Illinois · Senate Bill 1238 · 104th General Assembly

NONOPIOID ALTERNATIVES

SB 1238 Sponsored by Karina Villa Became law

  1. Introduced Jan 24, 2025
  2. In committee Jan 24, 2025
  3. Passed the Senate Apr 3, 2025
  4. Passed the House May 22, 2025
  5. To the governor Jun 20, 2025
  6. Became law Aug 15, 2025

What it does

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

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…

Read the full title (131 words)

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.

Every action

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

Show the 41 earlier steps
  1. SenateFiled with Secretary by Sen. Karina Villa
  2. SenateFirst Reading
  3. CommitteeReferred to Assignments · Senate Assignments
  4. CommitteeAssigned to Insurance · Senate Insurance
  5. SenateAdded as Co-Sponsor Sen. Michael W. Halpin
  6. SenateAdded as Co-Sponsor Sen. Javier L. Cervantes
  7. SenateAdded as Co-Sponsor Sen. Mary Edly-Allen
  8. SenateAdded as Co-Sponsor Sen. Robert Peters
  9. SenateAdded as Co-Sponsor Sen. Mike Porfirio
  10. SenateAdded as Co-Sponsor Sen. Laura Fine
  11. SenateAdded as Co-Sponsor Sen. Graciela Guzmán
  12. SenateAdded as Co-Sponsor Sen. Cristina Castro
  13. CommitteePostponed - Insurance · Senate Insurance
  14. SenateAdded as Chief Co-Sponsor Sen. Mattie Hunter
  15. CommitteePostponed - Insurance · Senate Insurance
  16. SenateAdded as Co-Sponsor Sen. Mark L. Walker
  17. SenateAdded as Co-Sponsor Sen. Seth Lewis
  18. SenateSenate Committee Amendment No. 1 Filed with Secretary by Sen. Karina Villa
  19. CommitteeSenate Committee Amendment No. 1 Referred to Assignments · Senate Assignments
  20. SenateAdded as Co-Sponsor Sen. Julie A. Morrison
  21. CommitteeSenate Committee Amendment No. 1 Assignments Refers to Insurance · Senate Assignments
  22. SenateSenate Committee Amendment No. 1 Adopted
  23. CommitteeDo Pass as Amended Insurance; 012-000-000 · Senate Insurance
  24. SenatePlaced on Calendar Order of 2nd Reading March 20, 2025
  25. SenateSecond Reading
  26. SenatePlaced on Calendar Order of 3rd Reading April 1, 2025
  27. SenateAdded as Co-Sponsor Sen. Li Arellano, Jr.
  28. SenateThird Reading - Passed; 053-000-000
  29. SenateAdded as Co-Sponsor Sen. Sara Feigenholtz
  30. HouseArrived in House
  31. HouseChief House Sponsor Rep. Janet Yang Rohr
  32. HouseFirst Reading
  33. CommitteeReferred to Rules Committee · House Rules
  34. CommitteeAssigned to Health Care Availability & Accessibility Committee · House Health Care Availability & Access
  35. CommitteeDo Pass / Short Debate Health Care Availability & Accessibility Committee; 011-000-000 · House Health Care Availability & Access
  36. HousePlaced on Calendar 2nd Reading - Short Debate
  37. HouseSecond Reading - Short Debate
  38. HouseHeld on Calendar Order of Second Reading - Short Debate
  39. HouseAdded Alternate Chief Co-Sponsor Rep. Kevin Schmidt
  40. HouseAdded Alternate Chief Co-Sponsor Rep. Lindsey LaPointe
  41. HouseAdded Alternate Chief Co-Sponsor Rep. Laura Faver Dias
  1. HousePlaced on Calendar Order of 3rd Reading - Short Debate
  2. HouseThird Reading - Short Debate - Passed 113-000-000
  3. SenatePassed Both Houses
  4. HouseAdded Alternate Co-Sponsor Rep. Nicolle Grasse
  5. SenateSent to the Governor
  6. SenateGovernor Approved
  7. SenateEffective Date January 1, 2026
  8. SenatePublic Act . . . . . . . . . 104-0369

Roll calls

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

Third Reading · Full Senate

Passed 53–0
Apr 3, 2025 · journal entry
Yes 53 No 0 Not voting 6
Democrats: 34 yes, 0 no Republicans: 19 yes, 0 no
How each member voted

Yes · 53

Not voting · 6

Third Reading · Full House

Passed 113–0
May 22, 2025 · journal entry
Yes 113 No 0 Not voting 5
Democrats: 74 yes, 0 no Republicans: 39 yes, 0 no
How each member voted

Yes · 113

Absent · 1

Excused · 4

Committee and other votes

DateWhereQuestionResult
Mar 18, 2025 Senate Insurance Insurance - Do Pass As Amended
Members

Yes · 12

Not voting · 2

 12–0
Mar 18, 2025 Senate Insurance Senate Committee Amendment No. 1 - Insurance - Be Adopted
Members

Yes · 12

Not voting · 2

 12–0
Apr 29, 2025 House Health Care Availability & Access Health Care Availability & Access - Do Pass
Members

Yes · 11

Not voting · 3

 Passed 11–0

Sponsors

The member who introduced it, joined by 18 cosponsors: 15 Democrats, 3 Republicans.

All 18 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.