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Illinois Enacts Law to Set Its Own Vaccine Guidance and Expand Coverage and Access

The law positions Illinois to preserve science‑based immunization policy independent of forthcoming federal shifts.

Overview

  • Gov. J.B. Pritzker signed HB 767, immediately empowering Illinois to issue state vaccination guidance rather than defaulting to federal recommendations.
  • The law makes the Illinois Advisory Committee on Immunization permanent, allowing a two‑thirds vote to replace the health department’s guidance for at least six months.
  • State‑regulated insurers must cover vaccines recommended by state guidance or ACIP without copays, coinsurance or deductibles, with a 15‑business‑day window to implement new directives starting Jan. 1, 2026.
  • Coverage from 2026 explicitly includes COVID‑19, flu and RSV shots, and requires paying administration fees even when vaccines are provided out of network.
  • Pharmacies may vaccinate children from age 3 for specified vaccines, administer COVID‑19 and flu shots without prescriptions with proper training, report doses to the state registry, and supervise qualified technicians and students.