HB 5408 Illinois House · 104th Regular Session

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

6636
Passed · 14 other
Total votes 116
Apr 9, 2026
D Democratic76
66 Yea 10
86% Yea
R Republican40
36 Nay 4
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