---
type: "Bill"
title: "INS CD-PREGNANCY TESTS"
description: "Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or a managed care plan that is amended, delivered, issued, or renewed on or after the effective date of the amendatory Act shall provide coverage for at-home, urine-based pregnancy tests that are prescribed to the covered person, regardless of whether the tests are otherwise available over-the-counter."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "103rd"
identifier: "HB 5643"
citation: "Illinois HB 5643 (103rd)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Laura Fine", "Tracy Katz Muhl"]
version_count: 6
action_count: 72
vote_count: 6
first_action: "2024-02-09"
last_action: "2024-08-09"
source: "openstates"
source_identifier: "ocd-bill/faa00323-4d40-4ac1-84d9-db7370540787"
source_url: "https://beta.ilga.gov/Legislation/BillStatus?DocNum=5643&GAID=17&DocTypeID=HB&LegId=154043&SessionID=112"
source_hash: "5176d58e29875b10aaf99505330b79527f65d1f34e27a8c15170be322ffaeafc"
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 5643 (103rd) — INS CD-PREGNANCY TESTS

Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or a managed care plan that is amended, delivered, issued, or renewed on or after the effective date of the amendatory Act shall provide coverage for at-home, urine-based pregnancy tests that are prescribed to the covered person, regardless of whether the tests are otherwise available over-the-counter.

## Version chain

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

1. **Introduced** (filed) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB5643.pdf)
2. **Engrossed** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB5643eng.pdf)
3. **House Amendment 001** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB5643ham001.pdf)
4. **House Amendment 002** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB5643ham002.pdf)
5. **House Amendment 003** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB5643ham003.pdf)
6. **Enrolled** (enrolled) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB5643enr.pdf)

## Votes

- Insurance, Amendment 3 — **15–0** (pass) · lower
- Insurance — **10–0** (pass) · lower
- Insurance — **13–0** (pass) · lower
- Insurance, Amendment 2 — **12–0** (pass) · lower
- Third Reading — **101–0** (pass) · lower
- Third Reading — **58–0** (pass) · lower

## Sponsors

- Laura Fine — primary (person)
- Tracy Katz Muhl — primary (person)
- Anne Stava-Murray — cosponsor (person)
- Camille Y. Lilly — cosponsor (person)
- Dagmara Avelar — cosponsor (person)
- Dave Vella — cosponsor (person)
- Emanuel "Chris" Welch — cosponsor (person)
- Janet Yang Rohr — cosponsor (person)
- Jawaharial Williams — cosponsor (person)
- Jenn Ladisch Douglass — cosponsor (person)
- Jennifer Gong-Gershowitz — cosponsor (person)
- Katie Stuart — cosponsor (person)
- Kelly M. Cassidy — cosponsor (person)
- Kevin John Olickal — cosponsor (person)
- Kevin Schmidt — cosponsor (person)
- La Shawn K. Ford — cosponsor (person)
- Marcus C. Evans, Jr. — cosponsor (person)
- Mark L. Walker — cosponsor (person)
- Mary Beth Canty — cosponsor (person)
- Mary Edly-Allen — cosponsor (person)
- Maura Hirschauer — cosponsor (person)
- Mike Simmons — cosponsor (person)
- Nicole La Ha — cosponsor (person)
- Rachel Ventura — cosponsor (person)
- Rita Mayfield — cosponsor (person)
- Sharon Chung — cosponsor (person)
- Suzanne M. Ness — cosponsor (person)
- Theresa Mah — cosponsor (person)
- Travis Weaver — cosponsor (person)
- Will Guzzardi — cosponsor (person)

## Timeline

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

- **2024-02-09** Filed with the Clerk by Rep. Tracy Katz Muhl `filing`
- **2024-02-09** First Reading `reading-1`
- **2024-02-09** Referred to Rules Committee
- **2024-02-28** Assigned to Insurance Committee `referral-committee`
- **2024-03-19** Added Co-Sponsor Rep. Kelly M. Cassidy
- **2024-03-19** Added Co-Sponsor Rep. Anne Stava-Murray
- **2024-03-19** Added Co-Sponsor Rep. Dagmara Avelar
- **2024-03-19** Added Co-Sponsor Rep. Jenn Ladisch Douglass
- **2024-03-19** Added Co-Sponsor Rep. Mary Beth Canty
- **2024-03-19** Added Co-Sponsor Rep. Maura Hirschauer
- **2024-03-19** Added Co-Sponsor Rep. Katie Stuart
- **2024-03-19** Added Co-Sponsor Rep. Janet Yang Rohr
- **2024-03-19** Added Co-Sponsor Rep. Suzanne M. Ness
- **2024-03-19** Added Co-Sponsor Rep. Camille Y. Lilly
- **2024-03-19** House Committee Amendment No. 1 Filed with Clerk by Rep. Tracy Katz Muhl `amendment-introduction`
- **2024-03-19** House Committee Amendment No. 1 Referred to Rules Committee
- **2024-03-19** Removed Co-Sponsor Rep. Camille Y. Lilly
- **2024-03-20** Added Co-Sponsor Rep. Will Guzzardi
- **2024-03-20** Added Co-Sponsor Rep. Jennifer Gong-Gershowitz
- **2024-03-20** Added Co-Sponsor Rep. La Shawn K. Ford
- **2024-03-20** Added Co-Sponsor Rep. Sharon Chung
- **2024-03-20** Added Co-Sponsor Rep. Rita Mayfield
- **2024-03-20** Added Co-Sponsor Rep. Theresa Mah
- **2024-03-20** Added Co-Sponsor Rep. Marcus C. Evans, Jr.
- **2024-03-20** Added Co-Sponsor Rep. Dave Vella
- **2024-03-20** Do Pass / Short Debate Insurance Committee; 013-000-000
- **2024-03-20** House Committee Amendment No. 1 Tabled `amendment-failure`
- **2024-03-20** Removed Co-Sponsor Rep. La Shawn K. Ford
- **2024-03-21** Placed on Calendar 2nd Reading - Short Debate `reading-2`
- **2024-03-22** Added Co-Sponsor Rep. Emanuel "Chris" Welch
- **2024-03-26** House Floor Amendment No. 2 Filed with Clerk by Rep. Tracy Katz Muhl `amendment-introduction`
- **2024-03-26** House Floor Amendment No. 2 Referred to Rules Committee
- **2024-04-02** House Floor Amendment No. 2 Rules Refers to Insurance Committee
- **2024-04-02** Added Co-Sponsor Rep. Jawaharial Williams
- **2024-04-10** House Floor Amendment No. 2 Recommends Be Adopted Insurance Committee; 012-000-000 `committee-passage-favorable`
- **2024-04-11** Second Reading - Short Debate `reading-2`
- **2024-04-11** Placed on Calendar Order of 3rd Reading - Short Debate
- **2024-04-16** House Floor Amendment No. 3 Filed with Clerk by Rep. Tracy Katz Muhl `amendment-introduction`
- **2024-04-16** House Floor Amendment No. 3 Referred to Rules Committee
- **2024-04-17** Added Co-Sponsor Rep. Mark L. Walker
- **2024-04-17** House Floor Amendment No. 3 Rules Refers to Insurance Committee
- **2024-04-17** Added Chief Co-Sponsor Rep. Camille Y. Lilly
- **2024-04-17** Added Chief Co-Sponsor Rep. La Shawn K. Ford
- **2024-04-17** Added Chief Co-Sponsor Rep. Travis Weaver
- **2024-04-17** Added Chief Co-Sponsor Rep. Nicole La Ha
- **2024-04-18** House Floor Amendment No. 3 Recommends Be Adopted Insurance Committee; 015-000-000 `committee-passage-favorable`
- **2024-04-18** Added Co-Sponsor Rep. Kevin John Olickal
- **2024-04-19** Recalled to Second Reading - Short Debate `reading-2`
- **2024-04-19** House Floor Amendment No. 3 Adopted `amendment-passage`
- **2024-04-19** Placed on Calendar Order of 3rd Reading - Short Debate
- **2024-04-19** Third Reading - Short Debate - Passed 101-000-000 `passage, reading-3`
- **2024-04-19** Added Co-Sponsor Rep. Kevin Schmidt
- **2024-04-24** Arrive in Senate `introduction`
- **2024-04-24** Placed on Calendar Order of First Reading `reading-1`
- **2024-04-24** Chief Senate Sponsor Sen. Laura Fine
- **2024-04-24** First Reading `reading-1`
- **2024-04-24** Referred to Assignments
- **2024-04-30** Assigned to Insurance `referral-committee`
- **2024-04-30** Rule 2-10 Committee Deadline Established As May 10, 2024
- **2024-05-08** Do Pass Insurance; 010-000-000
- **2024-05-08** Placed on Calendar Order of 2nd Reading May 9, 2024 `reading-2`
- **2024-05-09** Second Reading `reading-2`
- **2024-05-09** Placed on Calendar Order of 3rd Reading
- **2024-05-16** Third Reading - Passed; 058-000-000 `passage, reading-3`
- **2024-05-16** Passed Both Houses
- **2024-05-26** Added as Alternate Co-Sponsor Sen. Rachel Ventura
- **2024-05-26** Added as Alternate Co-Sponsor Sen. Mary Edly-Allen
- **2024-05-26** Added as Alternate Co-Sponsor Sen. Mike Simmons
- **2024-06-13** Sent to the Governor `executive-receipt`
- **2024-08-09** Governor Approved `executive-signature`
- **2024-08-09** Effective Date January 1, 2025
- **2024-08-09** Public Act . . . . . . . . . 103-0870 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/faa00323-4d40-4ac1-84d9-db7370540787`. Confidence: reported (aggregated from official Illinois legislature records).