HB5492 - 104th General Assembly (2025-2026)

PRESCRIPTION HORMONE THERAPY
Last Action
4/16/2026 - Senate: Referred to Assignments
Statutes Amended In Order of Appearance
5 ILCS 375/6.11  
215 ILCS 5/356z.88 new  
225 ILCS 85/45 new  
305 ILCS 5/5-16.8  
Synopsis As Introduced
Amends the Illinois Insurance Code. Sets forth provisions requiring an individual or group policy of accident and health insurance amended, delivered, issued, or renewed in this State on or after January 1, 2028 to provide coverage for up to a 12-month supply of prescription hormone therapy, and the necessary supplies for self-administration, that is prescribed by a network provider within the provider's scope of practice and dispensed at one time for an enrollee by a provider or pharmacist, or at a location licensed or otherwise authorized to dispense drugs or supplies. Amends the Pharmacy Practice Act. Provides that, notwithstanding any other provision of law, a dispensing provider or pharmacist shall dispense, at a patient's request, up to a 12-month supply of a prescription hormone therapy and the necessary supplies for self-administration pursuant to a valid prescription that specifies an initial quantity followed by periodic refills, except as specified. Amends the State Employees Group Insurance Act of 1971 and the Illinois Public Aid Code to require coverage under the provisions of those Acts.

House Floor Amendment No. 1
Deletes reference to:
225 ILCS 85/45 new  
Adds reference to:
55 ILCS 5/5-1069.3  
65 ILCS 5/10-4-2.3  
105 ILCS 5/10-22.3f  
215 ILCS 125/5-3  from Ch. 111 1/2, par. 1411.2
215 ILCS 130/4003  from Ch. 73, par. 1504-3
215 ILCS 165/10  from Ch. 32, par. 604
Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill with the following changes. Removes provisions concerning out-of-network coverage and provisions amending the Pharmacy Practice Act. 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 for prescription hormone therapy under the provisions of those Acts.
Actions
DateChamberAction
2/06/2026HouseFiled with the Clerk by Rep. Katie Stuart
2/06/2026HouseAdded Chief Co-Sponsor Rep. Yolonda Morris
2/10/2026HouseAdded Chief Co-Sponsor Rep. Dagmara Avelar
2/13/2026HouseFirst Reading
2/13/2026HouseReferred to Rules Committee
2/18/2026HouseAdded Co-Sponsor Rep. Daniel Didech
2/18/2026HouseAdded Co-Sponsor Rep. Ann M. Williams
2/19/2026HouseAdded Co-Sponsor Rep. Barbara Hernandez
2/19/2026HouseAdded Chief Co-Sponsor Rep. Natalie A. Manley
3/04/2026HouseAssigned to Insurance Committee
3/06/2026HouseAdded Co-Sponsor Rep. Joyce Mason
3/12/2026HouseAdded Co-Sponsor Rep. Justin Cochran
3/13/2026HouseAdded Co-Sponsor Rep. Suzanne M. Ness
3/17/2026HouseAdded Co-Sponsor Rep. Maura Hirschauer
3/18/2026HouseDo Pass / Short Debate Insurance Committee; 009-004-000
3/19/2026HousePlaced on Calendar 2nd Reading - Short Debate
3/24/2026HouseAdded Chief Co-Sponsor Rep. Theresa Mah
3/26/2026HouseAdded Co-Sponsor Rep. Camille Y. Lilly
3/31/2026HouseHouse Floor Amendment No. 1 Filed with Clerk by Rep. Katie Stuart
3/31/2026HouseHouse Floor Amendment No. 1 Referred to Rules Committee
4/07/2026HouseHouse Floor Amendment No. 1 Rules Refers to Insurance Committee
4/08/2026HouseAdded Co-Sponsor Rep. Jaime M. Andrade, Jr.
4/08/2026HouseHouse Floor Amendment No. 1 Recommends Be Adopted Insurance Committee; 009-005-000
4/09/2026HouseAdded Co-Sponsor Rep. Edgar González, Jr.
4/10/2026HouseSecond Reading - Short Debate
4/10/2026HouseHeld on Calendar Order of Second Reading - Short Debate
4/15/2026HouseHouse Floor Amendment No. 1 Adopted
4/15/2026HousePlaced on Calendar Order of 3rd Reading - Short Debate
4/15/2026HouseChair Rules Standard Debate
4/15/2026HousePlaced on Calendar Order of 3rd Reading - Standard Debate
4/15/2026HouseThird Reading - Standard Debate - Passed 074-037-000
4/15/2026HouseAdded Co-Sponsor Rep. Kelly M. Cassidy
4/15/2026HouseAdded Co-Sponsor Rep. Eva-Dina Delgado
4/16/2026SenateArrive in Senate
4/16/2026SenatePlaced on Calendar Order of First Reading
4/16/2026SenateChief Senate Sponsor Sen. Lakesia Collins
4/16/2026SenateFirst Reading
4/16/2026SenateReferred to Assignments
4/21/2026SenateAdded as Alternate Co-Sponsor Sen. David Koehler
4/21/2026SenateAdded as Alternate Chief Co-Sponsor Sen. Karina Villa
4/24/2026SenateAdded as Alternate Co-Sponsor Sen. Rachel Ventura
4/24/2026SenateAdded as Alternate Co-Sponsor Sen. Laura Fine
4/28/2026SenateAdded as Alternate Co-Sponsor Sen. Sara Feigenholtz
4/29/2026SenateAdded as Alternate Co-Sponsor Sen. Mike Simmons
4/29/2026SenateAdded as Alternate Co-Sponsor Sen. Emil Jones, III