Illinois SB 4068: INS-PRIOR AUTH HIV DRUG ACCESS

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
SB4068

Introduced 2/24/2026, by Sen. Sara Feigenholtz 

SYNOPSIS AS INTRODUCED:

215 ILCS 5/356z.60

215 ILCS 200/52 new

 Amends the Illinois Insurance Code. Provides that, on and after the effective date of the amendatory Act, coverage for all abortifacients, hormonal therapy medication, human immunodeficiency virus pre-exposure prophylaxis, and post-exposure prophylaxis drugs approved by the United States Food and Drug Administration, and follow-up services related to that coverage, shall include screenings for pre-PrEP HIV and sexually transmitted infections. Provides that the coverage shall also include kidney function analysis, routine laboratory testing, and routine provider visits associated with those screenings. Amends the Prior Authorization Reform Act. Prohibits a health insurance issuer from requiring prior authorization for the following prescription drug types and their therapeutic equivalents approved by the United States Food and Drug Administration: human immunodeficiency virus pre-exposure prophylaxis and post-exposure prophylaxis medication or human immunodeficiency virus treatment medication. Effective January 1, 2028.

LRB104 19356 BAB 32804 b

A BILL FOR

SB4068LRB104 19356 BAB 32804 b

1 AN ACT concerning regulation.

2 Be it enacted by the People of the State of Illinois, 

3represented in the General Assembly:

4 Section 5. The Illinois Insurance Code is amended by 

5changing Section 356z.60 as follows:

6 (215 ILCS 5/356z.60)

7 Sec. 356z.60. Coverage for abortifacients, hormonal 

8therapy, and human immunodeficiency virus pre-exposure 

9prophylaxis and post-exposure prophylaxis.

10 (a) As used in this Section:

11 "Abortifacients" means any med