SB0126 - 104th General Assembly

INS CD-ALZHEIMER'S TREATMENT
Last Action

06/09/2025 - Senate: Public Act . . . . . . . . . 104-0001
Statutes Amended In Order of Appearance

215 ILCS 5/356z.80 new
215 ILCS 125/5-3from Ch. 111 1/2, par. 1411.2
215 ILCS 130/4003from Ch. 73, par. 1504-3
215 ILCS 165/10from Ch. 32, par. 604
Synopsis As Introduced

Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or a managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2027 shall provide coverage for all medically necessary diagnostic testing and U.S. Food and Drug Administration-approved treatments or medications prescribed to slow the progression of Alzheimer's disease or another related dementia, in accordance with the U.S. Food and Drug Administration label, as determined by a physician licensed to practice medicine in all its branches. Provides that coverage of U.S. Food and Drug Administration-approved treatments or medications prescribed to slow the progression of Alzheimer's disease or another related dementia shall not be subject to step therapy. 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 under those provisions. Effective immediately.

Senate Committee Amendment No. 1

Adds reference to:
5 ILCS 375/6.11E
Replaces everything after the enacting clause with the provisions of the introduced bill with the following changes. Specifies that nothing in provisions of the Illinois Insurance Code requiring coverage of certain treatments or medications prescribed to slow the progression of Alzheimer's disease or another related dementia prohibits a group or individual policy of accident and health insurance or managed care plan from requiring a pharmacist to effect substitutions of prescription drugs under certain provisions of the Pharmacy Practice Act. Provides that the required coverage shall not apply to managed care plans that are under contract with the Department of Healthcare and Family Services. Amends the State Employees Group Insurance Act of 1971 to require the same coverage as provided under the Illinois Insurance Code for treatments to slow the progression of Alzheimer's disease and related dementias. Provides for repeal of existing provisions for such coverage in that Act on July 1, 2027. Effective immediately, except some provisions amending the State Employees Group Insurance Act of 1971 are effective July 1, 2027.
Actions

Date Chamber Action
01/17/2025 Senate Filed with Secretary by Sen. Laura M. Murphy
01/17/2025 Senate First Reading
01/17/2025 Senate Referred to Assignments
03/04/2025 Senate Assigned to Insurance
03/05/2025 Senate Added as Co-Sponsor Sen. Sally J. Turner
03/05/2025 Senate Added as Co-Sponsor Sen. Mary Edly-Allen
03/05/2025 Senate Added as Co-Sponsor Sen. Mark L. Walker
03/05/2025 Senate Added as Co-Sponsor Sen. Javier L. Cervantes
03/07/2025 Senate Added as Co-Sponsor Sen. Laura Ellman
03/11/2025 Senate Senate Committee Amendment No. 1 Filed with Secretary by Sen. Laura M. Murphy
03/11/2025 Senate Senate Committee Amendment No. 1 Referred to Assignments
03/18/2025 Senate Senate Committee Amendment No. 1 Assignments Refers to Insurance
03/18/2025 Senate Senate Committee Amendment No. 1 Adopted
03/19/2025 Senate Do Pass as Amended Insurance; 012-000-000
03/19/2025 Senate Placed on Calendar Order of 2nd Reading March 20, 2025
03/19/2025 Senate Added as Co-Sponsor Sen. Seth Lewis
03/20/2025 Senate Added as Co-Sponsor Sen. Napoleon Harris, III
03/20/2025 Senate Second Reading
03/20/2025 Senate Placed on Calendar Order of 3rd Reading April 1, 2025
03/20/2025 Senate Added as Co-Sponsor Sen. Julie A. Morrison
03/20/2025 Senate Added as Co-Sponsor Sen. Graciela Guzmán
03/20/2025 Senate Added as Co-Sponsor Sen. Linda Holmes
03/20/2025 Senate Added as Co-Sponsor Sen. Meg Loughran Cappel
03/20/2025 Senate Added as Co-Sponsor Sen. Sara Feigenholtz
03/27/2025 Senate Added as Co-Sponsor Sen. Adriane Johnson
04/01/2025 Senate Added as Co-Sponsor Sen. Paul Faraci
04/02/2025 Senate Added as Co-Sponsor Sen. Karina Villa
04/03/2025 Senate Third Reading - Passed; 055-000-000
04/03/2025 Senate Added as Chief Co-Sponsor Sen. Mike Simmons
04/03/2025 Senate Added as Co-Sponsor Sen. Christopher Belt
04/04/2025 House Arrived in House
04/04/2025 House Chief House Sponsor Rep. Mary Gill
04/07/2025 House First Reading
04/07/2025 House Referred to Rules Committee
04/08/2025 House Added Alternate Co-Sponsor Rep. Anthony DeLuca
04/08/2025 House Added Alternate Co-Sponsor Rep. Martha Deuter
04/08/2025 House Added Alternate Co-Sponsor Rep. Dave Vella
04/08/2025 House Added Alternate Co-Sponsor Rep. Michael J. Kelly
04/08/2025 House Added Alternate Co-Sponsor Rep. Martin J. Moylan
04/08/2025 House Added Alternate Co-Sponsor Rep. Joyce Mason
04/08/2025 House Added Alternate Co-Sponsor Rep. Maura Hirschauer
04/09/2025 House Added Alternate Co-Sponsor Rep. Nicholas K. Smith
04/09/2025 House Added Alternate Co-Sponsor Rep. Nicolle Grasse
04/09/2025 House Added Alternate Co-Sponsor Rep. Janet Yang Rohr
04/09/2025 House Added Alternate Co-Sponsor Rep. Michael Crawford
04/09/2025 House Added Alternate Co-Sponsor Rep. Lindsey LaPointe
04/09/2025 House Added Alternate Co-Sponsor Rep. Dagmara Avelar
04/09/2025 House Added Alternate Co-Sponsor Rep. Camille Y. Lilly
04/09/2025 House Added Alternate Co-Sponsor Rep. Natalie A. Manley
04/09/2025 House Added Alternate Chief Co-Sponsor Rep. Natalie A. Manley
04/09/2025 House Alternate Co-Sponsor Removed Rep. Natalie A. Manley
04/09/2025 House Added Alternate Co-Sponsor Rep. Ann M. Williams
04/09/2025 House Added Alternate Co-Sponsor Rep. Jennifer Sanalitro
04/09/2025 House Added Alternate Co-Sponsor Rep. Stephanie A. Kifowit
04/09/2025 House Added Alternate Co-Sponsor Rep. Michelle Mussman
04/09/2025 House Added Alternate Co-Sponsor Rep. Margaret Croke
04/09/2025 House Added Alternate Co-Sponsor Rep. Katie Stuart
04/10/2025 House Added Alternate Co-Sponsor Rep. Amy L. Grant
04/10/2025 House Added Alternate Co-Sponsor Rep. Anne Stava-Murray
04/14/2025 House Added Alternate Co-Sponsor Rep. Emanuel "Chris" Welch
04/17/2025 House Assigned to Insurance Committee
04/29/2025 House Do Pass / Short Debate Insurance Committee; 015-000-000
04/29/2025 House Added Alternate Co-Sponsor Rep. Nicole La Ha
04/30/2025 House Placed on Calendar 2nd Reading - Short Debate
04/30/2025 House Added Alternate Co-Sponsor Rep. Jaime M. Andrade, Jr.
05/01/2025 House Added Alternate Co-Sponsor Rep. Barbara Hernandez
05/01/2025 House Added Alternate Co-Sponsor Rep. Tracy Katz Muhl
05/01/2025 House Added Alternate Co-Sponsor Rep. Terra Costa Howard
05/02/2025 House Added Alternate Co-Sponsor Rep. Jawaharial Williams
05/08/2025 House Added Alternate Co-Sponsor Rep. Sharon Chung
05/09/2025 House Added Alternate Co-Sponsor Rep. Bob Morgan
05/09/2025 House Added Alternate Co-Sponsor Rep. Rick Ryan
05/09/2025 House Added Alternate Co-Sponsor Rep. Anna Moeller
05/09/2025 House Added Alternate Co-Sponsor Rep. Sue Scherer
05/09/2025 House Added Alternate Co-Sponsor Rep. Abdelnasser Rashid
05/09/2025 House Added Alternate Co-Sponsor Rep. Carol Ammons
05/12/2025 House Added Alternate Co-Sponsor Rep. Matt Hanson
05/13/2025 House Added Alternate Co-Sponsor Rep. Maurice A. West, II
05/13/2025 House Second Reading - Short Debate
05/13/2025 House Placed on Calendar Order of 3rd Reading - Short Debate
05/15/2025 House Added Alternate Co-Sponsor Rep. Norma Hernandez
05/15/2025 House Added Alternate Co-Sponsor Rep. Kevin John Olickal
05/20/2025 House Third Reading - Short Debate - Passed 113-000-000
05/20/2025 Senate Passed Both Houses
06/09/2025 Senate Sent to the Governor
06/09/2025 Senate Governor Approved
06/09/2025 Senate Effective Date June 9, 2025; ;Some Provisions
06/09/2025 Senate Effective Date July 1, 2027; ;Some Provisions
06/09/2025 Senate Public Act . . . . . . . . . 104-0001