HB2584 - 104th General Assembly

INS-PRIOR AUTH HIV DRUG ACCESS
Last Action

04/14/2025 - Senate: Referred to Assignments
Statutes Amended In Order of Appearance

215 ILCS 200/52 new
305 ILCS 5/5-54 new
Synopsis As Introduced

Amends the Prior Authorization Reform Act and the Illinois Public Aid Code. Provides that a health insurance issuer, the fee-for-service medical assistance program, and a Medicaid managed care organization may not require prior authorization for the following prescription drug types and their therapeutic equivalents approved by the United States Food and Drug Administration: human immunodeficiency virus pre-exposure prophylaxis and post-exposure prophylaxis medication or human immunodeficiency virus treatment medication. Effective January 1, 2027.

House Committee Amendment No. 1

Adds reference to:
305 ILCS 5/5-5.12from Ch. 23, par. 5-5.12
Replaces everything after the enacting clause with the provisions of the introduced bill with the following changes. Amends the Illinois Public Aid Code. In provisions concerning utilization controls, removes provisions concerning drugs for the treatment of HIV or AIDS. Amends the Illinois Insurance Code to include pre-PrEP HIV screening, sexually transmitted infection screening, kidney function analysis, routine laboratory testing, and routine provider visits as covered follow-up services in provisions requiring an individual or group policy of accident and health insurance to provide coverage for all abortifacients, hormonal therapy medication, human immunodeficiency virus pre-exposure prophylaxis, and post-exposure prophylaxis drugs approved by the United States Food and Drug Administration, and follow-up services related to that coverage. Effective on January 1, 2027.
Judicial Note (Admin Office of the Illinois Courts)
Based on a review of HB2584, as amended by House Amendment 1, the legislation will not increase or decrease the number of judges needed in the state of Illinois.
Balanced Budget Note (Office of Management and Budget)
Please be advised that the Balanced Budget Note Act does not apply to House Bill 2584, as amended by House Amendment 1 as it is not a supplemental appropriation that increases or decreases appropriations. Under the Act, a balanced budget note must be prepared only for bills that change a general funds appropriation for the fiscal year in which the new bill is enacted.
Housing Affordability Impact Note (Housing Development Authority)
This bill will have no effect on the cost of constructing, purchasing, owning, or selling a single-family residence.
Pension Note (Government Forecasting & Accountability)
HB 2584, as amended by HA 1, will not impact any public pension fund or retirement system in the State of Illinois.
State Debt Impact Note (Government Forecasting & Accountability)
HB 2584, House Amendment 1, would not change the amount of authorization for any type of State-issued bond, and, therefore, would not affect the level of State indebtedness.
Fiscal Note (Dept. of Healthcare & Family Services)
HB2584 has an estimated annualized cost to the Illinois Medical Assistance Program of $48.8 million due to a total loss of supplemental rebate revenue for the Illinois Department of Healthcare and Family Services and utilization shifts to higher-cost medications. The majority of this annual cost is due to the loss of supplemental rebate revenue.
Racial Impact Note (Dept. of Healthcare & Family Services)
Changes to the Public Aid Code proposed in House Bill 2584, as amended by House Amendment # 1, would impact approximately 18,000 Medicaid customers currently utilizing the medications as described. A total of 62% of current Medicaid customers utilizing these medications self-report as racial or ethnic minorities. This is higher than 35% of the entire population of Medicaid customers who identify as racial or ethnic minorities. The trend over the last 3 years is mostly steady for Medicaid customers identifying as racial or ethnic minorities who utilize the medications. The procedural changes proposed by HA #1 would impact all Medicaid customers utilizing or who may utilize these medications in the future.

House Floor Amendment No. 2

Deletes reference to:
305 ILCS 5/5-5.12from Ch. 23, par. 5-5.12
305 ILCS 5/5-54 new
Replaces everything after the enacting clause with the provisions of bill, as amended by House Amendment No. 1, with the following change: Removes provisions amending the Illinois Public Aid Code. Effective on January 1, 2027.
Actions

Date Chamber Action
02/04/2025 House Filed with the Clerk by Rep. Kelly M. Cassidy
02/06/2025 House First Reading
02/06/2025 House Referred to Rules Committee
03/04/2025 House Added Co-Sponsor Rep. Lilian Jiménez
03/04/2025 House Added Co-Sponsor Rep. Rita Mayfield
03/04/2025 House Added Co-Sponsor Rep. Edgar González, Jr.
03/04/2025 House Added Co-Sponsor Rep. Tracy Katz Muhl
03/04/2025 House Added Co-Sponsor Rep. Kevin John Olickal
03/04/2025 House Added Co-Sponsor Rep. Will Guzzardi
03/04/2025 House Added Co-Sponsor Rep. Mary Beth Canty
03/04/2025 House Added Co-Sponsor Rep. Laura Faver Dias
03/04/2025 House Added Co-Sponsor Rep. Norma Hernandez
03/04/2025 House Added Co-Sponsor Rep. Abdelnasser Rashid
03/04/2025 House Added Co-Sponsor Rep. Nabeela Syed
03/04/2025 House Added Co-Sponsor Rep. Barbara Hernandez
03/04/2025 House Added Co-Sponsor Rep. Lisa Davis
03/04/2025 House Added Co-Sponsor Rep. Amy Briel
03/04/2025 House Added Co-Sponsor Rep. Michael Crawford
03/04/2025 House Assigned to Insurance Committee
03/06/2025 House Added Co-Sponsor Rep. Diane Blair-Sherlock
03/06/2025 House Added Co-Sponsor Rep. Stephanie A. Kifowit
03/06/2025 House Added Co-Sponsor Rep. Jennifer Gong-Gershowitz
03/06/2025 House Added Co-Sponsor Rep. Daniel Didech
03/06/2025 House Added Co-Sponsor Rep. Bob Morgan
03/06/2025 House Added Co-Sponsor Rep. Jehan Gordon-Booth
03/06/2025 House Added Co-Sponsor Rep. Justin Slaughter
03/10/2025 House House Committee Amendment No. 1 Filed with Clerk by Rep. Kelly M. Cassidy
03/10/2025 House House Committee Amendment No. 1 Referred to Rules Committee
03/10/2025 House Added Co-Sponsor Rep. Camille Y. Lilly
03/11/2025 House House Committee Amendment No. 1 Rules Refers to Insurance Committee
03/11/2025 House Balanced Budget Note Requested by Rep. Kelly M. Cassidy
03/11/2025 House Correctional Note Requested by Rep. Kelly M. Cassidy
03/11/2025 House Fiscal Note Requested by Rep. Kelly M. Cassidy
03/11/2025 House Home Rule Note Requested by Rep. Kelly M. Cassidy
03/11/2025 House Housing Affordability Impact Note Requested by Rep. Kelly M. Cassidy
03/11/2025 House Judicial Note Requested by Rep. Kelly M. Cassidy
03/11/2025 House Land Conveyance Appraisal Note Requested by Rep. Kelly M. Cassidy
03/11/2025 House Pension Note Requested by Rep. Kelly M. Cassidy
03/11/2025 House Racial Impact Note Requested by Rep. Kelly M. Cassidy
03/11/2025 House State Debt Impact Note Requested by Rep. Kelly M. Cassidy
03/11/2025 House State Mandates Fiscal Note Requested by Rep. Kelly M. Cassidy
03/11/2025 House House Committee Amendment No. 1 Adopted in Insurance Committee; by Voice Vote
03/11/2025 House Do Pass as Amended / Short Debate Insurance Committee; 013-003-000
03/12/2025 House Judicial Note Filed
03/12/2025 House Balanced Budget Note Filed
03/12/2025 House Placed on Calendar 2nd Reading - Short Debate
03/12/2025 House Housing Affordability Impact Note Filed
03/12/2025 House Pension Note Filed
03/12/2025 House State Debt Impact Note Filed
03/13/2025 House Added Chief Co-Sponsor Rep. Terra Costa Howard
03/13/2025 House Chief Co-Sponsor Changed to Rep. Terra Costa Howard
03/24/2025 House Added Co-Sponsor Rep. Martha Deuter
03/24/2025 House Added Co-Sponsor Rep. Lindsey LaPointe
03/26/2025 House Second Reading - Short Debate
03/26/2025 House Held on Calendar Order of Second Reading - Short Debate
03/27/2025 House Added Co-Sponsor Rep. Ann M. Williams
03/31/2025 House Added Co-Sponsor Rep. Hoan Huynh
04/02/2025 House Fiscal Note Filed
04/02/2025 House Racial Impact Note Filed
04/04/2025 House Added Co-Sponsor Rep. Janet Yang Rohr
04/07/2025 House House Floor Amendment No. 2 Filed with Clerk by Rep. Kelly M. Cassidy
04/07/2025 House House Floor Amendment No. 2 Referred to Rules Committee
04/08/2025 House House Floor Amendment No. 2 Rules Refers to Insurance Committee
04/08/2025 House House Floor Amendment No. 2 Recommends Be Adopted Insurance Committee; 010-004-000
04/09/2025 House Added Co-Sponsor Rep. Anna Moeller
04/11/2025 House House Floor Amendment No. 2 Adopted
04/11/2025 House Placed on Calendar Order of 3rd Reading - Short Debate
04/11/2025 House Third Reading - Short Debate - Passed 078-035-000
04/11/2025 House Added Co-Sponsor Rep. Nicolle Grasse
04/11/2025 House Added Chief Co-Sponsor Rep. Harry Benton
04/14/2025 Senate Arrive in Senate
04/14/2025 Senate Placed on Calendar Order of First Reading
04/14/2025 Senate Chief Senate Sponsor Sen. Laura Fine
04/14/2025 Senate First Reading
04/14/2025 Senate Referred to Assignments