summary
Introduced
01/24/2025
01/24/2025
In Committee
04/29/2025
04/29/2025
Crossed Over
04/03/2025
04/03/2025
Passed
08/15/2025
08/15/2025
Dead
Signed/Enacted/Adopted
08/15/2025
08/15/2025
Introduced Session
104th General Assembly
Bill Summary
Reinserts the provisions of the introduced bill concerning the amendatory changes to the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois. Replaces the changes to the Illinois Insurance Code. Provides that beginning January 1, 2027, a health insurance issuer shall develop a plan to provide adequate coverage and access to a broad spectrum of pain management services, including, but not limited to, nonopioid, nonnarcotic pain management services and non-medication pain management services that serve as alternatives to the prescribing of opioid or narcotic drugs in accordance with guidelines developed by the Department of Insurance. Provides that a health insurance issuer shall file the plan required under this provision with the Department of Insurance and shall post information about the pain management plan on the insurer's publicly accessible website. Replaces the amendatory changes to the Illinois Public Aid Code. Provides that in establishing and maintaining the Illinois Medicaid Preferred Drug List, the Department of Healthcare and Family Services shall ensure that nonopioid drugs on the Department's preferred drug list, and approved by the U.S. Food and Drug Administration, 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 acute pain as long as the Department retains its authority to manage the Preferred Drug List process pursuant to State or federal law, rules, regulations, and policies and the Department's authority over the Preferred Drug List process is not undermined or compromised.
AI Summary
This bill addresses the promotion of nonopioid pain management alternatives across three key areas of Illinois healthcare policy. First, it directs the Department of Public Health to develop an educational pamphlet on nonopioid pain treatment options, which will include information about available nonopioid medical and non-pharmacological therapies, along with their advantages and disadvantages. Second, beginning January 1, 2027, the bill requires health insurance issuers to create comprehensive plans that provide coverage and access to a wide range of pain management services, including nonopioid and non-medication alternatives to opioid drugs, and mandates that these plans be filed with the Department of Insurance and publicly accessible online. Third, the bill ensures that the Illinois Medicaid Preferred Drug List will not disadvantage or discourage nonopioid pain management drugs that are FDA-approved, maintaining their coverage parity with opioid medications for acute pain treatment. The overall aim of the legislation is to provide patients and healthcare providers with more options and information about pain management that do not rely on potentially addictive opioid medications.
Committee Categories
Business and Industry, Health and Social Services
Sponsors (20)
Karina Villa (D)*,
Janet Yang Rohr (D)*,
Li Arellano (R),
Cristina Castro (D),
Javier Cervantes (D),
Mary Edly-Allen (D),
Laura Faver Dias (D),
Sara Feigenholtz (D),
Laura Fine (D),
Nicolle Grasse (D),
Graciela Guzmán (D),
Mike Halpin (D),
Mattie Hunter (D),
Lindsey LaPointe (D),
Seth Lewis (R),
Julie Morrison (D),
Robert Peters (D),
Mike Porfirio (D),
Kevin Schmidt (R),
Mark Walker (D),
Last Action
Public Act . . . . . . . . . 104-0369 (on 08/15/2025)
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