HB3605
View on ILGAINS-GENETIC TESTING & SCREEN
What this bill does
Amends the Illinois Insurance Code. Makes changes to defined terms. Provides that a group policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed after January 1, 2026 shall provide coverage for evidence-based cancer imaging for individuals with an increased risk of cancer as recommended by the current National Comprehensive Cancer Network clinical practice guidelines. Provides that this coverage shall be provided without cost-sharing, and the requirements of the Act shall not apply to the extent that providing coverage would disqualify a high-deductible health plan from eligibility for a health savings account.
Stuck
P(Advance)
Chance it ever
reaches a milestone (committee, floor, etc.). Not “next step.”
P(Law)
Chance it becomes
law given where it is now (stage, momentum).
Forecast
Low
P(law) at intro —
sponsor & topic only; no progress or delay.
Confidence: 78%
Calculating prediction drivers...
Pipeline Progress
Current stage: Floor Vote · Last action 331 days ago · STAGNANT
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
Camille Y. Lilly
Moderate Influence (#50)
Bridges legislative blocs (high betweenness)
Bills sponsored by Camille Y. Lilly advance 1% more often than the chamber average.
Public Engagement
133 witness slips filed
122 proponents / 11 opponents
70 organizations
Witness slips
133 slips filed. Proponent / opponent / no position as filed with the committee.
| Name | Organization | Representing | Position | Hearing committee | Hearing date |
|---|---|---|---|---|---|
| Alimyon Allen | Susan G. Komen | Susan G. Komen | Proponent | Insurance | 2025-03-20 |
| Amy Alderson | None | Self | Proponent | Insurance | 2025-03-20 |
| Amy Reimer | Home | Self | Proponent | Insurance | 2025-03-20 |
| Amy Zimmerman | Jewish United Fund | JUF's Sarnoff Center for Jewish Genetics | Proponent | Insurance | 2025-03-20 |
| Angela Hall | Self | Proponent | Insurance | 2025-03-20 | |
| Ashley Kenny | NA | Self | Proponent | Insurance | 2025-03-20 |
| Bill Werner | na | Self | Proponent | Insurance | 2025-03-20 |
| Breanne Prindeville | Illinois Society of Genetics Professionals | Illinois Society of Genetics Professionals | Proponent | Insurance | 2025-03-20 |
| Brian Scifers | None | self | Proponent | Insurance | 2025-03-20 |
| David Schwartz | Self | Self | Proponent | Insurance | 2025-03-20 |
| Ingrid W Perrino | Sunline Services Inc | Self | Proponent | Insurance | 2025-03-20 |
| Julie Gillette | Julie Gillette | Self | Proponent | Insurance | 2025-03-20 |
| Kim Bryant | Self | Myself | Proponent | Insurance | 2025-03-20 |
| Lisa Beth Feder | NA | myself | Proponent | Insurance | 2025-03-20 |
| Lisa Beth Feder | NA | self | Proponent | Insurance | 2025-03-20 |
| Lisa Peabody | FORCE Facing Our Risk of Cancer Empowered | FORCE Facing Our Risk of Cancer Empowered | Proponent | Insurance | 2025-03-20 |
| Marla Brandt | None | Self | Proponent | Insurance | 2025-03-20 |
| Megan Brazas | Self | Proponent | Insurance | 2025-03-20 | |
| Meghan Prisby | FORCE Facing Our Risk of Cancer Empowered | Self | Proponent | Insurance | 2025-03-20 |
| Myrtis Brown | Self | Proponent | Insurance | 2025-03-20 | |
| Paul Wagner | retired | Myself | Proponent | Insurance | 2025-03-20 |
| Roberta Drell | self | myself | Proponent | Insurance | 2025-03-20 |
| Sarah Ponder | Self | Self | Proponent | Insurance | 2025-03-20 |
| Susan Bramlet Lavin | Illinois National Organization for Women | Illinois NOW | Proponent | Insurance | 2025-03-20 |
| Susan Wagner | SRW Marketing, Inc. | Self | Proponent | Insurance | 2025-03-20 |
| Alexandra Byrd | Lurie Children's Hospital | Proponent | Insurance | 2025-03-18 | |
| Alimyon Allen | Susan G. Komen | Susan G. Komen | Proponent | Insurance | 2025-03-18 |
| Ally Lopshire | American Cancer Society Cancer Action Network | American Cancer Society Cancer Action Network | Proponent | Insurance | 2025-03-18 |
| Alyssa Valentine | Illinois Society of Genetics Professionals | Proponent | Insurance | 2025-03-18 | |
| Amanda Allred | not applicable | Proponent | Insurance | 2025-03-18 | |
| Anastasia Kathrens-Gallardo | Ascension | Proponent | Insurance | 2025-03-18 | |
| Andrew Drackley | Ann & Robert H. Lurie Children's Hospital of Chicago | Proponent | Insurance | 2025-03-18 | |
| Ann Pendergast | Self | Proponent | Insurance | 2025-03-18 | |
| Arlene Carlos | Cook County Health | Proponent | Insurance | 2025-03-18 | |
| Brittany Sheldon | UW Health | Proponent | Insurance | 2025-03-18 | |
| Cara Barnett | individual | Proponent | Insurance | 2025-03-18 | |
| Carolyn Raski | Individual | Proponent | Insurance | 2025-03-18 | |
| Charlotte Rosenfield | None | Proponent | Insurance | 2025-03-18 | |
| Christine Javurek | UWNI | Proponent | Insurance | 2025-03-18 | |
| Daniel V Munoz | Self-Identified Individual | Proponent | Insurance | 2025-03-18 | |
| Darci M O'Connell | self | self | Proponent | Insurance | 2025-03-18 |
| David Jurgensmeyer | Self | Proponent | Insurance | 2025-03-18 | |
| Divya Shah Baxi | Self | Proponent | Insurance | 2025-03-18 | |
| Elizabeth Celeste | UW Carbone Cancer Center | Proponent | Insurance | 2025-03-18 | |
| Elizabeth Leeth | ISGP | Proponent | Insurance | 2025-03-18 | |
| Emma Langas | Student | Proponent | Insurance | 2025-03-18 | |
| Erica Austin | Self | Self | Proponent | Insurance | 2025-03-18 |
| Erin Falsey | UIC | Proponent | Insurance | 2025-03-18 | |
| Erin McGinnis | self | self | Proponent | Insurance | 2025-03-18 |
| Eve Simi | lane tech | Proponent | Insurance | 2025-03-18 | |
| Gabriela Andrea Pena | Equal Hope | Proponent | Insurance | 2025-03-18 | |
| Heidi Punke Brown | self | Proponent | Insurance | 2025-03-18 | |
| Iris Fietko | UIC | SELF | Proponent | Insurance | 2025-03-18 |
| Isabelle Westcott | Independent | Proponent | Insurance | 2025-03-18 | |
| Jaime Duncan | na | Proponent | Insurance | 2025-03-18 | |
| Jelena Ivanisevic | Lurie Children's Hospital | Proponent | Insurance | 2025-03-18 | |
| Jennifer Marrero | Ann and Robert Lurie Childrens Hospital | Proponent | Insurance | 2025-03-18 | |
| Jennifer Riera | Individual | Proponent | Insurance | 2025-03-18 | |
| Jennifer Simmons | none | none | Proponent | Insurance | 2025-03-18 |
| Jennifer Thompson | HealthyGene | Proponent | Insurance | 2025-03-18 | |
| Jessie Chen | UW Madison | Proponent | Insurance | 2025-03-18 | |
| Jiana Calixto | Equal Hope | Proponent | Insurance | 2025-03-18 | |
| Juanita Arroyo | The Resurrection Project | Proponent | Insurance | 2025-03-18 | |
| Julie Grubek | Facing our risk | Facing Our Risk Cancer Empowerment | Proponent | Insurance | 2025-03-18 |
| Kali Mahoney | Self | Proponent | Insurance | 2025-03-18 | |
| KAREN OLENICK | Susan G. Komen Center for Public Policy | Advocacy Ambassador | Proponent | Insurance | 2025-03-18 |
| Kate Krempely | Labcorp Genetics | Proponent | Insurance | 2025-03-18 | |
| Katharine Rollins | UW Health | Proponent | Insurance | 2025-03-18 | |
| Katherine Loehr | Carbone Cancer Center - Rockford | Self | Proponent | Insurance | 2025-03-18 |
| Kathi Bouland | NIUW Regional Cancer Center | Proponent | Insurance | 2025-03-18 | |
| KATHLEEN POWERS | Self | Self | Proponent | Insurance | 2025-03-18 |
| Kathryn Sparks | Ann & Robert H. Lurie Children's Hospital of Chicago | IL rare disease patient families | Proponent | Insurance | 2025-03-18 |
| Kelly Moyer | Individual | Proponent | Insurance | 2025-03-18 | |
| Kelsey Hogan | none | Proponent | Insurance | 2025-03-18 | |
| Kristofer Knudsen | Radio Advertising Inc | Self | Proponent | Insurance | 2025-03-18 |
| Kristy Chorostecki | NA | Proponent | Insurance | 2025-03-18 | |
| Kylie LaBouve | Citizen | Proponent | Insurance | 2025-03-18 | |
| Lenika De Simone | NA | Proponent | Insurance | 2025-03-18 | |
| Lisa Mayer | none | Proponent | Insurance | 2025-03-18 | |
| Lisa Peabody | FORCE Facing Our Risk of Cancer Empowered | FORCE Facing Our Risk of Cancer Empowered | Proponent | Insurance | 2025-03-18 |
| Lisa pilot | Equal Hope | Proponent | Insurance | 2025-03-18 | |
| Lisa-Jasmin Ford | Educating Our Community | Yes | Proponent | Insurance | 2025-03-18 |
| Malia Beal | Equal Hope | Proponent | Insurance | 2025-03-18 | |
| Mary Langas | Addison group | Proponent | Insurance | 2025-03-18 | |
| Megan Guerin | FORCE | Self | Proponent | Insurance | 2025-03-18 |
| Megan Horn | Genetic Counselor | Proponent | Insurance | 2025-03-18 | |
| Meghan Lundy | Na | Proponent | Insurance | 2025-03-18 | |
| Melanie Baxter | Saint Francis Healthcare System | Proponent | Insurance | 2025-03-18 | |
| Melina Martinez | Equal Hope | Proponent | Insurance | 2025-03-18 | |
| Michelle Davis | none | Proponent | Insurance | 2025-03-18 | |
| Miranda Cox | UW Health | Proponent | Insurance | 2025-03-18 | |
| MIRIAM OCILLOS | UW-NIL | Proponent | Insurance | 2025-03-18 | |
| Morgan Haynie | UW Health | Proponent | Insurance | 2025-03-18 | |
| Natalie Blackwood | self | Proponent | Insurance | 2025-03-18 | |
| Nathan James | UW Health | Proponent | Insurance | 2025-03-18 | |
| Neil Bradford Perlman | Colon Cancer Alliance for Research and Education for Lynch Syndrome | People with genetic predisposition for cancers | Proponent | Insurance | 2025-03-18 |
| Nicholas Wolfe | UW Health Northern IL | Proponent | Insurance | 2025-03-18 | |
| Nick Langas | NA | Proponent | Insurance | 2025-03-18 | |
| Nicole Haggerty | Lurie Children's Hospital of Chicago | Proponent | Insurance | 2025-03-18 | |
| Pam Lunde | Carbone Cancer Center Rockford | Proponent | Insurance | 2025-03-18 | |
| Paris Thomas | Equal Hope | Equal Hope | Proponent | Insurance | 2025-03-18 |
| Pete Langas | Nerdio | Proponent | Insurance | 2025-03-18 | |
| Peter Tyor | Retired | Self | Proponent | Insurance | 2025-03-18 |
| Riley Moore | Student | Proponent | Insurance | 2025-03-18 | |
| Sarah Jurgensmeyer Langas | NA | Self | Proponent | Insurance | 2025-03-18 |
| Sarah Lomahan | Equal Hope | Proponent | Insurance | 2025-03-18 | |
| Sasha Bauer | UWHealth Northern Illinois | Proponent | Insurance | 2025-03-18 | |
| Scott Weissman | Chicago Genetic Consultants | Proponent | Insurance | 2025-03-18 | |
| Sharon Perlman | Self | Proponent | Insurance | 2025-03-18 | |
| Sheryl Walker | NA | Proponent | Insurance | 2025-03-18 | |
| Sofia Fernandez | Triage Cancer | Triage Cancer | Proponent | Insurance | 2025-03-18 |
| Sonia Ehrlich | University of Illinois at Chicago | Proponent | Insurance | 2025-03-18 | |
| Susan Wagner | SRW Marketing, Inc. | Self | Proponent | Insurance | 2025-03-18 |
| Tammy R Langas | Evereve | Proponent | Insurance | 2025-03-18 | |
| Thea Bloom | Self | Proponent | Insurance | 2025-03-18 | |
| Tondalaya Llloyd | The Lloyd Law Firm LLC | Proponent | Insurance | 2025-03-18 | |
| Veronica Sanchez Villa | Equal Hope | Proponent | Insurance | 2025-03-18 | |
| Vicki L Hunt | UW Health Carbone Cancer Center | Proponent | Insurance | 2025-03-18 | |
| Vivian Pan | University of Illinois Cancer Center | Self | Proponent | Insurance | 2025-03-18 |
| Wendy Palmer | UWNI Carbone Cancer Center | Proponent | Insurance | 2025-03-18 | |
| Yamile Molina | University of Illinois Cancer Center | SELF | Proponent | Insurance | 2025-03-18 |
| Zylvia Ramos | clinic | Proponent | Insurance | 2025-03-18 | |
| Jordan Ryan | Illinois Chamber of Commerce | Illinois Chamber of Commerce | Opponent | Insurance | 2025-03-20 |
| Kate Morthland | Illinois Life & Health Insurance Council | Illinois Life & Health Insurance Council | Opponent | Insurance | 2025-03-20 |
| Laura Minzer | Illinois Life & Health Insurance Council | Illinois Life & Health Insurance Council | Opponent | Insurance | 2025-03-20 |
| Alec Laird | Illinois Retail Merchants Association | Illinois Retail Merchants Association | Opponent | Insurance | 2025-03-18 |
| Ed Peck | BlueCross BlueShield of Illinois | BlueCross BlueShield of Illinois | Opponent | Insurance | 2025-03-18 |
| Gabriela Garza | Illinois Manufacturers' Association | Illinois Manufacturers' Association | Opponent | Insurance | 2025-03-18 |
| Jordan Ryan | Illinois Chamber of Commerce | Illinois Chamber of Commerce | Opponent | Insurance | 2025-03-18 |
| Kate Morthland | Illinois Life & Health Insurance Council | Illinois Life & Health Insurance Council | Opponent | Insurance | 2025-03-18 |
| Kevin Martin | Illinois Insurance Association | Illinois Insurance Association | Opponent | Insurance | 2025-03-18 |
| Lori Reimers | AHIP | AHIP | Opponent | Insurance | 2025-03-18 |
| MARIA CAROLINA BUJANDA | UIC CANCER CENTER | Opponent | 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 | 11 | 6 | 0 | 0 | Passed | 5 | — |
Action History
18 actions recorded. Last action: 2025-05-13 — Added Co-SponsorRep. Stephanie A. Kifowit. Each action's meaning and outcome signal are classified automatically.
2025-02-07
Introduction & Filing
Filed with the Clerk byRep. Camille Y. Lilly House Rule 6(b)
Bill officially submitted to the House Clerk during the session.
2025-02-18
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.
2025-02-18
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.
2025-03-11
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.
2025-03-20
Committee Action
Positive
Do Pass / Short DebateInsurance Committee; 011-006-000 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.
2025-03-21
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.
2025-03-25
Amendment Actions
House Floor Amendment No. 1 Filed with Clerk byRep. Camille Y. Lilly
[Amendment] Amendment sub-action.
2025-03-25
Amendment Actions
House Floor Amendment No. 1 Referred toRules Committee
[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.
2025-03-25
Co-Sponsorship
Mild +
Added Chief Co-SponsorRep. Marcus C. Evans, Jr. Senate Rule 5-1(a); House Rule 37(a)
Chief co-sponsor added.
2025-03-25
Co-Sponsorship
Mild +
Added Co-SponsorRep. William "Will" Davis Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-03-26
Amendment Actions
House Floor Amendment No. 1 Recommends Be AdoptedRules Committee; 005-000-000
[Amendment] Amendment sub-action.
2025-03-26
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.
2025-03-26
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.
2025-04-09
Co-Sponsorship
Mild +
Added Co-SponsorRep. Janet Yang Rohr Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-04-11
Deadlines & Re-referrals
Mild −
Rule 19(a) / Re-referred toRules Committee House Rule 19(a); Senate analog: Rule 3-9(a)
MISSED COMMITTEE DEADLINE — bill did not get a committee vote before the deadline and is re-referred to Rules/Assignments. The bill is NOT dead but faces an uphill battle to be reassigned. Most bills that hit Rule 19(a) do not advance.
2025-04-11
Amendment Actions
House Floor Amendment No. 1 Rule 19(c) / Re-referred toRules Committee
[Amendment] Amendment sub-action.
2025-05-12
Co-Sponsorship
Mild +
Added Co-SponsorRep. Anne Stava Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-05-13
Co-Sponsorship
Mild +
Added Co-SponsorRep. Stephanie A. Kifowit Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
All actions (table)
| Date | Chamber | Action | Category | Signal |
|---|---|---|---|---|
| 2025-02-07 | House | Filed with the Clerk byRep. Camille Y. Lilly House Rule 6(b) | Introduction & Filing | — |
| 2025-02-18 | House | First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38 | Introduction & Filing | — |
| 2025-02-18 | House | Referred toRules Committee Senate Rule 3-8(a); House Rule 18(a) | Committee Assignment | — |
| 2025-03-11 | House | Assigned toInsurance Committee Senate Rule 3-8(a); House Rule 18(b) | Committee Assignment | — |
| 2025-03-20 | House | Do Pass / Short DebateInsurance Committee; 011-006-000 Senate Rule 3-11(a)(1); House Rule 22(a)(1), 52(b) | Committee Action | Positive |
| 2025-03-21 | 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 |
| 2025-03-25 | House | House Floor Amendment No. 1 Filed with Clerk byRep. Camille Y. Lilly | Amendment Actions | — |
| 2025-03-25 | House | House Floor Amendment No. 1 Referred toRules Committee | Amendment Actions | — |
| 2025-03-25 | House | Added Chief Co-SponsorRep. Marcus C. Evans, Jr. Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-03-25 | House | Added Co-SponsorRep. William "Will" Davis Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-03-26 | House | House Floor Amendment No. 1 Recommends Be AdoptedRules Committee; 005-000-000 | Amendment Actions | — |
| 2025-03-26 | 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 |
| 2025-03-26 | 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 | — |
| 2025-04-09 | House | Added Co-SponsorRep. Janet Yang Rohr Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-04-11 | House | Rule 19(a) / Re-referred toRules Committee House Rule 19(a); Senate analog: Rule 3-9(a) | Deadlines & Re-referrals | Mild − |
| 2025-04-11 | House | House Floor Amendment No. 1 Rule 19(c) / Re-referred toRules Committee | Amendment Actions | — |
| 2025-05-12 | House | Added Co-SponsorRep. Anne Stava Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-05-13 | House | Added Co-SponsorRep. Stephanie A. Kifowit Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |