ABORTION ACCESS FUND GRANTS
Summary
Amends the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois. Requires the Department of Public Health to establish the Abortion Access Fund Grant Program to award grants from the Abortion Access Fund to support access to abortion care services throughout the State. Provides that grants awarded under the Program shall only be used to fund abortion services for which the use of federal funds is prohibited for patients who are uninsured or underinsured with respect to those services. Allows the Department to establish rules necessary to implement the Abortion Access Fund Grant Program, including eligibility criteria, grant limits, application standards, requirements for the distribution and obligation of grant funds, accounting for the use of the funds, and standards for monitoring compliance with the requirements of the Program. Amends the State Finance Act to create the Abortion Access Fund as a special fund in the State treasury. Amends the Illinois Health Benefits Exchange Law. Requires specified health insurance issuers that have offered one or more qualified health plans through the Illinois Health Benefits Exchange to report to the Department of Insurance an accounting of receipts, disbursements, transfers of funds between accounts, total dollar claims paid, accrued interest, and the year-end balance for each reporting year for the separate allocation accounts that the issuer has established under specified provisions of federal law for abortion services for which federal funding is prohibited. Establishes further reporting requirements for health insurance issuers. Provides that, if the amount of premiums collected during the plan year for abortion services for which federal funding is prohibited exceeds total claims paid for such services rendered during the plan year, the Director of Insurance shall order the health insurance issuer to transfer funds, and the issuer shall complete the transfer, to the Abortion Access Fund. Makes other changes. Effective immediately.
Bill status
passed
3 of 5 stages cleared
Introduction
Apr 2026
Committee Review
Apr 2026
House Passage
Apr 2026
Senate Passage
Governor
Introduced Apr 10, 2026
Last action Apr 15, 2026
Maddy AI version diff · 1 comparison
What changed between versions
Introduced
→
Engrossed
·
4 edits
·
Apr 9, 2026
MODERATE
The bill was amended to add a requirement for state appropriation before the Abortion Access Fund Grant Program can operate. Additionally, the reporting requirements for health insurance issuers were significantly expanded to mandate the submission of historical data covering the period from 2014 through the current year, rather than only future reporting. These changes aim to ensure fiscal responsibility for the grant program and provide the Department of Insurance with a comprehensive historical record of abortion-related premium funds.
Scope change
The scope of the bill was narrowed regarding the grant program by adding a fiscal constraint (appropriation requirement), while the scope of reporting obligations for insurance companies was broadened to include a retrospective look at past financial data.
FISCAL
Added the condition that the Abortion Access Fund Grant Program must be subject to state appropriation before it can use moneys to award grants.
REQUIREMENT
Mandated that health insurance issuers submit a detailed report for the first filing covering historical data from January 1, 2014, through December 31, 2024, in addition to future years.
Established specific reporting windows for historical transfers, requiring issuers to detail transactions occurring between December 31, 2026, and the date of the report submission.
TIMELINE
Extended the reporting timeline to include a retrospective analysis of funds collected since the implementation of federal abortion funding restrictions.
Floor votes · House Apr 9, 2026
How they voted
66–36
Passed · 14 other
Total votes 116
Apr 9, 2026
D
Democratic76
86% Yea
R
Republican40
90% Nay
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
37
Key actions
4
Committee
6
Amendments
2
Apr 10, 2026
Committee
Referred to Assignments
upper
Apr 10, 2026
Introduced
Arrive in Senate
upper
Apr 9, 2026
Lower · Passed
Third Reading - Short Debate - Passed 069-036-000
lower
Mar 25, 2026
Lower · Passed
Do Pass as Amended / Short Debate Human Services Committee; 008-004-000
lower
Mar 25, 2026
Lower · Passed
House Committee Amendment No. 1 Adopted in Human Services Committee; by Voice Vote
lower
Mar 20, 2026
Lower · Passed
House Committee Amendment No. 1 Rules Refers to Human Services Committee
lower
Mar 19, 2026
Committee
House Committee Amendment No. 1 Referred to Rules Committee
lower
Mar 19, 2026
Introduced
House Committee Amendment No. 1 Filed with Clerk by Rep. Anna Moeller
lower
Mar 18, 2026
Committee
Assigned to Human Services Committee
lower
Feb 13, 2026
Committee
Referred to Rules Committee
lower
2 primary · 17 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Anna Moeller
DDemocratic
P
Mary Edly-Allen
DDemocratic
Co
Ann Williams
DDemocratic
Co
Anne Stava
DDemocratic
Co
Barbara Hernandez
DDemocratic
Co
Carol Ammons
DDemocratic
Co
Celina Villanueva
DDemocratic
Co
Dan Didech
DDemocratic
Co
GG
Graciela Guzmán
DDemocratic
Co
Karina Villa
DDemocratic
Co
Kelly Cassidy
DDemocratic
Co
Kevin Olickal
DDemocratic
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