republic-os/legislation/us/states/il/103rd/hb-2189.md

---
type: "Bill"
title: "ACCESS TO AFFORD INSULIN ACT"
description: "Creates the Access to Affordable Insulin Act. Sets forth provisions concerning an insulin urgent-need program. Provides that each manufacturer shall establish procedures to make insulin available to eligible individuals who are in urgent need of insulin or who are in need of assistance to access an affordable insulin supply. Sets forth provisions concerning insulin urgent-need program exceptions, eligibility, forms, applications, claims and reimbursement, copayments, information sheets, navigators, and penalties. Defines terms. Amends the Illinois Insurance Code. In provisions concerning cost sharing in prescription insulin drugs, provides that an insurer that provides coverage for prescription insulin drugs under the terms of a health coverage plan the insurer offers shall limit the total amount that an insured is required to pay for a 30-day supply of covered prescription insulin drugs at an amount not to exceed $35 (rather than $100). Effective immediately."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "103rd"
identifier: "HB 2189"
citation: "Illinois HB 2189 (103rd)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Jenn Ladisch Douglass", "Laura M. Murphy"]
version_count: 6
action_count: 139
vote_count: 7
first_action: "2023-02-07"
last_action: "2023-08-04"
source: "openstates"
source_identifier: "ocd-bill/615d8692-ec44-45ba-a757-19be18da8593"
source_url: "https://beta.ilga.gov/Legislation/BillStatus?DocNum=2189&GAID=17&DocTypeID=HB&LegId=146257&SessionID=112"
source_hash: "629734d42f30e5d758ea8b4f038c24c5b7742bc25c9ba28f798e42ecf0ad97f4"
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 2189 (103rd) — ACCESS TO AFFORD INSULIN ACT

Creates the Access to Affordable Insulin Act. Sets forth provisions concerning an insulin urgent-need program. Provides that each manufacturer shall establish procedures to make insulin available to eligible individuals who are in urgent need of insulin or who are in need of assistance to access an affordable insulin supply. Sets forth provisions concerning insulin urgent-need program exceptions, eligibility, forms, applications, claims and reimbursement, copayments, information sheets, navigators, and penalties. Defines terms. Amends the Illinois Insurance Code. In provisions concerning cost sharing in prescription insulin drugs, provides that an insurer that provides coverage for prescription insulin drugs under the terms of a health coverage plan the insurer offers shall limit the total amount that an insured is required to pay for a 30-day supply of covered prescription insulin drugs at an amount not to exceed $35 (rather than $100). Effective immediately.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Introduced** (filed) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB2189.pdf)
2. **Engrossed** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB2189eng.pdf)
3. **House Amendment 001** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB2189ham001.pdf)
4. **Senate Amendment 001** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB2189sam001.pdf)
5. **Senate Amendment 002** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB2189sam002.pdf)
6. **Enrolled** (enrolled) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB2189enr.pdf)

## Votes

- Prescription Drug Affordability — **13–0** (pass) · lower
- Prescription Drug Affordability, Amendment 2 — **12–0** (pass) · lower
- Third Reading — **56–0** (pass) · lower
- Insurance, Amendment 2 — **8–0** (pass) · lower
- Insurance — **11–0** (pass) · lower
- Concurrence, Amendment 2 — **110–0** (pass) · lower
- Third Reading — **109–0** (pass) · lower

## Sponsors

- Jenn Ladisch Douglass — primary (person)
- Laura M. Murphy — primary (person)
- Aarón M. Ortíz — cosponsor (person)
- Abdelnasser Rashid — cosponsor (person)
- Adriane Johnson — cosponsor (person)
- Amy L. Grant — cosponsor (person)
- Andrew S. Chesney — cosponsor (person)
- Ann M. Williams — cosponsor (person)
- Anna Moeller — cosponsor (person)
- Anne Stava-Murray — cosponsor (person)
- Barbara Hernández — cosponsor (person)
- Bob Morgan — cosponsor (person)
- Brad Stephens — cosponsor (person)
- Camille Y. Lilly — cosponsor (person)
- Carol Ammons — cosponsor (person)
- Cyril Nichols — cosponsor (person)
- Dagmara Avelar — cosponsor (person)
- Dave Vella — cosponsor (person)
- David Koehler — cosponsor (person)
- Debbie Meyers-Martin — cosponsor (person)
- Diane Blair-Sherlock — cosponsor (person)
- Doris Turner — cosponsor (person)
- Elgie R. Sims, Jr. — cosponsor (person)
- Elizabeth "Lisa" Hernandez — cosponsor (person)
- Emanuel "Chris" Welch — cosponsor (person)
- Eva-Dina Delgado — cosponsor (person)
- Gregg Johnson — cosponsor (person)
- Harry Benton — cosponsor (person)
- Hoan Huynh — cosponsor (person)
- Janet Yang Rohr — cosponsor (person)
- Jason Bunting — cosponsor (person)
- Javier L. Cervantes — cosponsor (person)
- Jawaharial Williams — cosponsor (person)
- Jennifer Gong-Gershowitz — cosponsor (person)
- Jennifer Sanalitro — cosponsor (person)
- John F. Curran — cosponsor (person)
- Jonathan Carroll — cosponsor (person)
- Joyce Mason — cosponsor (person)
- Justin Slaughter — cosponsor (person)
- Kam Buckner — cosponsor (person)
- Karina Villa — cosponsor (person)
- Katie Stuart — cosponsor (person)
- Kelly M. Cassidy — cosponsor (person)
- Kevin John Olickal — cosponsor (person)
- Kevin Schmidt — cosponsor (person)
- Kimberly Du Buclet — cosponsor (person)
- Lakesia Collins — cosponsor (person)
- Laura Faver Dias — cosponsor (person)
- Lindsey LaPointe — cosponsor (person)
- Margaret Croke — cosponsor (person)
- Mark L. Walker — cosponsor (person)
- Martin McLaughlin — cosponsor (person)
- Mary Beth Canty — cosponsor (person)
- Mary E. Flowers — cosponsor (person)
- Mary Edly-Allen — cosponsor (person)
- Mary Gill — cosponsor (person)
- Matt Hanson — cosponsor (person)
- Maura Hirschauer — cosponsor (person)
- Maurice A. West, II — cosponsor (person)
- Meg Loughran Cappel — cosponsor (person)
- Michael E. Hastings — cosponsor (person)
- Michael J. Coffey, Jr. — cosponsor (person)
- Michael J. Kelly — cosponsor (person)
- Michael W. Halpin — cosponsor (person)
- Michelle Mussman — cosponsor (person)
- Mike Porfirio — cosponsor (person)
- Nabeela Syed — cosponsor (person)
- Natalie A. Manley — cosponsor (person)
- Paul Faraci — cosponsor (person)
- Rachel Ventura — cosponsor (person)
- Rita Mayfield — cosponsor (person)
- Robert "Bob" Rita — cosponsor (person)
- Robert F. Martwick — cosponsor (person)
- Robyn Gabel — cosponsor (person)
- Sally J. Turner — cosponsor (person)
- Sara Feigenholtz — cosponsor (person)
- Sharon Chung — cosponsor (person)
- Stephanie A. Kifowit — cosponsor (person)
- Steve McClure — cosponsor (person)
- Steve Stadelman — cosponsor (person)
- Sue Scherer — cosponsor (person)
- Suzanne M. Ness — cosponsor (person)
- Suzy Glowiak Hilton — cosponsor (person)
- Terra Costa Howard — cosponsor (person)
- Theresa Mah — cosponsor (person)
- Will Guzzardi — cosponsor (person)
- William "Will" Davis — cosponsor (person)
- William E Hauter — cosponsor (person)
- Willie Preston — cosponsor (person)

## Timeline

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

- **2023-02-07** Filed with the Clerk by Rep. Will Guzzardi `filing`
- **2023-02-07** First Reading `reading-1`
- **2023-02-07** Referred to Rules Committee
- **2023-02-08** Added Chief Co-Sponsor Rep. Jenn Ladisch Douglass
- **2023-02-08** Added Co-Sponsor Rep. Matt Hanson
- **2023-02-08** Added Co-Sponsor Rep. Suzanne M. Ness
- **2023-02-08** Added Co-Sponsor Rep. Debbie Meyers-Martin
- **2023-02-08** Added Co-Sponsor Rep. Michelle Mussman
- **2023-02-08** Added Co-Sponsor Rep. Bob Morgan
- **2023-02-08** Added Co-Sponsor Rep. Robyn Gabel
- **2023-02-08** Added Co-Sponsor Rep. Theresa Mah
- **2023-02-08** Added Co-Sponsor Rep. Jawaharial Williams
- **2023-02-08** Added Co-Sponsor Rep. Aarón M. Ortíz
- **2023-02-08** Added Co-Sponsor Rep. Dave Vella
- **2023-02-08** Added Co-Sponsor Rep. Natalie A. Manley
- **2023-02-08** Added Co-Sponsor Rep. Katie Stuart
- **2023-02-08** Added Co-Sponsor Rep. Ann M. Williams
- **2023-02-08** Added Co-Sponsor Rep. Cyril Nichols
- **2023-02-08** Added Co-Sponsor Rep. Elizabeth "Lisa" Hernandez
- **2023-02-08** Added Co-Sponsor Rep. Jonathan Carroll
- **2023-02-08** Added Co-Sponsor Rep. Stephanie A. Kifowit
- **2023-02-08** Added Co-Sponsor Rep. Joyce Mason
- **2023-02-08** Added Co-Sponsor Rep. Sue Scherer
- **2023-02-08** Added Co-Sponsor Rep. Dagmara Avelar
- **2023-02-08** Added Co-Sponsor Rep. Maura Hirschauer
- **2023-02-08** Added Co-Sponsor Rep. Justin Slaughter
- **2023-02-08** Added Co-Sponsor Rep. Lindsey LaPointe
- **2023-02-08** Added Co-Sponsor Rep. Anne Stava-Murray
- **2023-02-08** Added Co-Sponsor Rep. Margaret Croke
- **2023-02-08** Added Co-Sponsor Rep. Maurice A. West, II
- **2023-02-08** Added Co-Sponsor Rep. Barbara Hernández
- **2023-02-08** Added Co-Sponsor Rep. Kelly M. Cassidy
- **2023-02-08** Added Co-Sponsor Rep. Mary Beth Canty
- **2023-02-08** Added Co-Sponsor Rep. Jennifer Gong-Gershowitz
- **2023-02-08** Added Co-Sponsor Rep. Terra Costa Howard
- **2023-02-08** Added Co-Sponsor Rep. Robert "Bob" Rita
- **2023-02-08** Added Co-Sponsor Rep. Laura Faver Dias
- **2023-02-08** Added Chief Co-Sponsor Rep. Lakesia Collins
- **2023-02-08** Added Chief Co-Sponsor Rep. Janet Yang Rohr
- **2023-02-08** Added Co-Sponsor Rep. Anna Moeller
- **2023-02-08** Added Co-Sponsor Rep. William "Will" Davis
- **2023-02-08** Remove Chief Co-Sponsor Rep. Jenn Ladisch Douglass
- **2023-02-09** Added Co-Sponsor Rep. Kevin John Olickal
- **2023-02-10** Added Co-Sponsor Rep. Diane Blair-Sherlock
- **2023-02-10** Added Co-Sponsor Rep. Abdelnasser Rashid
- **2023-02-14** Added Co-Sponsor Rep. Gregg Johnson
- **2023-02-14** Added Co-Sponsor Rep. Harry Benton
- **2023-02-14** Added Chief Co-Sponsor Rep. Mary E. Flowers
- **2023-02-15** Added Co-Sponsor Rep. Nabeela Syed
- **2023-02-21** Assigned to Prescription Drug Affordability & Accessibility Committee `referral-committee`
- **2023-02-21** Assigned to Prescription Drug Affordability & Accessibility Committee `referral-committee`
- **2023-02-22** Added Co-Sponsor Rep. Sharon Chung
- **2023-02-27** Added Co-Sponsor Rep. Hoan Huynh
- **2023-03-01** House Committee Amendment No. 1 Filed with Clerk by Rep. Will Guzzardi `amendment-introduction`
- **2023-03-01** House Committee Amendment No. 1 Referred to Rules Committee
- **2023-03-07** House Committee Amendment No. 1 Rules Refers to Prescription Drug Affordability & Accessibility Committee
- **2023-03-08** House Committee Amendment No. 1 Adopted in Prescription Drug Affordability & Accessibility Committee; 013-000-000 `amendment-passage`
- **2023-03-08** Do Pass as Amended / Short Debate Prescription Drug Affordability & Accessibility Committee; 013-000-000
- **2023-03-09** Placed on Calendar 2nd Reading - Short Debate `reading-2`
- **2023-03-14** Added Co-Sponsor Rep. Carol Ammons
- **2023-03-16** Second Reading - Short Debate `reading-2`
- **2023-03-16** Placed on Calendar Order of 3rd Reading - Short Debate
- **2023-03-20** Added Co-Sponsor Rep. Emanuel "Chris" Welch
- **2023-03-23** Third Reading - Short Debate - Passed 109-000-000 `passage, reading-3`
- **2023-03-24** Arrive in Senate `introduction`
- **2023-03-24** Placed on Calendar Order of First Reading `reading-1`
- **2023-03-24** Chief Senate Sponsor Sen. Laura M. Murphy
- **2023-03-24** First Reading `reading-1`
- **2023-03-24** Referred to Assignments
- **2023-03-28** Added as Alternate Co-Sponsor Sen. Robert F. Martwick
- **2023-03-29** Added as Alternate Chief Co-Sponsor Sen. Steve Stadelman
- **2023-03-31** Added as Alternate Chief Co-Sponsor Sen. Elgie R. Sims, Jr.
- **2023-03-31** Added as Alternate Chief Co-Sponsor Sen. Paul Faraci
- **2023-04-12** Assigned to Insurance `referral-committee`
- **2023-04-19** Do Pass Insurance; 011-000-000
- **2023-04-19** Placed on Calendar Order of 2nd Reading April 20, 2023 `reading-2`
- **2023-04-25** Second Reading `reading-2`
- **2023-04-25** Placed on Calendar Order of 3rd Reading April 26, 2023
- **2023-04-25** Added as Alternate Co-Sponsor Sen. Michael W. Halpin
- **2023-04-25** Added as Alternate Co-Sponsor Sen. Rachel Ventura
- **2023-04-28** Added as Alternate Co-Sponsor Sen. Meg Loughran Cappel
- **2023-05-02** Senate Floor Amendment No. 1 Filed with Secretary by Sen. Laura M. Murphy `amendment-introduction`
- **2023-05-02** Senate Floor Amendment No. 1 Referred to Assignments
- **2023-05-02** Senate Floor Amendment No. 1 Assignments Refers to Insurance
- **2023-05-05** Senate Floor Amendment No. 2 Filed with Secretary by Sen. Laura M. Murphy `amendment-introduction`
- **2023-05-05** Senate Floor Amendment No. 2 Referred to Assignments
- **2023-05-08** Added as Alternate Co-Sponsor Sen. Willie Preston
- **2023-05-08** Added as Alternate Co-Sponsor Sen. Steve McClure
- **2023-05-08** Added as Alternate Co-Sponsor Sen. John F. Curran
- **2023-05-09** Added as Alternate Co-Sponsor Sen. Sally J. Turner
- **2023-05-09** Senate Floor Amendment No. 2 Assignments Refers to Insurance
- **2023-05-10** Senate Floor Amendment No. 2 Recommend Do Adopt Insurance; 008-000-000
- **2023-05-10** Added as Alternate Co-Sponsor Sen. Sara Feigenholtz
- **2023-05-11** Added as Alternate Co-Sponsor Sen. Suzy Glowiak Hilton
- **2023-05-11** Recalled to Second Reading `reading-2`
- **2023-05-11** Senate Floor Amendment No. 2 Adopted; Murphy `amendment-passage`
- **2023-05-11** Placed on Calendar Order of 3rd Reading
- **2023-05-11** Third Reading - Passed; 056-000-000 `passage, reading-3`
- **2023-05-11** Senate Floor Amendment No. 1 Tabled Pursuant to Rule 5-4(a) `amendment-failure`
- **2023-05-11** Added as Alternate Co-Sponsor Sen. Andrew S. Chesney
- **2023-05-11** Added as Alternate Co-Sponsor Sen. Michael E. Hastings
- **2023-05-11** Added as Alternate Co-Sponsor Sen. Mike Porfirio
- **2023-05-11** Arrived in House `introduction`
- **2023-05-11** Placed on Calendar Order of Concurrence Senate Amendment(s) 2
- **2023-05-11** Senate Floor Amendment No. 2 Motion Filed Concur Rep. Will Guzzardi
- **2023-05-11** Senate Floor Amendment No. 2 Motion to Concur Referred to Rules Committee
- **2023-05-11** Added as Alternate Co-Sponsor Sen. Javier L. Cervantes
- **2023-05-12** Added Co-Sponsor Rep. Brad Stephens
- **2023-05-12** Added Co-Sponsor Rep. Michael J. Coffey, Jr.
- **2023-05-12** Added Co-Sponsor Rep. Jennifer Sanalitro
- **2023-05-15** Senate Floor Amendment No. 2 Motion to Concur Referred to Prescription Drug Affordability & Accessibility Committee
- **2023-05-17** Added Co-Sponsor Rep. Rita Mayfield
- **2023-05-17** Added Co-Sponsor Rep. Eva-Dina Delgado
- **2023-05-17** Added Co-Sponsor Rep. Mark L. Walker
- **2023-05-17** Added Co-Sponsor Rep. Kimberly Du Buclet
- **2023-05-17** Added Co-Sponsor Rep. Camille Y. Lilly
- **2023-05-17** Added Co-Sponsor Rep. Kam Buckner
- **2023-05-17** Chief Sponsor Changed to Rep. Jenn Ladisch Douglass
- **2023-05-17** Added Chief Co-Sponsor Rep. Will Guzzardi
- **2023-05-18** Senate Floor Amendment No. 2 Motion to Concur Recommends Be Adopted Prescription Drug Affordability & Accessibility Committee; 012-000-000
- **2023-05-19** Senate Floor Amendment No. 2 House Concurs 110-000-000
- **2023-05-19** House Concurs
- **2023-05-19** Passed Both Houses
- **2023-05-19** Added Co-Sponsor Rep. Mary Gill
- **2023-05-19** Added Co-Sponsor Rep. Michael J. Kelly
- **2023-05-19** Added Co-Sponsor Rep. Jason Bunting
- **2023-05-19** Added Co-Sponsor Rep. Martin McLaughlin
- **2023-05-19** Added Co-Sponsor Rep. Amy L. Grant
- **2023-05-19** Added Co-Sponsor Rep. William E Hauter
- **2023-05-19** Added Co-Sponsor Rep. Kevin Schmidt
- **2023-05-25** Added as Alternate Co-Sponsor Sen. Karina Villa
- **2023-05-25** Added as Alternate Co-Sponsor Sen. Doris Turner
- **2023-05-25** Added as Alternate Co-Sponsor Sen. David Koehler
- **2023-05-25** Added as Alternate Co-Sponsor Sen. Adriane Johnson
- **2023-05-25** Added as Alternate Co-Sponsor Sen. Mary Edly-Allen
- **2023-06-16** Sent to the Governor `executive-receipt`
- **2023-08-04** Governor Approved `executive-signature`
- **2023-08-04** Effective Date July 1, 2025
- **2023-08-04** Public Act . . . . . . . . . 103-0429 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/615d8692-ec44-45ba-a757-19be18da8593`. Confidence: reported (aggregated from official Illinois legislature records).