Illinois 104th General Assembly Status: Introduced 8 D cosponsors

HB3605      — INS-GENETIC TESTING & SCREEN

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 February 07, 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.

  • 16 sponsors

    1 primary, 15 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (8 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 requires certain health insurance plans to cover cancer imaging without cost-sharing for at-risk individuals.

This bill amends the Illinois Insurance Code to mandate that specific group health insurance policies cover evidence-based cancer imaging for individuals at increased risk of cancer. Importantly, this coverage will not involve any cost-sharing and will begin for policies issued or renewed after January 1, 2026.

What this means for you
  • Families: Families with individuals at an increased risk of cancer will benefit from covered cancer imaging without incurring out-of-pocket costs.
  • Healthcare: This means healthcare providers may need to adapt to increased demand for cancer imaging services without patient cost-sharing.

Summary

Amends the Illinois Insurance Code. Makes changes to defined terms. Provides that a group policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed after January 1, 2026 shall provide coverage for evidence-based cancer imaging for individuals with an increased risk of cancer as recommended by the current National Comprehensive Cancer Network clinical practice guidelines. Provides that this coverage shall be provided without cost-sharing, and the requirements of the Act shall not apply to the extent that providing coverage would disqualify a high-deductible health plan from eligibility for a health savings account.

Bill Text

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

Read HB3605 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. Added as Alternate Co-Sponsor Sen. Darby A. Hills

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

  5. Second Reading

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

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

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

  9. Senate Committee Amendment No. 1 Adopted

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

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

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

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

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

  15. Postponed - Insurance

  16. Senate Committee Amendment No. 1 Referred to Assignments

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

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

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

  20. Assigned to Insurance

  21. Referred to Assignments

  22. First Reading

  23. Chief Senate Sponsor Sen. Mattie Hunter

  24. Placed on Calendar Order of First Reading

  25. Arrive in Senate

  26. House Floor Amendment No. 3 Tabled

  27. House Floor Amendment No. 2 Tabled

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

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

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

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

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

  33. House Floor Amendment No. 4 Adopted

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

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

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

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

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

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

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

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

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

  43. Added Co-Sponsor Rep. Nabeela Syed

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

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

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

  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. Camille Y. Lilly

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

  51. Placed on Calendar 2nd Reading - Short Debate

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

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

  54. Added Co-Sponsor Rep. Anne Stava

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

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

  57. Added Co-Sponsor Rep. Janet Yang Rohr

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

  59. Second Reading - Short Debate

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

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

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

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

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

  65. Placed on Calendar 2nd Reading - Short Debate

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

  67. Assigned to Insurance Committee

  68. Referred to Rules Committee

  69. First Reading

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

Sponsors

Sponsorship breakdown

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1 sponsors · 15 co-sponsors · 167 not signed on · 33 voted No

Sponsors (1)

Co-sponsors (15)

Not signed on (167)

167 members have not signed on to this bill.

Show all 167 →

"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

Insurance

Passed 13 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Republican 4001
Democrat 9000
Total 13001
% of votes cast 93%0%0%7%
How each member voted (14)
Member Party Vote
Bill Cunningham Democrat Yea
Cristina Castro Democrat Yea
Julie A. Morrison Democrat Yea
Laura Ellman Democrat Yea
Laura Fine Democrat Yea
Mark L. Walker Democrat Yea
Mike Porfirio Democrat Yea
Suzy Glowiak Hilton Democrat Yea
Willie Preston Democrat Yea
Chapin Rose Republican Yea
Dave Syverson Republican Yea
Jason Plummer Republican Not Voting
Neil Anderson Republican Yea
Steve McClure Republican Yea

Official roll call →

Third Reading

Passed 70 Yea · 33 Nay
Party YeaNayPresentNot Voting
Democrat 67008
Republican 03207
Unaffiliated 2100
Total 6933015
% of votes cast 59%28%0%13%
How each member voted (117)
Member Party Vote
Jacobs — Nay
Johnson — Yea
Hernandez, Lisa — Yea
Aarón M. Ortíz Democrat Yea
Abdelnasser Rashid Democrat Yea
Amy Briel Democrat Yea
Angelica Guerrero-Cuellar Democrat Not Voting
Ann M. Williams Democrat Yea
Anna Moeller Democrat Yea
Anne Stava Democrat Not Voting
Anthony DeLuca Democrat Yea
Barbara Hernandez Democrat Yea
Bob Morgan Democrat Yea
Camille Y. Lilly Democrat Yea
Carol Ammons Democrat Yea
Curtis J. Tarver, II Democrat Yea
Dagmara Avelar Democrat Yea
Daniel Didech Democrat Yea
Dave Vella Democrat Not Voting
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 Not Voting
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 Cochran 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 Not Voting
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 A. DeLaRosa Democrat Yea
Margaret Croke Democrat Yea
Martha Deuter Democrat Yea
Mary Beth Canty Democrat Yea
Mary Gill Democrat Not Voting
Matt Hanson Democrat Yea
Maura Hirschauer Democrat Yea
Maurice A. West, II Democrat Yea
Michael Crawford Democrat Yea
Michael J. Kelly Democrat Not Voting
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 Not Voting
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
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 Not Voting
Blaine Wilhour Republican Nay
Brad Halbrook Republican Nay
Brad Stephens Republican Not Voting
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 Not Voting
Jackie Haas Republican Not Voting
Jason R. Bunting Republican Nay
Jed Davis Republican Nay
Jeff Keicher Republican Nay
Jennifer Sanalitro Republican Nay
Joe C. Sosnowski Republican Nay
John M. Cabello Republican Nay
Kevin Schmidt Republican Nay
Kyle Moore Republican Nay
Martin McLaughlin Republican Nay
Michael J. Coffey, Jr. Republican Nay
Nicole La Ha Republican Not Voting
Norine K. Hammond Republican Nay
Patrick Sheehan Republican Nay
Patrick Windhorst Republican Nay
Regan Deering Republican Nay
Ryan Spain Republican Not Voting
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 Nay

Official roll call →

Insurance

Passed 10 Yea · 6 Nay
Party YeaNayPresentNot Voting
Democrat 10000
Republican 0600
Total 10600
% of votes cast 63%38%0%0%
How each member voted (16)
Member Party Vote
Abdelnasser Rashid Democrat Yea
Bob Morgan Democrat Yea
Dagmara Avelar Democrat Yea
Daniel Didech Democrat Yea
Edgar González, Jr. Democrat Yea
Jawaharial Williams Democrat Yea
Lilian Jiménez Democrat Yea
Natalie A. Manley Democrat Yea
Thaddeus Jones Democrat Yea
Tracy Katz Muhl Democrat Yea
Adam M. Niemerg Republican Nay
Dennis Tipsword Republican Nay
Jeff Keicher Republican Nay
John M. Cabello Republican Nay
Travis Weaver Republican Nay
William E Hauter Republican Nay

Official roll call →

Insurance

Passed 11 Yea · 6 Nay
Party YeaNayPresentNot Voting
Democrat 11000
Republican 0600
Total 11600
% of votes cast 65%35%0%0%
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 Yea
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
David Friess Republican Nay
Jeff Keicher Republican Nay
John M. Cabello Republican Nay
Travis Weaver Republican Nay
William E Hauter Republican Nay

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

What does HB3605      do?
Amends the Illinois Insurance Code. Makes changes to defined terms. Provides that a group policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed after January 1, 2026 shall provide coverage for evidence-based cancer imaging for individuals with an increased risk of cancer as recommended by the current National Comprehensive Cancer Network clinical practice guidelines. Provides that this coverage shall be provided without cost-sharing, and the requirements of the Act shall not apply to the extent that providing coverage would disqualify a high-deductible health plan from eligibility for a health savings account.
Who sponsors HB3605     ?
HB3605      is sponsored by Mattie Hunter, Julie A. Morrison, Kimberly A. Lightford, Cristina Castro, Bill Cunningham, Willie Preston, Camille Y. Lilly (Democrat), Marcus C. Evans, Jr. (Democrat), William "Will" Davis (Democrat), Janet Yang Rohr (Democrat), Anne Stava (Democrat), Stephanie A. Kifowit (Democrat), Nabeela Syed (Democrat), Nicholas K. Smith (Democrat), Sue Rezin, and Darby A. Hills.
What is the current status of HB3605     ?
This bill has been introduced in the House. Introduced February 07, 2025. It must pass committee before a floor vote.
Where can I track HB3605     ?
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Last checked for changes 3 months ago · updated continuously

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