republic-os/legislation/us/states/il/100th/hb-4821.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	INS CODE-STAGE 4 CANCER DRUGS	Amends the Illinois Insurance Code. Provides that no individual or group policy of accident and health insurance amended, issued, delivered, or renewed in the State after the effective date of the amendatory Act that covers the treatment of stage 4 advanced, metastatic cancer shall limit or exclude coverage for a drug by mandating that the insured shall first be required to fail to successfully respond to a different drug or prove a history of failure of the drug unless the use of the drug is consistent with best practices for the treatment of stage 4 advanced, metastatic cancer and is supported by peer-reviewed medical literature. Makes conforming changes in the State Employee Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, the Limited Health Service Organization Act, the Voluntary Health Services Plans Act, and the Illinois Public Aid Code.	us/states/il	Illinois General Assembly	100th	HB 4821	Illinois HB 4821 (100th)	bill		enacted		3	63	3	2018-02-14	2018-08-24	openstates	ocd-bill/899ae501-e934-412c-a98a-c6654f5b1e2f	http://ilga.gov/legislation/BillStatus.asp?DocNum=4821&GAID=14&DocTypeID=HB&LegId=110165&SessionID=91&GA=100	5a8053b74973a1f12e126d5a0dc1bae2cd549b260e3237fee668b96396b2cdb0	2026-07-01	https://data.openstates.org/daily/2026-07-01/public.pgdump	2026-07-06	reported	legislation bill us-il

Illinois HB 4821 (100th) — INS CODE-STAGE 4 CANCER DRUGS

Amends the Illinois Insurance Code. Provides that no individual or group policy of accident and health insurance amended, issued, delivered, or renewed in the State after the effective date of the amendatory Act that covers the treatment of stage 4 advanced, metastatic cancer shall limit or exclude coverage for a drug by mandating that the insured shall first be required to fail to successfully respond to a different drug or prove a history of failure of the drug unless the use of the drug is consistent with best practices for the treatment of stage 4 advanced, metastatic cancer and is supported by peer-reviewed medical literature. Makes conforming changes in the State Employee Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, the Limited Health Service Organization Act, the Voluntary Health Services Plans Act, and the Illinois Public Aid Code.

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 — 92–0 (pass) · lower
• Concurrence — 109–0 (pass) · lower
• Third Reading — 53–0 (pass) · upper

Sponsors

• John G. Mulroe — cosponsor (person)
• Kwame Raoul — cosponsor (person)
• Laura Fine — primary (person)
• Laura M. Murphy — cosponsor (person)
• Linda Holmes — cosponsor (person)

Timeline

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

• 2018-02-14 Filed with the Clerk by Rep. Laura Fine filing
• 2018-02-14 First Reading reading-1
• 2018-02-14 Referred to Rules Committee referral-committee
• 2018-03-08 Added Co-Sponsor Rep. Katie Stuart
• 2018-03-08 Added Co-Sponsor Rep. John Connor
• 2018-03-08 Added Co-Sponsor Rep. Sam Yingling
• 2018-03-08 Added Co-Sponsor Rep. Robyn Gabel
• 2018-03-21 Assigned to Insurance: Health & Life Committee referral-committee
• 2018-04-09 Do Pass / Short Debate Insurance: Health & Life Committee; 011-001-000 committee-passage
• 2018-04-10 Placed on Calendar 2nd Reading - Short Debate
• 2018-04-23 House Floor Amendment No. 1 Filed with Clerk by Rep. Laura Fine amendment-introduction
• 2018-04-23 House Floor Amendment No. 1 Referred to Rules Committee referral-committee
• 2018-04-24 House Floor Amendment No. 1 Rules Refers to Insurance: Health & Life Committee
• 2018-04-25 House Floor Amendment No. 1 Recommends Be Adopted Insurance: Health & Life Committee; 012-001-000 committee-passage-favorable
• 2018-04-25 Second Reading - Short Debate reading-2
• 2018-04-25 House Floor Amendment No. 1 Adopted amendment-passage
• 2018-04-25 Placed on Calendar Order of 3rd Reading - Short Debate
• 2018-04-25 Added Co-Sponsor Rep. Jonathan Carroll
• 2018-04-25 Added Co-Sponsor Rep. Michelle Mussman
• 2018-04-25 Added Co-Sponsor Rep. Deb Conroy
• 2018-04-25 Added Co-Sponsor Rep. William Davis
• 2018-04-25 Added Co-Sponsor Rep. Stephanie A. Kifowit
• 2018-04-25 Added Co-Sponsor Rep. Sue Scherer
• 2018-04-25 Added Co-Sponsor Rep. Mary E. Flowers
• 2018-04-25 Added Co-Sponsor Rep. Gregory Harris
• 2018-04-27 Added Co-Sponsor Rep. Marcus C. Evans, Jr.
• 2018-04-27 Third Reading - Short Debate - Passed 092-000-000 reading-3, passage
• 2018-04-27 Added Co-Sponsor Rep. Al Riley
• 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. Julie A. Morrison
• 2018-05-01 First Reading reading-1
• 2018-05-01 Referred to Assignments referral-committee
• 2018-05-02 Added as Alternate Chief Co-Sponsor Sen. Pamela J. Althoff
• 2018-05-02 Added as Alternate Chief Co-Sponsor Sen. Jacqueline Y. Collins
• 2018-05-02 Added as Alternate Chief Co-Sponsor Sen. Terry Link
• 2018-05-02 Assigned to Insurance referral-committee
• 2018-05-02 Added as Alternate Chief Co-Sponsor Sen. Mattie Hunter
• 2018-05-09 Senate Committee Amendment No. 1 Filed with Secretary by Sen. Julie A. Morrison amendment-introduction
• 2018-05-09 Senate Committee Amendment No. 1 Referred to Assignments referral-committee
• 2018-05-09 Senate Committee Amendment No. 1 Assignments Refers to Insurance
• 2018-05-09 Senate Committee Amendment No. 1 Adopted amendment-passage
• 2018-05-10 Do Pass as Amended Insurance; 012-000-000 committee-passage
• 2018-05-10 Placed on Calendar Order of 2nd Reading May 15, 2018
• 2018-05-10 Added as Alternate Co-Sponsor Sen. Linda Holmes
• 2018-05-17 Second Reading reading-2
• 2018-05-17 Placed on Calendar Order of 3rd Reading May 18, 2018
• 2018-05-17 Added as Alternate Co-Sponsor Sen. Kwame Raoul
• 2018-05-17 Added as Alternate Co-Sponsor Sen. John G. Mulroe
• 2018-05-22 Added as Alternate Co-Sponsor Sen. Laura M. Murphy
• 2018-05-24 Third Reading - Passed; 053-000-001 reading-3, passage
• 2018-05-24 Arrived in House introduction
• 2018-05-24 Placed on Calendar Order of Concurrence Senate Amendment(s) 1
• 2018-05-24 Senate Committee Amendment No. 1 Motion Filed Concur Rep. Laura Fine
• 2018-05-24 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 Recommends Be Adopted Rules Committee; 004-000-000
• 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 January 1, 2019
• 2018-08-24 Public Act . . . . . . . . . 100-1057 became-law

Source

OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/899ae501-e934-412c-a98a-c6654f5b1e2f. Confidence: reported (aggregated from official Illinois legislature records).