Illinois 104th General Assembly Status: Introduced 33 D cosponsors

HB2423      — MEDICAID-MATERNAL HLTH-DOULAS

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

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

This bill has been introduced in the House. Introduced January 31, 2025. It must pass committee before a floor vote.

Next likely step: a committee referral and hearing.

Odds of enactment

Low chance

Based on the sponsor, cosponsors, and committee posture, this bill has a low 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

Advancing 38% · moderate confidence

  • Introduced

    Current position in the legislative process.

  • 34 sponsors

    1 primary, 33 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (33 D).

  • 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.

In plain language

The bill allows patients to choose a certified doula for support during childbirth.

This legislation requires hospitals and birthing centers to let patients in the Medicaid program select a certified doula to assist during labor and after childbirth. Doulas are recognized as part of the care team and won’t count against any limits on support people.

What this means for you
  • Families: Families can choose a doula to provide additional support during childbirth without any restrictions on the number of support persons.

Summary

Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires hospitals and birthing centers to adopt and maintain written policies and procedures authorizing a patient enrolled in the medical assistance program to select an Illinois Medicaid certified and enrolled doula of the patient's choice to accompany the patient within the facility's premises for the purposes of providing support before, during, and after labor and childbirth, and during the patient's entire postpartum stay. Provides that the doula shall be considered part of the patient's care team and shall not be counted as a support person or against any guest quota. Requires hospitals and birthing centers to provide a written copy of their policies and procedures to maternity patients, the facilities' maternity health care providers, and any other person at the patient's request. Requires publication of the written policies on each facility's website. Contains provisions concerning hospital and birthing center liaisons and doulas certification acknowledgment requirements. Permits the Department of Healthcare and Family Services and the Department of Public Health to establish standing recommendations to meet Centers for Medicare and Medicaid Services requirements and ensure access to preventive services, including Medicaid-covered maternal and reproductive health supports and services.

Bill Text

We don't have the full text on file for this bill yet.

Read HB2423 on the official Illinois source →

Action History

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

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

  3. Placed on Calendar Order of 3rd Reading May 21, 2026

  4. Approved for Consideration Assignments

  5. Pursuant to Senate Rule 3-9(b) / Referred to Assignments

  6. Placed on Calendar Order of 3rd Reading October 15, 2025

  7. Approved for Consideration Assignments

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

  9. Rule 2-10 Third Reading/Passage Deadline Established As June 1, 2025

  10. Placed on Calendar Order of 3rd Reading May 20, 2025

  11. Second Reading

  12. Placed on Calendar Order of 2nd Reading

  13. Do Pass as Amended Executive; 009-004-000

  14. Senate Committee Amendment No. 1 Adopted

  15. Senate Committee Amendment No. 1 Assignments Refers to Executive

  16. Alternate Chief Sponsor Changed to Sen. Don Harmon

  17. Senate Committee Amendment No. 1 Referred to Assignments

  18. Senate Committee Amendment No. 1 Filed with Secretary by Sen. Don Harmon

  19. Rule 2-10 Committee Deadline Established As May 23, 2025

  20. Assigned to Executive

  21. Referred to Assignments

  22. First Reading

  23. Chief Senate Sponsor Sen. Lakesia Collins

  24. Placed on Calendar Order of First Reading

  25. Arrive in Senate

  26. Added Co-Sponsor Rep. Abdelnasser Rashid

  27. Added Co-Sponsor Rep. Angelica Guerrero-Cuellar

  28. Added Co-Sponsor Rep. Hoan Huynh

  29. House Floor Amendment No. 1 Tabled

  30. Third Reading - Short Debate - Passed 112-000-000

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

  32. House Floor Amendment No. 2 Adopted

  33. Added Co-Sponsor Rep. Anna Moeller

  34. House Floor Amendment No. 2 Recommends Be Adopted Human Services Committee; 012-000-000

  35. House Floor Amendment No. 2 Rules Refers to Human Services Committee

  36. Added Co-Sponsor Rep. Terra Costa Howard

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

  38. House Floor Amendment No. 2 Filed with Clerk by Rep. Yolonda Morris

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

  40. Second Reading - Short Debate

  41. House Floor Amendment No. 1 Rules Refers to Human Services Committee

  42. Added Co-Sponsor Rep. Emanuel "Chris" Welch

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

  44. House Floor Amendment No. 1 Filed with Clerk by Rep. Yolonda Morris

  45. Added Co-Sponsor Rep. Sonya M. Harper

  46. Added Co-Sponsor Rep. Natalie A. Manley

  47. Added Co-Sponsor Rep. Jawaharial Williams

  48. Added Co-Sponsor Rep. Laura Faver Dias

  49. Added Co-Sponsor Rep. Suzanne M. Ness

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

  51. Added Co-Sponsor Rep. Lindsey LaPointe

  52. Added Co-Sponsor Rep. Debbie Meyers-Martin

  53. Added Co-Sponsor Rep. Michael Crawford

  54. Added Co-Sponsor Rep. Kelly M. Cassidy

  55. Added Co-Sponsor Rep. Sharon Chung

  56. Added Co-Sponsor Rep. Anne Stava

  57. Added Co-Sponsor Rep. Michelle Mussman

  58. Added Co-Sponsor Rep. Tracy Katz Muhl

  59. Added Co-Sponsor Rep. Mary Beth Canty

  60. Added Co-Sponsor Rep. Barbara Hernandez

  61. Added Co-Sponsor Rep. Mary Gill

  62. Added Co-Sponsor Rep. Dagmara Avelar

  63. Added Co-Sponsor Rep. Maura Hirschauer

  64. Added Co-Sponsor Rep. Theresa Mah

  65. Added Co-Sponsor Rep. Amy Briel

  66. Added Co-Sponsor Rep. Kimberly Du Buclet

  67. Added Chief Co-Sponsor Rep. Jehan Gordon-Booth

  68. Added Chief Co-Sponsor Rep. Nicolle Grasse

  69. Added Chief Co-Sponsor Rep. Camille Y. Lilly

  70. Added Chief Co-Sponsor Rep. Lisa Davis

  71. Placed on Calendar 2nd Reading - Short Debate

  72. Do Pass / Short Debate Human Services Committee; 012-000-000

  73. Assigned to Human Services Committee

  74. Referred to Rules Committee

  75. First Reading

  76. Filed with the Clerk by Rep. Yolonda Morris

Sponsors

Sponsorship breakdown

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1 sponsors · 33 co-sponsors · 149 not signed on

Sponsors (1)

Co-sponsors (33)

Not signed on (149)

149 members have not signed on to this bill.

Show all 149 →

"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

Executive

Passed 13 Yea · 0 Nay
Party YeaNayPresentNot Voting
Republican 4000
Democrat 8000
Unaffiliated 1000
Total 13000
% of votes cast 100%0%0%0%
How each member voted (13)
Member Party Vote
Harris III, Napoleon — Yea
Bill Cunningham Democrat Yea
Cristina Castro Democrat Yea
Don Harmon Democrat Yea
Elgie R. Sims, Jr. Democrat Yea
Kimberly A. Lightford Democrat Yea
Laura M. Murphy Democrat Yea
Linda Holmes Democrat Yea
Omar Aquino Democrat Yea
Jil Tracy Republican Yea
John F. Curran Republican Yea
Neil Anderson Republican Yea
Terri Bryant Republican Yea

Official roll call →

Third Reading

Passed 112 Yea · 0 Nay
Party YeaNayPresentNot Voting
Democrat 70004
Republican 37002
Unaffiliated 4000
Total 111006
% of votes cast 95%0%0%5%
How each member voted (117)
Member Party Vote
Jacobs — Yea
Johnson — Yea
Stava-Murray — Yea
Hernandez, Lisa — Yea
Aarón M. Ortíz Democrat Yea
Abdelnasser Rashid Democrat Yea
Amy Briel Democrat Yea
Angelica Guerrero-Cuellar Democrat Yea
Ann M. Williams Democrat Yea
Anna Moeller 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
Eva-Dina Delgado Democrat Yea
Fred Crespo Democrat Not Voting
Harry Benton Democrat Yea
Hoan Huynh Democrat Yea
Jaime M. Andrade, Jr. Democrat Yea
Janet Yang Rohr Democrat Yea
Jawaharial Williams Democrat Yea
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
Kimberly Du Buclet Democrat Yea
La Shawn K. Ford Democrat Yea
Laura Faver Dias Democrat Yea
Lawrence "Larry" Walsh, Jr. Democrat Yea
Lilian Jiménez Democrat Yea
Lindsey LaPointe Democrat Yea
Lisa Davis Democrat Yea
Marcus C. Evans, Jr. Democrat Yea
Margaret Croke Democrat Yea
Martha Deuter 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 Crawford 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
Nicolle Grasse Democrat Yea
Norma Hernandez Democrat Yea
Rick Ryan Democrat Yea
Rita Mayfield Democrat Yea
Robert "Bob" Rita Democrat Yea
Robyn Gabel Democrat Yea
Sharon Chung Democrat Not Voting
Sonya M. Harper Democrat Yea
Stephanie A. Kifowit Democrat Yea
Sue Scherer Democrat Not Voting
Suzanne M. Ness Democrat Yea
Terra Costa Howard Democrat Yea
Thaddeus Jones Democrat Yea
Theresa Mah Democrat Yea
Tracy Katz Muhl Democrat Yea
Will Guzzardi Democrat Yea
William "Will" Davis Democrat Yea
Yolonda Morris Democrat Yea
Adam M. Niemerg Republican Yea
Amy Elik Republican Yea
Amy L. Grant Republican Yea
Blaine Wilhour Republican Yea
Brad Halbrook Republican Yea
Brad Stephens Republican Yea
Bradley Fritts Republican Yea
Brandun Schweizer Republican Yea
Charles Meier Republican Yea
Chris Miller Republican Yea
Christopher "C.D." Davidsmeyer Republican Yea
Dan Swanson Republican Yea
Daniel J. Ugaste Republican Yea
Dave Severin Republican Yea
David Friess Republican Yea
Dennis Tipsword Republican Yea
Jackie Haas Republican Yea
Jason R. Bunting Republican Yea
Jed Davis Republican Yea
Jeff Keicher Republican Yea
Jennifer Sanalitro Republican Not Voting
Joe C. Sosnowski Republican Yea
John M. Cabello Republican Yea
Kevin Schmidt Republican Yea
Kyle Moore Republican Yea
Martin McLaughlin Republican Yea
Michael J. Coffey, Jr. Republican Yea
Nicole La Ha Republican Yea
Norine K. Hammond Republican Yea
Patrick Sheehan Republican Yea
Patrick Windhorst Republican Yea
Regan Deering Republican Yea
Ryan Spain Republican Yea
Steven Reick Republican Yea
Tom Weber Republican Yea
Tony M. McCombie Republican Yea
Travis Weaver Republican Yea
Wayne A. Rosenthal Republican Yea
William E Hauter Republican Not Voting

Official roll call →

Human Services

Passed 12 Yea · 0 Nay
Party YeaNayPresentNot Voting
Democrat 8000
Republican 4000
Total 12000
% of votes cast 100%0%0%0%
How each member voted (12)
Member Party Vote
Amy Briel Democrat Yea
Anna Moeller Democrat Yea
Kelly M. Cassidy Democrat Yea
Lindsey LaPointe Democrat Yea
Nicolle Grasse Democrat Yea
Suzanne M. Ness Democrat Yea
Terra Costa Howard Democrat Yea
Yolonda Morris Democrat Yea
Charles Meier Republican Yea
Jackie Haas Republican Yea
Kevin Schmidt Republican Yea
Norine K. Hammond Republican Yea

Official roll call →

Human Services

Passed 12 Yea · 0 Nay
Party YeaNayPresentNot Voting
Democrat 8000
Republican 4000
Total 12000
% of votes cast 100%0%0%0%
How each member voted (12)
Member Party Vote
Amy Briel Democrat Yea
Anna Moeller Democrat Yea
Kelly M. Cassidy Democrat Yea
Lindsey LaPointe Democrat Yea
Nicolle Grasse Democrat Yea
Suzanne M. Ness Democrat Yea
Terra Costa Howard Democrat Yea
Yolonda Morris Democrat Yea
Charles Meier Republican Yea
Jackie Haas Republican Yea
Kevin Schmidt Republican Yea
Norine K. Hammond Republican Yea

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

What does HB2423      do?
Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires hospitals and birthing centers to adopt and maintain written policies and procedures authorizing a patient enrolled in the medical assistance program to select an Illinois Medicaid certified and enrolled doula of the patient's choice to accompany the patient within the facility's premises for the purposes of providing support before, during, and after labor and childbirth, and during the patient's entire postpartum stay. Provides that the doula shall be considered part of the patient's care team and shall not be counted as a support person or against any guest quota. Requires hospitals and birthing centers to provide a written copy of their policies and procedures to maternity patients, the facilities' maternity health care providers, and any other person at the patient's request. Requires publication of the written policies on each facility's website. Contains provisions concerning hospital and birthing center liaisons and doulas certification acknowledgment requirements. Permits the Department of Healthcare and Family Services and the Department of Public Health to establish standing recommendations to meet Centers for Medicare and Medicaid Services requirements and ensure access to preventive services, including Medicaid-covered maternal and reproductive health supports and services.
Who sponsors HB2423     ?
HB2423      is sponsored by Don Harmon, Yolonda Morris (Democrat), Lisa Davis (Democrat), Camille Y. Lilly (Democrat), Nicolle Grasse (Democrat), Jehan Gordon-Booth (Democrat), Kimberly Du Buclet (Democrat), Amy Briel (Democrat), Theresa Mah (Democrat), Maura Hirschauer (Democrat), Dagmara Avelar (Democrat), Mary Gill (Democrat), Barbara Hernandez (Democrat), Mary Beth Canty (Democrat), Tracy Katz Muhl (Democrat), Michelle Mussman (Democrat), Anne Stava (Democrat), Sharon Chung (Democrat), Kelly M. Cassidy (Democrat), Michael Crawford (Democrat), Debbie Meyers-Martin (Democrat), Lindsey LaPointe (Democrat), William "Will" Davis (Democrat), Suzanne M. Ness (Democrat), Laura Faver Dias (Democrat), Jawaharial Williams (Democrat), Natalie A. Manley (Democrat), Sonya M. Harper (Democrat), Emanuel "Chris" Welch (Democrat), Terra Costa Howard (Democrat), Anna Moeller (Democrat), Hoan Huynh (Democrat), Angelica Guerrero-Cuellar (Democrat), and Abdelnasser Rashid (Democrat).
What is the current status of HB2423     ?
This bill has been introduced in the House. Introduced January 31, 2025. It must pass committee before a floor vote.
Where can I track HB2423     ?
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