summary
Introduced
02/05/2026
02/05/2026
In Committee
02/17/2026
02/17/2026
Crossed Over
Passed
Dead
Introduced Session
104th General Assembly
Bill Summary
Amends the Illinois Insurance Code. Prohibits a group or individual policy of accident and health insurance issued or renewed in this State from imposing prior authorization or step therapy requirements on menopause therapy under specified conditions. Amends the Medical Practice Act of 1987, the Nurse Practice Act, and the Physician Assistant Practice Act of 1987 to establish provisions concerning continuing education on perimenopause and menopause recognition and management for physicians, advanced practice registered nurses, and physician assistants. Effective January 1, 2027.
AI Summary
This bill, effective January 1, 2027, amends Illinois law to prohibit insurance companies from requiring prior authorization or step therapy, which is a process where patients must try less expensive medications before a more expensive one is approved, for menopause therapy, defined as any FDA-approved hormonal or non-hormonal treatment for perimenopause or menopause symptoms, when the therapy is FDA-approved, aligns with established medical guidelines, and is prescribed by a qualified clinician, meaning a physician, advanced practice registered nurse, or physician assistant. Additionally, the bill mandates that physicians, advanced practice registered nurses, and physician assistants complete up to two hours of continuing education every renewal cycle on recognizing and managing perimenopause and menopause, which will count towards their existing continuing education requirements without increasing the total hours needed, and will cover topics such as symptom patterns, diagnosis, appropriate testing, treatment options, and culturally competent care.
Committee Categories
Business and Industry
Sponsors (1)
Last Action
Assigned to Insurance (on 02/17/2026)
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