Bill Status of HB 5295   103rd General Assembly

Short Description:  INS-HORMONE THERAPY-MENOPAUSE

House Sponsors
Rep. Laura Faver Dias-Anne Stava-Murray-Carol Ammons-Jehan Gordon-Booth, Diane Blair-Sherlock, Janet Yang Rohr, Camille Y. Lilly, Dagmara Avelar, Norma Hernandez, Elizabeth "Lisa" Hernandez, Lilian Jiménez, Mary Beth Canty, Tracy Katz Muhl, Jawaharial Williams, Ann M. Williams, Emanuel "Chris" Welch, Jenn Ladisch Douglass, Katie Stuart, Stephanie A. Kifowit, Sonya M. Harper, Maura Hirschauer and Robyn Gabel

Senate Sponsors
(Sen. Linda Holmes-Sue Rezin, Willie Preston, Mary Edly-Allen, Adriane Johnson, Julie A. Morrison, Doris Turner, Mike Simmons, Laura M. Murphy and Meg Loughran Cappel)


Last Action  View All Actions

DateChamber Action
  7/19/2024HousePublic Act . . . . . . . . . 103-0703

Statutes Amended In Order of Appearance
215 ILCS 5/356z.56

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 in this State shall provide coverage for medically necessary hormone therapy treatment to treat menopause (instead of to treat menopause that has been induced by a hysterectomy). Effective January 1, 2026.

House Committee Amendment No. 1
Adds reference to:
305 ILCS 5/5-16.8
305 ILCS 5/5-52 new

Replaces everything after the enacting clause. 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 provide coverage for medically necessary hormonal and non-hormonal therapy to treat menopausal symptoms if the therapy is recommended by a qualified health care provider who is licensed, accredited, or certified under Illinois law and the therapy has been proven safe and effective in peer-reviewed scientific studies. Provides that coverage for therapy to treat menopausal symptoms shall include all federal Food and Drug Administration-approved modalities of hormonal and non-hormonal administration, including, but not limited to, oral, transdermal, topical, and vaginal rings. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the medical assistance program shall provide coverage for medically necessary hormone therapy treatment to treat menopause that has been induced by a hysterectomy. Makes a conforming change. Effective January 1, 2026.

Actions 
DateChamber Action
  2/8/2024HouseFiled with the Clerk by Rep. Laura Faver Dias
  2/9/2024HouseFirst Reading
  2/9/2024HouseReferred to Rules Committee
  2/28/2024HouseAssigned to Insurance Committee
  3/11/2024HouseAdded Chief Co-Sponsor Rep. Anne Stava-Murray
  3/11/2024HouseAdded Chief Co-Sponsor Rep. Carol Ammons
  3/11/2024HouseAdded Co-Sponsor Rep. Diane Blair-Sherlock
  3/11/2024HouseAdded Co-Sponsor Rep. Janet Yang Rohr
  3/11/2024HouseAdded Co-Sponsor Rep. Camille Y. Lilly
  3/11/2024HouseAdded Co-Sponsor Rep. Dagmara Avelar
  3/11/2024HouseAdded Co-Sponsor Rep. Norma Hernandez
  3/11/2024HouseAdded Co-Sponsor Rep. Elizabeth "Lisa" Hernandez
  3/11/2024HouseAdded Co-Sponsor Rep. Lilian Jiménez
  3/11/2024HouseAdded Co-Sponsor Rep. Mary Beth Canty
  3/14/2024HouseHouse Committee Amendment No. 1 Filed with Clerk by Rep. Laura Faver Dias
  3/14/2024HouseHouse Committee Amendment No. 1 Referred to Rules Committee
  3/20/2024HouseHouse Committee Amendment No. 1 Rules Refers to Insurance Committee
  3/20/2024HouseAdded Co-Sponsor Rep. Tracy Katz Muhl
  4/1/2024HouseAdded Chief Co-Sponsor Rep. Jehan Gordon-Booth
  4/2/2024HouseHouse Committee Amendment No. 1 Adopted in Insurance Committee; by Voice Vote
  4/2/2024HouseDo Pass as Amended / Short Debate Insurance Committee; 015-000-000
  4/2/2024HouseAdded Co-Sponsor Rep. Jawaharial Williams
  4/3/2024HousePlaced on Calendar 2nd Reading - Short Debate
  4/3/2024HouseAdded Co-Sponsor Rep. Ann M. Williams
  4/9/2024HouseAdded Co-Sponsor Rep. Emanuel "Chris" Welch
  4/11/2024HouseSecond Reading - Short Debate
  4/11/2024HousePlaced on Calendar Order of 3rd Reading - Short Debate
  4/12/2024HouseAdded Co-Sponsor Rep. Jenn Ladisch Douglass
  4/12/2024HouseAdded Co-Sponsor Rep. Katie Stuart
  4/15/2024HouseAdded Co-Sponsor Rep. Stephanie A. Kifowit
  4/17/2024HouseAdded Co-Sponsor Rep. Sonya M. Harper
  4/17/2024HouseAdded Co-Sponsor Rep. Maura Hirschauer
  4/17/2024HouseThird Reading - Short Debate - Passed 111-000-000
  4/17/2024HouseAdded Co-Sponsor Rep. Robyn Gabel
  4/18/2024SenateArrive in Senate
  4/18/2024SenatePlaced on Calendar Order of First Reading
  4/18/2024SenateChief Senate Sponsor Sen. Linda Holmes
  4/18/2024SenateFirst Reading
  4/18/2024SenateReferred to Assignments
  4/24/2024SenateAssigned to Insurance
  5/1/2024SenateDo Pass Insurance; 008-000-000
  5/1/2024SenatePlaced on Calendar Order of 2nd Reading May 2, 2024
  5/2/2024SenateSecond Reading
  5/2/2024SenatePlaced on Calendar Order of 3rd Reading May 7, 2024
  5/14/2024SenateAdded as Alternate Chief Co-Sponsor Sen. Sue Rezin
  5/16/2024SenateThird Reading - Passed; 058-000-000
  5/16/2024HousePassed Both Houses
  5/16/2024SenateAdded as Alternate Co-Sponsor Sen. Willie Preston
  5/16/2024SenateAdded as Alternate Co-Sponsor Sen. Mary Edly-Allen
  5/16/2024SenateAdded as Alternate Co-Sponsor Sen. Adriane Johnson
  5/26/2024SenateAdded as Alternate Co-Sponsor Sen. Julie A. Morrison
  5/26/2024SenateAdded as Alternate Co-Sponsor Sen. Doris Turner
  5/26/2024SenateAdded as Alternate Co-Sponsor Sen. Mike Simmons
  5/26/2024SenateAdded as Alternate Co-Sponsor Sen. Laura M. Murphy
  5/30/2024SenateAdded as Alternate Co-Sponsor Sen. Meg Loughran Cappel
  6/13/2024HouseSent to the Governor
  7/19/2024HouseGovernor Approved
  7/19/2024HouseEffective Date January 1, 2026
  7/19/2024HousePublic Act . . . . . . . . . 103-0703

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