Illinois · HB 5492 · 2025Enacted

Hormone Therapy Insurance Coverage Act

Requires Illinois-regulated insurers to cover up to six months of medically appropriate prescribed hormone therapy.

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Requires health plans to cover nonopioid pain management options so patients and doctors have alternatives to opioid prescriptions.

Requires health plans to cover fertility testing and treatment, expanding access to reproductive care.

Requires insurers to spend at least 90% of premiums on actual medical care rather than overhead or profit.