IllinoisHB1431104th General Assembly (2025–2026)HouseWALLET

FACILITY FEE TRANSPARENCY

Sponsored By: Maurice A. West, II (Democratic)

Became Law

human servicesassignmentshealth and human services

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 2 benefits, 0 costs, 0 mixed.

Stronger enforcement of hospital billing

The Illinois Attorney General enforces this law and can write rules to carry it out. The office must take complaints from the public and hospitals and handle them. The Attorney General can investigate, issue subpoenas, take testimony under oath, and review records. If there is a likely violation, the Attorney General can seek court orders to stop it and may approve a hospital’s Correction Plan before suing. Civil penalties can be up to $500 per violation for pattern failures to give required information, and up to $1,000 per violation for other listed failures. Money paid under court orders or plans goes to a special fund for enforcement and public education, as allowed by law. After a final court order and all appeals, the Attorney General can refer a hospital to the Health Department for possible licensure action.

Hospitals must warn about facility fees

Hospitals that charge a separate outpatient facility fee must tell patients as soon as reasonably practicable. The policy must say how notice is given. It must list what services and costs the fee covers. It must explain why the fee is charged to you or your plan. It must give contact information for more details.

Sponsors & Cosponsors

Sponsor

Maurice A. West, II
Democratic • House

Cosponsors

Steve Stadelman
Democratic • Senate

Roll Call Votes

All Roll Calls

Yes: 314 • No: 1

House vote • 5/30/2025

Senate Floor Amendment No. 1 House Concurs

Yes: 112 • No: 1

House vote • 5/29/2025

Senate Floor Amendment No. 1 Motion to Concur Recommends Be Adopted Human Services Committee;

Yes: 12 • No: 0

Senate vote • 5/21/2025

Third Reading - Passed;

Yes: 58 • No: 0

Senate vote • 5/7/2025

Senate Floor Amendment No. 1 Recommend Do Adopt Health and Human Services;

Yes: 9 • No: 0

Senate vote • 4/30/2025

Do Pass Health and Human Services;

Yes: 8 • No: 0

House vote • 4/7/2025

Third Reading - Short Debate - Passed

Yes: 103 • No: 0

House vote • 3/19/2025

Do Pass as Amended / Short Debate Human Services Committee;