Illinois · House Bill 5355 · 103rd General Assembly

NONOPIOID ALTERNATIVES ACT

  1. Introduced Feb 9, 2024
  2. In committee Feb 9, 2024
  3. Passed the House Apr 18, 2024
  4. Died  
  5. To the governor  
  6. Became law  

What it does

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

Creates the Nonopioid Alternatives for Pain Act. Requires the Department of Public Health to develop and publish an educational pamphlet regarding the use of nonopioid alternatives for pain treatment. Provides that a health care practitioner shall exercise professional judgment in selecting appropriate treatment modalities for pain in accordance with specified Centers for Disease Control and Prevention guidelines…

Read the full title (327 words)

Creates the Nonopioid Alternatives for Pain Act. Requires the Department of Public Health to develop and publish an educational pamphlet regarding the use of nonopioid alternatives for pain treatment. Provides that a health care practitioner shall exercise professional judgment in selecting appropriate treatment modalities for pain in accordance with specified Centers for Disease Control and Prevention guidelines, including the use of nonopioid alternatives whenever nonopioid alternatives exist. Requires a health care practitioner who prescribes an opioid drug to provide certain information to the patient, discuss certain topics, and document the reasons for the prescription. Requires the Department to develop a nonopioid directive form for patients. Sets forth provisions concerning exceptions, execution of a nonopioid directive, opioid administration to a patient with a nonopioid directive, and limitations of liability. Amends the Illinois Insurance Code. Provides that when a licensed health care practitioner prescribes a nonopioid medication for the treatment of acute pain, it shall be unlawful for a health insurance issuer to deny coverage of the nonopioid prescription drug in favor of an opioid prescription drug or to require the patient to try an opioid prescription drug before providing coverage. Provides that in establishing and maintaining its drug formulary, a health insurance issuer shall ensure that no nonopioid drug approved by the Food and Drug Administration for the treatment or management of pain shall be disadvantaged or discouraged, with respect to coverage or cost sharing, relative to any opioid or narcotic drug for the treatment or management of pain. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that whenever a licensed health care practitioner prescribes a nonopioid medication for the treatment of acute pain, neither the Department of Healthcare and Family Services nor a managed care organization shall deny coverage of the nonopioid prescription drug in favor of an opioid prescription drug or require a patient to try an opioid prescription drug prior to providing coverage of the nonopioid prescription drug. Makes other changes.

Every action

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

Show the 34 earlier steps
  1. HouseFiled with the Clerk by Rep. Lindsey LaPointe
  2. HouseFirst Reading
  3. CommitteeReferred to Rules Committee · House Rules
  4. CommitteeAssigned to Health Care Availability & Accessibility Committee · House Health Care Availability & Access
  5. HouseChief Sponsor Changed to Rep. Janet Yang Rohr
  6. HouseAdded Chief Co-Sponsor Rep. Lindsey LaPointe
  7. CommitteeDo Pass / Short Debate Health Care Availability & Accessibility Committee; 010-000-000 · House Health Care Availability & Access
  8. HousePlaced on Calendar 2nd Reading - Short Debate
  9. HouseAdded Co-Sponsor Rep. Laura Faver Dias
  10. HouseHouse Floor Amendment No. 1 Filed with Clerk by Rep. Janet Yang Rohr
  11. CommitteeHouse Floor Amendment No. 1 Referred to Rules Committee · House Rules
  12. CommitteeHouse Floor Amendment No. 1 Rules Refers to Health Care Availability & Accessibility Committee · House Health Care Availability & Access
  13. HouseAdded Chief Co-Sponsor Rep. William E Hauter
  14. HouseSecond Reading - Short Debate
  15. HouseHeld on Calendar Order of Second Reading - Short Debate
  16. CommitteeHouse Floor Amendment No. 1 Recommends Be Adopted Health Care Availability & Accessibility Committee; 011-000-000 · House Health Care Availability & Access
  17. HouseAdded Chief Co-Sponsor Rep. Kevin Schmidt
  18. HouseHouse Floor Amendment No. 1 Adopted
  19. HousePlaced on Calendar Order of 3rd Reading - Short Debate
  20. HouseThird Reading - Short Debate - Passed 108-000-000
  21. SenateArrive in Senate
  22. SenatePlaced on Calendar Order of First Reading
  23. SenateChief Senate Sponsor Sen. Karina Villa
  24. SenateFirst Reading
  25. CommitteeReferred to Assignments · Senate Assignments
  26. HouseAdded Co-Sponsor Rep. La Shawn K. Ford
  27. SenateAdded as Alternate Co-Sponsor Sen. Mike Porfirio
  28. SenateAdded as Alternate Co-Sponsor Sen. Cristina Castro
  29. SenateAdded as Alternate Co-Sponsor Sen. Natalie Toro
  30. SenateAdded as Alternate Co-Sponsor Sen. Mary Edly-Allen
  31. SenateAdded as Alternate Co-Sponsor Sen. Adriane Johnson
  32. SenateAdded as Alternate Co-Sponsor Sen. Julie A. Morrison
  33. SenateAdded as Alternate Co-Sponsor Sen. Laura Fine
  34. SenateAdded as Alternate Co-Sponsor Sen. Michael W. Halpin
  1. SenateAdded as Alternate Co-Sponsor Sen. Christopher Belt
  2. SenateAdded as Alternate Chief Co-Sponsor Sen. Mattie Hunter
  3. SenateAdded as Alternate Co-Sponsor Sen. Robert Peters
  4. SenateAdded as Alternate Chief Co-Sponsor Sen. Kimberly A. Lightford
  5. SenateAdded as Alternate Co-Sponsor Sen. Sara Feigenholtz
  6. SenateAdded as Alternate Co-Sponsor Sen. Javier L. Cervantes
  7. SenateAdded as Alternate Co-Sponsor Sen. Doris Turner
  8. HouseSession Sine Die

Roll calls

3 recorded votes: 1 on the floor, 2 in committee. Each shows how every member voted.

Third Reading · Full House

Passed 108–0
Apr 18, 2024 · journal entry
Yes 108 No 0 Not voting 10
Democrats: 71 yes, 0 no Republicans: 37 yes, 0 no
How each member voted

Yes · 108

Absent · 2

Excused · 8

Committee and other votes

DateWhereQuestionResult
Apr 2, 2024 House Health Care Availability & Access Health Care Availability & Access - Do Pass
Members

Yes · 10

Not voting · 1

Passed 10–0
Apr 17, 2024 House Health Care Availability & Access House Floor Amendment No. 1 - Health Care Availability & Access - Recommends Be Adopted
Members

Yes · 11

Passed 11–0

Sponsors

The member who introduced it, joined by 20 cosponsors: 18 Democrats, 2 Republicans.

All 20 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.