5941153bb7
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
178 lines
13 KiB
Markdown
178 lines
13 KiB
Markdown
---
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type: "Bill"
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title: "DHFS-INS-RX DRUGS-FORMS"
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description: "Amends the Illinois Public Aid Code and the Illinois Insurance Code. Requires the Department of Healthcare and Family Services and the Department of Insurance to jointly develop a uniform prior authorization form for prescription drug benefits on or before July 1, 2014. Provides that on and after January 1, 2015, or 6 months after the form is developed, whichever is later, every prescribing provider may use that uniform prior authorization form to request prior authorization for coverage of prescription drug benefits and every health care service plan shall accept that form as sufficient to request prior authorization for prescription drug benefits. Provides that on and after January 1, 2015, a health insurer that provides prescription drug benefits shall utilize and accept the prior authorization form when requiring prior authorization for prescription drug benefits; and that if a health care service plan fails to utilize or accept the prior authorization form, or fails to respond within 2 business days upon receipt of a completed prior authorization request from a prescribing provider, the prior authorization request shall be deemed to have been granted. Exempts certain providers. Sets forth certain criteria for the prior authorization form. Provides that \"prescribing provider\" includes a provider authorized to write a prescription as described in the Pharmacy Practice Act. Effective January 1, 2014."
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jurisdiction: "us/states/il"
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legislature: "Illinois General Assembly"
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session: "98th"
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identifier: "HB 3638"
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citation: "Illinois HB 3638 (98th)"
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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: 114
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vote_count: 4
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first_action: "2013-05-31"
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last_action: "2014-08-25"
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source: "openstates"
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source_identifier: "ocd-bill/87cdd2a0-1392-4170-8d2d-83b113bee264"
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source_url: "http://ilga.gov/legislation/BillStatus.asp?DocNum=3638&GAID=12&DocTypeID=HB&LegId=76572&SessionID=85&GA=98"
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source_hash: "973b101577a61b8d3ad2819f29656560fad7dc5bb3fe1e72d6043db32222ac92"
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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 3638 (98th) — DHFS-INS-RX DRUGS-FORMS
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Amends the Illinois Public Aid Code and the Illinois Insurance Code. Requires the Department of Healthcare and Family Services and the Department of Insurance to jointly develop a uniform prior authorization form for prescription drug benefits on or before July 1, 2014. Provides that on and after January 1, 2015, or 6 months after the form is developed, whichever is later, every prescribing provider may use that uniform prior authorization form to request prior authorization for coverage of prescription drug benefits and every health care service plan shall accept that form as sufficient to request prior authorization for prescription drug benefits. Provides that on and after January 1, 2015, a health insurer that provides prescription drug benefits shall utilize and accept the prior authorization form when requiring prior authorization for prescription drug benefits; and that if a health care service plan fails to utilize or accept the prior authorization form, or fails to respond within 2 business days upon receipt of a completed prior authorization request from a prescribing provider, the prior authorization request shall be deemed to have been granted. Exempts certain providers. Sets forth certain criteria for the prior authorization form. Provides that "prescribing provider" includes a provider authorized to write a prescription as described in the Pharmacy Practice Act. Effective January 1, 2014.
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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=09800HB3638&GA=98&SessionId=85&DocTypeId=HB&LegID=76572&DocNum=3638&GAID=12&Session=&print=true)
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2. **Engrossed** (committee substitute) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09800HB3638eng&GA=98&SessionId=85&DocTypeId=HB&LegID=76572&DocNum=3638&GAID=12&Session=&print=true)
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3. **Enrolled** (enrolled) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09800HB3638enr&GA=98&SessionId=85&DocTypeId=HB&LegID=76572&DocNum=3638&GAID=12&Session=&print=true)
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## Votes
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- Third Reading — **45–3** (pass) · upper
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- Concurrence — **114–0** (pass) · lower
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- Third Reading — **93–19** (pass) · lower
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- Concurrence, Amendment 3 — **114–0** (pass) · lower
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## Sponsors
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- Laura Fine — primary (person)
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- Napoleon Harris, III — cosponsor (person)
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- William R. Haine — cosponsor (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2013-05-31** Filed with the Clerk by Rep. Laura Fine `filing`
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- **2013-06-19** First Reading `reading-1`
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- **2013-06-19** Referred to Rules Committee `referral-committee`
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- **2013-10-24** Added Chief Co-Sponsor Rep. Jack D. Franks
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- **2013-11-05** Added Chief Co-Sponsor Rep. Patricia R. Bellock
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- **2013-11-05** Added Chief Co-Sponsor Rep. Sara Feigenholtz
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- **2013-11-05** Added Chief Co-Sponsor Rep. Robyn Gabel
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- **2013-11-05** Added Co-Sponsor Rep. Keith Farnham
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- **2013-11-05** Added Co-Sponsor Rep. Robert Rita
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- **2013-11-05** Added Co-Sponsor Rep. Deborah Conroy
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- **2013-11-07** Added Co-Sponsor Rep. Luis Arroyo
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- **2013-11-07** Added Co-Sponsor Rep. Robert F. Martwick
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- **2013-11-07** Added Co-Sponsor Rep. Mike Smiddy
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- **2013-11-07** Added Co-Sponsor Rep. Carol A. Sente
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- **2013-11-07** Added Co-Sponsor Rep. Elgie R. Sims, Jr.
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- **2013-11-07** Added Co-Sponsor Rep. Kelly M. Cassidy
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- **2013-12-12** Added Co-Sponsor Rep. Kathleen Willis
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- **2014-01-28** Assigned to Human Services Committee `referral-committee`
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- **2014-01-29** Added Co-Sponsor Rep. Rita Mayfield
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- **2014-02-04** House Committee Amendment No. 1 Filed with Clerk by Rep. Laura Fine `amendment-introduction`
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- **2014-02-04** House Committee Amendment No. 1 Referred to Rules Committee `referral-committee`
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- **2014-02-05** Do Pass / Short Debate Human Services Committee; 008-005-000 `committee-passage`
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- **2014-02-05** House Committee Amendment No. 1 Tabled Pursuant to Rule 40 `amendment-failure`
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- **2014-02-05** Placed on Calendar 2nd Reading - Short Debate
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- **2014-02-19** Added Co-Sponsor Rep. Cynthia Soto
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- **2014-02-19** Added Co-Sponsor Rep. Maria Antonia Berrios
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- **2014-02-19** Added Co-Sponsor Rep. Linda Chapa LaVia
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- **2014-02-19** Added Co-Sponsor Rep. John M. Cabello
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- **2014-02-19** Added Co-Sponsor Rep. Kelly Burke
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- **2014-02-19** Added Co-Sponsor Rep. Jehan A. Gordon-Booth
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- **2014-02-19** Added Co-Sponsor Rep. Camille Y. Lilly
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- **2014-02-20** Added Co-Sponsor Rep. Mary E. Flowers
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- **2014-02-20** Added Co-Sponsor Rep. Kenneth Dunkin
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- **2014-02-20** Added Co-Sponsor Rep. John D'Amico
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- **2014-02-20** Added Co-Sponsor Rep. Ann Williams
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- **2014-02-20** Added Co-Sponsor Rep. Michelle Mussman
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- **2014-02-26** Added Co-Sponsor Rep. Monique D. Davis
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- **2014-02-26** Added Co-Sponsor Rep. Esther Golar
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- **2014-02-26** Added Co-Sponsor Rep. Michael W. Tryon
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- **2014-02-26** Added Co-Sponsor Rep. Martin J. Moylan
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- **2014-02-26** Added Co-Sponsor Rep. Marcus C. Evans, Jr.
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- **2014-02-26** Added Co-Sponsor Rep. Sam Yingling
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- **2014-02-26** Added Co-Sponsor Rep. Natalie A. Manley
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- **2014-02-26** Added Co-Sponsor Rep. Lawrence M. Walsh, Jr.
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- **2014-02-26** Added Co-Sponsor Rep. Stephanie A. Kifowit
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- **2014-02-26** Added Co-Sponsor Rep. Sue Scherer
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- **2014-02-26** Added Co-Sponsor Rep. Dennis M. Reboletti
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- **2014-02-26** Added Co-Sponsor Rep. Elaine Nekritz
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- **2014-03-05** House Floor Amendment No. 2 Filed with Clerk by Rep. Laura Fine `amendment-introduction`
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- **2014-03-05** House Floor Amendment No. 2 Referred to Rules Committee `referral-committee`
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- **2014-03-13** House Floor Amendment No. 2 Rules Refers to Human Services Committee
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- **2014-03-25** House Floor Amendment No. 3 Filed with Clerk by Rep. Laura Fine `amendment-introduction`
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- **2014-03-25** House Floor Amendment No. 3 Referred to Rules Committee `referral-committee`
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- **2014-03-26** House Floor Amendment No. 3 Rules Refers to Human Services Committee
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- **2014-03-27** House Floor Amendment No. 3 Recommends Be Adopted Human Services Committee; 009-006-000 `committee-passage-favorable`
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- **2014-04-01** Second Reading - Short Debate `reading-2`
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- **2014-04-01** House Floor Amendment No. 3 Adopted `amendment-passage`
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- **2014-04-01** Placed on Calendar Order of 3rd Reading - Short Debate
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- **2014-04-09** Added Co-Sponsor Rep. Elizabeth Hernandez
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- **2014-04-09** Added Co-Sponsor Rep. Greg Harris
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- **2014-04-09** Third Reading - Short Debate - Passed 093-019-000 `reading-3, passage`
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- **2014-04-09** House Floor Amendment No. 2 Tabled Pursuant to Rule 40 `amendment-failure`
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- **2014-04-09** Arrive in Senate `introduction`
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- **2014-04-09** Placed on Calendar Order of First Reading April 10, 2014 `reading-1`
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- **2014-04-09** Chief Senate Sponsor Sen. Dan Kotowski
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- **2014-04-10** First Reading `reading-1`
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- **2014-04-10** Referred to Assignments `referral-committee`
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- **2014-04-23** Added as Alternate Chief Co-Sponsor Sen. Melinda Bush
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- **2014-04-29** Added as Alternate Chief Co-Sponsor Sen. Linda Holmes
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- **2014-04-30** Added as Alternate Chief Co-Sponsor Sen. Jacqueline Y. Collins
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- **2014-04-30** Added as Alternate Chief Co-Sponsor Sen. David Koehler
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- **2014-04-30** Added as Alternate Co-Sponsor Sen. Napoleon Harris, III
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- **2014-05-07** Assigned to Insurance `referral-committee`
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- **2014-05-08** Senate Committee Amendment No. 1 Filed with Secretary by Sen. Dan Kotowski `amendment-introduction`
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- **2014-05-08** Senate Committee Amendment No. 1 Referred to Assignments `referral-committee`
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- **2014-05-12** Senate Committee Amendment No. 1 Assignments Refers to Insurance
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- **2014-05-12** Senate Committee Amendment No. 2 Filed with Secretary by Sen. Dan Kotowski `amendment-introduction`
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- **2014-05-12** Senate Committee Amendment No. 2 Referred to Assignments `referral-committee`
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- **2014-05-13** Senate Committee Amendment No. 2 Assignments Refers to Insurance
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- **2014-05-14** Senate Committee Amendment No. 2 Adopted `amendment-passage`
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- **2014-05-14** Added as Alternate Co-Sponsor Sen. William R. Haine
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- **2014-05-15** Senate Committee Amendment No. 1 Postponed - Insurance
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- **2014-05-15** Do Pass as Amended Insurance; 008-001-000 `committee-passage`
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- **2014-05-15** Placed on Calendar Order of 2nd Reading May 19, 2014
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- **2014-05-16** Senate Committee Amendment No. 1 Rule 3-9(a) / Re-referred to Assignments `referral-committee`
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- **2014-05-16** Senate Floor Amendment No. 3 Filed with Secretary by Sen. Dan Kotowski `amendment-introduction`
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- **2014-05-16** Senate Floor Amendment No. 3 Referred to Assignments `referral-committee`
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- **2014-05-19** Second Reading `reading-2`
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- **2014-05-19** Placed on Calendar Order of 3rd Reading May 20, 2014
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- **2014-05-19** Senate Floor Amendment No. 3 Assignments Refers to Insurance
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- **2014-05-21** Senate Floor Amendment No. 3 Recommend Do Adopt Insurance; 010-000-000
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- **2014-05-22** Recalled to Second Reading `reading-2`
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- **2014-05-22** Senate Floor Amendment No. 3 Adopted; Kotowski `amendment-passage`
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- **2014-05-22** Placed on Calendar Order of 3rd Reading
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- **2014-05-22** Third Reading - Passed; 045-003-003 `reading-3, passage`
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- **2014-05-22** Senate Committee Amendment No. 1 Tabled Pursuant to Rule 5-4(a) `amendment-failure`
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- **2014-05-22** Arrived in House `introduction`
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- **2014-05-22** Placed on Calendar Order of Concurrence Senate Amendment(s) 2, 3
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- **2014-05-23** Senate Committee Amendment No. 2 Motion Filed Concur Rep. Laura Fine
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- **2014-05-23** Senate Floor Amendment No. 3 Motion Filed Concur Rep. Laura Fine
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- **2014-05-23** Senate Committee Amendment No. 2 Motion to Concur Referred to Rules Committee `referral-committee`
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- **2014-05-23** Senate Floor Amendment No. 3 Motion to Concur Referred to Rules Committee `referral-committee`
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- **2014-05-26** Senate Committee Amendment No. 2 Motion to Concur Rules Referred to Human Services Committee `referral-committee`
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- **2014-05-26** Senate Floor Amendment No. 3 Motion to Concur Rules Referred to Human Services Committee `referral-committee`
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- **2014-05-27** Senate Committee Amendment No. 2 Motion to Concur Recommends Be Adopted Human Services Committee; 013-000-000
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- **2014-05-27** Senate Floor Amendment No. 3 Motion to Concur Recommends Be Adopted Human Services Committee; 013-000-000
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- **2014-05-28** Senate Committee Amendment No. 2 House Concurs 114-000-000
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- **2014-05-28** Senate Floor Amendment No. 3 House Concurs 114-000-000
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- **2014-05-28** House Concurs
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- **2014-05-28** Passed Both Houses
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- **2014-06-26** Sent to the Governor `executive-receipt`
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- **2014-08-25** Governor Approved `executive-signature`
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- **2014-08-25** Effective Date August 25, 2014
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- **2014-08-25** Public Act . . . . . . . . . 98-1035 `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/87cdd2a0-1392-4170-8d2d-83b113bee264`. Confidence: reported (aggregated from official Illinois legislature records).
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