Hundreds of new Illinois laws are set to hit the books in 2026, and many could have a big impact on your health and wellness.
Health insurance companies will be required to cover a variety of treatments in the coming year, and significant changes will be coming to the way medications are covered in the state.
Generic drugs make up at least 90% of the prescriptions filled in the United States, but shortages can leave patients in a difficult position.
Thanks to Senate Bill 2672, which goes into effect January 1, insurance companies will now be required to cover brand-name medications when the generic version isn’t available at your pharmacist due to those shortages.
That is one of several new requirements that insurance companies will have to cover for their customers.
Senate Bill 773, passed in 2024, will require most healthcare plans to cover yearly menopause health visits for women aged 45 and older. The bill will also require insurance plans to cover the diagnosis and treatment of infertility.
House Bill 2385 will require insurance companies to cover medically necessary colonoscopies, while House Bill 4180 will require insurance companies to cover molecular breast imaging or breast MRI’s when medically necessary to diagnose and treat breast cancer.
House Bill 3248 will require insurance to cover medically necessary laser-hair removal for gender-affirming care in the state of Illinois.
Non-opioid pain management will also be a focus of a new law thanks to Senate Bill 1238, which expands insurance coverage of such medications and treatments.
Another Illinois bill will require insurance companies to cover medically necessary screening tests for peripheral artery disease, a move that cardiologists and medical experts say could help prevent thousands of unnecessary amputations per year.
As part of the Health Care Facility Fee Transparency Act, hospitals in Illinois will be required to start disclosing what’s known as “facility fees.” Those fees are charges related to a patient using a hospital’s space, equipment and administrative services, according to officials.
Another big change will come via House Bill 3489, which will permit pharmacists to dispense contraceptives, including emergency contraceptives like Plan B medication, without a doctor’s appointment.
Parents whose children are admitted to neonatal intensive care units, or NICU’s, will also be impacted, as a new law will require emergency out-of-network care to be billed at in-network rates.
“Dillon’s Law,” named after a Wisconsin teen who died after being stung by a bee, will allow trained individuals to carry and administer epinephrine, or Epi-pens, to help those being impacted by severe allergic reactions.
It is estimated that up to 33 million Americans have severe food allergies, according to researchers.
Senate Bill 1295 will require that medical dispatchers be trained on how to provide step-by-step CPR guidance to individuals who call 911.
All of these new laws will take effect on January 1.
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