republic-os/legislation/us/states/il/102nd/hb-5254.md

---
type: "Bill"
title: "INS-HORMONE THERAPY COVERAGE"
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 the effective date of the amendatory Act shall provide coverage for hormone therapy treatment to treat menopause that has been induced by a hysterectomy. 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 Act, the Limited Health Service Organization Act, the Voluntary Health Services Plans Act, and the Medical Assistance Article of the Illinois Public Aid Code."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "102nd"
identifier: "HB 5254"
citation: "Illinois HB 5254 (102nd)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Keith R. Wheeler", "Linda Holmes"]
version_count: 4
action_count: 56
vote_count: 2
first_action: "2022-01-27"
last_action: "2022-05-13"
source: "openstates"
source_identifier: "ocd-bill/66e5230e-bdf8-4abe-abbb-62abd282366c"
source_url: "https://ilga.gov/legislation/BillStatus.asp?DocNum=5254&GAID=16&DocTypeID=HB&LegId=139762&SessionID=110&GA=102"
source_hash: "89304bbcb09fae42755493ee79f1f4488ffbd08cc193f7f7438ca612bebc3124"
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 5254 (102nd) — INS-HORMONE THERAPY COVERAGE

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 the effective date of the amendatory Act shall provide coverage for hormone therapy treatment to treat menopause that has been induced by a hysterectomy. 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 Act, the Limited Health Service Organization Act, the Voluntary Health Services Plans Act, and the Medical Assistance Article of 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](https://ilga.gov/legislation/102/HB/PDF/10200HB5254.pdf)
2. **Engrossed** (committee substitute) — [source](https://ilga.gov/legislation/102/HB/PDF/10200HB5254eng.pdf)
3. **House Amendment 001** (committee substitute) — [source](https://ilga.gov/legislation/102/HB/PDF/10200HB5254ham001.pdf)
4. **Enrolled** (enrolled) — [source](https://ilga.gov/legislation/102/HB/PDF/10200HB5254enr.pdf)

## Votes

- Third Reading — **53–0** (pass) · upper
- Third Reading — **108–0** (pass) · lower

## Sponsors

- Keith R. Wheeler — primary (person)
- Linda Holmes — primary (person)
- Adriane Johnson — cosponsor (person)
- Amy Grant — cosponsor (person)
- Avery Bourne — cosponsor (person)
- Barbara Hernandez — cosponsor (person)
- Bradley Stephens — cosponsor (person)
- Cristina Castro — cosponsor (person)
- Dan Brady — cosponsor (person)
- Dan Ugaste — cosponsor (person)
- Deanne M. Mazzochi — cosponsor (person)
- Diane Pappas — cosponsor (person)
- Jackie Haas — cosponsor (person)
- John Connor — cosponsor (person)
- Jonathan Carroll — cosponsor (person)
- Julie A. Morrison — cosponsor (person)
- Kimberly A. Lightford — cosponsor (person)
- Laura Ellman — cosponsor (person)
- Mark Luft — cosponsor (person)
- Martin McLaughlin — cosponsor (person)
- Mattie Hunter — cosponsor (person)
- Meg Loughran Cappel — cosponsor (person)
- Michael E. Hastings — cosponsor (person)
- Mike Simmons — cosponsor (person)
- Robert F. Martwick — cosponsor (person)
- Seth Lewis — cosponsor (person)
- Steven Reick — cosponsor (person)
- Tom Weber — cosponsor (person)

## Timeline

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

- **2022-01-27** Filed with the Clerk by Rep. Keith R. Wheeler `filing`
- **2022-01-31** First Reading `reading-1`
- **2022-01-31** Referred to Rules Committee `referral-committee`
- **2022-02-09** Assigned to Insurance Committee `referral-committee`
- **2022-02-15** Do Pass / Short Debate Insurance Committee; 016-000-000 `committee-passage`
- **2022-02-16** Placed on Calendar 2nd Reading - Short Debate
- **2022-02-17** House Floor Amendment No. 1 Filed with Clerk by Rep. Keith R. Wheeler `amendment-introduction`
- **2022-02-17** House Floor Amendment No. 1 Referred to Rules Committee `referral-committee`
- **2022-02-22** House Floor Amendment No. 1 Rules Refers to Insurance Committee
- **2022-02-22** House Floor Amendment No. 1 Recommends Be Adopted Insurance Committee; 010-000-000 `committee-passage-favorable`
- **2022-02-23** Second Reading - Short Debate `reading-2`
- **2022-02-23** House Floor Amendment No. 1 Adopted `amendment-passage`
- **2022-02-23** Placed on Calendar Order of 3rd Reading - Short Debate
- **2022-02-23** Added Chief Co-Sponsor Rep. Jonathan Carroll
- **2022-02-24** Added Co-Sponsor Rep. Bradley Stephens
- **2022-02-24** Added Chief Co-Sponsor Rep. Jackie Haas
- **2022-02-24** Added Chief Co-Sponsor Rep. Barbara Hernandez
- **2022-02-24** Added Chief Co-Sponsor Rep. Avery Bourne
- **2022-02-24** Third Reading - Short Debate - Passed 108-000-000 `passage, reading-3`
- **2022-02-24** Added Co-Sponsor Rep. Seth Lewis
- **2022-02-24** Added Co-Sponsor Rep. Deanne M. Mazzochi
- **2022-02-24** Added Co-Sponsor Rep. Martin McLaughlin
- **2022-02-24** Added Co-Sponsor Rep. Steven Reick
- **2022-02-24** Added Co-Sponsor Rep. Mark Luft
- **2022-02-24** Added Co-Sponsor Rep. Dan Ugaste
- **2022-02-24** Added Co-Sponsor Rep. Amy Grant
- **2022-02-24** Added Co-Sponsor Rep. Dan Brady
- **2022-02-24** Added Co-Sponsor Rep. Tom Weber
- **2022-02-24** Arrive in Senate `introduction`
- **2022-02-24** Placed on Calendar Order of First Reading `reading-1`
- **2022-02-24** Chief Senate Sponsor Sen. Linda Holmes
- **2022-02-24** First Reading `reading-1`
- **2022-02-24** Referred to Assignments `referral-committee`
- **2022-03-02** 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
- **2022-03-24** Second Reading `reading-2`
- **2022-03-24** Placed on Calendar Order of 3rd Reading March 25, 2022
- **2022-03-29** Added as Alternate Co-Sponsor Sen. Adriane Johnson
- **2022-03-29** Added as Alternate Co-Sponsor Sen. Cristina Castro
- **2022-03-29** Added as Alternate Co-Sponsor Sen. Meg Loughran Cappel
- **2022-03-29** Added as Alternate Co-Sponsor Sen. Mattie Hunter
- **2022-03-29** Added as Alternate Chief Co-Sponsor Sen. Laura Ellman
- **2022-03-29** Added as Alternate Chief Co-Sponsor Sen. Julie A. Morrison
- **2022-03-30** Added as Alternate Co-Sponsor Sen. John Connor
- **2022-03-31** Added as Alternate Co-Sponsor Sen. Kimberly A. Lightford
- **2022-03-31** Added as Alternate Chief Co-Sponsor Sen. Mike Simmons
- **2022-03-31** Third Reading - Passed; 053-000-000 `passage, reading-3`
- **2022-03-31** Passed Both Houses
- **2022-03-31** Added as Alternate Co-Sponsor Sen. Diane Pappas
- **2022-03-31** Added as Alternate Chief Co-Sponsor Sen. Michael E. Hastings
- **2022-04-08** Added as Alternate Co-Sponsor Sen. Robert F. Martwick
- **2022-04-28** Sent to the Governor `executive-receipt`
- **2022-05-13** Governor Approved `executive-signature`
- **2022-05-13** Effective Date January 1, 2023
- **2022-05-13** Public Act . . . . . . . . . 102-0804 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/66e5230e-bdf8-4abe-abbb-62abd282366c`. Confidence: reported (aggregated from official Illinois legislature records).