SB1238Introduced in the Senate
NONOPIOID ALTERNATIVES
Introduced by Karina Villa, District 25
What does this bill do?
Plain-English breakdown
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Official description
Reinserts the provisions of the introduced bill concerning the amendatory changes to the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois. Replaces the changes to the Illinois Insurance Code. Provides that beginning January 1, 2027, a health insurance issuer shall develop a plan to provide adequate coverage and access to a broad spectrum of pain management services, including, but not limited to, nonopioid, nonnarcotic pain management services and non-medication pain management services that serve as alternatives to the prescribing of opioid or narcotic drugs in accordance with guidelines developed by the Department of Insurance. Provides that a health insurance issuer shall file the plan required under this provision with the Department of Insurance and shall post information about the pain management plan on the insurer's publicly accessible website. Replaces the amendatory changes to the Illinois Public Aid Code. Provides that in establishing and maintaining the Illinois Medicaid Preferred Drug List, the Department of Healthcare and Family Services shall ensure that nonopioid drugs on the Department's preferred drug list, and approved by the U.S. Food and Drug Administration, for the treatment or management of pain shall not be disadvantaged or discouraged with respect to coverage relative to any opioid or narcotic drug for the treatment or management of acute pain as long as the Department retains its authority to manage the Preferred Drug List process pursuant to State or federal law, rules, regulations, and policies and the Department's authority over the Preferred Drug List process is not undermined or compromised.
Where it stands
Public Act . . . . . . . . . 104-0369
August 15, 2025
How did lawmakers vote?
House votes
2 recorded votes · each counted separately
Senate votes
3 recorded votes · each counted separately
HouseStage: Third Reading in House · May 22, 2025
113
Yes
0
No
1
Absent or Not Voting
114 representatives recorded in this House vote. Colors show vote categories only, not whether a vote was good or bad.
What do people think?
Citizen Voice
How would you vote on this bill?
An unofficial public opinion poll. It does not affect the bill or the official vote.
One response per device. Location is self-reported and not verified. Results are informal and not a scientific survey.
See how each representative voted
| Representative | District | Vote |
|---|---|---|
| Aaron Ortiz | 1 | Yes |
| Elizabeth Hernandez | 2 | Yes |
| Eva Dina Delgado | 3 | Yes |
| Lilian Jimenez | 4 | Yes |
| Kimberly Du Buclet | 5 | Yes |
| Sonya Harper | 6 | Yes |
| Emanuel Welch | 7 | Yes |
| LaShawn Ford | 8 | Yes |
| Yolanda Morris | 9 | Yes |
| Jawaharial Williams | 10 | Yes |
Bill history
Filed with Secretary by Sen. Karina Villa
First Reading
Referred to Assignments
Assigned to Insurance
Added as Co-Sponsor Sen. Michael W. Halpin
Added as Co-Sponsor Sen. Javier L. Cervantes
Added as Co-Sponsor Sen. Mary Edly-Allen
Added as Co-Sponsor Sen. Robert Peters
Added as Co-Sponsor Sen. Mike Porfirio
Added as Co-Sponsor Sen. Laura Fine
Added as Co-Sponsor Sen. Graciela Guzmán
Added as Co-Sponsor Sen. Cristina Castro
Postponed - Insurance
Added as Chief Co-Sponsor Sen. Mattie Hunter
Postponed - Insurance
Added as Co-Sponsor Sen. Mark L. Walker
Added as Co-Sponsor Sen. Seth Lewis
Senate Committee Amendment No. 1 Filed with Secretary by Sen. Karina Villa
Senate Committee Amendment No. 1 Referred to Assignments
Added as Co-Sponsor Sen. Julie A. Morrison
Senate Committee Amendment No. 1 Assignments Refers to Insurance
Senate Committee Amendment No. 1 Adopted
Do Pass as Amended Insurance; 012-000-000
Placed on Calendar Order of 2nd Reading March 20, 2025
Second Reading
Placed on Calendar Order of 3rd Reading April 1, 2025
Added as Co-Sponsor Sen. Li Arellano, Jr.
Third Reading - Passed; 053-000-000
Added as Co-Sponsor Sen. Sara Feigenholtz
Arrived in House
Chief House Sponsor Rep. Janet Yang Rohr
First Reading
Referred to Rules Committee
Assigned to Health Care Availability & Accessibility Committee
Do Pass / Short Debate Health Care Availability & Accessibility Committee; 011-000-000
Placed on Calendar 2nd Reading - Short Debate
Second Reading - Short Debate
Held on Calendar Order of Second Reading - Short Debate
Added Alternate Chief Co-Sponsor Rep. Kevin Schmidt
Added Alternate Chief Co-Sponsor Rep. Lindsey LaPointe
Added Alternate Chief Co-Sponsor Rep. Laura Faver Dias
Placed on Calendar Order of 3rd Reading - Short Debate
Third Reading - Short Debate - Passed 113-000-000
Passed Both Houses
Added Alternate Co-Sponsor Rep. Nicolle Grasse
Sent to the Governor
Governor Approved
Effective Date January 1, 2026
Public Act . . . . . . . . . 104-0369
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