Fabio
128 lines
8.4 KiB
Markdown
128 lines
8.4 KiB
Markdown
---
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type: "Bill"
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title: "INS CODE-STAGE 4 CANCER DRUGS"
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description: "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."
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jurisdiction: "us/states/il"
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legislature: "Illinois General Assembly"
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session: "100th"
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identifier: "HB 4821"
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citation: "Illinois HB 4821 (100th)"
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classification: ["bill"]
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subjects: []
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status: "enacted"
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primary_sponsors: []
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version_count: 3
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action_count: 63
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vote_count: 3
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first_action: "2018-02-14"
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last_action: "2018-08-24"
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source: "openstates"
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source_identifier: "ocd-bill/899ae501-e934-412c-a98a-c6654f5b1e2f"
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source_url: "http://ilga.gov/legislation/BillStatus.asp?DocNum=4821&GAID=14&DocTypeID=HB&LegId=110165&SessionID=91&GA=100"
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source_hash: "5a8053b74973a1f12e126d5a0dc1bae2cd549b260e3237fee668b96396b2cdb0"
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vintage: "2026-07-01"
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source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
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retrieved_at: "2026-07-06"
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confidence: "reported"
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tags: ["legislation", "bill", "us-il"]
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---
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# Illinois HB 4821 (100th) — INS CODE-STAGE 4 CANCER DRUGS
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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.
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## Version chain
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The bill's text revisions, in order — the diff chain from filing to enrollment.
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1. **Introduced** (filed) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=10000HB4821&GA=100&SessionId=91&DocTypeId=HB&LegID=110165&DocNum=4821&GAID=14&Session=&print=true)
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2. **Engrossed** (committee substitute) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=10000HB4821eng&GA=100&SessionId=91&DocTypeId=HB&LegID=110165&DocNum=4821&GAID=14&Session=&print=true)
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3. **Enrolled** (enrolled) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=10000HB4821enr&GA=100&SessionId=91&DocTypeId=HB&LegID=110165&DocNum=4821&GAID=14&Session=&print=true)
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## Votes
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- Third Reading — **92–0** (pass) · lower
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- Concurrence — **109–0** (pass) · lower
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- Third Reading — **53–0** (pass) · upper
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## Sponsors
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- John G. Mulroe — cosponsor (person)
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- Kwame Raoul — cosponsor (person)
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- Laura Fine — primary (person)
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- Laura M. Murphy — cosponsor (person)
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- Linda Holmes — cosponsor (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2018-02-14** Filed with the Clerk by Rep. Laura Fine `filing`
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- **2018-02-14** First Reading `reading-1`
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- **2018-02-14** Referred to Rules Committee `referral-committee`
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- **2018-03-08** Added Co-Sponsor Rep. Katie Stuart
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- **2018-03-08** Added Co-Sponsor Rep. John Connor
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- **2018-03-08** Added Co-Sponsor Rep. Sam Yingling
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- **2018-03-08** Added Co-Sponsor Rep. Robyn Gabel
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- **2018-03-21** Assigned to Insurance: Health & Life Committee `referral-committee`
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- **2018-04-09** Do Pass / Short Debate Insurance: Health & Life Committee; 011-001-000 `committee-passage`
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- **2018-04-10** Placed on Calendar 2nd Reading - Short Debate
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- **2018-04-23** House Floor Amendment No. 1 Filed with Clerk by Rep. Laura Fine `amendment-introduction`
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- **2018-04-23** House Floor Amendment No. 1 Referred to Rules Committee `referral-committee`
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- **2018-04-24** House Floor Amendment No. 1 Rules Refers to Insurance: Health & Life Committee
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- **2018-04-25** House Floor Amendment No. 1 Recommends Be Adopted Insurance: Health & Life Committee; 012-001-000 `committee-passage-favorable`
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- **2018-04-25** Second Reading - Short Debate `reading-2`
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- **2018-04-25** House Floor Amendment No. 1 Adopted `amendment-passage`
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- **2018-04-25** Placed on Calendar Order of 3rd Reading - Short Debate
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- **2018-04-25** Added Co-Sponsor Rep. Jonathan Carroll
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- **2018-04-25** Added Co-Sponsor Rep. Michelle Mussman
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- **2018-04-25** Added Co-Sponsor Rep. Deb Conroy
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- **2018-04-25** Added Co-Sponsor Rep. William Davis
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- **2018-04-25** Added Co-Sponsor Rep. Stephanie A. Kifowit
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- **2018-04-25** Added Co-Sponsor Rep. Sue Scherer
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- **2018-04-25** Added Co-Sponsor Rep. Mary E. Flowers
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- **2018-04-25** Added Co-Sponsor Rep. Gregory Harris
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- **2018-04-27** Added Co-Sponsor Rep. Marcus C. Evans, Jr.
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- **2018-04-27** Third Reading - Short Debate - Passed 092-000-000 `reading-3, passage`
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- **2018-04-27** Added Co-Sponsor Rep. Al Riley
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- **2018-05-01** Arrive in Senate `introduction`
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- **2018-05-01** Placed on Calendar Order of First Reading `reading-1`
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- **2018-05-01** Chief Senate Sponsor Sen. Julie A. Morrison
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- **2018-05-01** First Reading `reading-1`
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- **2018-05-01** Referred to Assignments `referral-committee`
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- **2018-05-02** Added as Alternate Chief Co-Sponsor Sen. Pamela J. Althoff
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- **2018-05-02** Added as Alternate Chief Co-Sponsor Sen. Jacqueline Y. Collins
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- **2018-05-02** Added as Alternate Chief Co-Sponsor Sen. Terry Link
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- **2018-05-02** Assigned to Insurance `referral-committee`
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- **2018-05-02** Added as Alternate Chief Co-Sponsor Sen. Mattie Hunter
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- **2018-05-09** Senate Committee Amendment No. 1 Filed with Secretary by Sen. Julie A. Morrison `amendment-introduction`
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- **2018-05-09** Senate Committee Amendment No. 1 Referred to Assignments `referral-committee`
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- **2018-05-09** Senate Committee Amendment No. 1 Assignments Refers to Insurance
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- **2018-05-09** Senate Committee Amendment No. 1 Adopted `amendment-passage`
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- **2018-05-10** Do Pass as Amended Insurance; 012-000-000 `committee-passage`
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- **2018-05-10** Placed on Calendar Order of 2nd Reading May 15, 2018
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- **2018-05-10** Added as Alternate Co-Sponsor Sen. Linda Holmes
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- **2018-05-17** Second Reading `reading-2`
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- **2018-05-17** Placed on Calendar Order of 3rd Reading May 18, 2018
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- **2018-05-17** Added as Alternate Co-Sponsor Sen. Kwame Raoul
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- **2018-05-17** Added as Alternate Co-Sponsor Sen. John G. Mulroe
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- **2018-05-22** Added as Alternate Co-Sponsor Sen. Laura M. Murphy
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- **2018-05-24** Third Reading - Passed; 053-000-001 `reading-3, passage`
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- **2018-05-24** Arrived in House `introduction`
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- **2018-05-24** Placed on Calendar Order of Concurrence Senate Amendment(s) 1
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- **2018-05-24** Senate Committee Amendment No. 1 Motion Filed Concur Rep. Laura Fine
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- **2018-05-24** Senate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee `referral-committee`
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- **2018-05-28** Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Rules Committee; 004-000-000
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- **2018-05-31** Senate Committee Amendment No. 1 House Concurs 109-000-000
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- **2018-05-31** House Concurs
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- **2018-05-31** Passed Both Houses
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- **2018-06-29** Sent to the Governor `executive-receipt`
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- **2018-08-24** Governor Approved `executive-signature`
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- **2018-08-24** Effective Date January 1, 2019
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- **2018-08-24** Public Act . . . . . . . . . 100-1057 `became-law`
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## Source
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OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/899ae501-e934-412c-a98a-c6654f5b1e2f`. Confidence: reported (aggregated from official Illinois legislature records).
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