---
type: "Bill"
title: "INS-HEALTH CARE/COST SHARING"
description: "Amends the Managed Care Reform and Patient Rights Act. In provisions concerning a requirement that a health care plan shall apply any third-party payments, financial assistance, discount, product vouchers, or any other reduction in out-of-pocket expenses made by or on behalf of an insured for prescription drugs toward a covered individual's deductible, copay, cost-sharing responsibility, or out-of-pocket maximum associated with the individual's health insurance, provides that if application of that requirement would result in ineligibility of a health savings account under federal law, the requirement applies to health savings account-qualified high deductible health plans with respect to the deductible of a plan after the enrollee has satisfied a specified minimum deductible, except with respect to specified items or services, in which case the requirement applies regardless of whether the minimum deductible has been satisfied. Effective immediately."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "102nd"
identifier: "HB 4433"
citation: "Illinois HB 4433 (102nd)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Bob Morgan", "Napoleon Harris, III"]
version_count: 3
action_count: 28
vote_count: 2
first_action: "2022-01-10"
last_action: "2022-04-22"
source: "openstates"
source_identifier: "ocd-bill/a33507b8-854c-45e7-9069-e83d4147e0f1"
source_url: "https://ilga.gov/legislation/BillStatus.asp?DocNum=4433&GAID=16&DocTypeID=HB&LegId=137785&SessionID=110&GA=102"
source_hash: "4c5e2762a845b0b1954bbdf62382e3fbbfaf03deb0043516ca5330c4160b2275"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-il"]
---

# Illinois HB 4433 (102nd) — INS-HEALTH CARE/COST SHARING

Amends the Managed Care Reform and Patient Rights Act. In provisions concerning a requirement that a health care plan shall apply any third-party payments, financial assistance, discount, product vouchers, or any other reduction in out-of-pocket expenses made by or on behalf of an insured for prescription drugs toward a covered individual's deductible, copay, cost-sharing responsibility, or out-of-pocket maximum associated with the individual's health insurance, provides that if application of that requirement would result in ineligibility of a health savings account under federal law, the requirement applies to health savings account-qualified high deductible health plans with respect to the deductible of a plan after the enrollee has satisfied a specified minimum deductible, except with respect to specified items or services, in which case the requirement applies regardless of whether the minimum deductible has been satisfied. Effective immediately.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Introduced** (filed) — [source](https://ilga.gov/legislation/102/HB/PDF/10200HB4433.pdf)
2. **Engrossed** (committee substitute) — [source](https://ilga.gov/legislation/102/HB/PDF/10200HB4433eng.pdf)
3. **Enrolled** (enrolled) — [source](https://ilga.gov/legislation/102/HB/PDF/10200HB4433enr.pdf)

## Votes

- Third Reading — **56–0** (pass) · upper
- Third Reading — **103–0** (pass) · lower

## Sponsors

- Bob Morgan — primary (person)
- Napoleon Harris, III — primary (person)
- Mark L. Walker — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2022-01-10** Filed with the Clerk by Rep. Bob Morgan `filing`
- **2022-01-21** First Reading `reading-1`
- **2022-01-21** Referred to Rules Committee `referral-committee`
- **2022-02-01** Assigned to Insurance Committee `referral-committee`
- **2022-02-10** Do Pass / Consent Calendar Insurance Committee; 017-000-000 `committee-passage`
- **2022-02-15** Placed on Calendar 2nd Reading - Consent Calendar
- **2022-02-17** Second Reading - Consent Calendar `reading-2`
- **2022-02-17** Held on Calendar Order of Second Reading - Consent Calendar `reading-2`
- **2022-02-25** Added Co-Sponsor Rep. Mark L. Walker
- **2022-03-01** Placed on Calendar Order of 3rd Reading - Consent Calendar
- **2022-03-02** Third Reading - Consent Calendar - First Day `reading-3`
- **2022-03-03** Third Reading - Consent Calendar - Passed 103-000-001 `passage, reading-3`
- **2022-03-04** Arrive in Senate `introduction`
- **2022-03-04** Placed on Calendar Order of First Reading `reading-1`
- **2022-03-04** Chief Senate Sponsor Sen. Napoleon Harris, III
- **2022-03-04** First Reading `reading-1`
- **2022-03-04** Referred to Assignments `referral-committee`
- **2022-03-16** Assigned to Insurance `referral-committee`
- **2022-03-23** Do Pass Insurance; 011-000-000 `committee-passage`
- **2022-03-23** Placed on Calendar Order of 2nd Reading
- **2022-03-23** Second Reading `reading-2`
- **2022-03-23** Placed on Calendar Order of 3rd Reading March 24, 2022
- **2022-03-30** Third Reading - Passed; 056-000-000 `passage, reading-3`
- **2022-03-30** Passed Both Houses
- **2022-04-19** Sent to the Governor `executive-receipt`
- **2022-04-22** Governor Approved `executive-signature`
- **2022-04-22** Effective Date April 22, 2022
- **2022-04-22** Public Act . . . . . . . . . 102-0704 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/a33507b8-854c-45e7-9069-e83d4147e0f1`. Confidence: reported (aggregated from official Illinois legislature records).