DeLaRosa votes Yes on 12 Illinois House measures on May 28, 2026
By R. M. Hummel
Rep. Margaret A. DeLaRosa (D-42nd) participated in 12 recorded floor votes in the Illinois House during the 104th General Assembly on Thursday, May 28, 2026, with Yes votes on all measures.
Among these, DeLaRosa supported HB4327, which calls for an extensive audit of Illinois' 340B Drug Discount Program. The Illinois General Assembly states that the official bill text described the measure as: "AUDITOR GENERAL-340B AUDIT." More details can be found at the Illinois General Assembly.
The details below reflect clarifying interpretation based on language from the bill.
The legislation instructs the Illinois auditor general to begin a full evaluation of how 340B covered entities engage with the federal 340B Drug Discount Program, effective as soon as possible. The audit is to include examination of profits, spending on third-party administrators, transactions with pharmacy benefit managers and contract pharmacies, drug ownership structuring at contract pharmacy sites, standard markups on 340B-priced prescriptions, and occurrences when discounts are extended to at-risk patients at the point of sale. Upon completion, the auditor general is required to report conclusions and recommendations to the General Assembly.
The remaining votes cast by DeLaRosa included HB5284, HB5551, SB4025, SB3403, HB4757, HB5321, HB4659, HB4868, HB5000, HB5001, and HB5107.
DeLaRosa holds a bachelor’s degree from DePaul University.
The legislator was first elected in 2025 to serve the 42nd House District of Illinois, succeeding predecessor Terra Costa Howard.
Legislative proposals in Illinois go through a multi-step process beginning with introduction in either chamber, followed by committee consideration, floor debate, and votes in both houses before proceeding to the governor for a signature or veto. The General Assembly holds biennial sessions, and although thousands of bills are introduced every cycle, only a portion move through all required steps and are enacted.
Find additional background on bills and related legislative measures here.
Floor Votes Recorded By Rep. Margaret A. DeLaRosa
| Bill | Description | Vote | Outcome | Chamber tally |
|---|---|---|---|---|
| HB4327 | Amends the Illinois State Auditing Act. Provides that, as soon as practical after the effective date of the amendatory Act, the Auditor General shall conduct a comprehensive investigation of how 340B covered entities within Illinois participate in the 340B Drug Discount Program. Provides that the investigation shall examine the impact of this participation by 340B covered entities on State health programs, such as Medicaid and the State Employees Group Insurance Program, and shall include the specified assessments. Requires the Auditor General to make recommendations to the General Assembly based on the findings from the investigation. | Yes | Passed | 75-37 |
| HB5284 | Creates the Illinois Menopause Equity and Care Act. Amends the Department of Public Health Powers and Duties Law. Requires the Department of Public Health to create educational materials regarding menopause, including symptoms, treatment options, and patient rights for distribution to the public online. Amends the Illinois Insurance Code. Provides that on or after January 1, 2028, all individual and group health insurance policies issued, renewed, or amended must provide coverage for medically necessary evaluation and treatment of perimenopause and menopause as determined by a licensed health care provider using evidence-based guidelines. Amends the Medical Practice Act of 1987. Provides if a licensee treats or evaluates patients suffering from menopause-related conditions, 5 hours of the required 50 hours must include continuing education on menopause care, including management of symptoms, hormonal and non-hormonal therapies, and bone health. Amends the Illinois Human Rights Act. Defines "menopause-related condition" includes perimenopause, menopause, and associated medical or symptomatic conditions, including, but not limited to, vasomotor symptoms, sleep disruption, cognitive or mood changes, and osteoporosis-related changes. Provides that it is a civil rights violation to unlawfully discriminate because of a menopause-related condition or fail or refuse to provide reasonable accommodations. | Yes | Passed | 78-33 |
| HB5551 | Amends the School Code. Provides that certain provisions concerning the recomputation and adjustment of a school district claim for general State aid or evidence-based funding shall end with Fiscal Year 2026. Provides that when a child from an orphanage, foster family home, other State agency, children's home, or State residential unit eligible for special education services is placed in a separate public day school, that school shall meet the programmatic requirements and regulations for separate public day schools. Provides that any funds appropriated for the Illinois Teaching Excellence Program must be used, among other purposes, for indirect costs necessary for Program operation. Provides that an annual retention bonus of up to $4,000 (rather than $4,000) per year for 2 consecutive years shall be awarded to National Board certified teachers employed in hard-to-staff schools and such funds must be disbursed equally on an annual basis among all qualified educators (rather than on a first-come, first-served basis). Makes other changes. Effective immediately. | Yes | Passed | 81-30 |
| SB4025 | Amends the Environmental Protection Act. Provides that an owner or operator of a community water supply may, by an additional method approved by the State, give written notice of the existence of lead service lines that are connected to buildings. Provides that an owner or operator of a community water supply that performs at least 4,000 lead service line replacements per year or exceeds a statutorily prescribed lead service line replacement rate is exempt from a provision that prohibits partial lead service line replacements. Provides that, in a municipality with a population of more than 1,000,000 inhabitants, the owner of a private property upon which there is located a renter-occupied building, a building that is used as a day care, or a multi-dwelling building must allow the community water supply access to replace the lead service line on the private side of the property. | Yes | Passed | 83-29 |
| SB3403 | Amends the Investment Board Article of the Illinois Pension. Provides that, if the Illinois State Board of Investment has not received a required audit opinion by December 15, the Board shall not be considered in violation of a provision requiring an annual report to each pension fund, retirement system, or education fund under the Board's jurisdiction within 6 months after the close of each fiscal year. Effective immediately. | Yes | Passed | 89-20 |
| HB4757 | Amends Illinois Health Facilities Planning Act. Provides that the Health Facilities and Services Review Board may review the applicable criteria in the consideration of any application for an exemption submitted under the Act. Provides that, upon review and consideration, the State Board may approve, deny, or defer for additional information an application for a Certificate of Need or Certificate of Exemption. Makes changes in provisions concerning administrative hearings; powers and duties of State Board; powers of the State Board staff; and review and investigation of applications for permits. | Yes | Passed | 111-0 |
| HB5321 | Amends the Employment of Teachers Article of the School Code. Provides that beginning with continuing education coursework commenced on or after July 1, 2026, a school district, special education cooperative, or other public educational employer may recognize graduate-level continuing education coursework for purposes of salary advancement or lane changes only if the continuing education coursework meets specified requirements. Provides that nothing in the provisions impairs the ability of the parties to a collective bargaining agreement to negotiate salary schedules or compensation structures, as long as any graduate-level continuing education coursework recognized for salary advancement or lane changes complies with those specified requirements. Allows the State Board of Education, in consultation with the Board of Higher Education, to adopt rules as necessary to implement the provisions. Effective July 1, 2026. | Yes | Passed | 112-0 |
| HB4659 | Amends the Criminal Code of 2012. Provides that a person commits domestic battery if he or she knowingly without legal justification by any means engages in coercive control over a family or household member. Defines "coercive control". Amends the Protective Orders Article of the Code of Criminal Procedure of 1963 and the Illinois Domestic Violence Act of 1986. Includes coercive control in the definition of "abuse". Defines "coercive control". | Yes | Passed | 113-0 |
| HB4868 | Amends the Nursing Home Care Act. Requires each facility to notify the appropriate regional office of the Department of Public Health within 24 hours, or by the end of the next business day, after each reportable incident or accident. Requires the facility to send a narrative summary of each reportable incident or accident to the Department within 5 days after the incident or accident. | Yes | Passed | 113-0 |
| HB5000 | Amends the Illinois Health Care Facilities Planning Act. Repeals the January 1, 2027 inoperative date affecting a change of ownership among related persons. Amends the Illinois Antitrust Act. Repeals the January 1, 2027 inoperative date affecting notice provisions to the Attorney General before a health care merger or affiliation. Amends provisions requiring health care entities to notify the Attorney General within 30 days before a merger or affiliation to include a "covered transaction" even if the parties to the transaction are not themselves a health care facility or provider organization but own or control, directly or indirectly, one or more of the 2 or more health care facilities or provider organizations that will be under common ownership or contracting affiliation if the transaction is consummated, including if parties to the covered transaction are private equity companies. Defines "private equity company" to mean any company or partnership that collects capital investments from individuals or entities and purchases, as a parent company, at any level of corporate ownership, or through another entity or entities so that the company completely or partially owns or controls, a direct or indirect ownership share of an Illinois health care entity or an out-of-state health care entity that generates $10,000,000 or more in annual revenue from patients residing in this State. Changes notice provisions. Defines terms. | Yes | Passed | 113-0 |
| HB5001 | Amends the Illinois Insurance Code. Requires every insurer to provide in each group or individual policy, contract, or certificate of insurance issued or renewed for persons who are residents of the State, coverage for screening by low-dose mammography for all patients 30 (instead of 35) years of age or older for the presence of occult breast cancer within the provisions of the policy, contract, or certificate. Requires coverage for a baseline mammogram for patients 30 to 34 (instead of 35 to 39) years of age and an annual mammogram for patients 35 (instead of 40) years of age or older. Effective January 1, 2027. | Yes | Passed | 113-0 |
| HB5107 | Amends the School Safety Drill Act. Requires school districts and private schools to consider the use of a mobile panic alert system in the development of their school emergency and crisis response plans. Requires the State Board of Education, in consultation with the Illinois State Police and the Illinois Emergency Management Agency and Office of Homeland Security, to develop standards for a mobile panic alert system. Creates the Mobile Panic Alert System Grant Fund. Makes a conforming change in the State Finance Act. | Yes | Passed | 113-0 |