HB 5492 Illinois House · 104th Regular Session

PRESCRIPTION HORMONE THERAPY

Summary
Amends the Illinois Insurance Code. Sets forth provisions requiring an individual or group policy of accident and health insurance amended, delivered, issued, or renewed in this State on or after January 1, 2028 to provide coverage for up to a 12-month supply of prescription hormone therapy, and the necessary supplies for self-administration, that is prescribed by a network provider within the provider's scope of practice and dispensed at one time for an enrollee by a provider or pharmacist, or at a location licensed or otherwise authorized to dispense drugs or supplies. Amends the Pharmacy Practice Act. Provides that, notwithstanding any other provision of law, a dispensing provider or pharmacist shall dispense, at a patient's request, up to a 12-month supply of a prescription hormone therapy and the necessary supplies for self-administration pursuant to a valid prescription that specifies an initial quantity followed by periodic refills, except as specified. Amends the State Employees Group Insurance Act of 1971 and the Illinois Public Aid Code to require coverage under the provisions of those Acts.
Bill status signed all 5 stages cleared
Introduction
Apr 2026
Committee Review
May 2026
House Passage
Jun 2026
Senate Passage
May 2026
Signed into Law
Jun 2026
Introduced Apr 16, 2026 Signed Jun 29, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed Enrolled · 1 edit · Jun 29, 2026
MINOR
The primary change between the Engrossed and Enrolled versions of HB 5492 is the correction of the bill's status from 'Engrossed' to 'Enrolled' in the header and page footers. This indicates the bill has completed the legislative process and is ready for the Governor's signature. No substantive policy changes, such as new requirements, funding amounts, or eligibility criteria, were identified in the provided text.
TECHNICAL

Updated the document header and page footers to reflect the bill's final 'Enrolled' status, signifying the end of the legislative process.

Floor votes · Senate May 30, 2026 · House Apr 15, 2026

How they voted

3719
Passed · 2 other
Total votes 58
May 30, 2026
D Democratic39
37 Yea 2
94% Yea
R Republican19
19 Nay
100% Nay
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
83
Key actions
15
Committee
18
Amendments
10
Jun 29, 2026
Signed into law
Governor Approved
lower
Jun 1, 2026
Lower · Passed
Passed Both Houses
lower
Jun 1, 2026
Introduced
Senate Floor Amendment No. 2 House Concurs 075-039-000
lower
May 31, 2026
Lower · Passed
Senate Floor Amendment No. 2 Motion to Concur Recommends Be Adopted Insurance Committee; 010-006-000
lower
May 30, 2026
Committee
Senate Floor Amendment No. 2 Motion to Concur Rules Referred to Insurance Committee
lower
May 30, 2026
Committee
Senate Floor Amendment No. 2 Motion to Concur Referred to Rules Committee
lower
May 30, 2026
Introduced
Senate Floor Amendment No. 2 Motion Filed Concur Rep. Katie Stuart
lower
May 30, 2026
Introduced
Placed on Calendar Order of Concurrence Senate Amendment(s) 2
lower
May 30, 2026
Introduced
Arrived in House
lower
May 30, 2026
Amended
Senate Committee Amendment No. 1 Tabled Pursuant to Rule 5-4(a)
upper
May 30, 2026
Upper · Passed
Third Reading - Passed; 038-019-000
upper
May 30, 2026
Upper · Passed
Senate Floor Amendment No. 2 Adopted; Collins
upper
May 28, 2026
Introduced
Senate Floor Amendment No. 2 Be Approved for Consideration Assignments
upper
May 27, 2026
Committee
Senate Floor Amendment No. 2 Referred to Assignments
upper
May 27, 2026
Introduced
Senate Floor Amendment No. 2 Filed with Secretary by Sen. Lakesia Collins
upper
May 27, 2026
Upper · Passed
Do Pass Executive; 012-001-000
upper
May 27, 2026
Upper · Passed
Senate Committee Amendment No. 1 Postponed - Executive
upper
May 21, 2026
Upper · Passed
Senate Committee Amendment No. 1 Assignments Refers to Executive
upper
May 20, 2026
Committee
Senate Committee Amendment No. 1 Referred to Assignments
upper
May 20, 2026
Introduced
Senate Committee Amendment No. 1 Filed with Secretary by Sen. Lakesia Collins
upper
May 15, 2026
Upper · Passed
Rule 2-10 Committee Deadline Established As May 22, 2026
upper
May 12, 2026
Committee
Assigned to Executive
upper
May 12, 2026
Upper · Passed
Rule 2-10 Committee Deadline Established As May 15, 2026
upper
Apr 16, 2026
Committee
Referred to Assignments
upper
Apr 16, 2026
Introduced
Arrive in Senate
upper
Apr 15, 2026
Lower · Passed
Third Reading - Standard Debate - Passed 074-037-000
lower
Apr 15, 2026
Lower · Passed
House Floor Amendment No. 1 Adopted
lower
Apr 8, 2026
Lower · Passed
House Floor Amendment No. 1 Recommends Be Adopted Insurance Committee; 009-005-000
lower
Apr 7, 2026
Lower · Passed
House Floor Amendment No. 1 Rules Refers to Insurance Committee
lower
Mar 31, 2026
Committee
House Floor Amendment No. 1 Referred to Rules Committee
lower
Mar 31, 2026
Introduced
House Floor Amendment No. 1 Filed with Clerk by Rep. Katie Stuart
lower
Mar 18, 2026
Lower · Passed
Do Pass / Short Debate Insurance Committee; 009-004-000
lower
Mar 4, 2026
Committee
Assigned to Insurance Committee
lower
Feb 13, 2026
Committee
Referred to Rules Committee
lower
2 primary · 26 co-sponsors

Sponsors