5941153bb7
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
133 lines
8.2 KiB
Markdown
133 lines
8.2 KiB
Markdown
---
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type: "Bill"
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title: "INS-VAGINAL ESTROGEN COVERAGE"
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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, 2024 and that provides coverage for prescription drugs shall provide coverage for vaginal estrogen, and that coverage for vaginal estrogen shall not impose a deductible, coinsurance, copayment, or any other cost-sharing requirement. 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."
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jurisdiction: "us/states/il"
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legislature: "Illinois General Assembly"
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session: "103rd"
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identifier: "HB 1565"
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citation: "Illinois HB 1565 (103rd)"
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classification: ["bill"]
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subjects: []
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status: "enacted"
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primary_sponsors: ["Katie Stuart", "Meg Loughran Cappel"]
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version_count: 6
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action_count: 55
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vote_count: 7
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first_action: "2023-01-30"
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last_action: "2023-08-04"
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source: "openstates"
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source_identifier: "ocd-bill/abe250e0-9540-404d-9808-6d9cb4e2be16"
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source_url: "https://beta.ilga.gov/Legislation/BillStatus?DocNum=1565&GAID=17&DocTypeID=HB&LegId=143888&SessionID=112"
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source_hash: "b99edba51fa92a4ddc67ebd443037bf8c5c084c753d03664b970ba1e4b436f38"
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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 1565 (103rd) — INS-VAGINAL ESTROGEN COVERAGE
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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, 2024 and that provides coverage for prescription drugs shall provide coverage for vaginal estrogen, and that coverage for vaginal estrogen shall not impose a deductible, coinsurance, copayment, or any other cost-sharing requirement. 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.
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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](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB1565.pdf)
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2. **Engrossed** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB1565eng.pdf)
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3. **House Amendment 001** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB1565ham001.pdf)
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4. **House Amendment 002** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB1565ham002.pdf)
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5. **Senate Amendment 001** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB1565sam001.pdf)
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6. **Enrolled** (enrolled) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB1565enr.pdf)
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## Votes
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- Insurance — **11–0** (pass) · lower
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- Insurance — **11–0** (pass) · lower
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- Insurance — **12–0** (pass) · lower
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- Third Reading — **108–0** (pass) · lower
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- Insurance — **13–1** (pass) · lower
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- Concurrence — **113–0** (pass) · lower
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- Third Reading — **57–0** (pass) · lower
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## Sponsors
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- Katie Stuart — primary (person)
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- Meg Loughran Cappel — primary (person)
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- Jennifer Gong-Gershowitz — cosponsor (person)
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- Kelly M. Cassidy — cosponsor (person)
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- Laura Faver Dias — cosponsor (person)
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- Lilian Jiménez — cosponsor (person)
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- Mary Beth Canty — cosponsor (person)
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- Maura Hirschauer — cosponsor (person)
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- Robyn Gabel — cosponsor (person)
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- Suzanne M. Ness — cosponsor (person)
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- Will Guzzardi — cosponsor (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2023-01-30** Filed with the Clerk by Rep. Katie Stuart `filing`
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- **2023-01-31** First Reading `reading-1`
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- **2023-01-31** Referred to Rules Committee
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- **2023-02-15** Assigned to Insurance Committee `referral-committee`
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- **2023-02-28** House Committee Amendment No. 1 Filed with Clerk by Rep. Katie Stuart `amendment-introduction`
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- **2023-02-28** House Committee Amendment No. 1 Referred to Rules Committee
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- **2023-02-28** Do Pass / Short Debate Insurance Committee; 013-001-000
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- **2023-02-28** House Committee Amendment No. 1 Tabled `amendment-failure`
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- **2023-03-01** Added Co-Sponsor Rep. Kelly M. Cassidy
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- **2023-03-01** Placed on Calendar 2nd Reading - Short Debate `reading-2`
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- **2023-03-06** Added Co-Sponsor Rep. Lilian Jiménez
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- **2023-03-14** Second Reading - Short Debate `reading-2`
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- **2023-03-14** Placed on Calendar Order of 3rd Reading - Short Debate
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- **2023-03-16** House Floor Amendment No. 2 Filed with Clerk by Rep. Katie Stuart `amendment-introduction`
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- **2023-03-16** House Floor Amendment No. 2 Referred to Rules Committee
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- **2023-03-16** Added Co-Sponsor Rep. Mary Beth Canty
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- **2023-03-16** Added Co-Sponsor Rep. Laura Faver Dias
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- **2023-03-16** Added Co-Sponsor Rep. Will Guzzardi
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- **2023-03-16** Added Co-Sponsor Rep. Maura Hirschauer
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- **2023-03-16** Added Co-Sponsor Rep. Robyn Gabel
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- **2023-03-16** Added Co-Sponsor Rep. Jennifer Gong-Gershowitz
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- **2023-03-16** Added Co-Sponsor Rep. Suzanne M. Ness
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- **2023-03-20** House Floor Amendment No. 2 Recommends Be Adopted Rules Committee; 004-000-000 `committee-passage-favorable`
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- **2023-03-23** Recalled to Second Reading - Short Debate `reading-2`
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- **2023-03-23** House Floor Amendment No. 2 Adopted by Voice Vote `amendment-passage`
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- **2023-03-23** Placed on Calendar Order of 3rd Reading - Short Debate
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- **2023-03-23** Third Reading - Short Debate - Passed 108-000-001 `passage, reading-3`
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- **2023-03-24** Arrive in Senate `introduction`
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- **2023-03-24** Placed on Calendar Order of First Reading `reading-1`
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- **2023-03-24** Chief Senate Sponsor Sen. Meg Loughran Cappel
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- **2023-03-24** First Reading `reading-1`
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- **2023-03-24** Referred to Assignments
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- **2023-04-12** Assigned to Insurance `referral-committee`
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- **2023-04-14** Senate Committee Amendment No. 1 Filed with Secretary by Sen. Meg Loughran Cappel `amendment-introduction`
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- **2023-04-14** Senate Committee Amendment No. 1 Referred to Assignments
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- **2023-04-18** Senate Committee Amendment No. 1 Assignments Refers to Insurance
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- **2023-04-18** Senate Committee Amendment No. 1 Adopted; Insurance `amendment-passage`
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- **2023-04-19** Do Pass as Amended Insurance; 011-000-000
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- **2023-04-19** Placed on Calendar Order of 2nd Reading April 20, 2023 `reading-2`
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- **2023-04-25** Second Reading `reading-2`
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- **2023-04-25** Placed on Calendar Order of 3rd Reading April 26, 2023
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- **2023-05-04** Third Reading - Passed; 057-000-000 `passage, reading-3`
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- **2023-05-08** Arrived in House `introduction`
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- **2023-05-08** Placed on Calendar Order of Concurrence Senate Amendment(s) 1
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- **2023-05-09** Senate Committee Amendment No. 1 Motion Filed Concur Rep. Katie Stuart
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- **2023-05-09** Senate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee
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- **2023-05-15** Senate Committee Amendment No. 1 Motion to Concur Referred to Insurance Committee
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- **2023-05-16** Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Insurance Committee; 012-000-000
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- **2023-05-17** Senate Committee Amendment No. 1 House Concurs 113-000-000
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- **2023-05-17** House Concurs
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- **2023-05-17** Passed Both Houses
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- **2023-06-15** Sent to the Governor `executive-receipt`
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- **2023-08-04** Governor Approved `executive-signature`
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- **2023-08-04** Effective Date January 1, 2024
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- **2023-08-04** Public Act . . . . . . . . . 103-0420 `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/abe250e0-9540-404d-9808-6d9cb4e2be16`. Confidence: reported (aggregated from official Illinois legislature records).
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