Illinois 104th General Assembly Status: Introduced 33 D cosponsors

HB2584      — INS-PRIOR AUTH HIV DRUG ACCESS

Last action — Senate Committee Amendment No. 2 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 February 04, 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.

  • 45 sponsors

    1 primary, 44 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (33 D).

  • Cleared a recorded vote

    Passed 3 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 prohibits prior authorization for certain HIV medications.

This bill amends the Prior Authorization Reform Act to prevent health insurance issuers and Medicaid programs from requiring prior authorization for HIV medications. It aims to improve access to treatment and prevention options for HIV.

What this means for you
  • Families: Families affected by HIV will benefit from easier access to medications for prevention and treatment without administrative hurdles.
  • Consumers: People prescribed HIV medications will not face delays due to prior authorization requirements, facilitating quicker access to necessary drugs.
  • Healthcare: This bill may streamline access to vital HIV medications for patients, enhancing healthcare providers' ability to offer timely treatment.

Summary

Amends the Prior Authorization Reform Act and the Illinois Public Aid Code. Provides that a health insurance issuer, the fee-for-service medical assistance program, and a Medicaid managed care organization may not require prior authorization for the following prescription drug types and their therapeutic equivalents approved by the United States Food and Drug Administration: human immunodeficiency virus pre-exposure prophylaxis and post-exposure prophylaxis medication or human immunodeficiency virus treatment medication. Effective January 1, 2027.

Bill Text

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

Read HB2584 on the official Illinois source →

Action History

  1. Senate Committee Amendment No. 2 Rule 3-9(a) / Re-referred to Assignments

  2. Senate Committee Amendment No. 1 Rule 3-9(a) / Re-referred to Assignments

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

  4. Rule 2-10 Committee/3rd Reading Deadline Established As May 31, 2026

  5. Rule 2-10 Committee Deadline Established As May 22, 2026

  6. Added as Alternate Co-Sponsor Sen. Rachel Ventura

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

  8. Senate Committee Amendment No. 2 Assignments Refers to Insurance

  9. Senate Committee Amendment No. 2 Referred to Assignments

  10. Senate Committee Amendment No. 2 Filed with Secretary by Sen. Sara Feigenholtz

  11. Added as Alternate Co-Sponsor Sen. Mark L. Walker

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

  13. Senate Committee Amendment No. 1 Referred to Assignments

  14. Senate Committee Amendment No. 1 Filed with Secretary by Sen. Sara Feigenholtz

  15. Re-assigned to Insurance

  16. Removed Co-Sponsor Rep. Stephanie A. Kifowit

  17. Added Chief Co-Sponsor Rep. Stephanie A. Kifowit

  18. Added as Alternate Co-Sponsor Sen. David Koehler

  19. Added as Alternate Chief Co-Sponsor Sen. Laura Fine

  20. Alternate Chief Sponsor Changed to Sen. Sara Feigenholtz

  21. Added as Alternate Co-Sponsor Sen. Javier L. Cervantes

  22. Added as Alternate Co-Sponsor Sen. Mary Edly-Allen

  23. Added as Alternate Co-Sponsor Sen. Laura M. Murphy

  24. Added as Alternate Co-Sponsor Sen. Celina Villanueva

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

  26. Re-referred to Insurance

  27. Rule 2-10 Committee Deadline Established As June 1, 2025

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

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

  30. Added as Alternate Chief Co-Sponsor Sen. Graciela Guzmán

  31. Added as Alternate Chief Co-Sponsor Sen. Sara Feigenholtz

  32. Added as Alternate Co-Sponsor Sen. Karina Villa

  33. Added as Alternate Co-Sponsor Sen. Mike Simmons

  34. Assigned to Appropriations- Health and Human Services

  35. Referred to Assignments

  36. First Reading

  37. Chief Senate Sponsor Sen. Laura Fine

  38. Placed on Calendar Order of First Reading

  39. Arrive in Senate

  40. Added Chief Co-Sponsor Rep. Harry Benton

  41. Added Co-Sponsor Rep. Nicolle Grasse

  42. Third Reading - Short Debate - Passed 078-035-000

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

  44. House Floor Amendment No. 2 Adopted

  45. Added Co-Sponsor Rep. Anna Moeller

  46. House Floor Amendment No. 2 Recommends Be Adopted Insurance Committee; 010-004-000

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

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

  49. House Floor Amendment No. 2 Filed with Clerk by Rep. Kelly M. Cassidy

  50. Added Co-Sponsor Rep. Janet Yang Rohr

  51. Racial Impact Note Filed

  52. Fiscal Note Filed

  53. Added Co-Sponsor Rep. Hoan Huynh

  54. Added Co-Sponsor Rep. Ann M. Williams

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

  56. Second Reading - Short Debate

  57. Added Co-Sponsor Rep. Lindsey LaPointe

  58. Added Co-Sponsor Rep. Martha Deuter

  59. Chief Co-Sponsor Changed to Rep. Terra Costa Howard

  60. Added Chief Co-Sponsor Rep. Terra Costa Howard

  61. State Debt Impact Note Filed

  62. Pension Note Filed

  63. Housing Affordability Impact Note Filed

  64. Placed on Calendar 2nd Reading - Short Debate

  65. Balanced Budget Note Filed

  66. Judicial Note Filed

  67. Do Pass as Amended / Short Debate Insurance Committee; 013-003-000

  68. House Committee Amendment No. 1 Adopted in Insurance Committee; by Voice Vote

  69. State Mandates Fiscal Note Requested by Rep. Kelly M. Cassidy

  70. State Debt Impact Note Requested by Rep. Kelly M. Cassidy

  71. Racial Impact Note Requested by Rep. Kelly M. Cassidy

  72. Pension Note Requested by Rep. Kelly M. Cassidy

  73. Land Conveyance Appraisal Note Requested by Rep. Kelly M. Cassidy

  74. Judicial Note Requested by Rep. Kelly M. Cassidy

  75. Housing Affordability Impact Note Requested by Rep. Kelly M. Cassidy

  76. Home Rule Note Requested by Rep. Kelly M. Cassidy

  77. Fiscal Note Requested by Rep. Kelly M. Cassidy

  78. Correctional Note Requested by Rep. Kelly M. Cassidy

  79. Balanced Budget Note Requested by Rep. Kelly M. Cassidy

  80. House Committee Amendment No. 1 Rules Refers to Insurance Committee

  81. Added Co-Sponsor Rep. Camille Y. Lilly

  82. House Committee Amendment No. 1 Referred to Rules Committee

  83. House Committee Amendment No. 1 Filed with Clerk by Rep. Kelly M. Cassidy

  84. Added Co-Sponsor Rep. Justin Slaughter

  85. Added Co-Sponsor Rep. Jehan Gordon-Booth

  86. Added Co-Sponsor Rep. Bob Morgan

  87. Added Co-Sponsor Rep. Daniel Didech

  88. Added Co-Sponsor Rep. Jennifer Gong-Gershowitz

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

  90. Added Co-Sponsor Rep. Diane Blair-Sherlock

  91. Assigned to Insurance Committee

  92. Added Co-Sponsor Rep. Michael Crawford

  93. Added Co-Sponsor Rep. Amy Briel

  94. Added Co-Sponsor Rep. Lisa Davis

  95. Added Co-Sponsor Rep. Barbara Hernandez

  96. Added Co-Sponsor Rep. Nabeela Syed

  97. Added Co-Sponsor Rep. Abdelnasser Rashid

  98. Added Co-Sponsor Rep. Norma Hernandez

  99. Added Co-Sponsor Rep. Laura Faver Dias

  100. Added Co-Sponsor Rep. Mary Beth Canty

  101. Added Co-Sponsor Rep. Will Guzzardi

  102. Added Co-Sponsor Rep. Kevin John Olickal

  103. Added Co-Sponsor Rep. Tracy Katz Muhl

  104. Added Co-Sponsor Rep. Edgar González, Jr.

  105. Added Co-Sponsor Rep. Rita Mayfield

  106. Added Co-Sponsor Rep. Lilian Jiménez

  107. Referred to Rules Committee

  108. First Reading

  109. Filed with the Clerk by Rep. Kelly M. Cassidy

Sponsors

Sponsorship breakdown

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1 sponsors · 44 co-sponsors · 138 not signed on · 34 voted No

Sponsors (1)

Co-sponsors (44)

Not signed on (138)

138 members have not signed on to this bill.

Show all 138 →

"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 78 Yea · 35 Nay
Party YeaNayPresentNot Voting
Democrat 71003
Republican 33402
Unaffiliated 3100
Total 773505
% of votes cast 66%30%0%4%
How each member voted (117)
Member Party Vote
Jacobs — Nay
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 Yea
Harry Benton Democrat Yea
Hoan Huynh Democrat Yea
Jaime M. Andrade, Jr. Democrat Yea
Janet Yang Rohr Democrat Yea
Jawaharial Williams 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
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 Yea
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 Nay
Amy Elik Republican Nay
Amy L. Grant Republican Nay
Blaine Wilhour Republican Nay
Brad Halbrook Republican Nay
Brad Stephens Republican Nay
Bradley Fritts Republican Nay
Brandun Schweizer Republican Nay
Charles Meier Republican Nay
Chris Miller Republican Nay
Christopher "C.D." Davidsmeyer Republican Nay
Dan Swanson Republican Nay
Daniel J. Ugaste Republican Nay
Dave Severin Republican Nay
David Friess Republican Nay
Dennis Tipsword Republican Nay
Jackie Haas Republican Nay
Jason R. Bunting Republican Nay
Jed Davis Republican Nay
Jeff Keicher Republican Nay
Jennifer Sanalitro Republican Not Voting
Joe C. Sosnowski Republican Nay
John M. Cabello Republican Nay
Kevin Schmidt Republican Yea
Kyle Moore Republican Nay
Martin McLaughlin Republican Nay
Michael J. Coffey, Jr. Republican Nay
Nicole La Ha Republican Nay
Norine K. Hammond Republican Nay
Patrick Sheehan Republican Nay
Patrick Windhorst Republican Nay
Regan Deering Republican Nay
Ryan Spain Republican Yea
Steven Reick Republican Nay
Tom Weber Republican Nay
Tony M. McCombie Republican Nay
Travis Weaver Republican Nay
Wayne A. Rosenthal Republican Not Voting
William E Hauter Republican Yea

Official roll call →

Insurance

Passed 10 Yea · 4 Nay · 3 Other
Party YeaNayPresentNot Voting
Republican 0402
Democrat 10001
Total 10403
% of votes cast 59%24%0%18%
How each member voted (17)
Member Party Vote
Anthony DeLuca Democrat Yea
Bob Morgan Democrat Yea
Camille Y. Lilly Democrat Yea
Daniel Didech Democrat Yea
Edgar González, Jr. Democrat Yea
Hoan Huynh Democrat Yea
Kelly M. Cassidy Democrat Yea
Lilian Jiménez Democrat Not Voting
Rita Mayfield Democrat Yea
Thaddeus Jones Democrat Yea
Tracy Katz Muhl Democrat Yea
Adam M. Niemerg Republican Not Voting
Dennis Tipsword Republican Nay
Jeff Keicher Republican Nay
John M. Cabello Republican Nay
Travis Weaver Republican Nay
William E Hauter Republican Not Voting

Official roll call →

Insurance

Passed 13 Yea · 3 Nay · 1 Other
Party YeaNayPresentNot Voting
Democrat 10001
Republican 3300
Total 13301
% of votes cast 76%18%0%6%
How each member voted (17)
Member Party Vote
Anthony DeLuca Democrat Yea
Bob Morgan Democrat Yea
Camille Y. Lilly Democrat Yea
Daniel Didech Democrat Yea
Edgar González, Jr. Democrat Yea
Harry Benton Democrat Not Voting
Jawaharial Williams Democrat Yea
Lilian Jiménez Democrat Yea
Rita Mayfield Democrat Yea
Thaddeus Jones Democrat Yea
Tracy Katz Muhl Democrat Yea
Adam M. Niemerg Republican Nay
Dennis Tipsword Republican Yea
Jeff Keicher Republican Nay
John M. Cabello Republican Nay
Travis Weaver Republican Yea
William E Hauter Republican Yea

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

What does HB2584      do?
Amends the Prior Authorization Reform Act and the Illinois Public Aid Code. Provides that a health insurance issuer, the fee-for-service medical assistance program, and a Medicaid managed care organization may not require prior authorization for the following prescription drug types and their therapeutic equivalents approved by the United States Food and Drug Administration: human immunodeficiency virus pre-exposure prophylaxis and post-exposure prophylaxis medication or human immunodeficiency virus treatment medication. Effective January 1, 2027.
Who sponsors HB2584     ?
HB2584      is sponsored by Sara Feigenholtz, Graciela Guzmán, Laura Fine, Karina Villa, Celina Villanueva, Laura M. Murphy, Mary Edly-Allen, Javier L. Cervantes, David Koehler, Mark L. Walker, Rachel Ventura, Kelly M. Cassidy (Democrat), Terra Costa Howard (Democrat), Harry Benton (Democrat), Stephanie A. Kifowit (Democrat), Lilian Jiménez (Democrat), Rita Mayfield (Democrat), Edgar González, Jr. (Democrat), Tracy Katz Muhl (Democrat), Kevin John Olickal (Democrat), Will Guzzardi (Democrat), Mary Beth Canty (Democrat), Laura Faver Dias (Democrat), Norma Hernandez (Democrat), Abdelnasser Rashid (Democrat), Nabeela Syed (Democrat), Barbara Hernandez (Democrat), Lisa Davis (Democrat), Amy Briel (Democrat), Michael Crawford (Democrat), Diane Blair-Sherlock (Democrat), Jennifer Gong-Gershowitz (Democrat), Daniel Didech (Democrat), Bob Morgan (Democrat), Jehan Gordon-Booth (Democrat), Justin Slaughter (Democrat), Camille Y. Lilly (Democrat), Martha Deuter (Democrat), Lindsey LaPointe (Democrat), Ann M. Williams (Democrat), Hoan Huynh (Democrat), Janet Yang Rohr (Democrat), Anna Moeller (Democrat), Nicolle Grasse (Democrat), and Simmons, Mike.
What is the current status of HB2584     ?
This bill has been introduced in the House. Introduced February 04, 2025. It must pass committee before a floor vote.
Where can I track HB2584     ?
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