Stava-Murray supports HB5492 mandating insurance coverage for 12-month hormone therapy prescriptions
Rep. Anne Stava-Murray (D-81st) cast a Yes vote on HB5492, which mandates insurance coverage for a 12-month supply of prescription hormone therapy. The measure, considered during the 104th General Assembly on May 31, 2026, passed the House with a 75-39 vote, according to the Illinois House.
According to the bill's official text, the initiative is titled "PRESCRIPTION HORMONE THERAPY."
The following summary interprets the bill’s language to provide clarity on its main provisions.
Essentially, beginning Jan. 1, 2028, the bill requires most individual and group health insurance policies in Illinois—including those covering state employees and Medicaid recipients—to allow for coverage of up to a 12-month supply of prescription hormone therapy and related self-administration supplies when prescribed by an in-network provider and dispensed at one time. The bill specifies which hormone therapies are included (noting glucagon-like peptide-1 drugs are excluded), permits insurers to utilize drug management strategies, restricts year-end refills after an initial 12-month supply, and stipulates that health plans facilitate out-of-network access when needed. Pharmacists and dispensing providers, except under certain defined circumstances, must dispense a 12-month supply on request from the patient.
The legislative record for HB5492 notes ‘Senate Floor Amendment No. 2 House Concurs.’
Stava-Murray earned a BA from Dartmouth College in 2008.
A Democrat, Stava-Murray was elected to the Illinois House in 2019, succeeding David S. Olsen as representative for the state's 81st House District.
Each Illinois bill moves through a multi-step legislative process, starting with introduction in the House or Senate. Bills undergo committee review, floor debates, and must receive approval by both chambers before advancing to the governor for signature or veto. The General Assembly functions on a biennial cycle, and although thousands of bills may be introduced each session, only a small number ultimately become law.