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SB0126 - 104th General Assembly
INS CD-ALZHEIMER'S TREATMENT
Last Action
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 BeltHouse 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, Emanuel "Chris" Welch, Nicole La Ha, Jaime M. Andrade, Jr., Barbara Hernandez, Tracy Katz Muhl, Terra Costa Howard, Jawaharial Williams, Sharon Chung, Bob Morgan, Rick Ryan, Anna Moeller, Sue Scherer, Abdelnasser Rashid, Carol Ammons, Matt Hanson, Maurice A. West, II, Norma Hernandez and Kevin John Olickal)Statutes Amended In Order of Appearance
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 375/6.11E
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
| Date | Chamber | Action |
|---|---|---|
| 1/17/2025 | Senate | Filed with Secretary by Sen. Laura M. Murphy |
| 1/17/2025 | Senate | First Reading |
| 1/17/2025 | Senate | Referred to Assignments |
| 3/04/2025 | Senate | Assigned to Insurance |
| 3/05/2025 | Senate | Added as Co-Sponsor Sen. Sally J. Turner |
| 3/05/2025 | Senate | Added as Co-Sponsor Sen. Mary Edly-Allen |
| 3/05/2025 | Senate | Added as Co-Sponsor Sen. Mark L. Walker |
| 3/05/2025 | Senate | Added as Co-Sponsor Sen. Javier L. Cervantes |
| 3/07/2025 | Senate | Added as Co-Sponsor Sen. Laura Ellman |
| 3/11/2025 | Senate | Senate Committee Amendment No. 1 Filed with Secretary by Sen. Laura M. Murphy |
| 3/11/2025 | Senate | Senate Committee Amendment No. 1 Referred to Assignments |
| 3/18/2025 | Senate | Senate Committee Amendment No. 1 Assignments Refers to Insurance |
| 3/18/2025 | Senate | Senate Committee Amendment No. 1 Adopted |
| 3/19/2025 | Senate | Do Pass as Amended Insurance; 012-000-000 |
| 3/19/2025 | Senate | Placed on Calendar Order of 2nd Reading March 20, 2025 |
| 3/19/2025 | Senate | Added as Co-Sponsor Sen. Seth Lewis |
| 3/20/2025 | Senate | Added as Co-Sponsor Sen. Napoleon Harris, III |
| 3/20/2025 | Senate | Second Reading |
| 3/20/2025 | Senate | Placed on Calendar Order of 3rd Reading April 1, 2025 |
| 3/20/2025 | Senate | Added as Co-Sponsor Sen. Julie A. Morrison |
| 3/20/2025 | Senate | Added as Co-Sponsor Sen. Graciela Guzmán |
| 3/20/2025 | Senate | Added as Co-Sponsor Sen. Linda Holmes |
| 3/20/2025 | Senate | Added as Co-Sponsor Sen. Meg Loughran Cappel |
| 3/20/2025 | Senate | Added as Co-Sponsor Sen. Sara Feigenholtz |
| 3/27/2025 | Senate | Added as Co-Sponsor Sen. Adriane Johnson |
| 4/01/2025 | Senate | Added as Co-Sponsor Sen. Paul Faraci |
| 4/02/2025 | Senate | Added as Co-Sponsor Sen. Karina Villa |
| 4/03/2025 | Senate | Third Reading - Passed; 055-000-000 |
| 4/03/2025 | Senate | Added as Chief Co-Sponsor Sen. Mike Simmons |
| 4/03/2025 | Senate | Added as Co-Sponsor Sen. Christopher Belt |
| 4/04/2025 | House | Arrived in House |
| 4/04/2025 | House | Chief House Sponsor Rep. Mary Gill |
| 4/07/2025 | House | First Reading |
| 4/07/2025 | House | Referred to Rules Committee |
| 4/08/2025 | House | Added Alternate Co-Sponsor Rep. Anthony DeLuca |
| 4/08/2025 | House | Added Alternate Co-Sponsor Rep. Martha Deuter |
| 4/08/2025 | House | Added Alternate Co-Sponsor Rep. Dave Vella |
| 4/08/2025 | House | Added Alternate Co-Sponsor Rep. Michael J. Kelly |
| 4/08/2025 | House | Added Alternate Co-Sponsor Rep. Martin J. Moylan |
| 4/08/2025 | House | Added Alternate Co-Sponsor Rep. Joyce Mason |
| 4/08/2025 | House | Added Alternate Co-Sponsor Rep. Maura Hirschauer |
| 4/09/2025 | House | Added Alternate Co-Sponsor Rep. Nicholas K. Smith |
| 4/09/2025 | House | Added Alternate Co-Sponsor Rep. Nicolle Grasse |
| 4/09/2025 | House | Added Alternate Co-Sponsor Rep. Janet Yang Rohr |
| 4/09/2025 | House | Added Alternate Co-Sponsor Rep. Michael Crawford |
| 4/09/2025 | House | Added Alternate Co-Sponsor Rep. Lindsey LaPointe |
| 4/09/2025 | House | Added Alternate Co-Sponsor Rep. Dagmara Avelar |
| 4/09/2025 | House | Added Alternate Co-Sponsor Rep. Camille Y. Lilly |
| 4/09/2025 | House | Added Alternate Co-Sponsor Rep. Natalie A. Manley |
| 4/09/2025 | House | Added Alternate Chief Co-Sponsor Rep. Natalie A. Manley |
| 4/09/2025 | House | Alternate Co-Sponsor Removed Rep. Natalie A. Manley |
| 4/09/2025 | House | Added Alternate Co-Sponsor Rep. Ann M. Williams |
| 4/09/2025 | House | Added Alternate Co-Sponsor Rep. Jennifer Sanalitro |
| 4/09/2025 | House | Added Alternate Co-Sponsor Rep. Stephanie A. Kifowit |
| 4/09/2025 | House | Added Alternate Co-Sponsor Rep. Michelle Mussman |
| 4/09/2025 | House | Added Alternate Co-Sponsor Rep. Margaret Croke |
| 4/09/2025 | House | Added Alternate Co-Sponsor Rep. Katie Stuart |
| 4/10/2025 | House | Added Alternate Co-Sponsor Rep. Amy L. Grant |
| 4/10/2025 | House | Added Alternate Co-Sponsor Rep. Anne Stava |
| 4/14/2025 | House | Added Alternate Co-Sponsor Rep. Emanuel "Chris" Welch |
| 4/17/2025 | House | Assigned to Insurance Committee |
| 4/29/2025 | House | Do Pass / Short Debate Insurance Committee; 015-000-000 |
| 4/29/2025 | House | Added Alternate Co-Sponsor Rep. Nicole La Ha |
| 4/30/2025 | House | Placed on Calendar 2nd Reading - Short Debate |
| 4/30/2025 | House | Added Alternate Co-Sponsor Rep. Jaime M. Andrade, Jr. |
| 5/01/2025 | House | Added Alternate Co-Sponsor Rep. Barbara Hernandez |
| 5/01/2025 | House | Added Alternate Co-Sponsor Rep. Tracy Katz Muhl |
| 5/01/2025 | House | Added Alternate Co-Sponsor Rep. Terra Costa Howard |
| 5/02/2025 | House | Added Alternate Co-Sponsor Rep. Jawaharial Williams |
| 5/08/2025 | House | Added Alternate Co-Sponsor Rep. Sharon Chung |
| 5/09/2025 | House | Added Alternate Co-Sponsor Rep. Bob Morgan |
| 5/09/2025 | House | Added Alternate Co-Sponsor Rep. Rick Ryan |
| 5/09/2025 | House | Added Alternate Co-Sponsor Rep. Anna Moeller |
| 5/09/2025 | House | Added Alternate Co-Sponsor Rep. Sue Scherer |
| 5/09/2025 | House | Added Alternate Co-Sponsor Rep. Abdelnasser Rashid |
| 5/09/2025 | House | Added Alternate Co-Sponsor Rep. Carol Ammons |
| 5/12/2025 | House | Added Alternate Co-Sponsor Rep. Matt Hanson |
| 5/13/2025 | House | Added Alternate Co-Sponsor Rep. Maurice A. West, II |
| 5/13/2025 | House | Second Reading - Short Debate |
| 5/13/2025 | House | Placed on Calendar Order of 3rd Reading - Short Debate |
| 5/15/2025 | House | Added Alternate Co-Sponsor Rep. Norma Hernandez |
| 5/15/2025 | House | Added Alternate Co-Sponsor Rep. Kevin John Olickal |
| 5/20/2025 | House | Third Reading - Short Debate - Passed 113-000-000 |
| 5/20/2025 | Senate | Passed Both Houses |
| 6/09/2025 | Senate | Sent to the Governor |
| 6/09/2025 | Senate | Governor Approved |
| 6/09/2025 | Senate | Effective Date June 9, 2025; ;Some Provisions |
| 6/09/2025 | Senate | Effective Date July 1, 2027; ;Some Provisions |
| 6/09/2025 | Senate | Public Act . . . . . . . . . 104-0001 |