SB0175
View on ILGAINS CD-KLINEFELTER SYNDROME
What this bill does
Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or a managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2026 shall provide coverage for the cost of a karyotype test or related hormone testing to diagnose Klinefelter syndrome. Amends the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, the Limited Health Service Organization Act, the Voluntary Health Services Plans Act, and the Illinois Public Aid Code to require coverage under those provisions.
PASSED INTO LAW
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Pipeline Progress
Current stage: Signed into Law · Last action 435 days ago
How does a bill become law in Illinois?
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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.
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Committee Work — Hearings
The bill goes to the appropriate committee, which holds hearings to gather expert opinions and determine the need for the legislation.
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Committee Work — Markup, Amendments, Report
The committee may make amendments to the bill. If approved, a committee report endorsing the bill is issued.
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Floor Debate
The bill is debated and can be further amended. The debate transcripts are accessible online for public viewing.
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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.
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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
Laura Fine
Low Influence (#93)
Bills sponsored by Laura Fine advance 8% more often than the chamber average.
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.
$815,571.53
Across sponsors / voters
3
Members with trails
15
Overlapping donors
Sponsor and voter funding
| Member | Role | Receipts | Total received | Top donors |
|---|---|---|---|---|
| Laura Fine | Chief sponsor | 113 | $251,356.10 | Friends of Don Harmon ($36,776.08); Julie Morrison for State Senate ($26,000.00); Chicago Land Operators Joint Labor-Management PAC ($16,000.00) |
| 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) |
| Kelly M. Cassidy | Sponsor | 272 | $183,769.33 | Chicago Land Operators Joint Labor-Management PAC ($14,500.00); Illinois PAC for Education (IPACE) ($10,000.00); SEIU HealthCare IL IN PAC ($9,000.00) |
Overlapping donors
Donors who gave to more than one sponsor or voter on this bill. Still not earmarked to the bill.
| Donor | Members | Total |
|---|---|---|
| Health Care Council of Illinois PAC | Laura M. Murphy, Laura Fine | $60,000.00 |
| Chicago Land Operators Joint Labor-Management PAC | Kelly M. Cassidy, Laura M. Murphy, Laura Fine | $39,270.34 |
| Illinois Laborers' Legislative Committee | Kelly M. Cassidy, Laura M. Murphy | $16,500.00 |
| LIUNA Chicago Laborers' District Council PAC | Laura M. Murphy, Laura Fine | $13,000.00 |
| Illinois State Medical Society PAC | Kelly M. Cassidy, Laura M. Murphy | $8,500.00 |
| Illinois Hospital Association PAC | Laura M. Murphy, Laura Fine | $7,500.00 |
| Illinois Trial Lawyers Association PAC | Kelly M. Cassidy, Laura Fine | $5,000.00 |
| Illinois Federation of Teachers COPE | Kelly M. Cassidy, Laura M. Murphy | $3,500.00 |
| Teamsters Volunteers in Politics | Kelly M. Cassidy, Laura M. Murphy | $3,500.00 |
| Cozen O'Connor | Kelly M. Cassidy, Laura M. Murphy | $2,000.00 |
| SMART TD PAC | Kelly M. Cassidy, Laura M. Murphy | $1,500.00 |
| Credit Union PAC | Kelly M. Cassidy, Laura M. Murphy | $1,000.00 |
| Peoples Energy PAC | Kelly M. Cassidy, Laura M. Murphy | $1,000.00 |
| Benjamin Whipple | Kelly M. Cassidy, Laura Fine | $500.00 |
| Friends of Kevin Morrison | Kelly M. Cassidy, Laura M. Murphy | $500.00 |
Top donors across these members
| Donor | Occupation | Employer | Receipts | Total |
|---|---|---|---|---|
| Health Care Council of Illinois PAC | — | — | 4 | $60,000.00 |
| Chicago Land Operators Joint Labor-Management PAC | — | — | 13 | $39,270.34 |
| Friends of Don Harmon | — | — | 1 | $36,776.08 |
| Julie Morrison for State Senate | — | — | 4 | $26,000.00 |
| Ironworkers District Council of Chicago & Vicinity PAC | — | — | 1 | $20,000.00 |
| Illinois Laborers' Legislative Committee | — | — | 5 | $16,500.00 |
| Friends of Bill Cunningham | — | — | 3 | $15,000.00 |
| Midwest Gaming & Entertainment LLC | — | — | 1 | $14,000.00 |
| LIUNA Chicago Laborers' District Council PAC | — | — | 2 | $13,000.00 |
| Citizens for Laura M Murphy | — | — | 2 | $10,000.00 |
| Don Harmon for State Central Committeeman | — | — | 1 | $10,000.00 |
| Fraternal Order of Police Chicago Lodge No. 7 | — | — | 2 | $10,000.00 |
| Save Our Local Businesses Illinois PAC | — | — | 1 | $10,000.00 |
| Illinois Political Action Committee for Education | — | — | 2 | $10,000.00 |
| Illinois PAC for Education (IPACE) | — | — | 3 | $10,000.00 |
| Northbrook Bank & Trust | — | — | 17 | $9,516.08 |
| Associated Beer Distributors of Illinois PAC | — | — | 2 | $9,268.71 |
| Realtor PAC | — | — | 3 | $9,000.00 |
| SEIU HealthCare IL IN PAC | — | — | 2 | $9,000.00 |
| Leo Smith | N/A | N/A | 3 | $8,530.00 |
| Sysco Corp. | — | — | 2 | $8,500.00 |
| Illinois State Medical Society PAC | — | — | 5 | $8,500.00 |
| Allwyn North America Inc. | — | — | 2 | $8,500.00 |
| IMHA PAC | — | — | 2 | $8,000.00 |
| Citizens for Linda Holmes | — | — | 2 | $7,500.00 |
Public Engagement
14 witness slips filed
13 proponents / 0 opponents
5 organizations
Witness slips
14 slips filed. Proponent / opponent / no position as filed with the committee.
| Name | Organization | Representing | Position | Hearing committee | Hearing date |
|---|---|---|---|---|---|
| Abby Schmeling | Chamber of Mothers | Self | Proponent | Insurance | 2025-04-29 |
| Aces Lira | AIDS Foundation Chicago | AIDS Foundation Chicago | Proponent | Insurance | 2025-04-29 |
| Emily Gennaro | Chamber of Mothers | Chamber of Mothers | Proponent | Insurance | 2025-04-29 |
| Erin Macias | Chamber of Mothers | Chamber of Mothers | Proponent | Insurance | 2025-04-29 |
| Jessica Kyle | Chamber of Mothers | Chamber of Mothers | Proponent | Insurance | 2025-04-29 |
| Megan Zidek | Chamber of Mothers | Chamber of Mothers | Proponent | Insurance | 2025-04-29 |
| Melanie Myers | Chamber of Mothers | Chamber of Mothers | Proponent | Insurance | 2025-04-29 |
| Nancy Ukpe Gargula | Chamber of Mothers | Chamber of Mothers | Proponent | Insurance | 2025-04-29 |
| Aces Lira | AIDS Foundation Chicago | AIDS Foundation Chicago | Proponent | Insurance | 2025-02-04 |
| David Schwartz | Self | Self | Proponent | Insurance | 2025-02-04 |
| Justin Thomas | NA | Self | Proponent | Insurance | 2025-02-04 |
| Maggie OKeefe | NA | self | Proponent | Insurance | 2025-02-04 |
| Daisy Navar | Illinois Department of Central Management Services | Illinois Department of Central Management Services | No Position On Merits | Insurance | 2025-04-29 |
| Aces Lira | AIDS Foundation Chicago | AIDS Foundation Chicago | Proponent | Insurance | 2025-03-18 |
Roll-call votes
Total votes and outcome per event. Deciding vote = margin of 1; those voters on the winning side could have changed the outcome by flipping.
| Date | Chamber | Type | Description | Yea | Nay | Present | NV | Outcome | Margin | Deciding voters |
|---|---|---|---|---|---|---|---|---|---|---|
| H | Committee | Insurance | 10 | 6 | 0 | 1 | Passed | 4 | — | |
| 2025-05-21 | H | Floor | Third Reading | 76 | 33 | 0 | 9 | Passed | 43 | — |
| S | Committee | Insurance | 10 | 1 | 0 | 3 | Passed | 9 | — | |
| S | Floor | Third Reading | 51 | 1 | 3 | 4 | Passed | 50 | — |
Action History
30 actions recorded. Last action: 2025-08-01 — Public Act . . . . . . . . .104-0073. Each action's meaning and outcome signal are classified automatically.
2025-01-17
Introduction & Filing
Filed with Secretary bySen. Laura Fine Rule 2-7(b)
Bill officially submitted to the Senate Secretary during the session.
2025-01-17
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.
2025-01-17
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.
2025-01-28
Committee Assignment
Assigned toInsurance Senate Rule 3-8(a); House Rule 18(b)
Sent to a substantive committee (e.g., Transportation, Revenue). This is where the bill gets a real hearing and evaluation.
2025-02-05
Committee Action
Positive
Do PassInsurance; 010-001-000 Rule 3-11(a)(1), Rule 3-12(a)
Committee recommends passage. The most important positive gate — majority of bills never get here.
2025-02-05
Floor Process
Positive
Placed on Calendar Order of 2nd Reading February 18, 2025 Rule 3-12(a), Rule 4-4(7)
Bill placed on the order of Second Reading.
2025-02-21
Amendment Actions
Senate Floor Amendment No. 1 Filed with Secretary bySen. Laura Fine
[Amendment] Bill officially submitted to the Senate Secretary during the session.
2025-02-21
Amendment Actions
Senate Floor Amendment No. 1 Referred toAssignments
[Amendment] 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.
2025-02-25
Amendment Actions
Senate Floor Amendment No. 1 Assignments Refers toInsurance
[Amendment] Senate Assignments Committee forwards the bill to a substantive committee.
2025-03-19
Amendment Actions
Senate Floor Amendment No. 1 Recommend Do AdoptInsurance; 013-001-000
[Amendment] Amendment sub-action.
2025-03-19
Floor Process
Positive
Second Reading Senate Rule 3-12(a)/5-4(a); House Rule 24(a)/40(b)
Bill reaches the floor amendment stage. Floor amendments can be offered here.
2025-03-19
Amendment Actions
Senate Floor Amendment No. 1 Adopted; Fine
[Amendment] Amendment sub-action.
2025-03-19
Floor Process
Positive
Placed on Calendar Order of 3rd Reading March 20, 2025 Rule 4-4(8)
Bill placed on the Third Reading calendar — queued for final vote.
2025-03-20
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.
2025-04-09
Floor Vote
Positive
Third Reading - Passed;051-001-003 Rule 5-1(f)
Bill PASSED a floor vote on Third Reading. Major milestone — bill has cleared one chamber.
2025-04-09
Cross-Chamber
Positive
Arrived in House Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12)
Senate bill arrives in the House after passing the Senate.
2025-04-09
Cross-Chamber
Positive
Chief House SponsorRep. Kelly M. Cassidy Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12)
House sponsor assigned for a Senate bill — bill is being actively managed in the second chamber.
2025-04-09
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.
2025-04-09
Committee Assignment
Referred toRules Committee 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.
2025-04-17
Committee Assignment
Assigned toInsurance Committee Senate Rule 3-8(a); House Rule 18(b)
Sent to a substantive committee (e.g., Transportation, Revenue). This is where the bill gets a real hearing and evaluation.
2025-04-29
Committee Action
Positive
Do Pass / Short DebateInsurance Committee; 010-006-000 Senate Rule 3-11(a)(1); House Rule 22(a)(1), 52(b)
Committee recommends passage and places it on the Short Debate calendar (limited floor discussion time). Strong positive signal — committee believes bill has broad support.
2025-04-30
Floor Process
Positive
Placed on Calendar 2nd Reading - Short Debate Senate Rule 4-4(7-8)/5-2; House Rule 31(8-9)/38/52
Bill placed on the Second Reading calendar. Positive — bill is queued for floor action.
2025-05-13
Floor Process
Positive
Second Reading - Short Debate Senate Rule 3-12(a)/5-4(a); House Rule 24(a)/40(b)/52(a)(1)
Bill reaches the floor amendment stage on Short Debate calendar. Major milestone — bill has passed committee and is on the floor.
2025-05-13
Floor Process
Positive
Placed on Calendar Order of 3rd Reading - Short Debate Rule 4-4(8)
Bill placed on the Third Reading calendar — queued for final vote.
2025-05-21
Floor Vote
Positive
Third Reading - Short Debate - Passed076-033-000 Senate Rule 5-1(f)/7-1/7-2; House Rule 37(f)/49/50
Bill PASSED on Short Debate Third Reading. Bill cleared the chamber.
2025-05-21
Concurrence
Positive
Passed Both Houses Rule 8-1, Rule 8-4
Bill PASSED BOTH CHAMBERS. Major milestone — bill goes to the Governor next.
2025-06-18
Governor Action
Positive
Sent to the Governor Senate Article IX/Rules 9-1 to 9-6; House Article IX/Rules 77-82
Bill transmitted to the Governor for signature. Strong positive — bill has passed both chambers.
2025-08-01
Governor Action
Positive
Governor Approved Senate Article IX/Rules 9-1 to 9-6; House Article IX/Rules 77-82
GOVERNOR SIGNED THE BILL. Bill is now law (pending effective date).
2025-08-01
Enacted Into Law
Law
Effective Date January 1, 2026 Article IX
Law's effective date announced. Most IL laws take effect January 1 of the next year unless otherwise specified.
2025-08-01
Enacted Into Law
Law
Public Act . . . . . . . . .104-0073 Article IX
Bill signed into law — assigned a Public Act number (e.g., PA 104-0032).
All actions (table)
| Date | Chamber | Action | Category | Signal |
|---|---|---|---|---|
| 2025-01-17 | Senate | Filed with Secretary bySen. Laura Fine Rule 2-7(b) | Introduction & Filing | — |
| 2025-01-17 | Senate | First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38 | Introduction & Filing | — |
| 2025-01-17 | Senate | Referred toAssignments Senate Rule 3-8(a); House Rule 18(a) | Committee Assignment | — |
| 2025-01-28 | Senate | Assigned toInsurance Senate Rule 3-8(a); House Rule 18(b) | Committee Assignment | — |
| 2025-02-05 | Senate | Do PassInsurance; 010-001-000 Rule 3-11(a)(1), Rule 3-12(a) | Committee Action | Positive |
| 2025-02-05 | Senate | Placed on Calendar Order of 2nd Reading February 18, 2025 Rule 3-12(a), Rule 4-4(7) | Floor Process | Positive |
| 2025-02-21 | Senate | Senate Floor Amendment No. 1 Filed with Secretary bySen. Laura Fine | Amendment Actions | — |
| 2025-02-21 | Senate | Senate Floor Amendment No. 1 Referred toAssignments | Amendment Actions | — |
| 2025-02-25 | Senate | Senate Floor Amendment No. 1 Assignments Refers toInsurance | Amendment Actions | — |
| 2025-03-19 | Senate | Senate Floor Amendment No. 1 Recommend Do AdoptInsurance; 013-001-000 | Amendment Actions | — |
| 2025-03-19 | Senate | Second Reading Senate Rule 3-12(a)/5-4(a); House Rule 24(a)/40(b) | Floor Process | Positive |
| 2025-03-19 | Senate | Senate Floor Amendment No. 1 Adopted; Fine | Amendment Actions | — |
| 2025-03-19 | Senate | Placed on Calendar Order of 3rd Reading March 20, 2025 Rule 4-4(8) | Floor Process | Positive |
| 2025-03-20 | Senate | Added as Co-SponsorSen. Laura M. Murphy Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-04-09 | Senate | Third Reading - Passed;051-001-003 Rule 5-1(f) | Floor Vote | Positive |
| 2025-04-09 | House | Arrived in House Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12) | Cross-Chamber | Positive |
| 2025-04-09 | House | Chief House SponsorRep. Kelly M. Cassidy Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12) | Cross-Chamber | Positive |
| 2025-04-09 | House | First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38 | Introduction & Filing | — |
| 2025-04-09 | House | Referred toRules Committee Senate Rule 3-8(a); House Rule 18(a) | Committee Assignment | — |
| 2025-04-17 | House | Assigned toInsurance Committee Senate Rule 3-8(a); House Rule 18(b) | Committee Assignment | — |
| 2025-04-29 | House | Do Pass / Short DebateInsurance Committee; 010-006-000 Senate Rule 3-11(a)(1); House Rule 22(a)(1), 52(b) | Committee Action | Positive |
| 2025-04-30 | House | Placed on Calendar 2nd Reading - Short Debate Senate Rule 4-4(7-8)/5-2; House Rule 31(8-9)/38/52 | Floor Process | Positive |
| 2025-05-13 | House | Second Reading - Short Debate Senate Rule 3-12(a)/5-4(a); House Rule 24(a)/40(b)/52(a)(1) | Floor Process | Positive |
| 2025-05-13 | House | Placed on Calendar Order of 3rd Reading - Short Debate Rule 4-4(8) | Floor Process | Positive |
| 2025-05-21 | House | Third Reading - Short Debate - Passed076-033-000 Senate Rule 5-1(f)/7-1/7-2; House Rule 37(f)/49/50 | Floor Vote | Positive |
| 2025-05-21 | Senate | Passed Both Houses Rule 8-1, Rule 8-4 | Concurrence | Positive |
| 2025-06-18 | Senate | Sent to the Governor Senate Article IX/Rules 9-1 to 9-6; House Article IX/Rules 77-82 | Governor Action | Positive |
| 2025-08-01 | Senate | Governor Approved Senate Article IX/Rules 9-1 to 9-6; House Article IX/Rules 77-82 | Governor Action | Positive |
| 2025-08-01 | Senate | Effective Date January 1, 2026 Article IX | Enacted Into Law | Law |
| 2025-08-01 | Senate | Public Act . . . . . . . . .104-0073 Article IX | Enacted Into Law | Law |