Illinois 104th General Assembly Status: Introduced 6 D cosponsors

HB4585      — INS CD-SUBSTANCE USE TREATMENT

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

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  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 23, 2026. It must pass committee before a floor vote.

Next likely step: a committee referral and hearing.

Prognosis

Advancing 38% · moderate confidence

Where this bill stands today.

Odds of enactment

Low

How often bills like it became law.

  • Introduced

    Current position in the legislative process.

  • 6 sponsors

    1 primary, 5 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (6 D).

  • Cleared a recorded vote

    Passed 1 recorded vote so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Summary

Amends the Illinois Insurance Code. Provides that coverage for treatment in a residential treatment center shall include residential coverage for the diagnosis and treatment of substance use disorders. Provides that this coverage shall include unlimited medically necessary treatment for substance use disorder treatment services provided in residential settings. Prohibits the coverage from applying financial requirements or treatment limitations to residential substance use disorder benefits that are more restrictive than the predominant financial requirements and treatment limitations applied to other medical and surgical benefits covered by the policy. Sets forth provisions concerning cost sharing; application of coverage requirements; prior authorization; clinical review; discharge plans; other forms of utilization review; and the criteria for medical necessity determinations.

Bill Text

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

Read HB4585 on the official Illinois source →

Action History

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

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

  3. Added Co-Sponsor Rep. Dagmara Avelar

  4. House Floor Amendment No. 1 Rules Refers to Insurance Committee

  5. Added Co-Sponsor Rep. Maura Hirschauer

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

  7. House Floor Amendment No. 1 Filed with Clerk by Rep. Lindsey LaPointe

  8. Added Co-Sponsor Rep. Barbara Hernandez

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

  10. Second Reading - Short Debate

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

  12. Placed on Calendar 2nd Reading - Short Debate

  13. Do Pass / Short Debate Insurance Committee; 009-006-000

  14. Added Co-Sponsor Rep. Laura Faver Dias

  15. Assigned to Insurance Committee

  16. Referred to Rules Committee

  17. First Reading

  18. Filed with the Clerk by Rep. Lindsey LaPointe

Sponsors

Sponsorship breakdown

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1 sponsors · 5 co-sponsors · 177 not signed on · 6 voted No

Sponsors (1)

Co-sponsors (5)

Not signed on (177)

177 members have not signed on to this bill.

Show all 177 →

"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 9 Yea · 6 Nay · 1 Other
Party YeaNayPresentNot Voting
Republican 0600
Democrat 9001
Total 9601
% of votes cast 56%38%0%6%
How each member voted (16)
Member Party Vote
Anthony DeLuca Democrat Yea
Bob Morgan Democrat Yea
Camille Y. Lilly Democrat Not Voting
Daniel Didech Democrat Yea
Edgar González, Jr. 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
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 →

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does HB4585      do?
Amends the Illinois Insurance Code. Provides that coverage for treatment in a residential treatment center shall include residential coverage for the diagnosis and treatment of substance use disorders. Provides that this coverage shall include unlimited medically necessary treatment for substance use disorder treatment services provided in residential settings. Prohibits the coverage from applying financial requirements or treatment limitations to residential substance use disorder benefits that are more restrictive than the predominant financial requirements and treatment limitations applied to other medical and surgical benefits covered by the policy. Sets forth provisions concerning cost sharing; application of coverage requirements; prior authorization; clinical review; discharge plans; other forms of utilization review; and the criteria for medical necessity determinations.
Who sponsors HB4585     ?
HB4585      is sponsored by Lindsey LaPointe (Democrat), Laura Faver Dias (Democrat), Camille Y. Lilly (Democrat), Barbara Hernandez (Democrat), Maura Hirschauer (Democrat), and Dagmara Avelar (Democrat).
What is the current status of HB4585     ?
This bill has been introduced in the House. Introduced January 23, 2026. It must pass committee before a floor vote.
Where can I track HB4585     ?
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Last checked for changes 3 months ago · updated continuously

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