HB2423 - 104th General Assembly (2025-2026)

MEDICAID-MATERNAL HLTH-DOULAS
Last Action
10/14/2025 - Senate: Placed on Calendar Order of 3rd Reading October 15, 2025
Statutes Amended In Order of Appearance
305 ILCS 5/5-18.6 new  
305 ILCS 5/5-18.7 new  
Synopsis As Introduced
Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires hospitals and birthing centers to adopt and maintain written policies and procedures authorizing a patient enrolled in the medical assistance program to select an Illinois Medicaid certified and enrolled doula of the patient's choice to accompany the patient within the facility's premises for the purposes of providing support before, during, and after labor and childbirth, and during the patient's entire postpartum stay. Provides that the doula shall be considered part of the patient's care team and shall not be counted as a support person or against any guest quota. Requires hospitals and birthing centers to provide a written copy of their policies and procedures to maternity patients, the facilities' maternity health care providers, and any other person at the patient's request. Requires publication of the written policies on each facility's website. Contains provisions concerning hospital and birthing center liaisons and doulas certification acknowledgment requirements. Permits the Department of Healthcare and Family Services and the Department of Public Health to establish standing recommendations to meet Centers for Medicare and Medicaid Services requirements and ensure access to preventive services, including Medicaid-covered maternal and reproductive health supports and services.

House Floor Amendment No. 2
Replaces everything after the enacting clause. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that, within 6 months after the amendatory Act, all hospitals with licensed obstetric beds and birthing centers shall adopt and maintain written policies and procedures to permit a patient enrolled in the medical assistance program to have an Illinois Medicaid certified and enrolled doula of the patient's choice accompany the patient within the facility's premises for the purposes of providing support before, during, and after labor and childbirth. Provides that an Illinois Medicaid certified and enrolled doula shall not be counted as a support person or against the guest quota before, during, or after childbirth. Requires each applicable facility to post a summary of the facility's adopted policies and procedures on its website, including contact information to facilitate communication between the facility and Illinois Medicaid enrolled doulas and doula organizations. Provides that nothing in the amendatory Act: (i) shall be construed to provide a doula with access to a patient when that access is inconsistent with generally accepted medical standards or practices; and (ii) is intended to expand or limit the malpractice liability of a hospital beyond the limits existing in current Illinois statutory and common law. Requires Illinois Medicaid enrolled doulas to provide written acknowledgment of doula certification and enrollment in the medical assistance program upon request of the hospital or birthing facility. Permits the Departments of Healthcare and Family Services and Public Health to establish standing recommendations to meet Centers for Medicare and Medicaid Services requirements and ensure access to preventive services.

Senate Committee Amendment No. 1
Deletes reference to:
305 ILCS 5/5-18.6 new  
305 ILCS 5/5-18.7 new  
Adds reference to:
305 ILCS 5/5-1  from Ch. 23, par. 5-1
Replaces everything after the enacting clause. Amends the Illinois Public Aid Code. Makes a technical change in a Section concerning the purpose of the Medical Assistance Article.
Actions
DateChamberAction
1/31/2025HouseFiled with the Clerk by Rep. Yolonda Morris
2/04/2025HouseFirst Reading
2/04/2025HouseReferred to Rules Committee
2/25/2025HouseAssigned to Human Services Committee
3/19/2025HouseDo Pass / Short Debate Human Services Committee; 012-000-000
3/19/2025HousePlaced on Calendar 2nd Reading - Short Debate
3/19/2025HouseAdded Chief Co-Sponsor Rep. Lisa Davis
3/19/2025HouseAdded Chief Co-Sponsor Rep. Camille Y. Lilly
3/19/2025HouseAdded Chief Co-Sponsor Rep. Nicolle Grasse
3/19/2025HouseAdded Chief Co-Sponsor Rep. Jehan Gordon-Booth
3/19/2025HouseAdded Co-Sponsor Rep. Kimberly Du Buclet
3/19/2025HouseAdded Co-Sponsor Rep. Amy Briel
3/19/2025HouseAdded Co-Sponsor Rep. Theresa Mah
3/19/2025HouseAdded Co-Sponsor Rep. Maura Hirschauer
3/19/2025HouseAdded Co-Sponsor Rep. Dagmara Avelar
3/19/2025HouseAdded Co-Sponsor Rep. Mary Gill
3/19/2025HouseAdded Co-Sponsor Rep. Barbara Hernandez
3/19/2025HouseAdded Co-Sponsor Rep. Mary Beth Canty
3/19/2025HouseAdded Co-Sponsor Rep. Tracy Katz Muhl
3/19/2025HouseAdded Co-Sponsor Rep. Michelle Mussman
3/19/2025HouseAdded Co-Sponsor Rep. Anne Stava
3/19/2025HouseAdded Co-Sponsor Rep. Sharon Chung
3/19/2025HouseAdded Co-Sponsor Rep. Kelly M. Cassidy
3/19/2025HouseAdded Co-Sponsor Rep. Michael Crawford
3/19/2025HouseAdded Co-Sponsor Rep. Debbie Meyers-Martin
3/19/2025HouseAdded Co-Sponsor Rep. Lindsey LaPointe
3/19/2025HouseAdded Co-Sponsor Rep. William "Will" Davis
3/19/2025HouseAdded Co-Sponsor Rep. Suzanne M. Ness
3/19/2025HouseAdded Co-Sponsor Rep. Laura Faver Dias
3/19/2025HouseAdded Co-Sponsor Rep. Jawaharial Williams
3/19/2025HouseAdded Co-Sponsor Rep. Natalie A. Manley
3/19/2025HouseAdded Co-Sponsor Rep. Sonya M. Harper
3/24/2025HouseHouse Floor Amendment No. 1 Filed with Clerk by Rep. Yolonda Morris
3/24/2025HouseHouse Floor Amendment No. 1 Referred to Rules Committee
3/24/2025HouseAdded Co-Sponsor Rep. Emanuel "Chris" Welch
3/25/2025HouseHouse Floor Amendment No. 1 Rules Refers to Human Services Committee
3/26/2025HouseSecond Reading - Short Debate
3/26/2025HouseHeld on Calendar Order of Second Reading - Short Debate
4/07/2025HouseHouse Floor Amendment No. 2 Filed with Clerk by Rep. Yolonda Morris
4/07/2025HouseHouse Floor Amendment No. 2 Referred to Rules Committee
4/08/2025HouseAdded Co-Sponsor Rep. Terra Costa Howard
4/08/2025HouseHouse Floor Amendment No. 2 Rules Refers to Human Services Committee
4/09/2025HouseHouse Floor Amendment No. 2 Recommends Be Adopted Human Services Committee; 012-000-000
4/09/2025HouseAdded Co-Sponsor Rep. Anna Moeller
4/10/2025HouseHouse Floor Amendment No. 2 Adopted
4/10/2025HousePlaced on Calendar Order of 3rd Reading - Short Debate
4/10/2025HouseThird Reading - Short Debate - Passed 112-000-000
4/10/2025HouseHouse Floor Amendment No. 1 Tabled
4/10/2025HouseAdded Co-Sponsor Rep. Hoan Huynh
4/10/2025HouseAdded Co-Sponsor Rep. Angelica Guerrero-Cuellar
4/10/2025HouseAdded Co-Sponsor Rep. Abdelnasser Rashid
4/14/2025SenateArrive in Senate
4/14/2025SenatePlaced on Calendar Order of First Reading
4/14/2025SenateChief Senate Sponsor Sen. Lakesia Collins
4/14/2025SenateFirst Reading
4/14/2025SenateReferred to Assignments
5/08/2025SenateAssigned to Executive
5/09/2025SenateRule 2-10 Committee Deadline Established As May 23, 2025
5/13/2025SenateSenate Committee Amendment No. 1 Filed with Secretary by Sen. Don Harmon
5/13/2025SenateSenate Committee Amendment No. 1 Referred to Assignments
5/13/2025SenateAlternate Chief Sponsor Changed to Sen. Don Harmon
5/14/2025SenateSenate Committee Amendment No. 1 Assignments Refers to Executive
5/14/2025SenateSenate Committee Amendment No. 1 Adopted
5/15/2025SenateDo Pass as Amended Executive; 009-004-000
5/15/2025SenatePlaced on Calendar Order of 2nd Reading
5/15/2025SenateSecond Reading
5/15/2025SenatePlaced on Calendar Order of 3rd Reading May 20, 2025
5/23/2025SenateRule 2-10 Third Reading/Passage Deadline Established As June 1, 2025
6/02/2025SenateRule 3-9(a) / Re-referred to Assignments
10/14/2025SenateApproved for Consideration Assignments
10/14/2025SenatePlaced on Calendar Order of 3rd Reading October 15, 2025