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.
PASSED INTO LAW
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Pipeline Progress
Current stage: Signed into Law · Last action 237 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
Karina Villa
Low Influence (#95)
Bridges legislative blocs (high betweenness)
Bills sponsored by Karina Villa advance 7% more often than the chamber average.
Public Engagement
47 witness slips filed
39 proponents / 8 opponents
18 organizations
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.
2025-01-24
Introduction & Filing
Filed with Secretary bySen. Karina Villa Rule 2-7(b)
Bill officially submitted to the Senate Secretary during the session.
2025-01-24
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.
2025-01-24
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.
2025-02-04
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.
2025-02-04
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.
2025-02-04
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.
2025-02-04
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.
2025-02-05
Co-Sponsorship
Mild +
Added as Co-SponsorSen. Robert Peters 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.
2025-02-07
Co-Sponsorship
Mild +
Added as Co-SponsorSen. Laura Fine Senate Rule 5-1(a); House Rule 37(a)
A legislator added as co-sponsor.
2025-02-11
Co-Sponsorship
Mild +
Added as Co-SponsorSen. Graciela Guzmán Senate Rule 5-1(a); House Rule 37(a)
A legislator added as co-sponsor.
2025-02-18
Co-Sponsorship
Mild +
Added as Co-SponsorSen. Cristina Castro Senate Rule 5-1(a); House Rule 37(a)
A legislator added as co-sponsor.
2025-02-19
Committee Action
Postponed -Insurance Senate Rule 3-11; House Rule 22
Committee hearing postponed. Routine procedural action — does NOT mean the bill is dead. Sponsor may be gathering votes or negotiating amendments.
2025-02-19
Co-Sponsorship
Mild +
Added as Chief Co-SponsorSen. Mattie Hunter 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.
2025-03-05
Committee Action
Postponed -Insurance Senate Rule 3-11; House Rule 22
Committee hearing postponed. Routine procedural action — does NOT mean the bill is dead. Sponsor may be gathering votes or negotiating amendments.
2025-03-05
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.
2025-03-06
Co-Sponsorship
Mild +
Added as Co-SponsorSen. Seth Lewis Senate Rule 5-1(a); House Rule 37(a)
A legislator added as co-sponsor.
2025-03-12
Amendment Actions
Senate Committee Amendment No. 1 Filed with Secretary bySen. Karina Villa
[Amendment] Bill officially submitted to the Senate Secretary during the session.
2025-03-12
Amendment Actions
Senate Committee 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.
2025-03-12
Co-Sponsorship
Mild +
Added as Co-SponsorSen. Julie A. Morrison Senate Rule 5-1(a); House Rule 37(a)
A legislator added as co-sponsor.
2025-03-18
Amendment Actions
Senate Committee Amendment No. 1 Assignments Refers toInsurance
[Amendment] Senate Assignments Committee forwards the bill to a substantive committee.
2025-03-18
Amendment Actions
Positive
Senate Committee Amendment No. 1 Adopted
[Amendment] Bill or resolution adopted by the chamber.
2025-03-19
Committee Action
Positive
Do Pass as AmendedInsurance; 012-000-000 Rule 3-11(a)(1), Rule 3-12(a)
Committee recommends passage. The most important positive gate — majority of bills never get here.
2025-03-19
Floor Process
Positive
Placed on Calendar Order of 2nd Reading March 20, 2025 Rule 3-12(a), Rule 4-4(7)
Bill placed on the order of Second Reading.
2025-03-20
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.
2025-03-20
Floor Process
Positive
Placed on Calendar Order of 3rd Reading April 1, 2025 Rule 4-4(8)
Bill placed on the Third Reading calendar — queued for final vote.
2025-04-02
Co-Sponsorship
Mild +
Added as Co-SponsorSen. Li Arellano, Jr. Senate Rule 5-1(a); House Rule 37(a)
A legislator added as co-sponsor.
2025-04-03
Floor Vote
Positive
Third Reading - Passed;053-000-000 Rule 5-1(f)
Bill PASSED a floor vote on Third Reading. Major milestone — bill has cleared one chamber.
2025-04-03
Co-Sponsorship
Mild +
Added as Co-SponsorSen. Sara Feigenholtz Senate Rule 5-1(a); House Rule 37(a)
A legislator added as co-sponsor.
2025-04-04
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.
2025-04-04
Cross-Chamber
Positive
Chief House SponsorRep. Janet Yang Rohr 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.
2025-04-07
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.
2025-04-07
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 toHealth Care Availability & Accessibility 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 DebateHealth Care Availability & Accessibility Committee; 011-000-000 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.
2025-05-16
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.
2025-05-16
Floor Process
Held on Calendar Order of Second Reading - Short Debate Senate Rule 4-4(7-8)/5-2; House Rule 31(8-9)/38/52
Bill was ready for Second Reading but was paused/held by the sponsor. Usually indicates the sponsor is still negotiating amendments or gathering votes. NOT a negative signal — the sponsor controls the pace.
2025-05-20
Co-Sponsorship
Mild +
Added Alternate Chief Co-SponsorRep. Kevin Schmidt Senate Rule 5-1(a); House Rule 37(a)
Alternate chief co-sponsor added.
2025-05-20
Co-Sponsorship
Mild +
Added Alternate Chief Co-SponsorRep. Lindsey LaPointe Senate Rule 5-1(a); House Rule 37(a)
Alternate chief co-sponsor added.
2025-05-20
Co-Sponsorship
Mild +
Added Alternate Chief Co-SponsorRep. Laura Faver Dias Senate Rule 5-1(a); House Rule 37(a)
Alternate chief co-sponsor added.
2025-05-22
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.
2025-05-22
Floor Vote
Positive
Third Reading - Short Debate - Passed113-000-000 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.
2025-05-22
Concurrence
Positive
Passed Both Houses Rule 8-1, Rule 8-4
Bill PASSED BOTH CHAMBERS. Major milestone — bill goes to the Governor next.
2025-05-22
Co-Sponsorship
Mild +
Added Alternate Co-SponsorRep. Nicolle Grasse Senate Rule 5-1(a); House Rule 37(a)
Alternate co-sponsor added in the second chamber.
2025-06-20
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.
2025-08-15
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).
2025-08-15
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.
2025-08-15
Enacted Into Law
Law
Public Act . . . . . . . . .104-0369 Article IX
Bill signed into law — assigned a Public Act number (e.g., PA 104-0032).
All actions (table)
| Date | Chamber | Action | Category | Signal |
|---|---|---|---|---|
| 2025-01-24 | 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 |