Illinois · House Bill 2189 · 103rd General Assembly

ACCESS TO AFFORD INSULIN ACT

HB 2189 Sponsored by Jenn Ladisch Douglass Became law

  1. Introduced Feb 7, 2023
  2. In committee Feb 7, 2023
  3. Passed the House Mar 23, 2023
  4. Passed the Senate May 11, 2023
  5. To the governor Jun 16, 2023
  6. Became law Aug 4, 2023

What it does

The legislature's own summary of the bill, or its official long title.

Creates the Access to Affordable Insulin Act. Sets forth provisions concerning an insulin urgent-need program. Provides that each manufacturer shall establish procedures to make insulin available to eligible individuals who are in urgent need of insulin or who are in need of assistance to access an affordable insulin supply. Sets forth provisions concerning insulin urgent-need program exceptions, eligibility, forms…

Read the full title (140 words)

Creates the Access to Affordable Insulin Act. Sets forth provisions concerning an insulin urgent-need program. Provides that each manufacturer shall establish procedures to make insulin available to eligible individuals who are in urgent need of insulin or who are in need of assistance to access an affordable insulin supply. Sets forth provisions concerning insulin urgent-need program exceptions, eligibility, forms, applications, claims and reimbursement, copayments, information sheets, navigators, and penalties. Defines terms. Amends the Illinois Insurance Code. In provisions concerning cost sharing in prescription insulin drugs, provides that an insurer that provides coverage for prescription insulin drugs under the terms of a health coverage plan the insurer offers shall limit the total amount that an insured is required to pay for a 30-day supply of covered prescription insulin drugs at an amount not to exceed $35 (rather than $100). Effective immediately.

Every action

139 steps, oldest first, as the legislature records them.

Show the 131 earlier steps
  1. HouseFiled with the Clerk by Rep. Will Guzzardi
  2. HouseFirst Reading
  3. CommitteeReferred to Rules Committee · House Rules
  4. HouseAdded Chief Co-Sponsor Rep. Jenn Ladisch Douglass
  5. HouseAdded Co-Sponsor Rep. Matt Hanson
  6. HouseAdded Co-Sponsor Rep. Suzanne M. Ness
  7. HouseAdded Co-Sponsor Rep. Debbie Meyers-Martin
  8. HouseAdded Co-Sponsor Rep. Michelle Mussman
  9. HouseAdded Co-Sponsor Rep. Bob Morgan
  10. HouseAdded Co-Sponsor Rep. Robyn Gabel
  11. HouseAdded Co-Sponsor Rep. Theresa Mah
  12. HouseAdded Co-Sponsor Rep. Jawaharial Williams
  13. HouseAdded Co-Sponsor Rep. Aaron M. Ortiz
  14. HouseAdded Co-Sponsor Rep. Dave Vella
  15. HouseAdded Co-Sponsor Rep. Natalie A. Manley
  16. HouseAdded Co-Sponsor Rep. Katie Stuart
  17. HouseAdded Co-Sponsor Rep. Ann M. Williams
  18. HouseAdded Co-Sponsor Rep. Cyril Nichols
  19. HouseAdded Co-Sponsor Rep. Elizabeth "Lisa" Hernandez
  20. HouseAdded Co-Sponsor Rep. Jonathan Carroll
  21. HouseAdded Co-Sponsor Rep. Stephanie A. Kifowit
  22. HouseAdded Co-Sponsor Rep. Joyce Mason
  23. HouseAdded Co-Sponsor Rep. Sue Scherer
  24. HouseAdded Co-Sponsor Rep. Dagmara Avelar
  25. HouseAdded Co-Sponsor Rep. Maura Hirschauer
  26. HouseAdded Co-Sponsor Rep. Justin Slaughter
  27. HouseAdded Co-Sponsor Rep. Lindsey LaPointe
  28. HouseAdded Co-Sponsor Rep. Anne Stava-Murray
  29. HouseAdded Co-Sponsor Rep. Margaret Croke
  30. HouseAdded Co-Sponsor Rep. Maurice A. West, II
  31. HouseAdded Co-Sponsor Rep. Barbara Hernandez
  32. HouseAdded Co-Sponsor Rep. Kelly M. Cassidy
  33. HouseAdded Co-Sponsor Rep. Mary Beth Canty
  34. HouseAdded Co-Sponsor Rep. Jennifer Gong-Gershowitz
  35. HouseAdded Co-Sponsor Rep. Terra Costa Howard
  36. HouseAdded Co-Sponsor Rep. Robert "Bob" Rita
  37. HouseAdded Co-Sponsor Rep. Laura Faver Dias
  38. HouseAdded Chief Co-Sponsor Rep. Lakesia Collins
  39. HouseAdded Chief Co-Sponsor Rep. Janet Yang Rohr
  40. HouseAdded Co-Sponsor Rep. Anna Moeller
  41. HouseAdded Co-Sponsor Rep. William "Will" Davis
  42. HouseRemove Chief Co-Sponsor Rep. Jenn Ladisch Douglass
  43. HouseAdded Co-Sponsor Rep. Kevin John Olickal
  44. HouseAdded Co-Sponsor Rep. Diane Blair-Sherlock
  45. HouseAdded Co-Sponsor Rep. Abdelnasser Rashid
  46. HouseAdded Co-Sponsor Rep. Gregg Johnson
  47. HouseAdded Co-Sponsor Rep. Harry Benton
  48. HouseAdded Chief Co-Sponsor Rep. Mary E. Flowers
  49. HouseAdded Co-Sponsor Rep. Nabeela Syed
  50. CommitteeAssigned to Prescription Drug Affordability & Accessibility Committee · House Prescription Drug Affordability
  51. CommitteeAssigned to Prescription Drug Affordability & Accessibility Committee · House Prescription Drug Affordability
  52. HouseAdded Co-Sponsor Rep. Sharon Chung
  53. HouseAdded Co-Sponsor Rep. Hoan Huynh
  54. HouseHouse Committee Amendment No. 1 Filed with Clerk by Rep. Will Guzzardi
  55. CommitteeHouse Committee Amendment No. 1 Referred to Rules Committee · House Rules
  56. CommitteeHouse Committee Amendment No. 1 Rules Refers to Prescription Drug Affordability & Accessibility Committee · House Prescription Drug Affordability
  57. CommitteeHouse Committee Amendment No. 1 Adopted in Prescription Drug Affordability & Accessibility Committee; 013-000-000 · House Prescription Drug Affordability
  58. CommitteeDo Pass as Amended / Short Debate Prescription Drug Affordability & Accessibility Committee; 013-000-000 · House Prescription Drug Affordability
  59. HousePlaced on Calendar 2nd Reading - Short Debate
  60. HouseAdded Co-Sponsor Rep. Carol Ammons
  61. HouseSecond Reading - Short Debate
  62. HousePlaced on Calendar Order of 3rd Reading - Short Debate
  63. HouseAdded Co-Sponsor Rep. Emanuel "Chris" Welch
  64. HouseThird Reading - Short Debate - Passed 109-000-000
  65. SenateArrive in Senate
  66. SenatePlaced on Calendar Order of First Reading
  67. SenateChief Senate Sponsor Sen. Laura M. Murphy
  68. SenateFirst Reading
  69. CommitteeReferred to Assignments · Senate Assignments
  70. SenateAdded as Alternate Co-Sponsor Sen. Robert F. Martwick
  71. SenateAdded as Alternate Chief Co-Sponsor Sen. Steve Stadelman
  72. SenateAdded as Alternate Chief Co-Sponsor Sen. Elgie R. Sims, Jr.
  73. SenateAdded as Alternate Chief Co-Sponsor Sen. Paul Faraci
  74. CommitteeAssigned to Insurance · Senate Insurance
  75. CommitteeDo Pass Insurance; 011-000-000 · Senate Insurance
  76. SenatePlaced on Calendar Order of 2nd Reading April 20, 2023
  77. SenateSecond Reading
  78. SenatePlaced on Calendar Order of 3rd Reading April 26, 2023
  79. SenateAdded as Alternate Co-Sponsor Sen. Michael W. Halpin
  80. SenateAdded as Alternate Co-Sponsor Sen. Rachel Ventura
  81. SenateAdded as Alternate Co-Sponsor Sen. Meg Loughran Cappel
  82. SenateSenate Floor Amendment No. 1 Filed with Secretary by Sen. Laura M. Murphy
  83. CommitteeSenate Floor Amendment No. 1 Referred to Assignments · Senate Assignments
  84. CommitteeSenate Floor Amendment No. 1 Assignments Refers to Insurance · Senate Assignments
  85. SenateSenate Floor Amendment No. 2 Filed with Secretary by Sen. Laura M. Murphy
  86. CommitteeSenate Floor Amendment No. 2 Referred to Assignments · Senate Assignments
  87. SenateAdded as Alternate Co-Sponsor Sen. Willie Preston
  88. SenateAdded as Alternate Co-Sponsor Sen. Steve McClure
  89. SenateAdded as Alternate Co-Sponsor Sen. John F. Curran
  90. SenateAdded as Alternate Co-Sponsor Sen. Sally J. Turner
  91. CommitteeSenate Floor Amendment No. 2 Assignments Refers to Insurance · Senate Assignments
  92. CommitteeSenate Floor Amendment No. 2 Recommend Do Adopt Insurance; 008-000-000 · Senate Insurance
  93. SenateAdded as Alternate Co-Sponsor Sen. Sara Feigenholtz
  94. SenateAdded as Alternate Co-Sponsor Sen. Suzy Glowiak Hilton
  95. SenateRecalled to Second Reading
  96. SenateSenate Floor Amendment No. 2 Adopted; Murphy
  97. SenatePlaced on Calendar Order of 3rd Reading
  98. SenateThird Reading - Passed; 056-000-000
  99. SenateSenate Floor Amendment No. 1 Tabled Pursuant to Rule 5-4(a)
  100. SenateAdded as Alternate Co-Sponsor Sen. Andrew S. Chesney
  101. SenateAdded as Alternate Co-Sponsor Sen. Michael E. Hastings
  102. SenateAdded as Alternate Co-Sponsor Sen. Mike Porfirio
  103. HouseArrived in House
  104. HousePlaced on Calendar Order of Concurrence Senate Amendment(s) 2
  105. HouseSenate Floor Amendment No. 2 Motion Filed Concur Rep. Will Guzzardi
  106. CommitteeSenate Floor Amendment No. 2 Motion to Concur Referred to Rules Committee · House Rules
  107. SenateAdded as Alternate Co-Sponsor Sen. Javier L. Cervantes
  108. HouseAdded Co-Sponsor Rep. Brad Stephens
  109. HouseAdded Co-Sponsor Rep. Michael J. Coffey, Jr.
  110. HouseAdded Co-Sponsor Rep. Jennifer Sanalitro
  111. CommitteeSenate Floor Amendment No. 2 Motion to Concur Referred to Prescription Drug Affordability & Accessibility Committee · House Prescription Drug Affordability
  112. HouseAdded Co-Sponsor Rep. Rita Mayfield
  113. HouseAdded Co-Sponsor Rep. Eva-Dina Delgado
  114. HouseAdded Co-Sponsor Rep. Mark L. Walker
  115. HouseAdded Co-Sponsor Rep. Kimberly Du Buclet
  116. HouseAdded Co-Sponsor Rep. Camille Y. Lilly
  117. HouseAdded Co-Sponsor Rep. Kam Buckner
  118. HouseChief Sponsor Changed to Rep. Jenn Ladisch Douglass
  119. HouseAdded Chief Co-Sponsor Rep. Will Guzzardi
  120. CommitteeSenate Floor Amendment No. 2 Motion to Concur Recommends Be Adopted Prescription Drug Affordability & Accessibility Committee; 012-000-000 · House Prescription Drug Affordability
  121. HouseSenate Floor Amendment No. 2 House Concurs 110-000-000
  122. HouseHouse Concurs
  123. HousePassed Both Houses
  124. HouseAdded Co-Sponsor Rep. Mary Gill
  125. HouseAdded Co-Sponsor Rep. Michael J. Kelly
  126. HouseAdded Co-Sponsor Rep. Jason Bunting
  127. HouseAdded Co-Sponsor Rep. Martin McLaughlin
  128. HouseAdded Co-Sponsor Rep. Amy L. Grant
  129. HouseAdded Co-Sponsor Rep. William E Hauter
  130. HouseAdded Co-Sponsor Rep. Kevin Schmidt
  131. SenateAdded as Alternate Co-Sponsor Sen. Karina Villa
  1. SenateAdded as Alternate Co-Sponsor Sen. Doris Turner
  2. SenateAdded as Alternate Co-Sponsor Sen. David Koehler
  3. SenateAdded as Alternate Co-Sponsor Sen. Adriane Johnson
  4. SenateAdded as Alternate Co-Sponsor Sen. Mary Edly-Allen
  5. HouseSent to the Governor
  6. HouseGovernor Approved
  7. HouseEffective Date July 1, 2025
  8. HousePublic Act . . . . . . . . . 103-0429

Roll calls

7 recorded votes: 3 on the floor, 4 in committee. Each shows how every member voted.

Third Reading · Full House

Passed 109–0
Mar 23, 2023 · journal entry
Yes 109 No 0 Not voting 8
Democrats: 71 yes, 0 no Republicans: 38 yes, 0 no
How each member voted

Yes · 109

Not voting · 1

Absent · 1

Excused · 6

Third Reading · Full Senate

Passed 56–0
May 11, 2023 · journal entry
Yes 56 No 0 Not voting 3
Democrats: 37 yes, 0 no Republicans: 19 yes, 0 no
How each member voted

Yes · 56

Not voting · 3

Senate Floor Amendment No. 2 - Concurrence · Full House

Passed 110–0
May 19, 2023 · journal entry
Yes 110 No 0 Not voting 8
Democrats: 74 yes, 0 no Republicans: 36 yes, 0 no
How each member voted

Yes · 110

Not voting · 2

Excused · 6

Committee and other votes

DateWhereQuestionResult
Mar 8, 2023 House Prescription Drug Affordability Prescription Drug Affordability - Do Pass As Amended
Members

Yes · 13

Not voting · 2

 Passed 13–0
Apr 18, 2023 Senate Insurance Insurance - Do Pass
Members

Yes · 11

 11–0
May 9, 2023 Senate Insurance Senate Floor Amendment No. 2 - Insurance - Recommend Do Adopt
Members

Yes · 8

Not voting · 3

 8–0
May 18, 2023 House Prescription Drug Affordability Senate Floor Amendment No. 2 - Prescription Drug Affordability - Recommends Be Adopted
Members

Yes · 12

Not voting · 3

 Passed 12–0

Sponsors

The member who introduced it, joined by 87 cosponsors: 75 Democrats, 12 Republicans.

All 87 cosponsors

From Illinois's official records (www.ilga.gov), checked Nov 13, 2026. Text links go to the official versions; LegiList does not copy bill text.