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Neutral Bill Mar 16, 2026

PRESCRIPTION HORMONE THERAPY

Amends the Illinois Insurance Code. Sets forth provisions requiring an individual or group policy of accident and health insurance amended, delivered, issued, or renewed in this State on or after January 1, 2028 to provide coverage for up to a 12-month supply of prescription hormone therapy, and the necessary supplies for self-administration, that is prescribed by a network provider within the provider's scope of practice and dispensed at one time for an enrollee by a provider or pharmacist, or at a location licensed or otherwise authorized to dispense drugs or supplies. Amends the Pharmacy Practice Act. Provides that, notwithstanding any other provision of law, a dispensing provider or pharmacist shall dispense, at a patient's request, up to a 12-month supply of a prescription hormone therapy and the necessary supplies for self-administration pursuant to a valid prescription that specifies an initial quantity followed by periodic refills, except as specified. Amends the State Employees Group Insurance Act of 1971 and the Illinois Public Aid Code to require coverage under the provisions of those Acts.

https://legiscan.com/IL/bill/HB5492/2025
Katie Stuart State Representative Natalie Manley State Representative Cosponsor Yolonda Morris State Representative Cosponsor Dee Avelar State Representative Cosponsor Theresa Mah State Representative Cosponsor Dan Didech State Representative Cosponsor Barbara Hernandez State Representative Cosponsor Joyce Mason State Representative Cosponsor Suzanne Ness State Representative Cosponsor Maura Hirschauer State Representative Cosponsor Camille Lilly State Representative Cosponsor Jaime Andrade State Representative Cosponsor Kelly Cassidy State Representative Cosponsor Eva-Dina Delgado State Representative Cosponsor Sharon Chung State Representative Cosponsor
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