Healthcare

in committee · Illinois · House Mar 21, 2025

HB 1171: INS-COST SHARING/DRUG REBATES

Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance amended, delivered, issued, or renewed on or after January 1, 2026 that provides coverage for prescription drugs shall require that a covered individual's defined cost sharing for each prescription drug shall be calculated at the point of sale based on a price that is reduced by an amount equal to at least 100% of all rebates received in connection with the dispensation or administration of the prescription drug. Provides that an insurer shall apply any rebate amount in excess of the defined cost sharing amount to the health plan to reduce premiums. Provides that the provisions shall not preclude an insurer from decreasing a covered individual's defined cost sharing by an amount greater than the stated amount at the point of sale. Provides that the Department of Insurance may adopt rules to implement the provisions.

Topics ✓ HealthcareSupports HealthcareBill mandates insurers pass 100% of drug rebates to patients, reducing out-of-pocket costs for prescription drugs. This directly improves patient access and lowers costs, aligning with healthcare support indicators.95% confidence

Sub-Topics Prescription Drugs

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in committee · Illinois · Senate Feb 6, 2025

SB 1998: HEALTH CARE CONSOLIDATION

Amends the Illinois Antitrust Act. Requires the Attorney General to consent to covered transactions of health care facilities before a covered transaction may take effect.

Topics ✓ HealthcareSupports HealthcareRequires AG consent for healthcare facility transactions to prevent anti-competitive consolidation, promoting market competition and protecting patient access to services.85% confidence

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in committee · Illinois · House Mar 21, 2025

HB 2895: TELEHEALTH-TREAT UNI STUDENT

Amends the Telehealth Act. Provides that an out-of-state health care professional may treat a patient located in this State through telehealth if the patient is a student attending an institution of higher education in this State, but is otherwise not a resident of the State when not attending the institution of higher education.

Topics ✓ HealthcareSupports HealthcareExpands telehealth access for university students by enabling out-of-state providers, improving healthcare access for a specific population without restrictions.95% confidence

Sub-Topics Telehealth

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in committee · Illinois · Senate Apr 11, 2025

SB 2056: MOBILE TELEDENTISTRY EXAMS

Amends the Illinois Dental Practice Act. Provides that a patient of record who is provided services through a mobile dental van or portable dental unit does not need to receive an in-person physical examination from a dentist prior to receiving treatment that utilizes teledentistry if such services are limited to certain procedures.

Topics ✓ HealthcareSupports HealthcareRemoves in-person exam requirement for mobile teledentistry, improving patient access to dental care under Illinois Dental Practice Act.95% confidence

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in committee · Illinois · House Mar 21, 2025

HB 3243: REPEAL REPRODUCTIVE HEALTH ACT

Creates the Illinois Abortion Law of 2025, with provisions similar to those of the Illinois Abortion Law of 1975 before its repeal by Public Act 101-13, as well as including provisions defining "viability" and "fetal heartbeat" and restricting the performance of an abortion to a patient who resides in the State. Creates the Partial-birth Abortion Ban Act of 2025 and the Abortion Performance Refusal Act of 2025, with provisions similar to those of the Partial-birth Abortion Ban Act and the Abortion Performance Refusal Act before their repeal by Public Act 101-13. Creates the Parental Notice of Abortion Act of 2025, with provisions similar to those of the Parental Notice of Abortion Act of 1995 before its repeal by Public Act 102-685. Amends various Acts by restoring the language that existed before the amendment of those Acts by Public Acts 101-13 and 102-1117. Repeals the Reproductive Health Act, the Abortion Care Clinical Training Program Act, the Lawful Health Care Activity Act, the Protecting Reproductive Health Care Services Act, and the Youth Health and Safety Act. Effective immediately.

Topics ✗ HealthcareOpposes HealthcareRestricts abortion access by repealing reproductive health protections and imposing new limitations on procedures, directly limiting patient access to reproductive healthcare services.95% confidence

Sub-Topics Women's Health

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in committee · Illinois · Senate Jul 2, 2025

SB 1511: $EDUC-NURSING ASSISTANCE

Appropriates $1,000,000 from the Education Assistance Fund to the Illinois Student Assistance Commission for grants to eligible nurse educators to use for payment of their educational loans pursuant to Public Act 94-1020. Appropriates $1,000,000 from the General Revenue Fund to the Board of Higher Education for nurse educator fellowships to supplement nurse faculty salaries. Appropriates $1,500,000 from the General Revenue Fund to the Board of Higher Education for competitive grants for nursing schools to increase the number of graduating nurses. Appropriates $6,000,000 from the Nursing Dedicated and Professional Fund to the Illinois Student Assistance Commission for expenses related to the Nursing Education Scholarship Law. Effective July 1, 2025.

Topics ✓ Budget & TaxesSupports Budget & TaxesAppropriates $3.5M from state funds for nursing education grants/fellowships, directly increasing public service funding under budget management.90% confidence ✓ EducationSupports EducationAppropriates $1M+ for nurse educator loan payments, salary supplements, and competitive grants to strengthen nursing education workforce and funding.95% confidence ✓ HealthcareSupports HealthcareAllocates $3.5M for nurse educator loans, fellowships, and grants to strengthen nursing workforce and healthcare infrastructure.95% confidence

Sub-Topics Revenue Student Financial Aid Teachers Healthcare Workforce

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passed · Illinois · Senate Jun 1, 2025

SR 253: CELIAC DISEASE AWARENESS MONTH

Declares May 2025 as Celiac Disease Awareness Month to raise public awareness of this serious condition. Encourages support for improving the quality of life and health of individuals with celiac disease by advancing biomedical research to develop diagnostic tools, life-improving treatments, and a cure.

Topics ✓ HealthcareSupports HealthcareBill advances biomedical research for celiac disease diagnostics, treatments, and cure, directly aligning with healthcare support indicators like research advancement.95% confidence

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in committee · Illinois · House Feb 4, 2025

HB 2438: MEDICAID-RX-MENTAL ILLNESS

Amends the Medical Assistance Article of the Illinois Public Aid Code. In provisions prohibiting prior authorization mandates and utilization management controls under the fee-for-service and managed care medical assistance programs on specified FDA-approved prescription drugs for mental illness, provides that the prohibition shall apply if a preferred or non-preferred drug is prescribed to an adult patient to treat a serious mental illness and during the preceding 60 days, the patient who experienced an inadequate response was prescribed and unsuccessfully treated with a 14-day treatment trial of a drug for the same clinical condition that is included on the preferred drug list. Removes provisions conditioning the receipt of prescription drugs without prior authorization on: (i) the patient changing providers while receiving a previously authorized prescription drug; (ii) the patient changing insurance coverage while receiving a previously authorized prescription drug; and (iii) the patient's prescription for a previously authorized drug modifies the dosage, dosage frequency, or both, of the drug as part of the same treatment for which the drug was previously prescribed.

Topics ✓ HealthcareSupports HealthcareRemoves prior authorization barriers for FDA-approved mental health drugs under Medicaid, improving patient access to treatment for serious mental illness.95% confidence

Sub-Topics Prescription Drugs

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in committee · Illinois · Senate Apr 24, 2025

SB 1603: INS-BEHAVIORAL HEALTH

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, 2026, shall not impose any prior authorization or utilization management controls on covered behavioral health services. Makes conforming changes to the State Employees Group Insurance Act of 1971, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, and the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Insurance and the Department of Healthcare and Family Services to establish a process for receiving complaints from providers and covered individuals for violations of the mandate. Grants the Department of Insurance and the Department of Healthcare and Family Services the authority to issue cease and desist orders and administrative fines. Amends the Prior Authorization Reform Act. Provides that the Department of Healthcare and Family Services shall adopt rules consistent with the Act. Provisions amending the Prior Authorization Reform Act are effective immediately.

Topics ✓ EducationSupports EducationRemoves prior authorization barriers for school-based behavioral health services under School Code, enhancing student mental health access and support85% confidence ✓ HealthcareSupports HealthcareProhibits prior authorization for behavioral health services in insurance policies, improving patient access to mental health coverage per Illinois Insurance Code amendment.95% confidence

Sub-Topics Insurance Mental Health

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in committee · Illinois · House Jul 1, 2025

HB 3018: $PUBLIC HEALTH-CLINICS

Appropriates $9,000,000 from the General Revenue Fund to the Department of Public Health for continued funding to the Illinois Association of Free and Charitable Clinics. Effective July 1, 2025.

Topics ✓ Budget & TaxesSupports Budget & TaxesAppropriates $9M from General Revenue Fund to fund public health clinics, increasing state funding for essential services.90% confidence ✓ HealthcareSupports HealthcareAppropriates $9M to fund public health clinics, expanding access to care for underserved communities.95% confidence

Sub-Topics Revenue

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