 3, 2025

D Democratic39

34 Yea 5

87% Yea

R Republican19

19 Yea

100% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Aug 15, 2025

Signed into law

Governor Approved

upper

May 22, 2025

Upper · Passed

Passed Both Houses

upper

May 22, 2025

Lower · Passed

Third Reading - Short Debate - Passed 113-000-000

lower

Apr 29, 2025

Lower · Passed

Do Pass / Short Debate Health Care Availability & Accessibility Committee; 011-000-000

lower

Apr 17, 2025

Committee

Assigned to Health Care Availability & Accessibility Committee

lower

Apr 7, 2025

Committee

Referred to Rules Committee

lower

Apr 4, 2025

Introduced

Arrived in House

lower

Apr 3, 2025

Upper · Passed

Third Reading - Passed; 053-000-000

upper

Mar 19, 2025

Upper · Passed

Do Pass as Amended Insurance; 012-000-000

upper

Mar 18, 2025

Upper · Passed

Senate Committee Amendment No. 1 Adopted

upper

Mar 18, 2025

Upper · Passed

Senate Committee Amendment No. 1 Assignments Refers to Insurance

upper

Mar 12, 2025

Committee

Senate Committee Amendment No. 1 Referred to Assignments

upper

Mar 12, 2025

Introduced

Senate Committee Amendment No. 1 Filed with Secretary by Sen. Karina Villa

upper

Feb 4, 2025

Committee

Assigned to Insurance

upper

Jan 24, 2025

Committee

Referred to Assignments

upper

2 primary · 18 co-sponsors