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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 NONOPIOID ALTERNATIVES Amends the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois. Allows the Department of Public Health to develop and publish on its website a nonopioid alternatives pamphlet, with certain requirements. Amends the Illinois Insurance Code. Prohibits a health insurance issuer to deny coverage of a nonopioid prescription drug in favor of an opioid prescription drug. Amends the Illinois Public Aid Code. Provides that coverage shall not be denied for a nonopioid prescription drug in favor of an opioid prescription drug. Requires that nonopioid drugs preferred on a specific list for the treatment or management of pain shall not be disadvantaged or discouraged with respect to coverage relative to any opioid or narcotic drug for the treatment or management of pain. Effective July 1, 2027. us/states/il Illinois General Assembly 104th SB 1238 Illinois SB 1238 (104th)
bill
enacted
Janet Yang Rohr
Karina Villa
4 49 5 2025-01-24 2025-08-15 openstates ocd-bill/5caedcc0-6cff-457f-a489-7e54e801bbcd https://ilga.gov/Legislation/BillStatus?DocNum=1238&GAID=18&DocTypeID=SB&LegId=159056&SessionID=114 bc6e8c2655b4ff791693bd95d0cb2bc88da1a6e75460b83b18653a3de71ab294 2026-07-01 https://data.openstates.org/daily/2026-07-01/public.pgdump 2026-07-06 reported
legislation
bill
us-il

Illinois SB 1238 (104th) — NONOPIOID ALTERNATIVES

Amends the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois. Allows the Department of Public Health to develop and publish on its website a nonopioid alternatives pamphlet, with certain requirements. Amends the Illinois Insurance Code. Prohibits a health insurance issuer to deny coverage of a nonopioid prescription drug in favor of an opioid prescription drug. Amends the Illinois Public Aid Code. Provides that coverage shall not be denied for a nonopioid prescription drug in favor of an opioid prescription drug. Requires that nonopioid drugs preferred on a specific list for the treatment or management of pain shall not be disadvantaged or discouraged with respect to coverage relative to any opioid or narcotic drug for the treatment or management of pain. Effective July 1, 2027.

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. Senate Amendment 001 (committee substitute) — source
  4. Enrolled (enrolled) — source

Votes

  • Insurance — 120 (pass) · upper
  • Insurance — 120 (pass) · upper
  • Third Reading — 530 (pass) · upper
  • Third Reading — 1130 (pass) · lower
  • Health Care Availability & Access — 110 (pass) · lower

Sponsors

  • Janet Yang Rohr — primary (person)
  • Karina Villa — primary (person)
  • Cristina Castro — cosponsor (person)
  • Graciela Guzmán — cosponsor (person)
  • Javier L. Cervantes — cosponsor (person)
  • Julie A. Morrison — cosponsor (person)
  • Kevin Schmidt — cosponsor (person)
  • Laura Faver Dias — cosponsor (person)
  • Laura Fine — cosponsor (person)
  • Li Arellano, Jr. — cosponsor (person)
  • Lindsey LaPointe — cosponsor (person)
  • Mark L. Walker — cosponsor (person)
  • Mary Edly-Allen — cosponsor (person)
  • Mattie Hunter — cosponsor (person)
  • Michael W. Halpin — cosponsor (person)
  • Mike Porfirio — cosponsor (person)
  • Nicolle Grasse — cosponsor (person)
  • Robert Peters — cosponsor (person)
  • Sara Feigenholtz — cosponsor (person)
  • Seth Lewis — cosponsor (person)

Timeline

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

  • 2025-01-24 Filed with Secretary by Sen. Karina Villa filing
  • 2025-01-24 First Reading reading-1
  • 2025-01-24 Referred to Assignments
  • 2025-02-04 Assigned to Insurance referral-committee
  • 2025-02-04 Added as Co-Sponsor Sen. Michael W. Halpin
  • 2025-02-04 Added as Co-Sponsor Sen. Javier L. Cervantes
  • 2025-02-04 Added as Co-Sponsor Sen. Mary Edly-Allen
  • 2025-02-05 Added as Co-Sponsor Sen. Robert Peters
  • 2025-02-05 Added as Co-Sponsor Sen. Mike Porfirio
  • 2025-02-07 Added as Co-Sponsor Sen. Laura Fine
  • 2025-02-11 Added as Co-Sponsor Sen. Graciela Guzmán
  • 2025-02-18 Added as Co-Sponsor Sen. Cristina Castro
  • 2025-02-19 Postponed - Insurance
  • 2025-02-19 Added as Chief Co-Sponsor Sen. Mattie Hunter
  • 2025-03-05 Postponed - Insurance
  • 2025-03-05 Added as Co-Sponsor Sen. Mark L. Walker
  • 2025-03-06 Added as Co-Sponsor Sen. Seth Lewis
  • 2025-03-12 Senate Committee Amendment No. 1 Filed with Secretary by Sen. Karina Villa amendment-introduction
  • 2025-03-12 Senate Committee Amendment No. 1 Referred to Assignments
  • 2025-03-12 Added as Co-Sponsor Sen. Julie A. Morrison
  • 2025-03-18 Senate Committee Amendment No. 1 Assignments Refers to Insurance
  • 2025-03-18 Senate Committee Amendment No. 1 Adopted amendment-passage
  • 2025-03-19 Do Pass as Amended Insurance; 012-000-000
  • 2025-03-19 Placed on Calendar Order of 2nd Reading March 20, 2025 reading-2
  • 2025-03-20 Second Reading reading-2
  • 2025-03-20 Placed on Calendar Order of 3rd Reading April 1, 2025
  • 2025-04-02 Added as Co-Sponsor Sen. Li Arellano, Jr.
  • 2025-04-03 Third Reading - Passed; 053-000-000 passage, reading-3
  • 2025-04-03 Added as Co-Sponsor Sen. Sara Feigenholtz
  • 2025-04-04 Arrived in House introduction
  • 2025-04-04 Chief House Sponsor Rep. Janet Yang Rohr
  • 2025-04-07 First Reading reading-1
  • 2025-04-07 Referred to Rules Committee
  • 2025-04-17 Assigned to Health Care Availability & Accessibility Committee referral-committee
  • 2025-04-29 Do Pass / Short Debate Health Care Availability & Accessibility Committee; 011-000-000
  • 2025-04-30 Placed on Calendar 2nd Reading - Short Debate reading-2
  • 2025-05-16 Second Reading - Short Debate reading-2
  • 2025-05-16 Held on Calendar Order of Second Reading - Short Debate reading-2
  • 2025-05-20 Added Alternate Chief Co-Sponsor Rep. Kevin Schmidt
  • 2025-05-20 Added Alternate Chief Co-Sponsor Rep. Lindsey LaPointe
  • 2025-05-20 Added Alternate Chief Co-Sponsor Rep. Laura Faver Dias
  • 2025-05-22 Placed on Calendar Order of 3rd Reading - Short Debate
  • 2025-05-22 Third Reading - Short Debate - Passed 113-000-000 passage, reading-3
  • 2025-05-22 Passed Both Houses
  • 2025-05-22 Added Alternate Co-Sponsor Rep. Nicolle Grasse
  • 2025-06-20 Sent to the Governor executive-receipt
  • 2025-08-15 Governor Approved executive-signature
  • 2025-08-15 Effective Date January 1, 2026
  • 2025-08-15 Public Act . . . . . . . . . 104-0369 became-law

Source

OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/5caedcc0-6cff-457f-a489-7e54e801bbcd. Confidence: reported (aggregated from official Illinois legislature records).