Illinois 103rd Regular Session Status: Enacted Bipartisan · 48 D · 3 R cosponsors

SB 3203 — INS CD-INHALER COVERAGE

Last action — Public Act . . . . . . . . . 103-0951

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Senate
  4. ✓
    Passed House
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced February 06, 2024. Enacted.

Signed by Governor JB Pritzker (Democratic) on August 09, 2024.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 98% · high confidence

  • Enacted

    Current position in the legislative process.

  • 56 sponsors

    2 primary, 54 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (48 D · 3 R) — cross-party backing.

  • Cleared a recorded vote

    Passed 4 recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Summary

Amends the Illinois Insurance Code. Provides that a health plan shall limit the total amount that a covered person is required to pay for a covered prescription inhaler at an amount not to exceed $25 per 30-day supply and shall limit the total amount that a covered person is required to pay for all covered prescription inhalers at an amount not to exceed $50 in total per 30 days. Provides that coverage for prescription inhalers shall not be subject to any deductible. Provides that nothing in the provisions prevents a health plan from reducing a covered person's cost sharing to an amount less than the cap. Authorizes rulemaking and enforcement by the Department of Insurance. Effective January 1, 2025.

Bill Text

What changed in the latest version

5 added · 5 removed

Plain-language change summary

The latest version of Bill SB 3203 replaces the prior text with updated language, which suggests some revisions were made to clarify or improve the provisions. The exact changes involve replacing five lines of information that specify the version of the bill, indicating a shift from the engrossed version to the enrolled version. This matters because the enrolled version is typically the final draft that is sent for the governor's approval, meaning these changes could impact the bill's final content and execution.

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Latest
SB3203 Engrossed LRB103 37942 CES 68074 b AN ACT concerning regulation.
SB3203 Enrolled LRB103 37942 CES 68074 b AN ACT concerning regulation.
The program of health benefits shall SB3203 Engrossed - 2 - LRB103 37942 CES 68074 b provide the coverage required under Section 356m of the Illinois Insurance Code and, for the employees of the State Employee Group Insurance Program only, the coverage as also provided in Section 6.11B of this Act.
The program of health benefits shall SB3203 Enrolled - 2 - LRB103 37942 CES 68074 b provide the coverage required under Section 356m of the Illinois Insurance Code and, for the employees of the State Employee Group Insurance Program only, the coverage as also provided in Section 6.11B of this Act.
SB3203 Engrossed - 3 - LRB103 37942 CES 68074 b (215 ILCS 5/356z.5) Sec.
SB3203 Enrolled - 3 - LRB103 37942 CES 68074 b (215 ILCS 5/356z.5) Sec.
(c) A group or individual policy of accident and health insurance or managed care plan amended, delivered, issued, or renewed on or after January 1, 2026 that provides coverage for SB3203 Engrossed - 4 - LRB103 37942 CES 68074 b prescription drugs may not deny or limit, except as otherwise provided in this subsection, coverage for prescription inhalers to enable persons to breathe when suffering from asthma or other life-threatening bronchial ailments based upon any restriction on the number of days before an inhaler refill may be obtained if, contrary to those restrictions, the inhalants have been ordered or prescribed by the treating physician and are medically appropriate.
(c) A group or individual policy of accident and health insurance or managed care plan amended, delivered, issued, or renewed on or after January 1, 2026 that provides coverage for SB3203 Enrolled - 4 - LRB103 37942 CES 68074 b prescription drugs may not deny or limit, except as otherwise provided in this subsection, coverage for prescription inhalers to enable persons to breathe when suffering from asthma or other life-threatening bronchial ailments based upon any restriction on the number of days before an inhaler refill may be obtained if, contrary to those restrictions, the inhalants have been ordered or prescribed by the treating physician and are medically appropriate.
The Department may use any of its enforcement powers to obtain a group or individual policy of accident and SB3203 Engrossed - 5 - LRB103 37942 CES 68074 b health insurance's or managed care plan's compliance with this Section.
The Department may use any of its enforcement powers to obtain a group or individual policy of accident and SB3203 Enrolled - 5 - LRB103 37942 CES 68074 b health insurance's or managed care plan's compliance with this Section.
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Amendments

2 amendments

Click Show changes on an amendment above to see how it modifies the bill.

Action History

  1. Public Act . . . . . . . . . 103-0951

  2. Effective Date January 1, 2025

  3. Governor Approved

  4. Sent to the Governor

  5. Added Alternate Chief Co-Sponsor Rep. Harry Benton

  6. Added Alternate Co-Sponsor Rep. Nabeela Syed

  7. Added Alternate Co-Sponsor Rep. Suzanne M. Ness

  8. Added Alternate Co-Sponsor Rep. Lilian Jiménez

  9. Added Alternate Co-Sponsor Rep. Norma Hernandez

  10. Passed Both Houses

  11. Third Reading - Short Debate - Passed 087-021-000

  12. Added Alternate Co-Sponsor Rep. Margaret Croke

  13. Added Alternate Co-Sponsor Rep. Maura Hirschauer

  14. Added Alternate Co-Sponsor Rep. Abdelnasser Rashid

  15. Third Reading/Final Action Deadline Extended-9(b) May 24, 2024

  16. Added Alternate Co-Sponsor Rep. Matt Hanson

  17. Added Alternate Co-Sponsor Rep. Debbie Meyers-Martin

  18. Added Alternate Co-Sponsor Rep. Jenn Ladisch Douglass

  19. Added Alternate Co-Sponsor Rep. Lindsey LaPointe

  20. Added Alternate Co-Sponsor Rep. Maurice A. West, II

  21. Added Alternate Chief Co-Sponsor Rep. Mary Beth Canty

  22. Added Alternate Co-Sponsor Rep. Kevin John Olickal

  23. Added Alternate Co-Sponsor Rep. Joyce Mason

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

  25. Second Reading - Short Debate

  26. Added Alternate Co-Sponsor Rep. Diane Blair-Sherlock

  27. Added Alternate Co-Sponsor Rep. Emanuel "Chris" Welch

  28. Added Alternate Co-Sponsor Rep. Sharon Chung

  29. Added Alternate Co-Sponsor Rep. Terra Costa Howard

  30. Added Alternate Co-Sponsor Rep. Katie Stuart

  31. Added Alternate Co-Sponsor Rep. Will Guzzardi

  32. Added Alternate Co-Sponsor Rep. Rita Mayfield

  33. Placed on Calendar 2nd Reading - Short Debate

  34. Do Pass / Short Debate Insurance Committee; 010-005-000

  35. Added Alternate Co-Sponsor Rep. La Shawn K. Ford

  36. Added Alternate Co-Sponsor Rep. Eva-Dina Delgado

  37. Added Alternate Chief Co-Sponsor Rep. Camille Y. Lilly

  38. Added Alternate Co-Sponsor Rep. Janet Yang Rohr

  39. Assigned to Insurance Committee

  40. Added Alternate Chief Co-Sponsor Rep. Kimberly Du Buclet

  41. Added Alternate Co-Sponsor Rep. Theresa Mah

  42. Referred to Rules Committee

  43. First Reading

  44. Chief House Sponsor Rep. Laura Faver Dias

  45. Added as Co-Sponsor Sen. Kimberly A. Lightford

  46. Arrived in House

  47. Added as Chief Co-Sponsor Sen. Mike Simmons

  48. Added as Co-Sponsor Sen. Elgie R. Sims, Jr.

  49. Added as Co-Sponsor Sen. Adriane Johnson

  50. Added as Co-Sponsor Sen. Mary Edly-Allen

  51. Third Reading - Passed; 053-002-000

  52. Placed on Calendar Order of 3rd Reading

  53. Senate Floor Amendment No. 2 Adopted

  54. Recalled to Second Reading

  55. Senate Floor Amendment No. 2 Be Approved for Consideration Assignments

  56. Senate Floor Amendment No. 2 Referred to Assignments

  57. Senate Floor Amendment No. 2 Filed with Secretary by Sen. Mattie Hunter

  58. Added as Co-Sponsor Sen. Michael W. Halpin

  59. Added as Co-Sponsor Sen. Lakesia Collins

  60. Added as Co-Sponsor Sen. David Koehler

  61. Added as Co-Sponsor Sen. Terri Bryant

  62. Added as Co-Sponsor Sen. Sue Rezin

  63. Added as Co-Sponsor Sen. Celina Villanueva

  64. Added as Co-Sponsor Sen. Sara Feigenholtz

  65. Added as Co-Sponsor Sen. Robert Peters

  66. Added as Co-Sponsor Sen. Sally J. Turner

  67. Added as Co-Sponsor Sen. Linda Holmes

  68. Placed on Calendar Order of 3rd Reading March 20, 2024

  69. Second Reading

  70. Added as Co-Sponsor Sen. Michael E. Hastings

  71. Added as Co-Sponsor Sen. Mike Porfirio

  72. Added as Co-Sponsor Sen. Rachel Ventura

  73. Added as Co-Sponsor Sen. Emil Jones, III

  74. Added as Chief Co-Sponsor Sen. Julie A. Morrison

  75. Placed on Calendar Order of 2nd Reading March 7, 2024

  76. Do Pass as Amended Insurance; 007-003-000

  77. Senate Committee Amendment No. 1 Adopted

  78. Added as Co-Sponsor Sen. Christopher Belt

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

  80. Senate Committee Amendment No. 1 Referred to Assignments

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

  82. Added as Co-Sponsor Sen. Laura Fine

  83. Added as Chief Co-Sponsor Sen. Willie Preston

  84. Added as Co-Sponsor Sen. Cristina Castro

  85. Added as Co-Sponsor Sen. Javier L. Cervantes

  86. Assigned to Insurance

  87. Referred to Assignments

  88. First Reading

  89. Filed with Secretary by Sen. Mattie Hunter

Sponsors

Sponsorship breakdown

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2 sponsors · 54 co-sponsors · 127 not signed on · 24 voted No

Sponsors (2)

Co-sponsors (54)

Not signed on (127)

127 members have not signed on to this bill.

Show all 127 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Third Reading

Passed 87 Yea · 21 Nay · 9 Other
Party YeaNayPresentNot Voting
Democrat 61003
Unaffiliated 12004
Republican 142102
Total 872109
% of votes cast 74%18%0%8%
How each member voted (117)
Member Party Vote
Nichols — Yea
Ortiz — Yea
Burke — Yea
Yednock — Yea
Caulkins — Not Voting
Flowers — Not Voting
Frese — Not Voting
Costa Howard — Yea
Du Buclet — Yea
Faver Dias — Yea
Hernandez, Lisa — Yea
Katz Muhl — Yea
La Ha — Yea
Ladisch Douglass — Not Voting
Williams, Jawaharial — Yea
Yang Rohr — Yea
Abdelnasser Rashid Democrat Yea
Angelica Guerrero-Cuellar Democrat Yea
Ann M. Williams Democrat Yea
Anna Moeller Democrat Yea
Anne Stava Democrat Yea
Anthony DeLuca Democrat Yea
Barbara Hernandez Democrat Yea
Bob Morgan Democrat Yea
Camille Y. Lilly Democrat Yea
Carol Ammons Democrat Not Voting
Curtis J. Tarver, II Democrat Yea
Dagmara Avelar Democrat Yea
Daniel Didech Democrat Yea
Dave Vella Democrat Yea
Debbie Meyers-Martin Democrat Yea
Diane Blair-Sherlock Democrat Yea
Edgar González, Jr. Democrat Yea
Emanuel "Chris" Welch Democrat Yea
Eva-Dina Delgado Democrat Yea
Fred Crespo Democrat Yea
Gregg Johnson Democrat Yea
Harry Benton Democrat Yea
Hoan Huynh Democrat Yea
Jaime M. Andrade, Jr. Democrat Not Voting
Jay Hoffman Democrat Yea
Jehan Gordon-Booth Democrat Yea
Jennifer Gong-Gershowitz Democrat Yea
Joyce Mason Democrat Yea
Justin Slaughter Democrat Yea
Kam Buckner Democrat Yea
Katie Stuart Democrat Yea
Kelly M. Cassidy Democrat Yea
Kevin John Olickal Democrat Yea
La Shawn K. Ford Democrat Not Voting
Lawrence "Larry" Walsh, Jr. Democrat Yea
Lilian Jiménez Democrat Yea
Lindsey LaPointe Democrat Yea
Marcus C. Evans, Jr. Democrat Yea
Margaret Croke Democrat Yea
Martin J. Moylan Democrat Yea
Mary Beth Canty Democrat Yea
Mary Gill Democrat Yea
Matt Hanson Democrat Yea
Maura Hirschauer Democrat Yea
Maurice A. West, II Democrat Yea
Michael J. Kelly Democrat Yea
Michelle Mussman Democrat Yea
Nabeela Syed Democrat Yea
Natalie A. Manley Democrat Yea
Nicholas K. Smith Democrat Yea
Norma Hernandez Democrat Yea
Rita Mayfield Democrat Yea
Robert "Bob" Rita Democrat Yea
Robyn Gabel Democrat Yea
Sharon Chung Democrat Yea
Sonya M. Harper Democrat Yea
Stephanie A. Kifowit Democrat Yea
Sue Scherer Democrat Yea
Suzanne M. Ness Democrat Yea
Thaddeus Jones Democrat Yea
Theresa Mah Democrat Yea
Will Guzzardi Democrat Yea
William "Will" Davis Democrat Yea
Yolonda Morris Democrat Yea
Adam M. Niemerg Republican Nay
Amy Elik Republican Yea
Amy L. Grant Republican Yea
Blaine Wilhour Republican Nay
Brad Halbrook Republican Nay
Brad Stephens Republican Yea
Bradley Fritts Republican Yea
Brandun Schweizer Republican Yea
Charles Meier Republican Nay
Chris Miller Republican Nay
Christopher "C.D." Davidsmeyer Republican Nay
Dan Swanson Republican Yea
Daniel J. Ugaste Republican Nay
Dave Severin Republican Nay
David Friess Republican Nay
Dennis Tipsword Republican Nay
Jackie Haas Republican Yea
Jason R. Bunting Republican Not Voting
Jed Davis Republican Nay
Jeff Keicher Republican Nay
Jennifer Sanalitro Republican Yea
Joe C. Sosnowski Republican Nay
John M. Cabello Republican Yea
Kevin Schmidt Republican Yea
Martin McLaughlin Republican Nay
Michael J. Coffey, Jr. Republican Yea
Norine K. Hammond Republican Yea
Patrick Sheehan Republican Not Voting
Patrick Windhorst Republican Yea
Paul Jacobs Republican Nay
Ryan Spain Republican Nay
Steven Reick Republican Nay
Tom Weber Republican Nay
Tony M. McCombie Republican Yea
Travis Weaver Republican Nay
Wayne A. Rosenthal Republican Nay
William E Hauter Republican Nay

Official roll call →

Insurance

Passed 10 Yea · 5 Nay
Party YeaNayPresentNot Voting
Democrat 8000
Unaffiliated 2100
Republican 0400
Total 10500
% of votes cast 67%33%0%0%
How each member voted (15)
Member Party Vote
Katz Muhl — Yea
La Ha — Nay
Williams, Jawaharial — Yea
Anthony DeLuca Democrat Yea
Bob Morgan Democrat Yea
Camille Y. Lilly Democrat Yea
La Shawn K. Ford Democrat Yea
Lilian Jiménez Democrat Yea
Margaret Croke Democrat Yea
Rita Mayfield Democrat Yea
Thaddeus Jones Democrat Yea
Jackie Haas Republican Nay
Jeff Keicher Republican Nay
Travis Weaver Republican Nay
William E Hauter Republican Nay

Official roll call →

Third Reading

Passed 53 Yea · 2 Nay · 4 Other
Party YeaNayPresentNot Voting
Democrat 33001
Unaffiliated 7100
Republican 13103
Total 53204
% of votes cast 90%3%0%7%
How each member voted (59)
Member Party Vote
Gillespie — Yea
Bennett — Yea
Toro — Yea
Harris, N. — Yea
Simmons — Yea
Stoller — Nay
Glowiak Hilton — Yea
Loughran Cappel — Yea
Bill Cunningham Democrat Yea
Celina Villanueva Democrat Yea
Christopher Belt Democrat Yea
Cristina Castro Democrat Yea
David Koehler Democrat Yea
Don Harmon Democrat Yea
Doris Turner Democrat Yea
Elgie R. Sims, Jr. Democrat Yea
Emil Jones, III Democrat Yea
Gregg Johnson Democrat Yea
Javier L. Cervantes Democrat Yea
Julie A. Morrison Democrat Yea
Karina Villa Democrat Yea
Kimberly A. Lightford Democrat Yea
Lakesia Collins Democrat Yea
Laura Ellman Democrat Yea
Laura Fine Democrat Yea
Laura M. Murphy Democrat Yea
Linda Holmes Democrat Yea
Mary Edly-Allen Democrat Yea
Mattie Hunter Democrat Yea
Michael E. Hastings Democrat Not Voting
Michael W. Halpin Democrat Yea
Mike Porfirio Democrat Yea
Omar Aquino Democrat Yea
Patrick J. Joyce Democrat Yea
Paul Faraci Democrat Yea
Rachel Ventura Democrat Yea
Ram Villivalam Democrat Yea
Robert F. Martwick Democrat Yea
Robert Peters Democrat Yea
Sara Feigenholtz Democrat Yea
Steve Stadelman Democrat Yea
Willie Preston Democrat Yea
Andrew S. Chesney Republican Nay
Chapin Rose Republican Yea
Craig Wilcox Republican Yea
Dale Fowler Republican Yea
Dan McConchie Republican Yea
Dave Syverson Republican Not Voting
Donald P. DeWitte Republican Yea
Erica Harriss Republican Yea
Jason Plummer Republican Not Voting
Jil Tracy Republican Yea
John F. Curran Republican Not Voting
Neil Anderson Republican Yea
Sally J. Turner Republican Yea
Seth Lewis Republican Yea
Steve McClure Republican Yea
Sue Rezin Republican Yea
Terri Bryant Republican Yea

Official roll call →

Insurance

Passed 10 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Democrat 4001
Unaffiliated 3000
Republican 3000
Total 10001
% of votes cast 91%0%0%9%
How each member voted (11)
Member Party Vote
Harris III, Napoleon — Yea
Gillespie, Ann — Yea
Stoller, Win — Yea
Christopher Belt Democrat Yea
Cristina Castro Democrat Yea
Javier L. Cervantes Democrat Yea
Laura Fine Democrat Yea
Willie Preston Democrat Not Voting
Chapin Rose Republican Yea
Dan McConchie Republican Yea
Dave Syverson Republican Yea

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

What does SB 3203 do?
Amends the Illinois Insurance Code. Provides that a health plan shall limit the total amount that a covered person is required to pay for a covered prescription inhaler at an amount not to exceed $25 per 30-day supply and shall limit the total amount that a covered person is required to pay for all covered prescription inhalers at an amount not to exceed $50 in total per 30 days. Provides that coverage for prescription inhalers shall not be subject to any deductible. Provides that nothing in the provisions prevents a health plan from reducing a covered person's cost sharing to an amount less than the cap. Authorizes rulemaking and enforcement by the Department of Insurance. Effective January 1, 2025.
Who sponsors SB 3203?
SB 3203 is sponsored by Mattie Hunter (Democrat), Willie Preston (Democrat), Julie A. Morrison (Democrat), Javier L. Cervantes (Democrat), Cristina Castro (Democrat), Laura Fine (Democrat), Christopher Belt (Democrat), Emil Jones, III (Democrat), Rachel Ventura (Democrat), Mike Porfirio (Democrat), Michael E. Hastings (Democrat), Linda Holmes (Democrat), Sally J. Turner (Republican), Robert Peters (Democrat), Sara Feigenholtz (Democrat), Celina Villanueva (Democrat), Sue Rezin (Republican), Terri Bryant (Republican), David Koehler (Democrat), Lakesia Collins (Democrat), Michael W. Halpin (Democrat), Mary Edly-Allen (Democrat), Adriane L. Johnson (Democrat), Elgie R. Sims, Jr. (Democrat), Kimberly A. Lightford (Democrat), Camille Y. Lilly (Democrat), Mary Beth Canty (Democrat), Harry Benton (Democrat), Theresa Mah (Democrat), Eva-Dina Delgado (Democrat), La Shawn K. Ford (Democrat), Rita Mayfield (Democrat), Debbie Meyers-Martin (Democrat), Matt Hanson (Democrat), Abdelnasser Rashid (Democrat), Maura Hirschauer (Democrat), Margaret Croke (Democrat), Norma Hernandez (Democrat), Lilian Jiménez (Democrat), Suzanne M. Ness (Democrat), Nabeela Syed (Democrat), Will Guzzardi (Democrat), Katie Stuart (Democrat), Sharon Chung (Democrat), Emanuel "Chris" Welch (Democrat), Diane Blair-Sherlock (Democrat), Joyce Mason (Democrat), Kevin John Olickal (Democrat), Maurice A. West, II (Democrat), Lindsey LaPointe (Democrat), Costa Howard, Yang Rohr, Du Buclet, Faver Dias, Mike Simmons (Democrat), and Ladisch Douglass.
What is the current status of SB 3203?
This bill has been enacted into law. Introduced February 06, 2024. Enacted.
Where can I track SB 3203?
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