HB3849
View on ILGAPATIENT PRESCRIPTION PICK UP
What this bill does
Amends the Pharmacy Practice Act and the Illinois Controlled Substances Act. Provides that any authorized employee (instead of an advanced practice registered nurse, practical nurse, registered nurse, or physician) of an organization that provides hospice services to a hospice patient or that provides home health services to a person may receive a patient's prescription orders, including controlled substances, and deliver the prescription orders to the patient.
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
Nicolle Grasse
Moderate Influence (#30)
Bridges legislative blocs (high betweenness)
Bills they sponsor outperform predictions (positive pull)
Bills sponsored by Nicolle Grasse advance 13% more often than the chamber average.
Public Engagement
21 witness slips filed
20 proponents / 0 opponents
15 organizations
Witness slips
21 slips filed. Proponent / opponent / no position as filed with the committee.
| Name | Organization | Representing | Position | Hearing committee | Hearing date |
|---|---|---|---|---|---|
| Aces Lira | AIDS Foundation Chicago | AIDS Foundation Chicago | Proponent | Insurance | 2025-05-06 |
| Allison Gunnink | Lightways Hospice and Serious Illness Care | Self | Proponent | Insurance | 2025-05-06 |
| Dan Hohl | Illinois State Medical Society | Illinois State Medical Society | Proponent | Insurance | 2025-05-06 |
| David Schwartz | Self | Self | Proponent | Insurance | 2025-05-06 |
| Debra Broadfield | Capitol Edge Consulting | ANA-Illinois, Illinois Society for Advanced Practice Nursing | Proponent | Insurance | 2025-05-06 |
| Diane Slezak | AgeOptions | AgeOptions | Proponent | Insurance | 2025-05-06 |
| Ellen Byrne | Illinois Hospice & Palliative Care Organization | Illinois Hospice & Palliative Care Organization | Proponent | Insurance | 2025-05-06 |
| Garth Reynolds | Illinois Pharmacists Association | Illinois Pharmacists Association | Proponent | Insurance | 2025-05-06 |
| Katie | IL-HPCO | IL-HPCO | Proponent | Insurance | 2025-05-06 |
| Kristin Rubbelke | Kristin Rubbelke Consulting, LLC | Illinois Homecare & Hospice Council | Proponent | Insurance | 2025-05-06 |
| Lauren Webb | Les Turner ALS Foundation | Les Turner ALS Foundation | Proponent | Insurance | 2025-05-06 |
| Nicholas Haile | self | self | Proponent | Insurance | 2025-05-06 |
| Susan Real CEO | East Central Illinois Area Agency on Aging | East Central Illinois Area Agency on Aging | Proponent | Insurance | 2025-05-06 |
| Aces Lira | AIDS Foundation Chicago | AIDS Foundation Chicago | Proponent | Health Care Availability & Access | 2025-03-18 |
| David Zoltan | Disability Survival Coalition | Self | Proponent | Health Care Availability & Access | 2025-03-18 |
| Debra Broadfield | Capitol Edge Consulting | ANA-Illinois, Illinois Society for Advanced Practice Nursing | Proponent | Health Care Availability & Access | 2025-03-18 |
| Ellen Byrne | Illinois Hospice & Palliative Care Organization | Illinois Hospice & Palliative Care Organization | Proponent | Health Care Availability & Access | 2025-03-18 |
| Jen McIlrath | NA | NA | Proponent | Health Care Availability & Access | 2025-03-18 |
| Kristin Rubbelke | Kristin Rubbelke Consulting, LLC | Illinois Homecare and Hospice Association | Proponent | Health Care Availability & Access | 2025-03-18 |
| Mary Kay Sheehan | Lightways Hospice and Serious Illness Care | Lightways Hospice and Serious Illness | Proponent | Health Care Availability & Access | 2025-03-18 |
| Dan Lewis | Illinois Department of Financial and Professional Regulation | Illinois Department of Financial and Professional Regulation | No Position On Merits | Insurance | 2025-05-06 |
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 | 14 | 0 | 0 | 0 | Passed | 14 | — | |
| H | Floor | Third Reading | 113 | 0 | 0 | 5 | Passed | 113 | — | |
| 2025-05-06 | S | Committee | Insurance | 12 | 0 | 0 | 2 | Passed | 12 | — |
| 2025-05-22 | S | Floor | May 22, 2025 | 58 | 0 | 0 | 1 | Passed | 58 | — |
Action History
47 actions recorded. Last action: 2025-08-15 — Public Act . . . . . . . . .104-0336. Each action's meaning and outcome signal are classified automatically.
2025-02-07
Introduction & Filing
Filed with the Clerk byRep. Nicolle Grasse 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 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.
2025-03-18
Committee Action
Positive
Do Pass / Short DebateHealth Care Availability & Accessibility Committee; 014-000-000 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.
2025-03-19
Co-Sponsorship
Mild +
Added Co-SponsorRep. Dagmara Avelar Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-03-19
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
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.
2025-03-25
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.
2025-04-01
Co-Sponsorship
Mild +
Added Co-SponsorRep. Lindsey LaPointe Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-04-07
Co-Sponsorship
Mild +
Added Co-SponsorRep. Jaime M. Andrade, Jr. Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-04-07
Co-Sponsorship
Mild +
Added Co-SponsorRep. Yolonda Morris Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-04-08
Co-Sponsorship
Mild +
Added Co-SponsorRep. Michael Crawford Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-04-08
Co-Sponsorship
Mild +
Added Co-SponsorRep. Amy Briel Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-04-08
Co-Sponsorship
Mild +
Added Co-SponsorRep. Laura Faver Dias Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-04-08
Co-Sponsorship
Mild +
Added Co-SponsorRep. Martha Deuter Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-04-08
Co-Sponsorship
Mild +
Added Co-SponsorRep. Tracy Katz Muhl Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-04-08
Co-Sponsorship
Mild +
Added Co-SponsorRep. Kelly M. Cassidy Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-04-08
Co-Sponsorship
Mild +
Added Co-SponsorRep. Nabeela Syed Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-04-08
Co-Sponsorship
Mild +
Added Co-SponsorRep. Barbara Hernandez Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-04-08
Co-Sponsorship
Mild +
Added Co-SponsorRep. Theresa Mah Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-04-08
Co-Sponsorship
Mild +
Added Chief Co-SponsorRep. Hoan Huynh Senate Rule 5-1(a); House Rule 37(a)
Chief co-sponsor added.
2025-04-08
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.
2025-04-09
Co-Sponsorship
Mild +
Added Co-SponsorRep. Rick Ryan Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-04-09
Cross-Chamber
Positive
Arrive in Senate Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12)
House bill arrives in the Senate after passing the House.
2025-04-09
Procedural
Placed on Calendar Order of First Reading April 10, 2025 Senate Rule 4-4/7-4; House Rule 31/54
Bill queued for First Reading in the second chamber.
2025-04-14
Cross-Chamber
Positive
Chief Senate SponsorSen. Julie A. Morrison Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12)
Senate sponsor assigned for a House bill.
2025-04-14
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.
2025-04-14
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.
2025-04-23
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.
2025-04-29
Co-Sponsorship
Mild +
Added as Alternate Co-SponsorSen. Sara Feigenholtz Senate Rule 5-1(a); House Rule 37(a)
Alternate co-sponsor added.
2025-04-29
Co-Sponsorship
Mild +
Added as Alternate Co-SponsorSen. Cristina Castro Senate Rule 5-1(a); House Rule 37(a)
Alternate co-sponsor added.
2025-05-07
Committee Action
Positive
Do PassInsurance; 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.
2025-05-07
Floor Process
Positive
Placed on Calendar Order of 2nd Reading May 8, 2025 Rule 3-12(a), Rule 4-4(7)
Bill placed on the order of Second Reading.
2025-05-08
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.
2025-05-08
Floor Process
Positive
Placed on Calendar Order of 3rd Reading May 13, 2025 Rule 4-4(8)
Bill placed on the Third Reading calendar — queued for final vote.
2025-05-20
Floor Process
Positive
Placed on Calendar Order of 3rd Reading ** Rule 4-4(8)
Bill placed on the Third Reading calendar — queued for final vote.
2025-05-22
Co-Sponsorship
Mild +
Added as Alternate Co-SponsorSen. Adriane Johnson Senate Rule 5-1(a); House Rule 37(a)
Alternate co-sponsor added.
2025-05-22
Co-Sponsorship
Mild +
Added as Alternate Co-SponsorSen. Mary Edly-Allen Senate Rule 5-1(a); House Rule 37(a)
Alternate co-sponsor added.
2025-05-22
Floor Vote
Positive
Third Reading - Passed;058-000-000 Rule 5-1(f)
Bill PASSED a floor vote on Third Reading. Major milestone — bill has cleared one 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.
2025-05-26
Co-Sponsorship
Mild +
Added as Alternate Co-SponsorSen. Kimberly A. Lightford Senate Rule 5-1(a); House Rule 37(a)
Alternate co-sponsor added.
2025-05-31
Co-Sponsorship
Mild +
Added as Alternate Co-SponsorSen. Napoleon Harris, III Senate Rule 5-1(a); House Rule 37(a)
Alternate co-sponsor added.
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 . . . . . . . . .104-0336 Article IX
Bill signed into law — assigned a Public Act number (e.g., PA 104-0032).
All actions (table)
| Date | Chamber | Action | Category | Signal |
|---|---|---|---|---|
| 2025-02-07 | House | Filed with the Clerk byRep. Nicolle Grasse 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 toHealth Care Availability & Accessibility Committee Senate Rule 3-8(a); House Rule 18(b) | Committee Assignment | — |
| 2025-03-18 | House | Do Pass / Short DebateHealth Care Availability & Accessibility Committee; 014-000-000 Senate Rule 3-11(a)(1); House Rule 22(a)(1), 52(b) | Committee Action | Positive |
| 2025-03-19 | House | Added Co-SponsorRep. Dagmara Avelar Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-03-19 | 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 | Second Reading - Short Debate Senate Rule 3-12(a)/5-4(a); House Rule 24(a)/40(b)/52(a)(1) | Floor Process | Positive |
| 2025-03-25 | House | Placed on Calendar Order of 3rd Reading - Short Debate Rule 4-4(8) | Floor Process | Positive |
| 2025-04-01 | House | Added Co-SponsorRep. Lindsey LaPointe Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-04-07 | House | Added Co-SponsorRep. Jaime M. Andrade, Jr. Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-04-07 | House | Added Co-SponsorRep. Yolonda Morris Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-04-08 | House | Added Co-SponsorRep. Michael Crawford Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-04-08 | House | Added Co-SponsorRep. Amy Briel Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-04-08 | House | Added Co-SponsorRep. Laura Faver Dias Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-04-08 | House | Added Co-SponsorRep. Martha Deuter Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-04-08 | House | Added Co-SponsorRep. Tracy Katz Muhl Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-04-08 | House | Added Co-SponsorRep. Kelly M. Cassidy Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-04-08 | House | Added Co-SponsorRep. Nabeela Syed Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-04-08 | House | Added Co-SponsorRep. Barbara Hernandez Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-04-08 | House | Added Co-SponsorRep. Theresa Mah Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-04-08 | House | Added Chief Co-SponsorRep. Hoan Huynh Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-04-08 | 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 |
| 2025-04-09 | House | Added Co-SponsorRep. Rick Ryan Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-04-09 | Senate | Arrive in Senate Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12) | Cross-Chamber | Positive |
| 2025-04-09 | Senate | Placed on Calendar Order of First Reading April 10, 2025 Senate Rule 4-4/7-4; House Rule 31/54 | Procedural | — |
| 2025-04-14 | Senate | Chief Senate SponsorSen. Julie A. Morrison Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12) | Cross-Chamber | Positive |
| 2025-04-14 | Senate | First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38 | Introduction & Filing | — |
| 2025-04-14 | Senate | Referred toAssignments Senate Rule 3-8(a); House Rule 18(a) | Committee Assignment | — |
| 2025-04-23 | Senate | Assigned toInsurance Senate Rule 3-8(a); House Rule 18(b) | Committee Assignment | — |
| 2025-04-29 | Senate | Added as Alternate Co-SponsorSen. Sara Feigenholtz Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-04-29 | Senate | Added as Alternate Co-SponsorSen. Cristina Castro Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-05-07 | Senate | Do PassInsurance; 012-000-000 Rule 3-11(a)(1), Rule 3-12(a) | Committee Action | Positive |
| 2025-05-07 | Senate | Placed on Calendar Order of 2nd Reading May 8, 2025 Rule 3-12(a), Rule 4-4(7) | Floor Process | Positive |
| 2025-05-08 | Senate | Second Reading Senate Rule 3-12(a)/5-4(a); House Rule 24(a)/40(b) | Floor Process | Positive |
| 2025-05-08 | Senate | Placed on Calendar Order of 3rd Reading May 13, 2025 Rule 4-4(8) | Floor Process | Positive |
| 2025-05-20 | Senate | Placed on Calendar Order of 3rd Reading ** Rule 4-4(8) | Floor Process | Positive |
| 2025-05-22 | Senate | Added as Alternate Co-SponsorSen. Adriane Johnson Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-05-22 | Senate | Added as Alternate Co-SponsorSen. Mary Edly-Allen Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-05-22 | Senate | Third Reading - Passed;058-000-000 Rule 5-1(f) | Floor Vote | Positive |
| 2025-05-22 | House | Passed Both Houses Rule 8-1, Rule 8-4 | Concurrence | Positive |
| 2025-05-26 | Senate | Added as Alternate Co-SponsorSen. Kimberly A. Lightford Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-05-31 | Senate | Added as Alternate Co-SponsorSen. Napoleon Harris, III Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-06-20 | House | 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 | House | Governor Approved Senate Article IX/Rules 9-1 to 9-6; House Article IX/Rules 77-82 | Governor Action | Positive |
| 2025-08-15 | House | Effective Date January 1, 2026 Article IX | Enacted Into Law | Law |
| 2025-08-15 | House | Public Act . . . . . . . . .104-0336 Article IX | Enacted Into Law | Law |