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SB4011 • 2026
ABORTION ACCESS FUND GRANTS
This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.
Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.
ABORTION ACCESS FUND GRANTS
Rule 3-9(a) / Re-referred to Assignments
Senate Committee Amendment No. 1 Rule 3-9(a) / Re-referred to Assignments
Rule 2-10 Committee/3rd Reading Deadline Established As May 22, 2026
Rule 2-10 Committee/3rd Reading Deadline Established As May 15, 2026
Added as Co-Sponsor Sen. Graciela Guzmán
Senate Committee Amendment No. 1 Assignments Refers to Appropriations- Health and Human Services
Senate Committee Amendment No. 1 Filed with Secretary by Sen. Mary Edly-Allen
Senate Committee Amendment No. 1 Referred to Assignments
Rule 2-10 Committee Deadline Established As April 24, 2026
Assigned to Appropriations- Health and Human Services
Filed with Secretary by Sen. Mary Edly-Allen
First Reading
Referred to Assignments
ABORTION ACCESS FUND GRANTS
Illinois General Assembly - Full Text of SB4011 Select Language × The Illinois General Assembly offers the Google Translate™ service for visitor convenience. In no way should it be considered accurate as to the translation of any content herein. Visitors of the Illinois General Assembly website are encouraged to use other translation services available on the internet. The English language version is always the official and authoritative version of this website. NOTE: To return to the original English language version, select the "Show Original" button on the Google Translate™ menu bar at the top of the window. 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Full Text of SB4011 Home Legislation Full Text SB4011 - 104th General Assembly Bill Status Full Text Votes Witness Slips Select Menu Bill Status Full Text Votes Witness Slips Printer Friendly Version Introduced Senate Amendment 001 Printer Friendly Version Introduced Senate Amendment 001 Open PDF 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 SB4011 Introduced 2/6/2026, by Sen. Mary Edly-Allen SYNOPSIS AS INTRODUCED: 30 ILCS 105/5.1038 new 20 ILCS 2310/2310-426 new 215 ILCS 122/5-35 new Amends the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois. Requires the Department of Public Health to establish the Abortion Access Fund Grant Program to award grants from the Abortion Access Fund to support access to abortion care services throughout the State. Provides that grants awarded under the Program shall only be used to fund abortion services for which the use of federal funds is prohibited for patients who are uninsured or underinsured with respect to those services. Allows the Department to establish rules necessary to implement the Abortion Access Fund Grant Program, including eligibility criteria, grant limits, application standards, requirements for the distribution and obligation of grant funds, accounting for the use of the funds, and standards for monitoring compliance with the requirements of the Program. Amends the State Finance Act to create the Abortion Access Fund as a special fund in the State treasury. Amends the Illinois Health Benefits Exchange Law. Requires specified health insurance issuers that have offered one or more qualified health plans through the Illinois Health Benefits Exchange to report to the Department of Insurance an accounting of receipts, disbursements, transfers of funds between accounts, total dollar claims paid, accrued interest, and the year-end balance for each reporting year for the separate allocation accounts that the issuer has established under specified provisions of federal law for abortion services for which federal funding is prohibited. Establishes further reporting requirements for health insurance issuers. Provides that, if the amount of premiums collected during the plan year for abortion services for which federal funding is prohibited exceeds total claims paid for such services rendered during the plan year, the Director of Insurance shall order the health insurance issuer to transfer funds, and the issuer shall complete the transfer, to the Abortion Access Fund. Makes other changes. Effective immediately. LRB104 20760 JDS 34264 b A BILL FOR SB4011 LRB104 20760 JDS 34264 b 1 AN ACT concerning regulation. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The State Finance Act is amended by adding 5 Section 5.1038 as follows: 6 (30 ILCS 105/5.1038 new) 7 Sec. 5.1038. The Abortion Access Fund. 8 Section 10. The Department of Public Health Powers and 9 Duties Law of the Civil Administrative Code of Illinois is 10 amended by adding Section 2310-426 as follows: 11 (20 ILCS 2310/2310-426 new) 12 Sec. 2310-426. Abortion Access Fund Grant Program. 13 (a) As used in this Section: 14 "Abortion" has the meaning given to that term in Section 15 1-10 of the Reproductive Health Act. 16 "Fund" means the Abortion Access Fund. 17 (b) The Department shall establish the Abortion Access 18 Fund Grant Program. The Program shall use moneys in the Fund to 19 award grants to support access to abortion care services 20 throughout the State. Grants awarded under the Program shall 21 only be used to fund abortion services for which the use of SB4011 - 2 - LRB104 20760 JDS 34264 b 1 federal funds is prohibited for patients who are uninsured or 2 underinsured with respect to those services. 3 (c) The Department may establish rules necessary to 4 implement the Abortion Access Fund Grant Program, including 5 eligibility criteria, grant limits, application standards, 6 requirements for the distribution and obligation of grant 7 funds, accounting for the use of the funds, and standards for 8 monitoring compliance with the requirements of the Program. 9 (d) The Department may not release, publish, or otherwise 10 disclose any identifying information for: 11 (1) the staff of an eligible organization that applies 12 for or receives a grant or reimbursement from grant 13 funding under the Program; or 14 (2) an individual health care practitioner or staff 15 who provides abortion care clinical services for an 16 eligible organization that receives a grant or 17 reimbursement from grant funding under the Program. 18 (e) The Abortion Access Fund is created as a special fund 19 in the State treasury. The Fund shall consist of moneys 20 transferred to the Fund under Section 5-35 of the Illinois 21 Health Benefits Exchange Law. 22 Section 15. The Illinois Health Benefits Exchange Law is 23 amended by adding Section 5-35 as follows: 24 (215 ILCS 122/5-35 new) SB4011 - 3 - LRB104 20760 JDS 34264 b 1 Sec. 5-35. Separate allocation account reports and 2 transfers. 3 (a) Beginning on or before March 1, 2027, and on or before 4 March 1 of each year thereafter, a health insurance issuer 5 described in subsection (b) or (c) that has offered one or more 6 qualified health plans through the Illinois Health Benefits 7 Exchange shall report to the Department of Insurance an 8 accounting of receipts, disbursements, transfers of funds 9 between accounts, total dollar claims paid, accrued interest, 10 and the year-end balance for each reporting year for the 11 separate allocation accounts that the issuer has established 12 under 42 U.S.C. 18023(b)(2)(B) and 42 U.S.C. 18023(b)(2)(C) 13 for abortion services for which federal funding is prohibited. 14 If funds have been transferred from a separate allocation 15 account described in this subsection to any other account 16 maintained by, on behalf of, or for the benefit of the health 17 insurance issuer, the annual report shall attribute the amount 18 of or amounts within the transfer to premiums collected by 19 plan year under 42 U.S.C. 1303(B)(2)(B)(i)(II), except that 20 the attribution shall not result in premiums collected being 21 less than claims paid for services rendered during the plan 22 year. The annual reports shall include any related 23 documentation and shall adhere to any format as the Director 24 of Insurance may prescribe. 25 (b) For the report due on or before March 1, 2027, if a 26 health insurance issuer has an active certificate of authority SB4011 - 4 - LRB104 20760 JDS 34264 b 1 from the Director of Insurance on the reporting deadline, and 2 if the issuer has ever offered a qualified health plan in this 3 State through the Illinois Health Benefits Exchange at any 4 time since plan year 2014, regardless of whether it was a 5 Federally-facilitated Exchange, a State-based Exchange on the 6 Federal platform, or a State-based Exchange, the issuer shall 7 submit the report required under this Section for all 8 qualified health plans offered through this Exchange. With 9 respect to the separate allocation account described in 10 subsection (a), the health insurance issuer shall report as 11 prescribed by the Director of Insurance the balances and 12 transactions during the periods: 13 (1) January 1, 2014 through December 31, 2023; 14 (2) January 1, 2024 through December 31, 2024; 15 (3) January 1, 2025 through December 31, 2025; 16 (4) January 1, 2026 through December 31, 2026; and 17 (5) between December 31, 2026 and the date the report 18 is submitted, but only with respect to transfers from the 19 separate allocation account described in subsection (a) to 20 other accounts maintained by, on behalf of, or for the 21 benefit of the health insurance issuer. 22 (c) For annual reports due on or before March 1, 2028 and 23 on or before March 1 of each year thereafter, if a health 24 insurance issuer has an active certificate of authority from 25 the Director of Insurance on the reporting deadline, and if 26 the issuer offered a qualified health plan through the SB4011 - 5 - LRB104 20760 JDS 34264 b 1 Illinois Health Benefits Exchange during the preceding 2 calendar year, the issuer shall submit the report required 3 under this Section for that calendar year for all qualified 4 health plans offered through this Exchange. For the period 5 between the end of the calendar year and the date the report is 6 submitted, the report shall also include any transfers from 7 the separate allocation account described in subsection (a) to 8 other accounts maintained by, on behalf of, or for the benefit 9 of the health insurance issuer. 10 (d) While 42 U.S.C. 1303(B)(2)(B)(i)(II) remains in 11 effect, any premium funds collected by a health insurance 12 issuer under that provision shall be used only to pay for 13 abortion services for which federal funding is prohibited, 14 including through the transfers under subsection (e). 15 (e) If after the 12-month period following the end of a 16 plan year the amount of premiums collected during the plan 17 year for abortion services for which federal funding is 18 prohibited exceeds total claims paid for such services 19 rendered during the plan year, the Director of Insurance shall 20 order the health insurance issuer to transfer funds, and the 21 issuer shall complete the transfer, to the Abortion Access 22 Fund as follows: 23 (1) On or before September 1, 2027, 90% of the amount 24 of the excess for each of the plan years 2014 through 2025, 25 plus interest accrued on the excess; and 26 (2) On or before September 1, 2028, and on or before SB4011 - 6 - LRB104 20760 JDS 34264 b 1 September 1 of each year thereafter, 90% of the excess for 2 the second preceding plan year, plus interest accrued on 3 the excess. 4 Notwithstanding any other provision of this 5 subsection, on or before September 1, 2027 and on or 6 before September 1 of each year thereafter, the health 7 insurance issuer shall transfer to the Abortion Access 8 Fund all amounts the health insurance issuer previously 9 transferred from the separate allocation account described 10 in subsection (a) to other accounts maintained by, on 11 behalf of, or for the benefit of the health insurance 12 issuer. Amounts transferred to other accounts maintained 13 by, on behalf of, or for the benefit of the health 14 insurance issuer shall count toward the excess in 15 paragraph (1) or (2) of this subsection for the plan year 16 for which the report attributed the transfer under 17 subsection (a). 18 Section 99. Effective date. This Act takes effect upon 19 becoming law. Footer Disclaimer This site is maintained for the Illinois General Assembly by the Legislative Information System, 705 Stratton Building, Springfield, Illinois 62706. Contact ILGA Webmaster ILGA.gov uses cookies to ensure you get the best experience on our website. By continuing to browse ILGA.gov you consent to our use of cookies. Read About Cookies ILGA.GOV 2026 ILGA.gov | All Rights Reserved | ADA | Disclaimers | Learn This site is maintained for the Illinois General Assembly by the Legislative Information System, 705 Stratton Building, Springfield, Illinois 62706. Contact ILGA Webmaster ILGA.gov uses cookies to ensure you get the best experience on our website. By continuing to browse ILGA.gov you consent to our use of cookies. Read About Cookies ILGA.GOV 2026 ILGA.gov | All Rights Reserved | ADA | Disclaimers | Learn