summary
Introduced
02/05/2026
02/05/2026
In Committee
02/05/2026
02/05/2026
Crossed Over
Passed
Dead
Introduced Session
104th General Assembly
Bill Summary
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 the effective date of the amendatory Act 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, the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, the Limited Health Service Organization Act, the Voluntary Health Services Plans Act, and the Illinois Public Aid Code to require coverage under the provisions of those Acts.
AI Summary
This bill mandates that individual and group accident and health insurance policies, as well as health maintenance organizations (HMOs) and other similar health plans in Illinois, must cover up to a 12-month supply of prescription hormone therapy and necessary self-administration supplies, provided it's prescribed by a network provider within their scope of practice. This coverage applies to policies issued or renewed on or after the bill's effective date. The bill also amends the Pharmacy Practice Act to allow dispensing providers and pharmacists to fill up to a 12-month supply of prescription hormone therapy at a patient's request, with certain exceptions like patient preference, provider instruction, or temporary shortages. Additionally, the bill extends these coverage requirements to various state and local government employee insurance plans, including those for state employees, county employees, municipal employees, and school employees, ensuring consistent access to this therapy across different insurance types. The term "prescription hormone therapy" is defined to include FDA-approved drugs used to medically adjust hormone levels, excluding specific weight-loss medications like GLP-1 agonists.
Sponsors (2)
Last Action
Added as Co-Sponsor Sen. Rachel Ventura (on 02/11/2026)
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