republic-os/legislation/us/states/il/100th/hb-4146.md

type, title, description, jurisdiction, legislature, session, identifier, citation, classification, subjects, status, primary_sponsors, version_count, action_count, vote_count, first_action, last_action, source, source_identifier, source_url, source_hash, vintage, source_snapshot, retrieved_at, confidence, tags

type	title	description	jurisdiction	legislature	session	identifier	citation	classification	subjects	status	primary_sponsors	version_count	action_count	vote_count	first_action	last_action	source	source_identifier	source_url	source_hash	vintage	source_snapshot	retrieved_at	confidence	tags
Bill	PATIENT RIGHTS-TRANSITION	Amends the Managed Care Reform and Patient Rights Act. In provisions concerning transition of services, provides that the health care plan shall not modify an enrollee's coverage of a drug during the plan year if the drug has been previously approved for coverage by the plan for a medical condition, the plan's prescribing provider continues to prescribe the drug for the medical condition, and the patient continues to be an enrollee of the health care plan. Provides specific prohibited modifications of drug coverage in the health plan. Provides that the provisions do not prohibit a health care plan from requiring a pharmacist to effect generic substitutions of prescription drugs. Provides that the provisions do not prohibit the addition of prescription drugs to a health care plan's list of covered drugs during the coverage year. Provides that the provisions do not apply to a health care plan as defined in the State Employees Group Insurance Act of 1971 or medical assistance under the Illinois Public Aid Code. Effective immediately.	us/states/il	Illinois General Assembly	100th	HB 4146	Illinois HB 4146 (100th)	bill		enacted		3	179	4	2017-11-02	2018-08-24	openstates	ocd-bill/46ed80c1-c932-4a38-82f1-8ac11653acf6	http://ilga.gov/legislation/BillStatus.asp?DocNum=4146&GAID=14&DocTypeID=HB&LegId=108236&SessionID=91&GA=100	391cfcd13ab6fdc5bbaab37ae3da80445f07da628de8bb180b5ad53f56a29753	2026-07-01	https://data.openstates.org/daily/2026-07-01/public.pgdump	2026-07-06	reported	legislation bill us-il

Illinois HB 4146 (100th) — PATIENT RIGHTS-TRANSITION

Amends the Managed Care Reform and Patient Rights Act. In provisions concerning transition of services, provides that the health care plan shall not modify an enrollee's coverage of a drug during the plan year if the drug has been previously approved for coverage by the plan for a medical condition, the plan's prescribing provider continues to prescribe the drug for the medical condition, and the patient continues to be an enrollee of the health care plan. Provides specific prohibited modifications of drug coverage in the health plan. Provides that the provisions do not prohibit a health care plan from requiring a pharmacist to effect generic substitutions of prescription drugs. Provides that the provisions do not prohibit the addition of prescription drugs to a health care plan's list of covered drugs during the coverage year. Provides that the provisions do not apply to a health care plan as defined in the State Employees Group Insurance Act of 1971 or medical assistance under the Illinois Public Aid Code. Effective immediately.

Version chain

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

1. Introduced (filed) — source
2. Engrossed (committee substitute) — source
3. Enrolled (enrolled) — source

Votes

• Third Reading — 71–27 (pass) · lower
• Motion — 61–44 (fail) · lower
• Concurrence — 109–0 (pass) · lower
• Third Reading — 49–0 (pass) · upper

Sponsors

• Andy Manar — cosponsor (person)
• Bill Cunningham — cosponsor (person)
• Cristina Castro — cosponsor (person)
• Dan McConchie — cosponsor (person)
• Daniel Biss — cosponsor (person)
• David Koehler — cosponsor (person)
• Don Harmon — cosponsor (person)
• Emil Jones, III — cosponsor (person)
• Ira I. Silverstein — cosponsor (person)
• Iris Y. Martinez — cosponsor (person)
• Jacqueline Y. Collins — cosponsor (person)
• Jennifer Bertino-Tarrant — cosponsor (person)
• Julie A. Morrison — cosponsor (person)
• Karen McConnaughay — cosponsor (person)
• Kimberly A. Lightford — cosponsor (person)
• Kwame Raoul — cosponsor (person)
• Laura Fine — primary (person)
• Laura M. Murphy — cosponsor (person)
• Martin A. Sandoval — cosponsor (person)
• Mattie Hunter — cosponsor (person)
• Michael E. Hastings — cosponsor (person)
• Neil Anderson — cosponsor (person)
• Omar Aquino — cosponsor (person)
• Pat McGuire — cosponsor (person)
• Patricia Van Pelt — cosponsor (person)
• Scott M. Bennett — cosponsor (person)
• Steve Stadelman — cosponsor (person)
• Steven M. Landek — cosponsor (person)
• Terry Link — cosponsor (person)
• Thomas Cullerton — cosponsor (person)
• Toi W. Hutchinson — cosponsor (person)

Timeline

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

• 2017-11-02 Filed with the Clerk by Rep. Laura Fine filing
• 2017-11-02 Added Chief Co-Sponsor Rep. Patricia R. Bellock
• 2017-11-02 Added Chief Co-Sponsor Rep. Gregory Harris
• 2017-11-02 First Reading reading-1
• 2017-11-02 Referred to Rules Committee referral-committee
• 2017-11-02 Remove Chief Co-Sponsor Rep. Gregory Harris
• 2017-11-08 Added Chief Co-Sponsor Rep. Deb Conroy
• 2017-11-08 Added Co-Sponsor Rep. David S. Olsen
• 2017-11-08 Added Co-Sponsor Rep. Jonathan Carroll
• 2017-11-08 Added Co-Sponsor Rep. Linda Chapa LaVia
• 2017-11-08 Added Co-Sponsor Rep. Scott Drury
• 2017-11-08 Added Co-Sponsor Rep. Robert Martwick
• 2017-11-08 Added Co-Sponsor Rep. Jerry Costello, II
• 2017-11-08 Added Co-Sponsor Rep. Will Guzzardi
• 2017-11-08 Added Co-Sponsor Rep. Kelly M. Cassidy
• 2017-11-08 Added Co-Sponsor Rep. Sam Yingling
• 2017-11-08 Added Co-Sponsor Rep. Juliana Stratton
• 2017-11-08 Added Co-Sponsor Rep. Litesa E. Wallace
• 2017-11-08 Added Co-Sponsor Rep. Sonya M. Harper
• 2017-11-08 Added Co-Sponsor Rep. Sue Scherer
• 2017-11-08 Added Co-Sponsor Rep. Carol Ammons
• 2017-11-08 Added Co-Sponsor Rep. Emanuel Chris Welch
• 2017-11-08 Added Co-Sponsor Rep. La Shawn K. Ford
• 2017-11-08 Added Co-Sponsor Rep. Martin J. Moylan
• 2017-11-08 Added Co-Sponsor Rep. Robert Rita
• 2017-11-08 Added Co-Sponsor Rep. Cynthia Soto
• 2017-11-08 Added Co-Sponsor Rep. Robyn Gabel
• 2017-11-08 Added Co-Sponsor Rep. Kathleen Willis
• 2017-11-08 Added Co-Sponsor Rep. Natalie A. Manley
• 2017-11-08 Added Co-Sponsor Rep. Katie Stuart
• 2017-11-08 Added Co-Sponsor Rep. Rita Mayfield
• 2017-11-08 Added Co-Sponsor Rep. LaToya Greenwood
• 2017-11-08 Added Co-Sponsor Rep. Frances Ann Hurley
• 2017-11-08 Added Co-Sponsor Rep. Michelle Mussman
• 2017-11-08 Added Co-Sponsor Rep. Ann M. Williams
• 2017-11-08 Added Co-Sponsor Rep. Theresa Mah
• 2017-11-08 Added Co-Sponsor Rep. Marcus C. Evans, Jr.
• 2017-11-08 Added Co-Sponsor Rep. Anna Moeller
• 2017-11-08 Added Co-Sponsor Rep. Sara Feigenholtz
• 2017-11-08 Added Co-Sponsor Rep. Christian L. Mitchell
• 2017-11-08 Added Co-Sponsor Rep. Camille Y. Lilly
• 2017-11-08 Added Co-Sponsor Rep. Natalie Phelps Finnie
• 2017-11-08 Added Co-Sponsor Rep. Mary E. Flowers
• 2017-11-08 Added Co-Sponsor Rep. Elgie R. Sims, Jr.
• 2017-11-08 Added Co-Sponsor Rep. Jaime M. Andrade, Jr.
• 2017-11-08 Removed Co-Sponsor Rep. Mary E. Flowers
• 2017-11-09 Added Co-Sponsor Rep. Brian W. Stewart
• 2017-11-13 Added Co-Sponsor Rep. Daniel V. Beiser
• 2017-11-15 Added Chief Co-Sponsor Rep. Mary E. Flowers
• 2017-11-16 Added Co-Sponsor Rep. Steven A. Andersson
• 2018-01-30 Added Co-Sponsor Rep. Michael P. McAuliffe
• 2018-01-30 Remove Chief Co-Sponsor Rep. Mary E. Flowers
• 2018-01-30 Added Chief Co-Sponsor Rep. David Harris
• 2018-01-30 Added Co-Sponsor Rep. Mary E. Flowers
• 2018-01-30 Removed Co-Sponsor Rep. Mary E. Flowers
• 2018-01-31 Added Co-Sponsor Rep. Michael J. Zalewski
• 2018-01-31 Added Co-Sponsor Rep. John M. Cabello
• 2018-01-31 Added Co-Sponsor Rep. Joe Sosnowski
• 2018-01-31 Added Co-Sponsor Rep. Gregory Harris
• 2018-01-31 Added Co-Sponsor Rep. Melissa Conyears-Ervin
• 2018-02-06 Removed Co-Sponsor Rep. Jerry Costello, II
• 2018-02-06 Added Co-Sponsor Rep. Robert W. Pritchard
• 2018-02-07 Removed Co-Sponsor Rep. Emanuel Chris Welch
• 2018-02-13 Added Co-Sponsor Rep. Stephanie A. Kifowit
• 2018-02-14 Added Co-Sponsor Rep. Carol Sente
• 2018-02-23 Added Chief Co-Sponsor Rep. Mary E. Flowers
• 2018-02-23 Chief Co-Sponsor Changed to Rep. Mary E. Flowers
• 2018-03-05 Assigned to Insurance: Health & Life Committee referral-committee
• 2018-03-06 House Committee Amendment No. 1 Filed with Clerk by Rep. Laura Fine amendment-introduction
• 2018-03-06 House Committee Amendment No. 1 Referred to Rules Committee referral-committee
• 2018-03-07 House Committee Amendment No. 1 Rules Refers to Insurance: Health & Life Committee
• 2018-03-12 Added Co-Sponsor Rep. Fred Crespo
• 2018-04-02 Added Co-Sponsor Rep. Michael Halpin
• 2018-04-09 Added Co-Sponsor Rep. Lou Lang
• 2018-04-09 House Committee Amendment No. 1 Adopted in Insurance: Health & Life Committee; by Voice Vote amendment-passage
• 2018-04-09 Do Pass as Amended / Short Debate Insurance: Health & Life Committee; 009-005-000 committee-passage
• 2018-04-10 Placed on Calendar 2nd Reading - Short Debate
• 2018-04-11 Added Co-Sponsor Rep. John Cavaletto
• 2018-04-11 House Committee Amendment No. 1 Fiscal Note Requested as Amended by Rep. Keith R. Wheeler
• 2018-04-11 House Committee Amendment No. 1 State Mandates Fiscal Note Requested as Amended by Rep. Keith R. Wheeler
• 2018-04-13 Added Co-Sponsor Rep. Barbara Flynn Currie
• 2018-04-13 Added Co-Sponsor Rep. Kelly M. Burke
• 2018-04-13 Added Co-Sponsor Rep. Sheri Jesiel
• 2018-04-18 House Committee Amendment No. 1 Fiscal Note Filed as Amended
• 2018-04-19 Added Co-Sponsor Rep. Jim Durkin
• 2018-04-19 Added Co-Sponsor Rep. Arthur Turner
• 2018-04-19 Added Co-Sponsor Rep. Luis Arroyo
• 2018-04-19 Added Co-Sponsor Rep. Thaddeus Jones
• 2018-04-19 Added Co-Sponsor Rep. John C. D'Amico
• 2018-04-19 House Floor Amendment No. 2 Filed with Clerk by Rep. Laura Fine amendment-introduction
• 2018-04-19 House Floor Amendment No. 2 Referred to Rules Committee referral-committee
• 2018-04-19 Removed Co-Sponsor Rep. Arthur Turner
• 2018-04-23 House Floor Amendment No. 2 Rules Refers to Insurance: Health & Life Committee
• 2018-04-23 Added Co-Sponsor Rep. Monica Bristow
• 2018-04-25 House Floor Amendment No. 2 Recommends Be Adopted - Lost Insurance: Health & Life Committee; 008-003-000 committee-passage-favorable
• 2018-04-25 Removed Co-Sponsor Rep. Robert W. Pritchard
• 2018-04-25 Second Reading - Short Debate reading-2
• 2018-04-25 Held on Calendar Order of Second Reading - Short Debate reading-2
• 2018-04-26 Second Reading - Short Debate reading-2
• 2018-04-26 Held on Calendar Order of Second Reading - Short Debate reading-2
• 2018-04-26 Added Co-Sponsor Rep. Jay Hoffman
• 2018-04-26 House Committee Amendment No. 1 Note / Motion Filed - Note Act Does Not Apply Rep. Laura Fine
• 2018-04-26 House Committee Amendment No. 1 Motion Prevailed 061-044-000
• 2018-04-26 State Mandates Fiscal Note Request is Inapplicable
• 2018-04-26 Placed on Calendar Order of 3rd Reading - Short Debate
• 2018-04-26 Removed from Short Debate Status
• 2018-04-26 Placed on Calendar Order of 3rd Reading - Standard Debate
• 2018-04-26 Third Reading - Standard Debate - Passed 071-027-000 reading-3, passage
• 2018-04-26 Removed Co-Sponsor Rep. Jay Hoffman
• 2018-05-01 Arrive in Senate introduction
• 2018-05-01 Placed on Calendar Order of First Reading reading-1
• 2018-05-01 Chief Senate Sponsor Sen. Heather A. Steans
• 2018-05-01 First Reading reading-1
• 2018-05-01 Referred to Assignments referral-committee
• 2018-05-01 Added as Alternate Co-Sponsor Sen. Terry Link
• 2018-05-01 Added as Alternate Co-Sponsor Sen. Michael E. Hastings
• 2018-05-01 Added as Alternate Co-Sponsor Sen. Kimberly A. Lightford
• 2018-05-01 Added as Alternate Co-Sponsor Sen. Napoleon Harris, III
• 2018-05-01 Added as Alternate Co-Sponsor Sen. Mattie Hunter
• 2018-05-01 Added as Alternate Chief Co-Sponsor Sen. Linda Holmes
• 2018-05-01 Added as Alternate Chief Co-Sponsor Sen. Antonio Muñoz
• 2018-05-01 Alternate Chief Co-Sponsor Changed to Sen. Antonio Muñoz
• 2018-05-01 Alternate Chief Co-Sponsor Changed to Sen. Linda Holmes
• 2018-05-01 Added as Alternate Chief Co-Sponsor Sen. Pamela J. Althoff
• 2018-05-01 Sponsor Removed Sen. Napoleon Harris, III
• 2018-05-02 Added as Alternate Chief Co-Sponsor Sen. Melinda Bush
• 2018-05-02 Added as Alternate Co-Sponsor Sen. Karen McConnaughay
• 2018-05-02 Added as Alternate Co-Sponsor Sen. David Koehler
• 2018-05-02 Added as Alternate Co-Sponsor Sen. Jacqueline Y. Collins
• 2018-05-02 Added as Alternate Co-Sponsor Sen. Emil Jones, III
• 2018-05-02 Added as Alternate Co-Sponsor Sen. Dan McConchie
• 2018-05-02 Added as Alternate Co-Sponsor Sen. Laura M. Murphy
• 2018-05-02 Added as Alternate Co-Sponsor Sen. Julie A. Morrison
• 2018-05-02 Assigned to Special Committee on Oversight of Medicaid Managed Care referral-committee
• 2018-05-02 Added as Alternate Co-Sponsor Sen. Omar Aquino
• 2018-05-02 Added as Alternate Co-Sponsor Sen. Bill Cunningham
• 2018-05-02 Added as Alternate Co-Sponsor Sen. Pat McGuire
• 2018-05-02 Added as Alternate Co-Sponsor Sen. Iris Y. Martinez
• 2018-05-02 Sponsor Removed Sen. Emil Jones, III
• 2018-05-02 Added as Alternate Co-Sponsor Sen. Patricia Van Pelt
• 2018-05-02 Added as Alternate Co-Sponsor Sen. Kwame Raoul
• 2018-05-02 Added as Alternate Co-Sponsor Sen. Ira I. Silverstein
• 2018-05-02 Added as Alternate Co-Sponsor Sen. Andy Manar
• 2018-05-02 Added as Alternate Co-Sponsor Sen. Jennifer Bertino-Tarrant
• 2018-05-02 Added as Alternate Co-Sponsor Sen. Toi W. Hutchinson
• 2018-05-03 Added as Alternate Co-Sponsor Sen. Cristina Castro
• 2018-05-03 Added as Alternate Co-Sponsor Sen. Steve Stadelman
• 2018-05-03 Added as Alternate Co-Sponsor Sen. Scott M. Bennett
• 2018-05-03 Added as Alternate Co-Sponsor Sen. Don Harmon
• 2018-05-08 Added as Alternate Co-Sponsor Sen. Neil Anderson
• 2018-05-08 Added as Alternate Co-Sponsor Sen. Thomas Cullerton
• 2018-05-09 Added as Alternate Co-Sponsor Sen. Steven M. Landek
• 2018-05-09 Added as Alternate Co-Sponsor Sen. Emil Jones, III
• 2018-05-10 Postponed - Special Committee on Oversight of Medicaid Managed Care
• 2018-05-10 Added as Alternate Co-Sponsor Sen. Martin A. Sandoval
• 2018-05-11 Rule 2-10 Committee Deadline Established As May 31, 2018
• 2018-05-18 Added as Alternate Co-Sponsor Sen. Daniel Biss
• 2018-05-18 Senate Committee Amendment No. 1 Filed with Secretary by Sen. Heather A. Steans amendment-introduction
• 2018-05-18 Senate Committee Amendment No. 1 Referred to Assignments referral-committee
• 2018-05-21 Senate Committee Amendment No. 1 Assignments Refers to Special Committee on Oversight of Medicaid Managed Care
• 2018-05-23 Senate Committee Amendment No. 1 Adopted amendment-passage
• 2018-05-23 Do Pass as Amended Special Committee on Oversight of Medicaid Managed Care; 009-000-000 committee-passage
• 2018-05-23 Placed on Calendar Order of 2nd Reading May 24, 2018
• 2018-05-24 Second Reading reading-2
• 2018-05-24 Placed on Calendar Order of 3rd Reading May 25, 2018
• 2018-05-25 Third Reading - Passed; 049-000-000 reading-3, passage
• 2018-05-25 Arrived in House introduction
• 2018-05-25 Placed on Calendar Order of Concurrence Senate Amendment(s) 1
• 2018-05-28 Senate Committee Amendment No. 1 Motion Filed Concur Rep. Laura Fine
• 2018-05-28 Senate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee referral-committee
• 2018-05-28 Senate Committee Amendment No. 1 Motion to Concur Rules Referred to Insurance: Health & Life Committee referral-committee
• 2018-05-30 Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Insurance: Health & Life Committee; 011-000-000
• 2018-05-31 Senate Committee Amendment No. 1 House Concurs 109-000-000
• 2018-05-31 House Concurs
• 2018-05-31 Passed Both Houses
• 2018-06-29 Sent to the Governor executive-receipt
• 2018-08-24 Governor Approved executive-signature
• 2018-08-24 Effective Date August 24, 2018
• 2018-08-24 Public Act . . . . . . . . . 100-1052 became-law

Source

OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/46ed80c1-c932-4a38-82f1-8ac11653acf6. Confidence: reported (aggregated from official Illinois legislature records).