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---
type: "Bill"
title: "INS-BREAST REDUCTION SURGERY"
description: "Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2023 shall provide coverage for medically necessary breast reduction surgery. Makes conforming changes in the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization, the Limited Health Service Organization Act, and the Voluntary Health Services Plans Act."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "102nd"
identifier: "HB 4271"
citation: "Illinois HB 4271 (102nd)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Laura Fine", "Stephanie A. Kifowit"]
version_count: 4
action_count: 66
vote_count: 2
first_action: "2021-12-14"
last_action: "2022-05-06"
source: "openstates"
source_identifier: "ocd-bill/0a738121-c128-4ff6-85f0-3568e0c0f1e5"
source_url: "https://ilga.gov/legislation/BillStatus.asp?DocNum=4271&GAID=16&DocTypeID=HB&LegId=137328&SessionID=110&GA=102"
source_hash: "caea31ef2cc2d4ef62664d2e92a28dcac8f458a747430b65493058a2183bf832"
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 HB 4271 (102nd) — INS-BREAST REDUCTION SURGERY
Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2023 shall provide coverage for medically necessary breast reduction surgery. Makes conforming changes in the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization, the Limited Health Service Organization Act, and the Voluntary Health Services Plans Act.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Introduced** (filed) — [source](https://ilga.gov/legislation/102/HB/PDF/10200HB4271.pdf)
2. **Engrossed** (committee substitute) — [source](https://ilga.gov/legislation/102/HB/PDF/10200HB4271eng.pdf)
3. **House Amendment 001** (committee substitute) — [source](https://ilga.gov/legislation/102/HB/PDF/10200HB4271ham001.pdf)
4. **Enrolled** (enrolled) — [source](https://ilga.gov/legislation/102/HB/PDF/10200HB4271enr.pdf)
## Votes
- Third Reading — **1040** (pass) · lower
- Third Reading — **530** (pass) · upper
## Sponsors
- Laura Fine — primary (person)
- Stephanie A. Kifowit — primary (person)
- Ann M. Williams — cosponsor (person)
- Anna Moeller — cosponsor (person)
- Barbara Hernandez — cosponsor (person)
- Cristina Castro — cosponsor (person)
- Dagmara Avelar — cosponsor (person)
- Dave Vella — cosponsor (person)
- Deb Conroy — cosponsor (person)
- Debbie Meyers-Martin — cosponsor (person)
- Delia C. Ramirez — cosponsor (person)
- Jacqueline Y. Collins — cosponsor (person)
- Jennifer Gong-Gershowitz — cosponsor (person)
- Joyce Mason — cosponsor (person)
- Karina Villa — cosponsor (person)
- Kathleen Willis — cosponsor (person)
- Kelly M. Cassidy — cosponsor (person)
- Kimberly A. Lightford — cosponsor (person)
- Margaret Croke — cosponsor (person)
- Mark L. Walker — cosponsor (person)
- Mattie Hunter — cosponsor (person)
- Maura Hirschauer — cosponsor (person)
- Maurice A. West, II — cosponsor (person)
- Meg Loughran Cappel — cosponsor (person)
- Michael E. Hastings — cosponsor (person)
- Michelle Mussman — cosponsor (person)
- Mike Simmons — cosponsor (person)
- Napoleon Harris, III — cosponsor (person)
- Natalie A. Manley — cosponsor (person)
- Rita Mayfield — cosponsor (person)
- Robert F. Martwick — cosponsor (person)
- Robyn Gabel — cosponsor (person)
- Scott M. Bennett — cosponsor (person)
- Sue Scherer — cosponsor (person)
- Suzy Glowiak Hilton — cosponsor (person)
- Terra Costa Howard — cosponsor (person)
- Tony McCombie — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2021-12-14** Filed with the Clerk by Rep. Stephanie A. Kifowit `filing`
- **2022-01-05** First Reading `reading-1`
- **2022-01-05** Referred to Rules Committee `referral-committee`
- **2022-01-11** Added Co-Sponsor Rep. Kelly M. Cassidy
- **2022-01-11** Added Co-Sponsor Rep. Joyce Mason
- **2022-01-11** Added Co-Sponsor Rep. Barbara Hernandez
- **2022-01-12** Added Co-Sponsor Rep. Deb Conroy
- **2022-01-12** Added Co-Sponsor Rep. Robyn Gabel
- **2022-01-12** Added Co-Sponsor Rep. Terra Costa Howard
- **2022-01-12** Added Co-Sponsor Rep. Jennifer Gong-Gershowitz
- **2022-01-12** Added Co-Sponsor Rep. Dagmara Avelar
- **2022-01-12** Added Co-Sponsor Rep. Ann M. Williams
- **2022-01-12** Added Co-Sponsor Rep. Delia C. Ramirez
- **2022-01-12** Added Co-Sponsor Rep. Anna Moeller
- **2022-01-19** Assigned to Insurance Committee `referral-committee`
- **2022-02-07** House Committee Amendment No. 1 Filed with Clerk by Rep. Stephanie A. Kifowit `amendment-introduction`
- **2022-02-07** House Committee Amendment No. 1 Referred to Rules Committee `referral-committee`
- **2022-02-09** House Committee Amendment No. 1 Rules Refers to Insurance Committee
- **2022-02-10** House Committee Amendment No. 1 Adopted in Insurance Committee; by Voice Vote `amendment-passage`
- **2022-02-10** Do Pass as Amended / Consent Calendar Insurance Committee; 017-000-000 `committee-passage`
- **2022-02-15** Placed on Calendar 2nd Reading - Consent Calendar
- **2022-02-17** Added Co-Sponsor Rep. Tony McCombie
- **2022-02-17** Second Reading - Consent Calendar `reading-2`
- **2022-02-17** Held on Calendar Order of Second Reading - Consent Calendar `reading-2`
- **2022-02-25** Added Co-Sponsor Rep. Kathleen Willis
- **2022-02-25** Added Co-Sponsor Rep. Margaret Croke
- **2022-02-25** Added Co-Sponsor Rep. Mark L. Walker
- **2022-02-25** Added Co-Sponsor Rep. Michelle Mussman
- **2022-02-28** Added Co-Sponsor Rep. Rita Mayfield
- **2022-03-01** Added Co-Sponsor Rep. Maurice A. West, II
- **2022-03-01** Added Co-Sponsor Rep. Sue Scherer
- **2022-03-01** Placed on Calendar Order of 3rd Reading - Consent Calendar
- **2022-03-02** Added Co-Sponsor Rep. Dave Vella
- **2022-03-02** Added Co-Sponsor Rep. Natalie A. Manley
- **2022-03-02** Third Reading - Consent Calendar - First Day `reading-3`
- **2022-03-03** Added Co-Sponsor Rep. Maura Hirschauer
- **2022-03-03** Third Reading - Consent Calendar - Passed 104-000-000 `passage, reading-3`
- **2022-03-04** Added Co-Sponsor Rep. Debbie Meyers-Martin
- **2022-03-04** Arrive in Senate `introduction`
- **2022-03-04** Placed on Calendar Order of First Reading `reading-1`
- **2022-03-04** Chief Senate Sponsor Sen. Laura Fine
- **2022-03-04** First Reading `reading-1`
- **2022-03-04** Referred to Assignments `referral-committee`
- **2022-03-16** Assigned to Insurance `referral-committee`
- **2022-03-23** Do Pass Insurance; 011-000-000 `committee-passage`
- **2022-03-23** Placed on Calendar Order of 2nd Reading
- **2022-03-23** Second Reading `reading-2`
- **2022-03-23** Placed on Calendar Order of 3rd Reading March 24, 2022
- **2022-03-23** Added as Alternate Chief Co-Sponsor Sen. Michael E. Hastings
- **2022-03-29** Third Reading - Passed; 053-000-000 `passage, reading-3`
- **2022-03-29** Passed Both Houses
- **2022-03-29** Added as Alternate Co-Sponsor Sen. Cristina Castro
- **2022-03-29** Added as Alternate Co-Sponsor Sen. Scott M. Bennett
- **2022-03-29** Added as Alternate Co-Sponsor Sen. Meg Loughran Cappel
- **2022-03-29** Added as Alternate Co-Sponsor Sen. Napoleon Harris, III
- **2022-03-29** Added as Alternate Co-Sponsor Sen. Suzy Glowiak Hilton
- **2022-03-29** Added as Alternate Co-Sponsor Sen. Mattie Hunter
- **2022-03-29** Added as Alternate Chief Co-Sponsor Sen. Mike Simmons
- **2022-03-30** Added as Alternate Co-Sponsor Sen. Karina Villa
- **2022-03-31** Added as Alternate Chief Co-Sponsor Sen. Kimberly A. Lightford
- **2022-04-08** Added as Alternate Co-Sponsor Sen. Robert F. Martwick
- **2022-04-22** Added as Alternate Co-Sponsor Sen. Jacqueline Y. Collins
- **2022-04-27** Sent to the Governor `executive-receipt`
- **2022-05-06** Governor Approved `executive-signature`
- **2022-05-06** Effective Date January 1, 2023
- **2022-05-06** Public Act . . . . . . . . . 102-0731 `became-law`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/0a738121-c128-4ff6-85f0-3568e0c0f1e5`. Confidence: reported (aggregated from official Illinois legislature records).