---
type: "Bill"
title: "MANAGED CARE ACT-STEP THERAPY"
description: "Amends the Managed Care Reform and Patient Rights Act. Applies the medical exemptions process to all entities licensed in the State to sell a policy of group or individual accident and health insurance or health benefits plan. Provides certain exceptions upon which a step therapy override will always be provided. Sets clinical review criteria that must be used to establish step therapy protocols. Effective immediately."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "99th"
identifier: "HB 3549"
citation: "Illinois HB 3549 (99th)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: []
version_count: 3
action_count: 87
vote_count: 4
first_action: "2015-02-26"
last_action: "2016-08-12"
source: "openstates"
source_identifier: "ocd-bill/a12ca52e-2667-457f-b16a-312fdac5ac84"
source_url: "http://ilga.gov/legislation/BillStatus.asp?DocNum=3549&GAID=13&DocTypeID=HB&LegId=89738&SessionID=88&GA=99"
source_hash: "6601fc56f2df85f3b513f039e98fd47e18e3213088907dd18edb2567d269fa7c"
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 3549 (99th) — MANAGED CARE ACT-STEP THERAPY

Amends the Managed Care Reform and Patient Rights Act. Applies the medical exemptions process to all entities licensed in the State to sell a policy of group or individual accident and health insurance or health benefits plan. Provides certain exceptions upon which a step therapy override will always be provided. Sets clinical review criteria that must be used to establish step therapy protocols. Effective immediately.

## Version chain

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

1. **Introduced** (filed) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09900HB3549&GA=99&SessionId=88&DocTypeId=HB&LegID=89738&DocNum=3549&GAID=13&Session=&print=true)
2. **Engrossed** (committee substitute) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09900HB3549eng&GA=99&SessionId=88&DocTypeId=HB&LegID=89738&DocNum=3549&GAID=13&Session=&print=true)
3. **Enrolled** (enrolled) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09900HB3549enr&GA=99&SessionId=88&DocTypeId=HB&LegID=89738&DocNum=3549&GAID=13&Session=&print=true)

## Votes

- Third Reading — **54–0** (pass) · upper
- Third Reading — **92–18** (pass) · lower
- Concurrence — **117–0** (pass) · lower
- Concurrence — **117–0** (pass) · lower

## Sponsors

- Antonio Muñoz — cosponsor (person)
- Daniel Biss — cosponsor (person)
- Ira I. Silverstein — cosponsor (person)
- John G. Mulroe — cosponsor (person)
- Laura Fine — primary (person)
- Laura M. Murphy — cosponsor (person)
- Pamela J. Althoff — cosponsor (person)

## Timeline

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

- **2015-02-26** Filed with the Clerk by Rep. Laura Fine `filing`
- **2015-02-26** First Reading `reading-1`
- **2015-02-26** Referred to Rules Committee `referral-committee`
- **2015-03-04** Added Chief Co-Sponsor Rep. Ann M. Williams
- **2015-03-04** Added Chief Co-Sponsor Rep. Norine K. Hammond
- **2015-03-04** Added Chief Co-Sponsor Rep. Sara Feigenholtz
- **2015-03-05** Added Co-Sponsor Rep. Elizabeth Hernandez
- **2015-03-05** Added Co-Sponsor Rep. Monique D. Davis
- **2015-03-05** Added Co-Sponsor Rep. Kelly M. Burke
- **2015-03-05** Added Co-Sponsor Rep. Robyn Gabel
- **2015-03-05** Added Co-Sponsor Rep. Esther Golar
- **2015-03-05** Added Co-Sponsor Rep. Kathleen Willis
- **2015-03-05** Added Co-Sponsor Rep. William Davis
- **2015-03-10** Assigned to Human Services Committee `referral-committee`
- **2015-03-12** Added Co-Sponsor Rep. Mary E. Flowers
- **2015-03-12** Added Co-Sponsor Rep. Kelly M. Cassidy
- **2015-03-12** Added Co-Sponsor Rep. Jaime M. Andrade, Jr.
- **2015-03-12** Added Co-Sponsor Rep. Linda Chapa LaVia
- **2015-03-12** Added Co-Sponsor Rep. Mike Smiddy
- **2015-03-12** Added Co-Sponsor Rep. Gregory Harris
- **2015-03-18** Do Pass / Short Debate Human Services Committee; 012-000-000 `committee-passage`
- **2015-03-18** Placed on Calendar 2nd Reading - Short Debate
- **2015-03-26** Second Reading - Short Debate `reading-2`
- **2015-03-26** Placed on Calendar Order of 3rd Reading - Short Debate
- **2015-04-20** House Floor Amendment No. 1 Filed with Clerk by Rep. Laura Fine `amendment-introduction`
- **2015-04-20** House Floor Amendment No. 1 Referred to Rules Committee `referral-committee`
- **2015-04-21** House Floor Amendment No. 1 Recommends Be Adopted Rules Committee; 004-000-000 `committee-passage-favorable`
- **2015-04-22** Recalled to Second Reading - Short Debate `reading-2`
- **2015-04-22** House Floor Amendment No. 1 Adopted `amendment-passage`
- **2015-04-22** Placed on Calendar Order of 3rd Reading - Short Debate
- **2015-04-23** Third Reading - Short Debate - Passed 092-018-000 `reading-3, passage`
- **2015-04-23** Arrive in Senate `introduction`
- **2015-04-23** Placed on Calendar Order of First Reading `reading-1`
- **2015-04-23** Chief Senate Sponsor Sen. Julie A. Morrison
- **2015-04-28** First Reading `reading-1`
- **2015-04-28** Referred to Assignments `referral-committee`
- **2015-04-29** Assigned to Insurance `referral-committee`
- **2015-05-06** Added as Alternate Co-Sponsor Sen. Daniel Biss
- **2015-05-07** Senate Committee Amendment No. 1 Filed with Secretary by Sen. Julie A. Morrison `amendment-introduction`
- **2015-05-07** Senate Committee Amendment No. 1 Referred to Assignments `referral-committee`
- **2015-05-12** Senate Committee Amendment No. 1 Assignments Refers to Insurance
- **2015-05-13** Senate Committee Amendment No. 1 Adopted `amendment-passage`
- **2015-05-14** Postponed - Insurance
- **2015-05-15** Rule 2-10 Committee Deadline Established As May 31, 2015
- **2015-05-22** Rule 2-10 Third Reading Deadline Established As May 31, 2015 `reading-3`
- **2015-10-10** Pursuant to Senate Rule 3-9(b) / Referred to Assignments `referral-committee`
- **2016-05-04** Re-assigned to Insurance `referral-committee`
- **2016-05-04** Senate Committee Amendment No. 2 Filed with Secretary by Sen. Julie A. Morrison `amendment-introduction`
- **2016-05-04** Senate Committee Amendment No. 2 Referred to Assignments `referral-committee`
- **2016-05-05** Added as Alternate Chief Co-Sponsor Sen. Linda Holmes
- **2016-05-05** Added as Alternate Co-Sponsor Sen. John G. Mulroe
- **2016-05-05** Added as Alternate Chief Co-Sponsor Sen. Terry Link
- **2016-05-06** Senate Committee Amendment No. 3 Filed with Secretary by Sen. Julie A. Morrison `amendment-introduction`
- **2016-05-06** Senate Committee Amendment No. 3 Referred to Assignments `referral-committee`
- **2016-05-06** Added as Alternate Co-Sponsor Sen. Antonio Muñoz
- **2016-05-10** Senate Committee Amendment No. 3 Assignments Refers to Insurance
- **2016-05-10** Senate Committee Amendment No. 2 Pursuant to Senate Rule 3-8(b-1), this amendment will remain in the Committee on Assignments.
- **2016-05-11** Senate Committee Amendment No. 3 Adopted `amendment-passage`
- **2016-05-12** Do Pass as Amended Insurance; 010-000-000 `committee-passage`
- **2016-05-12** Placed on Calendar Order of 2nd Reading May 17, 2016
- **2016-05-18** Second Reading `reading-2`
- **2016-05-18** Placed on Calendar Order of 3rd Reading May 19, 2016
- **2016-05-18** Added as Alternate Co-Sponsor Sen. Pamela J. Althoff
- **2016-05-24** Added as Alternate Co-Sponsor Sen. Ira I. Silverstein
- **2016-05-24** Added as Alternate Co-Sponsor Sen. Laura M. Murphy
- **2016-05-26** Third Reading - Passed; 054-000-000 `reading-3, passage`
- **2016-05-26** Senate Committee Amendment No. 2 Tabled Pursuant to Rule 5-4(a) `amendment-failure`
- **2016-05-26** Arrived in House `introduction`
- **2016-05-26** Placed on Calendar Order of Concurrence Senate Amendment(s) 1, 3
- **2016-05-29** Senate Committee Amendment No. 1 Motion Filed Concur Rep. Laura Fine
- **2016-05-29** Senate Committee Amendment No. 3 Motion Filed Concur Rep. Laura Fine
- **2016-05-29** Senate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee `referral-committee`
- **2016-05-29** Senate Committee Amendment No. 3 Motion to Concur Referred to Rules Committee `referral-committee`
- **2016-05-29** Senate Committee Amendment No. 1 Motion to Concur Rules Referred to Human Services Committee `referral-committee`
- **2016-05-29** Senate Committee Amendment No. 3 Motion to Concur Rules Referred to Human Services Committee `referral-committee`
- **2016-05-29** Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Human Services Committee; 013-000-000
- **2016-05-29** Senate Committee Amendment No. 3 Motion to Concur Recommends Be Adopted Human Services Committee; 013-000-000
- **2016-05-31** Senate Committee Amendment No. 1 House Concurs 117-000-000
- **2016-05-31** Senate Committee Amendment No. 3 House Concurs 117-000-000
- **2016-05-31** House Concurs
- **2016-05-31** Passed Both Houses
- **2016-05-31** Added Co-Sponsor Rep. Carol Sente
- **2016-05-31** Added Co-Sponsor Rep. Michelle Mussman
- **2016-06-27** Sent to the Governor `executive-receipt`
- **2016-08-12** Governor Approved `executive-signature`
- **2016-08-12** Effective Date January 1, 2018
- **2016-08-12** Public Act . . . . . . . . . 99-0761 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/a12ca52e-2667-457f-b16a-312fdac5ac84`. Confidence: reported (aggregated from official Illinois legislature records).