SB1238 - 104th General Assembly (2025-2026)

NONOPIOID ALTERNATIVES
Last Action
08/15/2025 - Senate: Public Act . . . . . . . . . 104-0369
Statutes Amended In Order of Appearance
20 ILCS 2310/2310-735 new  
215 ILCS 5/370c.3 new  
305 ILCS 5/5-58 new  
Synopsis As Introduced
Amends the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois. Allows the Department of Public Health to develop and publish on its website a nonopioid alternatives pamphlet, with certain requirements. Amends the Illinois Insurance Code. Prohibits a health insurance issuer to deny coverage of a nonopioid prescription drug in favor of an opioid prescription drug. Amends the Illinois Public Aid Code. Provides that coverage shall not be denied for a nonopioid prescription drug in favor of an opioid prescription drug. Requires that nonopioid drugs preferred on a specific list for the treatment or management of pain shall not be disadvantaged or discouraged with respect to coverage relative to any opioid or narcotic drug for the treatment or management of pain. Effective July 1, 2027.

Senate Committee Amendment No. 1
Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill concerning the amendatory changes to the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois. Replaces the changes to the Illinois Insurance Code. Provides that beginning January 1, 2027, a health insurance issuer shall develop a plan to provide adequate coverage and access to a broad spectrum of pain management services, including, but not limited to, nonopioid, nonnarcotic pain management services and non-medication pain management services that serve as alternatives to the prescribing of opioid or narcotic drugs in accordance with guidelines developed by the Department of Insurance. Provides that a health insurance issuer shall file the plan required under this provision with the Department of Insurance and shall post information about the pain management plan on the insurer's publicly accessible website. Replaces the amendatory changes to the Illinois Public Aid Code. Provides that in establishing and maintaining the Illinois Medicaid Preferred Drug List, the Department of Healthcare and Family Services shall ensure that nonopioid drugs on the Department's preferred drug list, and approved by the U.S. Food and Drug Administration, for the treatment or management of pain shall not be disadvantaged or discouraged with respect to coverage relative to any opioid or narcotic drug for the treatment or management of acute pain as long as the Department retains its authority to manage the Preferred Drug List process pursuant to State or federal law, rules, regulations, and policies and the Department's authority over the Preferred Drug List process is not undermined or compromised.
Actions
DateChamberAction
01/24/2025SenateFiled with Secretary by Sen. Karina Villa
01/24/2025SenateFirst Reading
01/24/2025SenateReferred to Assignments
02/04/2025SenateAssigned to Insurance
02/04/2025SenateAdded as Co-Sponsor Sen. Michael W. Halpin
02/04/2025SenateAdded as Co-Sponsor Sen. Javier L. Cervantes
02/04/2025SenateAdded as Co-Sponsor Sen. Mary Edly-Allen
02/05/2025SenateAdded as Co-Sponsor Sen. Robert Peters
02/05/2025SenateAdded as Co-Sponsor Sen. Mike Porfirio
02/07/2025SenateAdded as Co-Sponsor Sen. Laura Fine
02/11/2025SenateAdded as Co-Sponsor Sen. Graciela Guzmán
02/18/2025SenateAdded as Co-Sponsor Sen. Cristina Castro
02/19/2025SenatePostponed - Insurance
02/19/2025SenateAdded as Chief Co-Sponsor Sen. Mattie Hunter
03/05/2025SenatePostponed - Insurance
03/05/2025SenateAdded as Co-Sponsor Sen. Mark L. Walker
03/06/2025SenateAdded as Co-Sponsor Sen. Seth Lewis
03/12/2025SenateSenate Committee Amendment No. 1 Filed with Secretary by Sen. Karina Villa
03/12/2025SenateSenate Committee Amendment No. 1 Referred to Assignments
03/12/2025SenateAdded as Co-Sponsor Sen. Julie A. Morrison
03/18/2025SenateSenate Committee Amendment No. 1 Assignments Refers to Insurance
03/18/2025SenateSenate Committee Amendment No. 1 Adopted
03/19/2025SenateDo Pass as Amended Insurance; 012-000-000
03/19/2025SenatePlaced on Calendar Order of 2nd Reading March 20, 2025
03/20/2025SenateSecond Reading
03/20/2025SenatePlaced on Calendar Order of 3rd Reading April 1, 2025
04/02/2025SenateAdded as Co-Sponsor Sen. Li Arellano, Jr.
04/03/2025SenateThird Reading - Passed; 053-000-000
04/03/2025SenateAdded as Co-Sponsor Sen. Sara Feigenholtz
04/04/2025HouseArrived in House
04/04/2025HouseChief House Sponsor Rep. Janet Yang Rohr
04/07/2025HouseFirst Reading
04/07/2025HouseReferred to Rules Committee
04/17/2025HouseAssigned to Health Care Availability & Accessibility Committee
04/29/2025HouseDo Pass / Short Debate Health Care Availability & Accessibility Committee; 011-000-000
04/30/2025HousePlaced on Calendar 2nd Reading - Short Debate
05/16/2025HouseSecond Reading - Short Debate
05/16/2025HouseHeld on Calendar Order of Second Reading - Short Debate
05/20/2025HouseAdded Alternate Chief Co-Sponsor Rep. Kevin Schmidt
05/20/2025HouseAdded Alternate Chief Co-Sponsor Rep. Lindsey LaPointe
05/20/2025HouseAdded Alternate Chief Co-Sponsor Rep. Laura Faver Dias
05/22/2025HousePlaced on Calendar Order of 3rd Reading - Short Debate
05/22/2025HouseThird Reading - Short Debate - Passed 113-000-000
05/22/2025SenatePassed Both Houses
05/22/2025HouseAdded Alternate Co-Sponsor Rep. Nicolle Grasse
06/20/2025SenateSent to the Governor
08/15/2025SenateGovernor Approved
08/15/2025SenateEffective Date January 1, 2026
08/15/2025SenatePublic Act . . . . . . . . . 104-0369