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HB3605Introduced in the House

INS-GENETIC TESTING & SCREEN

EngrossedSenate Assignments

Introduced by Camille Lilly, District 78

What does this bill do?

Plain-English breakdown

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Official description

Amends the Illinois Insurance Code. Provides that the coverage required under provisions concerning genetic testing and evidence-based screenings for an inherited gene mutation shall be provided without cost sharing, except as specified. Changes the date of coverage to January 1, 2028 (rather than January 1, 2026) and provides that the coverage requirements apply to an individual or group policy (rather than only a group policy) of accident and health insurance or managed care plan. Excludes the State Employees Group Insurance Program or any other health care plan established or maintained under the State Employees Group Insurance Act of 1971 from the coverage requirements. Amends the State Employees Group Insurance Act of 1971. Requires the State Employees Group Insurance Program to provide coverage for clinical genetic testing for an inherited gene mutation for individuals with a personal or family history of cancer, as recommended by a health care professional in accordance with current evidence-based clinical practice guidelines. For individuals with a genetic test that is positive for an inherited mutation associated with an increased risk of cancer, requires the coverage to include any evidence-based screenings, as recommended by a health care professional in accordance with current evidence-based clinical practice guidelines, to the extent that the management recommendation is not already covered by the policy. Provides that the coverage is subject to specified cost sharing requirements.

Where it stands

Rule 3-9(a) / Re-referred to Assignments

June 1, 2026

How did lawmakers vote?

House votes

3 recorded votes · each counted separately

Senate votes

2 recorded votes · each counted separately

SenateStage: Senate Insurance Committee · May 12, 2026

11

Yes

2

No

1

Absent or Not Voting

14 senators recorded in this Senate vote. Colors show vote categories only, not whether a vote was good or bad.

See how each senator voted

SenatorDistrictVote
Laura Fine9Yes
Mike Porfirio11Yes
Willie Preston16Yes
William Cunningham18Yes
Laura Ellman21Yes
Cristina Castro22Yes
Suzanne Glowiak Hilton23Yes
Mark Walker27Yes
Julie Morrison29Yes
Dave Syverson35No

Bill history

  1. Filed with the Clerk by Rep. Camille Y. Lilly

  2. First Reading

  3. Referred to Rules Committee

  4. Assigned to Insurance Committee

  5. Do Pass / Short Debate Insurance Committee; 011-006-000

  6. Placed on Calendar 2nd Reading - Short Debate

  7. House Floor Amendment No. 1 Filed with Clerk by Rep. Camille Y. Lilly

  8. House Floor Amendment No. 1 Referred to Rules Committee

  9. Added Chief Co-Sponsor Rep. Marcus C. Evans, Jr.

  10. Added Co-Sponsor Rep. William "Will" Davis

  11. House Floor Amendment No. 1 Recommends Be Adopted Rules Committee; 005-000-000

  12. Second Reading - Short Debate

  13. Held on Calendar Order of Second Reading - Short Debate

  14. Added Co-Sponsor Rep. Janet Yang Rohr

  15. Rule 19(a) / Re-referred to Rules Committee

  16. House Floor Amendment No. 1 Rule 19(c) / Re-referred to Rules Committee

  17. Added Co-Sponsor Rep. Anne Stava

  18. Added Co-Sponsor Rep. Stephanie A. Kifowit

  19. Approved for Consideration Rules Committee; 005-000-000

  20. Placed on Calendar 2nd Reading - Short Debate

  21. House Floor Amendment No. 1 Recommends Be Adopted Rules Committee; 005-000-000

  22. House Floor Amendment No. 2 Filed with Clerk by Rep. Camille Y. Lilly

  23. House Floor Amendment No. 2 Referred to Rules Committee

  24. House Floor Amendment No. 2 Rules Refers to Insurance Committee

  25. House Floor Amendment No. 3 Filed with Clerk by Rep. Camille Y. Lilly

  26. House Floor Amendment No. 3 Referred to Rules Committee

  27. House Floor Amendment No. 3 Rules Refers to Insurance Committee

  28. Added Co-Sponsor Rep. Nabeela Syed

  29. House Floor Amendment No. 1 Fiscal Note Requested as Amended by Rep. Camille Y. Lilly

  30. House Floor Amendment No. 2 Fiscal Note Requested as Amended by Rep. Camille Y. Lilly

  31. House Floor Amendment No. 3 Fiscal Note Requested as Amended by Rep. Camille Y. Lilly

  32. House Floor Amendment No. 4 Filed with Clerk by Rep. Camille Y. Lilly

  33. House Floor Amendment No. 4 Referred to Rules Committee

  34. House Floor Amendment No. 4 Rules Refers to Insurance Committee

  35. House Floor Amendment No. 4 Recommends Be Adopted Insurance Committee; 010-006-000

  36. Added Co-Sponsor Rep. Nicholas K. Smith

  37. House Floor Amendment No. 1 Withdrawn by Rep. Camille Y. Lilly

  38. House Floor Amendment No. 4 Adopted

  39. House Floor Amendment No. 1 Fiscal Note Requested as Amended - Withdrawn by Rep. Camille Y. Lilly

  40. House Floor Amendment No. 2 Fiscal Note Requested as Amended - Withdrawn by Rep. Camille Y. Lilly

  41. House Floor Amendment No. 3 Fiscal Note Requested as Amended - Withdrawn by Rep. Camille Y. Lilly

  42. Placed on Calendar Order of 3rd Reading - Short Debate

  43. Third Reading - Short Debate - Passed 070-033-000

  44. House Floor Amendment No. 2 Tabled

  45. House Floor Amendment No. 3 Tabled

  46. Arrive in Senate

  47. Placed on Calendar Order of First Reading

  48. Chief Senate Sponsor Sen. Mattie Hunter

  49. First Reading

  50. Referred to Assignments

  51. Assigned to Insurance

  52. Added as Alternate Chief Co-Sponsor Sen. Julie A. Morrison

  53. Added as Alternate Chief Co-Sponsor Sen. Kimberly A. Lightford

  54. Senate Committee Amendment No. 1 Filed with Secretary by Sen. Mattie Hunter

  55. Senate Committee Amendment No. 1 Referred to Assignments

  56. Postponed - Insurance

  57. Added as Alternate Chief Co-Sponsor Sen. Cristina Castro

  58. Senate Committee Amendment No. 1 Assignments Refers to Insurance

  59. Added as Alternate Co-Sponsor Sen. Willie Preston

  60. Added as Alternate Co-Sponsor Sen. Sue Rezin

  61. Rule 2-10 Committee Deadline Established As May 15, 2026

  62. Senate Committee Amendment No. 1 Adopted

  63. Do Pass as Amended Insurance; 011-002-000

  64. Placed on Calendar Order of 2nd Reading May 14, 2026

  65. Added as Alternate Chief Co-Sponsor Sen. Bill Cunningham

  66. Second Reading

  67. Placed on Calendar Order of 3rd Reading May 20, 2026

  68. Added as Alternate Co-Sponsor Sen. Darby A. Hills

  69. Rule 2-10 Third Reading Deadline Established As May 31, 2026

  70. Rule 3-9(a) / Re-referred to Assignments

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