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---
type: "Bill"
title: "INS CD-KLINEFELTER SYNDROME"
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 January 1, 2026 shall provide coverage for the cost of a karyotype test or related hormone testing to diagnose Klinefelter syndrome. Amends the State Employees 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 to require coverage under those provisions."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "104th"
identifier: "SB 175"
citation: "Illinois SB 175 (104th)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Kelly M. Cassidy", "Laura Fine"]
version_count: 4
action_count: 30
vote_count: 5
first_action: "2025-01-17"
last_action: "2025-08-01"
source: "openstates"
source_identifier: "ocd-bill/c0068a6f-d577-4e50-bf5b-e1fffe8d6531"
source_url: "https://ilga.gov/Legislation/BillStatus?DocNum=175&GAID=18&DocTypeID=SB&LegId=157422&SessionID=114"
source_hash: "7ed6f7f1e683380ba15a542fad25b867288e94bbcbd54cf4f32f5a3d9bbdda5d"
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 SB 175 (104th) — INS CD-KLINEFELTER SYNDROME
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 January 1, 2026 shall provide coverage for the cost of a karyotype test or related hormone testing to diagnose Klinefelter syndrome. Amends the State Employees 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 to require coverage under those provisions.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Introduced** (filed) — [source](https://ilga.gov/documents/legislation/104/SB/PDF/10400SB0175.pdf)
2. **Engrossed** (committee substitute) — [source](https://ilga.gov/documents/legislation/104/SB/PDF/10400SB0175eng.pdf)
3. **Senate Amendment 001** (committee substitute) — [source](https://ilga.gov/documents/legislation/104/SB/PDF/10400SB0175sam001.pdf)
4. **Enrolled** (enrolled) — [source](https://ilga.gov/documents/legislation/104/SB/PDF/10400SB0175enr.pdf)
## Votes
- Third Reading — **7633** (pass) · lower
- Third Reading — **511** (pass) · upper
- Insurance, Amendment 1 — **131** (pass) · upper
- Insurance — **106** (pass) · lower
- Insurance — **101** (pass) · upper
## Sponsors
- Kelly M. Cassidy — primary (person)
- Laura Fine — primary (person)
- Laura M. Murphy — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2025-01-17** Filed with Secretary by Sen. Laura Fine `filing`
- **2025-01-17** First Reading `reading-1`
- **2025-01-17** Referred to Assignments
- **2025-01-28** Assigned to Insurance `referral-committee`
- **2025-02-05** Do Pass Insurance; 010-001-000
- **2025-02-05** Placed on Calendar Order of 2nd Reading February 18, 2025 `reading-2`
- **2025-02-21** Senate Floor Amendment No. 1 Filed with Secretary by Sen. Laura Fine `amendment-introduction`
- **2025-02-21** Senate Floor Amendment No. 1 Referred to Assignments
- **2025-02-25** Senate Floor Amendment No. 1 Assignments Refers to Insurance
- **2025-03-19** Senate Floor Amendment No. 1 Recommend Do Adopt Insurance; 013-001-000
- **2025-03-19** Second Reading `reading-2`
- **2025-03-19** Senate Floor Amendment No. 1 Adopted; Fine `amendment-passage`
- **2025-03-19** Placed on Calendar Order of 3rd Reading March 20, 2025
- **2025-03-20** Added as Co-Sponsor Sen. Laura M. Murphy
- **2025-04-09** Third Reading - Passed; 051-001-003 `passage, reading-3`
- **2025-04-09** Arrived in House `introduction`
- **2025-04-09** Chief House Sponsor Rep. Kelly M. Cassidy
- **2025-04-09** First Reading `reading-1`
- **2025-04-09** Referred to Rules Committee
- **2025-04-17** Assigned to Insurance Committee `referral-committee`
- **2025-04-29** Do Pass / Short Debate Insurance Committee; 010-006-000
- **2025-04-30** Placed on Calendar 2nd Reading - Short Debate `reading-2`
- **2025-05-13** Second Reading - Short Debate `reading-2`
- **2025-05-13** Placed on Calendar Order of 3rd Reading - Short Debate
- **2025-05-21** Third Reading - Short Debate - Passed 076-033-000 `passage, reading-3`
- **2025-05-21** Passed Both Houses
- **2025-06-18** Sent to the Governor `executive-receipt`
- **2025-08-01** Governor Approved `executive-signature`
- **2025-08-01** Effective Date January 1, 2026
- **2025-08-01** Public Act . . . . . . . . . 104-0073 `became-law`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/c0068a6f-d577-4e50-bf5b-e1fffe8d6531`. Confidence: reported (aggregated from official Illinois legislature records).