HB 5284 Illinois House · 104th Regular Session

HUMAN RIGHTS-MENOPAUSE CARE

Summary
Creates the Illinois Menopause Equity and Care Act. Amends the Department of Public Health Powers and Duties Law. Requires the Department of Public Health to create educational materials regarding menopause, including symptoms, treatment options, and patient rights for distribution to the public online. Amends the Illinois Insurance Code. Provides that on or after January 1, 2028, all individual and group health insurance policies issued, renewed, or amended must provide coverage for medically necessary evaluation and treatment of perimenopause and menopause as determined by a licensed health care provider using evidence-based guidelines. Amends the Medical Practice Act of 1987. Provides if a licensee treats or evaluates patients suffering from menopause-related conditions, 5 hours of the required 50 hours must include continuing education on menopause care, including management of symptoms, hormonal and non-hormonal therapies, and bone health. Amends the Illinois Human Rights Act. Defines "menopause-related condition" includes perimenopause, menopause, and associated medical or symptomatic conditions, including, but not limited to, vasomotor symptoms, sleep disruption, cognitive or mood changes, and osteoporosis-related changes. Provides that it is a civil rights violation to unlawfully discriminate because of a menopause-related condition or fail or refuse to provide reasonable accommodations.
Bill status signed all 5 stages cleared
Introduction
Apr 2026
Committee Review
May 2026
House Passage
May 2026
Senate Passage
May 2026
Signed into Law
Aug 2026
Introduced Apr 21, 2026 Signed Aug 7, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed Enrolled · 5 edits · Aug 7, 2026
MODERATE
The bill was finalized as an enrolled version, incorporating substantive changes to menopause-related insurance coverage and medical licensing requirements. The most significant change is the shift from adding a new menopause coverage mandate to modifying existing sections of the Illinois Insurance Code to clarify coverage for induced menopause and to establish a new annual health visit requirement. Additionally, the bill expanded the Medical Practice Act to include menopause education in continuing education rules and updated the Illinois Human Rights Act definitions to include menopause-related conditions under age discrimination protections.
Scope change
The bill's scope expanded from a single new insurance mandate to multiple amendments across the Insurance Code, Medical Practice Act, and Human Rights Act, broadening the legal framework for menopause care.
TIMELINE

The effective date for new menopause coverage mandates was adjusted from January 1, 2028, to a phased approach starting January 1, 2024, for specific cases and January 1, 2026, for general mandates.

REQUIREMENT

A new requirement was added for group health plans with over 25 employees to cover an annual menopause or perimenopause health visit for individuals aged 45 and older, starting January 1, 2026.

The Department of Public Health is now required to include menopause and perimenopause in its continuing education rules for medical licensees.

ELIGIBILITY

Coverage rules were updated to specifically include hormone therapy for menopause induced by a hysterectomy, with a temporary mandate effective through January 1, 2026.

DEFINITION

The Illinois Human Rights Act was amended to explicitly include menopause and perimenopause conditions within the scope of age discrimination protections.

Floor votes · Senate May 21, 2026 · House Apr 17, 2026

How they voted

504
Passed · 4 other
Total votes 58
May 21, 2026
D Democratic39
37 Yea 2
94% Yea
R Republican19
13 Yea 4 Nay 2
68% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
100
Key actions
15
Committee
17
Amendments
13
Aug 7, 2026
Signed into law
Governor Approved
lower
May 28, 2026
Lower · Passed
Passed Both Houses
lower
May 28, 2026
Introduced
Senate Floor Amendment No. 4 House Concurs 078-033-000
lower
May 27, 2026
Lower · Passed
Senate Floor Amendment No. 4 Motion to Concur Recommends Be Adopted Judiciary - Civil Committee; 015-004-000
lower
May 25, 2026
Committee
Senate Floor Amendment No. 4 Motion to Concur Rules Referred to Judiciary - Civil Committee
lower
May 22, 2026
Committee
Senate Floor Amendment No. 4 Motion to Concur Referred to Rules Committee
lower
May 22, 2026
Introduced
Senate Floor Amendment No. 4 Motion Filed Concur Rep. Yolonda Morris
lower
May 21, 2026
Introduced
Placed on Calendar Order of Concurrence Senate Amendment(s) 4
lower
May 21, 2026
Introduced
Arrived in House
lower
May 21, 2026
Amended
Senate Committee Amendment No. 3 Tabled Pursuant to Rule 5-4(a)
upper
May 21, 2026
Amended
Senate Committee Amendment No. 2 Tabled Pursuant to Rule 5-4(a)
upper
May 21, 2026
Amended
Senate Committee Amendment No. 1 Tabled Pursuant to Rule 5-4(a)
upper
May 21, 2026
Upper · Passed
Third Reading - Passed; 051-004-000
upper
May 21, 2026
Upper · Passed
Senate Floor Amendment No. 4 Adopted; Lightford
upper
May 21, 2026
Introduced
Senate Floor Amendment No. 4 Be Approved for Consideration Assignments
upper
May 20, 2026
Committee
Senate Floor Amendment No. 4 Referred to Assignments
upper
May 20, 2026
Introduced
Senate Floor Amendment No. 4 Filed with Secretary by Sen. Kimberly A. Lightford
upper
May 19, 2026
Upper · Passed
Do Pass Insurance; 010-000-000
upper
May 19, 2026
Upper · Passed
Senate Committee Amendment No. 2 Postponed - Insurance
upper
May 18, 2026
Committee
Senate Committee Amendment No. 3 Referred to Assignments
upper
May 18, 2026
Introduced
Senate Committee Amendment No. 3 Filed with Secretary by Sen. Kimberly A. Lightford
upper
May 15, 2026
Upper · Passed
Rule 2-10 Committee Deadline Established As May 22, 2026
upper
May 12, 2026
Upper · Passed
Senate Committee Amendment No. 2 Postponed - Insurance
upper
May 8, 2026
Upper · Passed
Rule 2-10 Committee Deadline Established As May 15, 2026
upper
May 5, 2026
Upper · Passed
Senate Committee Amendment No. 2 Postponed - Insurance
upper
May 5, 2026
Upper · Passed
Senate Committee Amendment No. 2 Assignments Refers to Insurance
upper
May 5, 2026
Upper · Passed
Senate Committee Amendment No. 1 Pursuant to Senate Rule 3-8(b-1), the following amendments will remain in the Committee on Assignments
upper
May 1, 2026
Committee
Senate Committee Amendment No. 2 Referred to Assignments
upper
May 1, 2026
Introduced
Senate Committee Amendment No. 2 Filed with Secretary by Sen. Kimberly A. Lightford
upper
Apr 29, 2026
Committee
Senate Committee Amendment No. 1 Referred to Assignments
upper
Apr 29, 2026
Introduced
Senate Committee Amendment No. 1 Filed with Secretary by Sen. Kimberly A. Lightford
upper
Apr 28, 2026
Committee
Assigned to Insurance
upper
Apr 21, 2026
Committee
Referred to Assignments
upper
Apr 21, 2026
Introduced
Arrive in Senate
upper
Apr 17, 2026
Lower · Passed
Third Reading - Short Debate - Passed 071-032-000
lower
Apr 17, 2026
Lower · Passed
House Floor Amendment No. 1 Adopted
lower
2 primary · 61 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Kimberly Lightford
Kimberly Lightford
DDemocratic
IL
4
P
Photo of Yolonda Morris
Yolonda Morris
DDemocratic
IL
9
Co
Photo of Angie Guerrero-Cuellar
Angie Guerrero-Cuellar
DDemocratic
IL
22
Co
Photo of Ann Williams
Ann Williams
DDemocratic
IL
11
Co
Photo of Anna Moeller
Anna Moeller
DDemocratic
IL
43
Co
Photo of Barbara Hernandez
Barbara Hernandez
DDemocratic
IL
50
Co
Photo of Camille Lilly
Camille Lilly
DDemocratic
IL
78
Co
Photo of Celina Villanueva
Celina Villanueva
DDemocratic
IL
12
Co
Photo of Christopher Belt
Christopher Belt
DDemocratic
IL
57
Co
Photo of Cristina Castro
Cristina Castro
DDemocratic
IL
22
Co
Photo of Curtis Tarver
Curtis Tarver
DDemocratic
IL
25
Co
Photo of Dave Koehler
Dave Koehler
DDemocratic
IL
46