SB1238
View on ILGANONOPIOID ALTERNATIVES
What this bill does
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.
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Pipeline Progress
Current stage: Signed into Law · Last action 421 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
Bills sponsored by Karina Villa 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.
Sponsor and voter funding
| Member | Role | Receipts | Total received | Top donors |
|---|---|---|---|---|
| Karina Villa | Chief 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) |
| Mattie Hunter | Sponsor | 221 | $284,896.25 | Chicago Land Operators Joint Labor Management PAC ($16,000.00); DaVita ($10,000.00); Ameren ($8,500.00) |
| 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) |
| 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) |
| 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) |
| 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) |
| 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 Fine | 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) |
| Graciela Guzmán | Sponsor | 0 | $0.00 | — |
| Cristina Castro | Sponsor | 345 | $594,037.25 | Associated Beer Distributors of Illinois PAC ($55,287.94); Illinois Laborers' Legislative Committee ($20,000.00); LiUNA Chicago Laborers' District Council PAC ($15,500.00) |
| 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) |
| Seth Lewis | Sponsor | 212 | $468,018.02 | Chicago Land Operators Joint Labor-Management PAC ($86,270.34); IBEW Illinois PAC ($68,500.00); Illinois Senate Republican Campaign Committee ($48,360.03) |
| Julie A. Morrison | Sponsor | 251 | $482,585.57 | Health Care Council of Illinois PAC ($20,250.00); IPACE ($18,000.00); Dudley & Lake LLC ($14,000.00) |
| Li Arellano, Jr. | Sponsor | 88 | $66,275.00 | Health Care Council of Illinois Political Action Committee ($5,000.00); Marquis Energy ($5,000.00); Prairie Band Potawatomi Nation ($3,500.00) |
| Sara Feigenholtz | Sponsor | 377 | $970,934.11 | Democratic Party of Illinois ($187,464.40); ISDF ($113,347.37); Illinois Education Association (IPACE) ($72,800.00) |
| Janet Yang Rohr | Sponsor | 47 | $107,494.54 | Democrats for the Illinois House ($28,951.66); IPACE ($15,000.00); Save Our Local Businesses Illinois PAC ($10,000.00) |
| Kevin Schmidt | Sponsor | 141 | $181,200.07 | IPACE ($50,000.00); Illinois Republican Party ($24,159.86); Chicago Land Operators Joint Labor -Management ($8,500.00) |
| Lindsey LaPointe | Sponsor | 336 | $263,682.75 | Chicago Investments II L P ($11,300.00); Illinois PAC for Education (IPACE) ($10,000.00); Health Care Council of Illinois (HCCI) ($10,000.00) |
| Laura Faver Dias | Sponsor | 87 | $99,133.11 | Chicagoland Operators Joint Labor-Management PAC ($9,000.00); IPACE ($7,500.00); Karen Faver ($6,302.50) |
| Nicolle Grasse | Sponsor | 109 | $337,169.54 | LIUNA Chicago Laborers' District Council PAC ($75,800.00); Carpentry Advancement Political Action Committee Fund ($73,800.00); I.P.A.C.E. ($52,500.00) |
Overlapping donors
Donors who gave to more than one sponsor or voter on this bill. Still not earmarked to the bill.
Top donors across these members
| Donor | Occupation | Employer | Receipts | Total |
|---|---|---|---|---|
| Friends of Don Harmon for State Senate | — | — | 7 | $289,418.12 |
| ISDF | — | — | 39 | $218,927.88 |
| Chicago Land Operators Joint Labor-Management PAC | — | — | 48 | $194,770.34 |
| IPACE | — | — | 16 | $193,300.00 |
| Democratic Party of Illinois | — | — | 7 | $188,464.40 |
| LIUNA Chicago Laborers District Council | — | — | 4 | $175,600.00 |
| IBEW Illinois PAC | — | — | 6 | $151,800.00 |
| Illinois Laborers Legislative Committee | — | — | 3 | $145,600.00 |
| SEIU HealthCare IL IN PAC | — | — | 12 | $115,700.00 |
| Chicago Teachers Union | — | — | 3 | $112,500.00 |
| Health Care Council of Illinois PAC | — | — | 10 | $99,000.00 |
| Associated Beer Distributors of Illinois PAC | — | — | 20 | $95,774.57 |
| Carpentry Advancement PAC Fund | — | — | 15 | $95,300.00 |
| I.P.A.C.E. | — | — | 7 | $95,000.00 |
| Illinois Federation of Teachers COPE | — | — | 18 | $94,550.00 |
| LIUNA Chicago Laborers' District Council PAC | — | — | 7 | $86,800.00 |
| Carpentry Advancement Political Action Committee Fund | — | — | 11 | $84,300.00 |
| United with Delia for Congress | — | — | 4 | $82,300.00 |
| Illinois Laborers' Legislative Committee | — | — | 19 | $75,500.00 |
| North Ctrl IL Laborers Dist Council PAC | — | — | 3 | $75,300.00 |
| SEIU Illinois Council PAC Fund | — | — | 2 | $72,800.00 |
| Illinois Education Association (IPACE) | — | — | 1 | $72,800.00 |
| AFSCME IL Council 31 PAC | — | — | 1 | $68,800.00 |
| Carpentry Advancement PAC | — | — | 10 | $68,000.00 |
| DWS | — | — | 18 | $52,567.98 |
Public Engagement
Witness slips
47 slips filed. Proponent / opponent / no position as filed with the committee.
| Name | Organization | Representing | Position | Hearing committee | Hearing date |
|---|---|---|---|---|---|
| Alicia Friedman | Epiphany Practice Resources | US Pain Foundation | Proponent | Health Care Availability & Access | 2025-04-29 |
| Austin James Mink | Self | Self | Proponent | Health Care Availability & Access | 2025-04-29 |
| Ben Schwarm | Illinois Chiropractic Society | Illinois Chiropractic Society | Proponent | Health Care Availability & Access | 2025-04-29 |
| Connor McDermott | Point of Difference Strategies | Vertex | Proponent | Health Care Availability & Access | 2025-04-29 |
| Dan Hohl | Illinois State Medical Society | Illinois State Medical Society | Proponent | Health Care Availability & Access | 2025-04-29 |
| Libby Brunsvold | Vertex Pharmaceuticals | Vertex Pharmaceuticals | Proponent | Health Care Availability & Access | 2025-04-29 |
| Margaret Vaughn | Margaret Vaughn Consulting | Illinois Certification Board | Proponent | Health Care Availability & Access | 2025-04-29 |
| Randy Wells | Illinois Association for Behavioral Health | Illinois Association for Behavioral Health | Proponent | Health Care Availability & Access | 2025-04-29 |
| Ryan Melchin | The Center for Youth and Family Solutions | The Center for Youth and Family Solutions | Proponent | Health Care Availability & Access | 2025-04-29 |
| Austin James Mink | Self | Self | Proponent | Insurance | 2025-03-18 |
| Chris Fox | Voices for Non-Opioid Choices | Voices for Non-Opioid Choices | Proponent | Insurance | 2025-03-18 |
| David Schwartz | Self | Self | Proponent | Insurance | 2025-03-18 |
| Libby Brunsvold | Vertex | Vertex | Proponent | Insurance | 2025-03-18 |
| Margaret Vaughn | Margaret Vaughn Consulting | Illinois Certification Board | Proponent | Insurance | 2025-03-18 |
| Randy Wells | Illinois Association for Behavioral Health | Illinois Association for Behavioral Health | Proponent | Insurance | 2025-03-18 |
| Tyler Smith | Community Behavioral Healthcare Association | Community Behavioral Healthcare Association (CBHA) | Proponent | Insurance | 2025-03-18 |
| Alicia Friedman | Epiphany Practice Resources | US Pain Foundation | Proponent | Insurance | 2025-03-04 |
| David Schwartz | Self | Self | Proponent | Insurance | 2025-03-04 |
| Garth Reynolds | Illinois Pharmacists Association | Illinois Pharmacists Association | Proponent | Insurance | 2025-03-04 |
| Margaret Vaughn | Margaret Vaughn Consulting | Illinois Certification Board | Proponent | Insurance | 2025-03-04 |
| Margo Gislain | Illinois Nurses Association | Illinois Nurses Association | Proponent | Insurance | 2025-03-04 |
| Maria Gross Pollock | self | self | Proponent | Insurance | 2025-03-04 |
| Sterling Elliott | Voices for Non-Opioid Choices | Voices for Non-Opioid Choices | Proponent | Insurance | 2025-03-04 |
| Alicia Friedman | Epiphany Practice Resources | US Pain Foundation | Proponent | Insurance | 2025-02-25 |
| David Schwartz | Self | Self | Proponent | Insurance | 2025-02-25 |
| Libby Brunsvold | Vertex | Vertex | Proponent | Insurance | 2025-02-25 |
| Margaret Vaughn | Margaret Vaughn Consulting | Illinois Certification Board | Proponent | Insurance | 2025-02-25 |
| Maria Gross Pollock | self | self | Proponent | Insurance | 2025-02-25 |
| Randy Wells | Illinois Association for Behavioral Health | Illinois Association for Behavioral Health | Proponent | Insurance | 2025-02-25 |
| Sterling Elliott | Voices for Non-Opioid Choices | Voices for Non-Opioid Choices | Proponent | Insurance | 2025-02-25 |
| Alicia Friedman | Epiphany Practice Resources | US Pain Foundation | Proponent | Insurance | 2025-02-18 |
| Austin James Mink | Self | Self | Proponent | Insurance | 2025-02-18 |
| Ben Schwarm | Illinois Chiropractic Society | Illinois Chiropractic Society | Proponent | Insurance | 2025-02-18 |
| David Schwartz | Self | Self | Proponent | Insurance | 2025-02-18 |
| Elizabeth Brunsvold | Vertex | Vertex | Proponent | Insurance | 2025-02-18 |
| Garth Reynolds | Illinois Pharmacists Association | Illinois Pharmacists Association | Proponent | Insurance | 2025-02-18 |
| Maria Gross Pollock | self | self | Proponent | Insurance | 2025-02-18 |
| Randy Wells | Illinois Association for Behavioral Health | Illinois Association for Behavioral Health | Proponent | Insurance | 2025-02-18 |
| Sterling Elliott | Voices for Non-Opioid Choices | Voices for Non-Opioid Choices | Proponent | Insurance | 2025-02-18 |
| Ed Peck | BlueCross BlueShield of Illinois | BlueCross BlueShield of Illinois | Opponent | Insurance | 2025-03-04 |
| Kate Morthland | Illinois Life & Health Insurance Council | Illinois Life & Health Insurance Council | Opponent | Insurance | 2025-03-04 |
| Kevin Martin | Illinois Insurance Association | Illinois Insurance Association | Opponent | Insurance | 2025-03-04 |
| Lori Reimers | PCMA | PCMA | Opponent | Insurance | 2025-03-04 |
| Lori Reimers | PCMA | PCMA | Opponent | Insurance | 2025-02-25 |
| Ed Peck | BlueCross BlueShield of Illinois | BlueCross BlueShield of Illinois | Opponent | Insurance | 2025-02-18 |
| Kevin Martin | Illinois Insurance Association | Illinois Insurance Association | Opponent | Insurance | 2025-02-18 |
| Lori Reimers | PCMA | PCMA | Opponent | Insurance | 2025-02-18 |
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 | Health Care Availability & Access | 11 | 0 | 0 | 3 | Passed | 11 | — | |
| 2025-05-22 | H | Floor | Third Reading | 113 | 0 | 0 | 5 | Passed | 113 | — |
| S | Committee | Insurance | 12 | 0 | 0 | 2 | Passed | 12 | — | |
| S | Floor | Third Reading | 53 | 0 | 0 | 6 | Passed | 53 | — |
Action History
49 actions recorded. Last action: 2025-08-15 — Public Act . . . . . . . . .104-0369. Each action's meaning and outcome signal are classified automatically.
All actions (table)
| Date | Chamber | Action | Category | Signal |
|---|---|---|---|---|
| 2025-01-24 | Senate | Filed with Secretary bySen. Karina Villa Rule 2-7(b) | Introduction & Filing | — |
| 2025-01-24 | Senate | First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38 | Introduction & Filing | — |
| 2025-01-24 | Senate | Referred toAssignments Senate Rule 3-8(a); House Rule 18(a) | Committee Assignment | — |
| 2025-02-04 | Senate | Assigned toInsurance Senate Rule 3-8(a); House Rule 18(b) | Committee Assignment | — |
| 2025-02-04 | Senate | Added as Co-SponsorSen. Michael W. Halpin Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-02-04 | Senate | Added as Co-SponsorSen. Javier L. Cervantes Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-02-04 | Senate | Added as Co-SponsorSen. Mary Edly-Allen Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-02-05 | Senate | Added as Co-SponsorSen. Robert Peters 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 + |
| 2025-02-07 | Senate | Added as Co-SponsorSen. Laura Fine Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-02-11 | Senate | Added as Co-SponsorSen. Graciela Guzmán Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-02-18 | Senate | Added as Co-SponsorSen. Cristina Castro Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-02-19 | Senate | Postponed -Insurance Senate Rule 3-11; House Rule 22 | Committee Action | — |
| 2025-02-19 | Senate | Added as Chief Co-SponsorSen. Mattie Hunter Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-03-05 | Senate | Postponed -Insurance Senate Rule 3-11; House Rule 22 | Committee Action | — |
| 2025-03-05 | Senate | Added as Co-SponsorSen. Mark L. Walker Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-03-06 | Senate | Added as Co-SponsorSen. Seth Lewis Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-03-12 | Senate | Senate Committee Amendment No. 1 Filed with Secretary bySen. Karina Villa | Amendment Actions | — |
| 2025-03-12 | Senate | Senate Committee Amendment No. 1 Referred toAssignments | Amendment Actions | — |
| 2025-03-12 | Senate | Added as Co-SponsorSen. Julie A. Morrison Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-03-18 | Senate | Senate Committee Amendment No. 1 Assignments Refers toInsurance | Amendment Actions | — |
| 2025-03-18 | Senate | Senate Committee Amendment No. 1 Adopted | Amendment Actions | Positive |
| 2025-03-19 | Senate | Do Pass as AmendedInsurance; 012-000-000 Rule 3-11(a)(1), Rule 3-12(a) | Committee Action | Positive |
| 2025-03-19 | Senate | Placed on Calendar Order of 2nd Reading March 20, 2025 Rule 3-12(a), Rule 4-4(7) | Floor Process | Positive |
| 2025-03-20 | Senate | Second Reading Senate Rule 3-12(a)/5-4(a); House Rule 24(a)/40(b) | Floor Process | Positive |
| 2025-03-20 | Senate | Placed on Calendar Order of 3rd Reading April 1, 2025 Rule 4-4(8) | Floor Process | Positive |
| 2025-04-02 | Senate | Added as Co-SponsorSen. Li Arellano, Jr. Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-04-03 | Senate | Third Reading - Passed;053-000-000 Rule 5-1(f) | Floor Vote | Positive |
| 2025-04-03 | Senate | Added as Co-SponsorSen. Sara Feigenholtz Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-04-04 | House | Arrived in House Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12) | Cross-Chamber | Positive |
| 2025-04-04 | House | Chief House SponsorRep. Janet Yang Rohr Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12) | Cross-Chamber | Positive |
| 2025-04-07 | House | First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38 | Introduction & Filing | — |
| 2025-04-07 | House | Referred toRules Committee Senate Rule 3-8(a); House Rule 18(a) | Committee Assignment | — |
| 2025-04-17 | House | Assigned toHealth Care Availability & Accessibility Committee Senate Rule 3-8(a); House Rule 18(b) | Committee Assignment | — |
| 2025-04-29 | House | Do Pass / Short DebateHealth Care Availability & Accessibility Committee; 011-000-000 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 |
| 2025-05-16 | 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 |
| 2025-05-16 | House | Held on Calendar Order of Second Reading - Short Debate Senate Rule 4-4(7-8)/5-2; House Rule 31(8-9)/38/52 | Floor Process | — |
| 2025-05-20 | House | Added Alternate Chief Co-SponsorRep. Kevin Schmidt Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-05-20 | House | Added Alternate Chief Co-SponsorRep. Lindsey LaPointe Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-05-20 | House | Added Alternate Chief Co-SponsorRep. Laura Faver Dias Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-05-22 | House | Placed on Calendar Order of 3rd Reading - Short Debate Rule 4-4(8) | Floor Process | Positive |
| 2025-05-22 | House | Third Reading - Short Debate - Passed113-000-000 Senate Rule 5-1(f)/7-1/7-2; House Rule 37(f)/49/50 | Floor Vote | Positive |
| 2025-05-22 | Senate | Passed Both Houses Rule 8-1, Rule 8-4 | Concurrence | Positive |
| 2025-05-22 | House | Added Alternate Co-SponsorRep. Nicolle Grasse Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-06-20 | Senate | Sent to the Governor Senate Article IX/Rules 9-1 to 9-6; House Article IX/Rules 77-82 | Governor Action | Positive |
| 2025-08-15 | Senate | Governor Approved Senate Article IX/Rules 9-1 to 9-6; House Article IX/Rules 77-82 | Governor Action | Positive |
| 2025-08-15 | Senate | Effective Date January 1, 2026 Article IX | Enacted Into Law | Law |
| 2025-08-15 | Senate | Public Act . . . . . . . . .104-0369 Article IX | Enacted Into Law | Law |