HB 4708 Illinois House · 104th Regular Session

CD CORR-OPIOID USE DISORDERS

Summary
Amends the Unified Code of Corrections. Provides that the Department of Corrections shall create and implement, on January 1, 2027, a pilot program to establish the effectiveness of long-acting injectable medications for opioid use disorders for persons committed to its custody who suffer from opioid use disorders. Provides that the pilot program shall require long-acting injectable medications for opioid use disorders to be used in at least one Department of Corrections facility. Provides that the Director may expand the pilot program to include an additional facility or facilities as he or she deems appropriate. Provides that a minimum of 4,000 administrations of long-acting injectable medications for opioid use disorders shall be included in the pilot program. Provides that the Department shall develop a plan to facilitate access to continued treatment for opioid use disorders in the community following the release of a person participating in the pilot program, including, but not limited to, a referral to a harm reduction provider. Provides that the Department must report to the General Assembly on the effectiveness of the program by January 1, 2028. Effective immediately.
Bill status passed 3 of 5 stages cleared
Introduction
Apr 2026
Committee Review
May 2026
House Passage
Apr 2026
Senate Passage
Governor
Introduced Apr 15, 2026 Last action May 22, 2026
Maddy AI version diff · 1 comparison

What changed between versions

Introduced Engrossed · 7 edits · Apr 15, 2026
MODERATE
The bill was significantly rewritten to replace a simple mandate with a more robust, clinically guided pilot program. The new version adds requirements for clinical appropriateness, uses opioid settlement funds, and establishes strict rules for equitable patient selection and continuity of care after release.
Scope change
The scope expanded from a basic pilot to include detailed operational requirements for clinical guidelines, funding sources, and transparent selection processes.
REQUIREMENT

Added a requirement that medications be used only when clinically appropriate, replacing the previous blanket mandate.

Changed the minimum treatment target from 4,000 administrations to 3,000 individuals to better reflect patient counts rather than dosage volume.

Mandated that patients be connected to community treatment providers with scheduled appointments before release to ensure continuity of care.

Required the Department to contract with an independent entity to oversee the program.

FISCAL

Specified that the program must be funded using opioid settlement funds and cannot begin until those funds are secured.

ELIGIBILITY

Required the Department to publish eligibility criteria and use a fair, objective selection process if demand exceeds capacity.

TIMELINE

Removed the requirement for a report to the General Assembly by January 1, 2028.

Floor votes · House Apr 15, 2026

How they voted

7432
Passed · 10 other
Total votes 116
Apr 15, 2026
D Democratic76
66 Yea 4 Nay 6
86% Yea
R Republican40
8 Yea 28 Nay 4
70% Nay
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
43
Key actions
8
Committee
14
Amendments
5
May 22, 2026
Committee
Rule 3-9(a) / Re-referred to Assignments
upper
May 21, 2026
Committee
Senate Committee Amendment No. 1 Referred to Assignments
upper
May 21, 2026
Introduced
Senate Committee Amendment No. 1 Filed with Secretary by Sen. Napoleon Harris III
upper
May 15, 2026
Upper · Passed
Rule 2-10 Committee Deadline Established As May 22, 2026
upper
May 8, 2026
Upper · Passed
Rule 2-10 Committee Deadline Established As May 15, 2026
upper
Apr 28, 2026
Committee
Assigned to Appropriations- Public Safety and Infrastructure
upper
Apr 16, 2026
Committee
Referred to Assignments
upper
Apr 16, 2026
Introduced
Arrive in Senate
upper
Apr 15, 2026
Amended
House Floor Amendment No. 1 Tabled
lower
Apr 15, 2026
Lower · Passed
Third Reading - Standard Debate - Passed 076-032-000
lower
Apr 15, 2026
Introduced
Note / Motion Filed - Note Act Does Not Apply Rep. Will Guzzardi
lower
Apr 15, 2026
Lower · Passed
House Floor Amendment No. 2 Adopted
lower
Apr 9, 2026
Lower · Passed
House Floor Amendment No. 2 Recommends Be Adopted Restorative Justice & Public Safety Committee; 007-004-000
lower
Apr 8, 2026
Lower · Passed
House Floor Amendment No. 2 Rules Refers to Restorative Justice & Public Safety Committee
lower
Apr 7, 2026
Committee
House Floor Amendment No. 2 Referred to Rules Committee
lower
Apr 7, 2026
Introduced
House Floor Amendment No. 2 Filed with Clerk by Rep. Tracy Katz Muhl
lower
Mar 24, 2026
Lower · Passed
House Floor Amendment No. 1 Rules Refers to Restorative Justice & Public Safety Committee
lower
Mar 23, 2026
Committee
House Floor Amendment No. 1 Referred to Rules Committee
lower
Mar 23, 2026
Introduced
House Floor Amendment No. 1 Filed with Clerk by Rep. Tracy Katz Muhl
lower
Mar 20, 2026
Lower · Passed
Do Pass / Short Debate Restorative Justice & Public Safety Committee; 007-003-000
lower
Feb 24, 2026
Committee
Assigned to Restorative Justice & Public Safety Committee
lower
Feb 6, 2026
Committee
Referred to Rules Committee
lower
1 primary · 6 co-sponsors

Sponsors