SB0066

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HEALTH CARE AVAILABILITY

What this bill does

Creates the Health Care Availability and Access Board Act. Establishes the Health Care Availability and Access Board to protect State residents, State and local governments, commercial health plans, health care providers, pharmacies licensed in the State, and other stakeholders within the health care system from the high costs of prescription drug products. Contains provisions concerning Board membership and terms; staff for the Board; Board meetings; circumstances under which Board members must recuse themselves; and other matters. Provides that the Board shall perform the following actions in open session: (i) deliberations on whether to subject a prescription drug product to a cost review; and (ii) any vote on whether to impose an upper payment limit on purchases, payments, and payor reimbursements of prescription drug products in the State. Permits the Board to adopt rules to implement the Act and to enter into a contract with a qualified, independent third party for any service necessary to carry out the powers and duties of the Board. Creates the Health Care Availability and Access Stakeholder Council to provide stakeholder input to assist the Board in making decisions as required by the Act. Contains provisions concerning Council membership, member terms, and other matters. Provides that the Board shall adopt the federal Medicare Maximum Fair Price as the upper payment limit for a prescription drug product intended for use by individuals in the State. Prohibits the Board from creating an upper payment limit that is different from the Medicare Maximum Fair Price for the prescription drug product that has a Medicare Maximum Fair Price. Requires the Board to implement an upper payment limit that is the same as the Medicare Maximum Fair Price no sooner than the Medicare implementation date. Provides that Medicare Part C and D plans are not required to reimburse at the upper payment limit. Provides that the Attorney General may enforce the Act and may pursue any available remedy under State law when enforcing the Act. Effective 180 days after becoming law.

Sponsor: Graciela Guzmán Chamber: Senate Introduced: 2025-01-13
Stuck
P(Advance)
9.5%
Chance it ever reaches a milestone (committee, floor, etc.). Not “next step.”
P(Law)
0.0%
Chance it becomes law given where it is now (stage, momentum).
Confidence: 90%

Calculating prediction drivers...

Pipeline Progress

Current stage: Crossed Chambers · Last action 249 days ago

How does a bill become law in Illinois?
  1. Introduction of Bill

    A member of the Senate or the House introduces a bill, which is assigned a unique identifying number (e.g., "H.B. ___" for House bills and "S.B. ___" for Senate bills). If not enacted, it must be reintroduced in the next General Assembly with a new number.

  2. Committee Work — Hearings

    The bill goes to the appropriate committee, which holds hearings to gather expert opinions and determine the need for the legislation.

  3. Committee Work — Markup, Amendments, Report

    The committee may make amendments to the bill. If approved, a committee report endorsing the bill is issued.

  4. Floor Debate

    The bill is debated and can be further amended. The debate transcripts are accessible online for public viewing.

  5. Passage and Consideration in Second Chamber

    If the bill passes in the first chamber, it moves to the second chamber for a similar review process. If both chambers approve, it goes to the governor.

  6. Gubernatorial Action

    The governor can sign the bill into law, veto it, or take no action (resulting in an automatic law after 60 days). The type of veto can be total or amendatory. Once signed, the bill becomes a Public Act and is assigned a Public Act number.

Sponsor Context

Campaign finance

This is SBE campaign receipts to the people on this bill, not Moneyball and not earmarked to the bill.

Money is campaign receipts to matched candidate committees, not earmarked to this bill. Window 2025-01-01 – 2026-09-13.

$7,304,828.59 Across sponsors / voters
16 Members with trails
25 Overlapping donors

Sponsor and voter funding

Member Role Receipts Total received Top donors
Graciela Guzmán Chief sponsor 0 $0.00 —
David Koehler Sponsor 172 $445,659.52 CUPAC ($25,000.00); MARQUIS ENERGY ($20,000.00); IL Corn Growers Association ($20,000.00)
Mike Simmons Sponsor 15 $1,250.00 Enterprise ($600.00); Steven Stearns ($400.00); Benjamin Topp ($250.00)
Karina Villa Sponsor 719 $1,679,224.77 Friends of Don Harmon for State Senate ($289,418.12); Chicago Teachers Union ($112,500.00); United with Delia for Congress ($82,300.00)
Robert Peters Sponsor 50 $62,567.47 Ironworkers amd Local Union #1 IPAL Fund ($5,000.00); California Nurses Association PAC (Small contributor Committee) ($5,000.00); SEIU HealthCare IL In PAC ($4,000.00)
Michael W. Halpin Sponsor 258 $986,156.02 LIUNA Chicago Laborers District Council ($145,600.00); Illinois Laborers Legislative Committee ($145,600.00); IPACE ($92,800.00)
Mary Edly-Allen Sponsor 57 $70,160.38 Chicago Land Operators Joint Labor-Management PAC ($7,500.00); IPACE ($5,000.00); SEIU Healthcare IL IN PAC ($5,000.00)
Rachel Ventura Sponsor 90 $146,774.53 ISDF ($50,000.00); I.P.A.C.E ($15,000.00); West Suburban Teachers Union ($9,554.53)
Mike Porfirio Sponsor 199 $214,834.31 LIUNA Chicago Laborers' District Council Political Action Committee ($13,000.00); Illinois Laborers' Legislative Committee ($12,500.00); Chicago Land Operators Joint Labor-Management PAC ($10,500.00)
Laura M. Murphy Sponsor 198 $380,446.10 Health Care Council of Illinois PAC ($50,000.00); Ironworkers District Council of Chicago & Vicinity PAC ($20,000.00); Midwest Gaming & Entertainment LLC ($14,000.00)
Christopher Belt Sponsor 346 $1,283,651.10 Carpentry Advancement Political Action Committee Fund ($145,600.00); LIUNA Chicago Laborer's District Council PAC ($145,600.00); Illinois Laborers' Legislative Committee ($145,600.00)
Celina Villanueva Sponsor 169 $223,020.93 Illinois Laborers Legislative Committee ($12,500.00); I.P.A.C.E. ($12,500.00); Chicago Land Operators Joint Labor-Management PAC ($11,500.00)
Mark L. Walker Sponsor 35 $40,131.52 Don Harmon for State Central Committeeman ($10,000.00); Prairie Band Potawatomi Nation ($3,500.00); LiUNA Chicago Laborers' District Council PAC ($3,000.00)
Kimberly A. Lightford Sponsor 120 $179,320.76 Ameren Illinois ($10,000.00); I.P.A.C.E, ($10,000.00); Chicago Land Operators Joint Labor-Management PAC ($5,500.00)
Doris Turner Sponsor 341 $1,402,044.10 LIUNA Chicago Laborers' District Council Political Action Committee ($145,600.00); Carpentry Advancement PAC ($145,600.00); Illinois Laborers' Legislative Committee ($145,600.00)
Javier L. Cervantes Sponsor 140 $189,587.08 Nicor Gas Company ($12,000.00); SEIU Healthcare IL IN PAC ($11,000.00); Chicago Land Operators Joint Labor Management PAC ($9,500.00)

Overlapping donors

Donors who gave to more than one sponsor or voter on this bill. Still not earmarked to the bill.

Donor Members Total
Illinois Laborers' Legislative Committee Laura M. Murphy, Christopher Belt, Karina Villa, Doris Turner, Javier L. Cervantes, Mike Porfirio, Mary Edly-Allen $329,700.00
ISDF Christopher Belt, Karina Villa, Doris Turner, Michael W. Halpin, Rachel Ventura $311,926.76
IPACE David Koehler, Christopher Belt, Mike Porfirio, Mary Edly-Allen, Michael W. Halpin $235,600.00
IBEW Illinois PAC Christopher Belt, Karina Villa, Doris Turner, Michael W. Halpin, Rachel Ventura $233,400.00
LIUNA Chicago Laborers' District Council Political Action Committee Doris Turner, Javier L. Cervantes, Mike Porfirio, Rachel Ventura $167,100.00
Carpentry Advancement PAC David Koehler, Laura M. Murphy, Doris Turner $160,600.00
Carpentry Advancement Political Action Committee Fund Christopher Belt, Celina Villanueva, Javier L. Cervantes, Rachel Ventura, Mark L. Walker $160,100.00
SEIU HealthCare IL IN PAC Christopher Belt, Celina Villanueva, Karina Villa, Doris Turner, Mike Porfirio $119,050.00
I.P.A.C.E. Celina Villanueva, Karina Villa, Doris Turner, Javier L. Cervantes $107,800.00
Illinois Federation of Teachers COPE Kimberly A. Lightford, Laura M. Murphy, Christopher Belt, Robert Peters, Celina Villanueva, Karina Villa, Doris Turner, Mary Edly-Allen, Michael W. Halpin, Rachel Ventura $96,350.00
Health Care Council of Illinois PAC Kimberly A. Lightford, Laura M. Murphy, Christopher Belt, Karina Villa, Doris Turner $91,250.00
Carpentry Advancement PAC Fund Kimberly A. Lightford, Karina Villa, Mike Porfirio, Michael W. Halpin $87,300.00
Chicago Land Operators Joint Labor-Management PAC Kimberly A. Lightford, Laura M. Murphy, Celina Villanueva, Karina Villa, Doris Turner, Mike Porfirio, Mary Edly-Allen, Michael W. Halpin, Mark L. Walker $80,270.34
AFSCME Illinois Council 31 Doris Turner, Rachel Ventura $75,800.00
Democratic Party of Illinois Christopher Belt, Javier L. Cervantes $51,622.08
Friends of Ram Karina Villa, Javier L. Cervantes, Mike Porfirio, Michael W. Halpin, Mark L. Walker $37,500.00
Simmons Hanly Conroy Christopher Belt, Doris Turner, Michael W. Halpin $35,000.00
Realtor PAC Kimberly A. Lightford, David Koehler, Laura M. Murphy, Christopher Belt, Javier L. Cervantes, Mike Porfirio, Michael W. Halpin $33,400.00
Associated Beer Distributors of Illinois PAC Kimberly A. Lightford, Laura M. Murphy, Christopher Belt, Robert Peters, Karina Villa, Mike Porfirio $32,714.86
SEIU Healthcare IL IN PAC Kimberly A. Lightford, David Koehler, Laura M. Murphy, Javier L. Cervantes, Mary Edly-Allen, Michael W. Halpin, Rachel Ventura $32,250.00
Ameren Illinois Kimberly A. Lightford, Laura M. Murphy, Christopher Belt, Celina Villanueva, Doris Turner, Javier L. Cervantes $32,066.87
IL Corn Growers Association David Koehler, Karina Villa, Michael W. Halpin $28,500.00
Ironworkers District Council of Chicago & Vicinity PAC Laura M. Murphy, Michael W. Halpin, Mark L. Walker $25,500.00
Realtor Political Action Committee Christopher Belt, Karina Villa, Doris Turner, Mark L. Walker $23,100.00
CAR of Illinois Kimberly A. Lightford, David Koehler, Laura M. Murphy, Christopher Belt, Karina Villa, Doris Turner, Mike Porfirio, Mark L. Walker $23,000.00

Top donors across these members

Donor Occupation Employer Receipts Total
Illinois Laborers' Legislative Committee — — 19 $329,700.00
ISDF — — 43 $311,926.76
Friends of Don Harmon for State Senate — — 7 $289,418.12
IPACE — — 11 $235,600.00
IBEW Illinois PAC — — 11 $233,400.00
LIUNA Chicago Laborers' District Council Political Action Committee — — 7 $167,100.00
Carpentry Advancement PAC — — 10 $160,600.00
Carpentry Advancement Political Action Committee Fund — — 12 $160,100.00
Illinois Laborers Legislative Committee — — 3 $145,600.00
LIUNA Chicago Laborers District Council — — 2 $145,600.00
LIUNA Chicago Laborer's District Council PAC — — 2 $145,600.00
SEIU HealthCare IL IN PAC — — 12 $119,050.00
Chicago Teachers Union — — 3 $112,500.00
I.P.A.C.E. — — 9 $107,800.00
Illinois Federation of Teachers COPE — — 19 $96,350.00
Health Care Council of Illinois PAC — — 11 $91,250.00
Carpentry Advancement PAC Fund — — 11 $87,300.00
United with Delia for Congress — — 4 $82,300.00
Chicago Land Operators Joint Labor-Management PAC — — 34 $80,270.34
AFSCME Illinois Council 31 — — 3 $75,800.00
North Ctrl IL Laborers Dist Council PAC — — 3 $75,300.00
SEIU Illinois Council PAC Fund — — 2 $72,800.00
AFSCME Council 31 PAC — — 2 $72,800.00
AFSCME IL Council 31 PAC — — 1 $68,800.00
Democratic Party of IL — — 3 $52,282.23

Action History

20 actions recorded. Last action: 2026-02-03 — Added as Co-SponsorSen. Javier L. Cervantes. Each action's meaning and outcome signal are classified automatically.

2025-01-13 Introduction & Filing
Filed with Secretary bySen. Robert Peters Rule 2-7(b)
Bill officially submitted to the Senate Secretary during the session.
2025-01-13 Introduction & Filing
First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38
Formal introduction — title read into the official record. Required procedural step; bill now exists in the system.
2025-01-13 Committee Assignment
Referred toAssignments Senate Rule 3-8(a); House Rule 18(a)
Sent to a committee (usually Rules in the House, Assignments in the Senate). The gatekeeping step — Rules/Assignments decides which substantive committee hears the bill.
2025-01-30 Co-Sponsorship Mild +
Added as Co-SponsorSen. Michael W. Halpin Senate Rule 5-1(a); House Rule 37(a)
A legislator added as co-sponsor.
2025-01-31 Co-Sponsorship Mild +
Added as Co-SponsorSen. Mary Edly-Allen Senate Rule 5-1(a); House Rule 37(a)
A legislator added as co-sponsor.
2025-02-03 Co-Sponsorship Mild +
Added as Co-SponsorSen. Rachel Ventura Senate Rule 5-1(a); House Rule 37(a)
A legislator added as co-sponsor.
2025-02-05 Co-Sponsorship Mild +
Added as Co-SponsorSen. Mike Porfirio Senate Rule 5-1(a); House Rule 37(a)
A legislator added as co-sponsor.
2025-02-05 Co-Sponsorship Mild +
Added as Chief Co-SponsorSen. David Koehler Senate Rule 5-1(a); House Rule 37(a)
A legislator takes on the chief co-sponsor role, a stronger commitment than regular co-sponsorship.
2025-02-06 Co-Sponsorship Mild +
Added as Co-SponsorSen. Laura M. Murphy Senate Rule 5-1(a); House Rule 37(a)
A legislator added as co-sponsor.
2025-02-06 Co-Sponsorship Mild +
Added as Chief Co-SponsorSen. Mike Simmons Senate Rule 5-1(a); House Rule 37(a)
A legislator takes on the chief co-sponsor role, a stronger commitment than regular co-sponsorship.
2025-02-06 Co-Sponsorship Mild +
Added as Chief Co-SponsorSen. Karina Villa Senate Rule 5-1(a); House Rule 37(a)
A legislator takes on the chief co-sponsor role, a stronger commitment than regular co-sponsorship.
2025-02-25 Co-Sponsorship Mild +
Added as Chief Co-SponsorSen. Graciela Guzmán Senate Rule 5-1(a); House Rule 37(a)
A legislator takes on the chief co-sponsor role, a stronger commitment than regular co-sponsorship.
2025-02-25 Co-Sponsorship Mild +
Added as Co-SponsorSen. Christopher Belt Senate Rule 5-1(a); House Rule 37(a)
A legislator added as co-sponsor.
2025-03-05 Co-Sponsorship Mild +
Added as Co-SponsorSen. Celina Villanueva Senate Rule 5-1(a); House Rule 37(a)
A legislator added as co-sponsor.
2025-03-19 Co-Sponsorship Mild +
Added as Co-SponsorSen. Mark L. Walker Senate Rule 5-1(a); House Rule 37(a)
A legislator added as co-sponsor.
2025-04-04 Co-Sponsorship Mild +
Added as Co-SponsorSen. Kimberly A. Lightford Senate Rule 5-1(a); House Rule 37(a)
A legislator added as co-sponsor.
2025-04-29 Co-Sponsorship Mild +
Added as Co-SponsorSen. Doris Turner Senate Rule 5-1(a); House Rule 37(a)
A legislator added as co-sponsor.
2026-01-16 Cross-Chamber
Chief Sponsor Changed toSen. Graciela Guzmán Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12)
Chief sponsor changed — may indicate leadership taking ownership or a strategic handoff.
2026-01-16 Co-Sponsorship Mild +
Added as Chief Co-SponsorSen. Robert Peters Senate Rule 5-1(a); House Rule 37(a)
A legislator takes on the chief co-sponsor role, a stronger commitment than regular co-sponsorship.
2026-02-03 Co-Sponsorship Mild +
Added as Co-SponsorSen. Javier L. Cervantes Senate Rule 5-1(a); House Rule 37(a)
A legislator added as co-sponsor.

All actions (table)

Date Chamber Action Category Signal
2025-01-13 Senate Filed with Secretary bySen. Robert Peters Rule 2-7(b) Introduction & Filing —
2025-01-13 Senate First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38 Introduction & Filing —
2025-01-13 Senate Referred toAssignments Senate Rule 3-8(a); House Rule 18(a) Committee Assignment —
2025-01-30 Senate Added as Co-SponsorSen. Michael W. Halpin Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-01-31 Senate Added as Co-SponsorSen. Mary Edly-Allen Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-02-03 Senate Added as Co-SponsorSen. Rachel Ventura Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-02-05 Senate Added as Co-SponsorSen. Mike Porfirio Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-02-05 Senate Added as Chief Co-SponsorSen. David Koehler Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-02-06 Senate Added as Co-SponsorSen. Laura M. Murphy Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-02-06 Senate Added as Chief Co-SponsorSen. Mike Simmons Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-02-06 Senate Added as Chief Co-SponsorSen. Karina Villa Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-02-25 Senate Added as Chief Co-SponsorSen. Graciela Guzmán Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-02-25 Senate Added as Co-SponsorSen. Christopher Belt Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-03-05 Senate Added as Co-SponsorSen. Celina Villanueva Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-03-19 Senate Added as Co-SponsorSen. Mark L. Walker Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-04-04 Senate Added as Co-SponsorSen. Kimberly A. Lightford Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-04-29 Senate Added as Co-SponsorSen. Doris Turner Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2026-01-16 Senate Chief Sponsor Changed toSen. Graciela Guzmán Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12) Cross-Chamber —
2026-01-16 Senate Added as Chief Co-SponsorSen. Robert Peters Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2026-02-03 Senate Added as Co-SponsorSen. Javier L. Cervantes Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +