Senate approves creation of state-based insurance exchange May 26, 2023 | Insurance, Legislature, Medicaid/Medicare, Public Health, State Budget, Top Stories The Senate moved forward Thursday on a plan to create a state-based health insurance exchange, though an added amendment will require House action.To access this content, you must purchase 1 Year Health News Illinois Subscription or 1 Year Group Subscription - Up to 5 Users, or log in if you are a member.