Illinois 104th General Assembly Status: To Executive Bipartisan · 13 D · 2 R cosponsors

SB1238      — NONOPIOID ALTERNATIVES

Last action — Public Act . . . . . . . . . 104-0369

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

This bill has been sent to the executive. Introduced January 24, 2025. It awaits signature.

Next likely step: the executive signs it into law or issues a veto.

Odds of enactment

Moderate chance

Based on the sponsor, cosponsors, and committee posture, this bill has a moderate 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 90% · high confidence

  • To Executive

    Current position in the legislative process.

  • 20 sponsors

    1 primary, 19 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (13 D · 2 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 Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois. Allows the Department of Public Health to develop and publish on its website a nonopioid alternatives pamphlet, with certain requirements. Amends the Illinois Insurance Code. Prohibits a health insurance issuer to deny coverage of a nonopioid prescription drug in favor of an opioid prescription drug. Amends the Illinois Public Aid Code. Provides that coverage shall not be denied for a nonopioid prescription drug in favor of an opioid prescription drug. Requires that nonopioid drugs preferred on a specific list for the treatment or management of pain shall not be disadvantaged or discouraged with respect to coverage relative to any opioid or narcotic drug for the treatment or management of pain. Effective July 1, 2027.

Bill Text

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

Read SB1238 on the official Illinois source →

Action History

  1. Public Act . . . . . . . . . 104-0369

  2. Effective Date January 1, 2026

  3. Governor Approved

  4. Sent to the Governor

  5. Added Alternate Co-Sponsor Rep. Nicolle Grasse

  6. Passed Both Houses

  7. Third Reading - Short Debate - Passed 113-000-000

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

  9. Added Alternate Chief Co-Sponsor Rep. Laura Faver Dias

  10. Added Alternate Chief Co-Sponsor Rep. Lindsey LaPointe

  11. Added Alternate Chief Co-Sponsor Rep. Kevin Schmidt

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

  13. Second Reading - Short Debate

  14. Placed on Calendar 2nd Reading - Short Debate

  15. Do Pass / Short Debate Health Care Availability & Accessibility Committee; 011-000-000

  16. Assigned to Health Care Availability & Accessibility Committee

  17. Referred to Rules Committee

  18. First Reading

  19. Chief House Sponsor Rep. Janet Yang Rohr

  20. Arrived in House

  21. Added as Co-Sponsor Sen. Sara Feigenholtz

  22. Third Reading - Passed; 053-000-000

  23. Added as Co-Sponsor Sen. Li Arellano, Jr.

  24. Placed on Calendar Order of 3rd Reading April 1, 2025

  25. Second Reading

  26. Placed on Calendar Order of 2nd Reading March 20, 2025

  27. Do Pass as Amended Insurance; 012-000-000

  28. Senate Committee Amendment No. 1 Adopted

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

  30. Added as Co-Sponsor Sen. Julie A. Morrison

  31. Senate Committee Amendment No. 1 Referred to Assignments

  32. Senate Committee Amendment No. 1 Filed with Secretary by Sen. Karina Villa

  33. Added as Co-Sponsor Sen. Seth Lewis

  34. Added as Co-Sponsor Sen. Mark L. Walker

  35. Postponed - Insurance

  36. Added as Chief Co-Sponsor Sen. Mattie Hunter

  37. Postponed - Insurance

  38. Added as Co-Sponsor Sen. Cristina Castro

  39. Added as Co-Sponsor Sen. Graciela Guzmán

  40. Added as Co-Sponsor Sen. Laura Fine

  41. Added as Co-Sponsor Sen. Mike Porfirio

  42. Added as Co-Sponsor Sen. Robert Peters

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

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

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

  46. Assigned to Insurance

  47. Referred to Assignments

  48. First Reading

  49. Filed with Secretary by Sen. Karina Villa

Sponsors

Sponsorship breakdown

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1 sponsors · 19 co-sponsors · 163 not signed on

Sponsors (1)

Co-sponsors (19)

Not signed on (163)

163 members have not signed on to this bill.

Show all 163 →

"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 113 Yea · 0 Nay
Party YeaNayPresentNot Voting
Democrat 71003
Republican 38001
Unaffiliated 4000
Total 113004
% of votes cast 97%0%0%3%
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 Yea
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 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 Not Voting
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 Not Voting
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 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 Yea
Joe C. Sosnowski Republican Not Voting
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 Yea

Official roll call →

Health Care Availability & Access

Passed 11 Yea · 0 Nay · 3 Other
Party YeaNayPresentNot Voting
Democrat 7002
Republican 4001
Total 11003
% of votes cast 79%0%0%21%
How each member voted (14)
Member Party Vote
Camille Y. Lilly Democrat Yea
Dagmara Avelar Democrat Not Voting
Janet Yang Rohr Democrat Yea
Michael Crawford Democrat Yea
Nabeela Syed Democrat Yea
Natalie A. Manley Democrat Yea
Theresa Mah Democrat Not Voting
Tracy Katz Muhl Democrat Yea
Yolonda Morris Democrat Yea
Jackie Haas Republican Yea
Jennifer Sanalitro Republican Yea
Kevin Schmidt Republican Yea
Nicole La Ha Republican Yea
William E Hauter Republican Not Voting

Official roll call →

Third Reading

Passed 53 Yea · 0 Nay
Party YeaNayPresentNot Voting
Republican 19000
Democrat 32006
Unaffiliated 1000
Total 52006
% of votes cast 90%0%0%10%
How each member voted (58)
Member Party Vote
Johnson — Yea
Bill Cunningham Democrat Yea
Celina Villanueva Democrat Yea
Christopher Belt Democrat Yea
Cristina Castro Democrat Yea
David Koehler Democrat Yea
Doris Turner Democrat Yea
Elgie R. Sims, Jr. Democrat Yea
Graciela Guzmán 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
Mark L. Walker Democrat Yea
Mary Edly-Allen Democrat Yea
Mattie Hunter Democrat Not Voting
Meg Loughran Cappel Democrat Yea
Michael E. Hastings Democrat Yea
Michael W. Halpin Democrat Not Voting
Mike Porfirio Democrat Yea
Mike Simmons Democrat Not Voting
Napoleon Harris III Democrat Yea
Omar Aquino Democrat Not Voting
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
Suzy Glowiak Hilton Democrat Not Voting
Thaddeus Jones Democrat Not Voting
Willie Preston Democrat Yea
Andrew S. Chesney Republican Yea
Chapin Rose Republican Yea
Chris Balkema Republican Yea
Craig Wilcox Republican Yea
Dale Fowler Republican Yea
Darby A. Hills Republican Yea
Dave Syverson Republican Yea
Donald P. DeWitte Republican Yea
Erica Harriss Republican Yea
Jason Plummer Republican Yea
Jil Tracy Republican Yea
John F. Curran Republican Yea
Li Arellano, Jr. Republican Yea
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 12 Yea · 0 Nay · 2 Other
Party YeaNayPresentNot Voting
Republican 4001
Democrat 8001
Total 12002
% of votes cast 86%0%0%14%
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 Not Voting
Napoleon Harris III Democrat Yea
Suzy Glowiak Hilton Democrat Yea
Willie Preston Democrat Yea
Dave Syverson Republican Yea
Jason Plummer Republican Yea
Neil Anderson Republican Yea
Steve McClure Republican Yea
Terri Bryant Republican Not Voting

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

What does SB1238      do?
Amends the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois. Allows the Department of Public Health to develop and publish on its website a nonopioid alternatives pamphlet, with certain requirements. Amends the Illinois Insurance Code. Prohibits a health insurance issuer to deny coverage of a nonopioid prescription drug in favor of an opioid prescription drug. Amends the Illinois Public Aid Code. Provides that coverage shall not be denied for a nonopioid prescription drug in favor of an opioid prescription drug. Requires that nonopioid drugs preferred on a specific list for the treatment or management of pain shall not be disadvantaged or discouraged with respect to coverage relative to any opioid or narcotic drug for the treatment or management of pain. Effective July 1, 2027.
Who sponsors SB1238     ?
SB1238      is sponsored by Karina Villa (Democrat), Mattie Hunter (Democrat), Michael W. Halpin (Democrat), Javier L. Cervantes (Democrat), Mary Edly-Allen (Democrat), Robert Peters (Democrat), Mike Porfirio (Democrat), Laura Fine (Democrat), Kevin Schmidt, Lindsey LaPointe, Nicolle Grasse, Graciela Guzmán (Democrat), Cristina Castro (Democrat), Mark L. Walker (Democrat), Seth Lewis (Republican), Julie A. Morrison (Democrat), Li Arellano, Jr. (Republican), Sara Feigenholtz (Democrat), Yang Rohr, and Faver Dias.
What is the current status of SB1238     ?
This bill has been sent to the executive. Introduced January 24, 2025. It awaits signature.
Where can I track SB1238     ?
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