# Illinois HB3593: FAIR PATIENT BILLING

Illinois HB3593, FAIR PATIENT BILLING, is a 104th General Assembly (2025–2026) House bill sponsored by Dagmara Avelar (Democratic); status in committee, last action 2025-04-11 (House Floor Amendment No. 1 Rule 19(c) / Re-referred to Rules Committee); PRIA reads it as touching household money (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/IL-HB3593-2025-2026
- As of: 2026-11-01
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Illinois HB3593
- State: Illinois
- Session: 104th General Assembly (2025–2026)
- Title: FAIR PATIENT BILLING
- Status: in committee
- Chamber: House
- Introduced: 2025-02-07
- Last action: 2025-04-11, House Floor Amendment No. 1 Rule 19(c) / Re-referred to Rules Committee
- Sponsor: Dagmara Avelar (Democratic)
- Cosponsors: 6
- Subjects: health care availability & accessibility
- Touches household money: yes
- Roll calls: 1 (8 yes, 5 no in all)
- Economic provisions PRIA read: 0

## Summary

Amends the Fair Patient Billing Act. Requires that a hospital's obligation to patients under the Act shall cover all health care services, including, but not limited to, on-site health care services provided by a non-hospital entity. Provides that, in the event the hospital outsources health care services to an individual or entity that is separate from the hospital within the hospital facility or otherwise on the hospital site, the hospital's obligations under the Act continue as though the hospital had provided the health care services. Requires a hospital to ensure that the individual or entity contracted to provide health care services agrees in writing to operate under the hospital's financial assistance policy, screening obligations, collections provisions, and all other provisions of the Act, and requires a hospital to ensure that a hospital agent or on-site provider of outsourced health care services complies with the Act. Amends the Hospital Uninsured Patient Discount Act to establish similar requirements for hospitals. Provides that a hospital shall include charges from the third-party individual or entity when calculating the charge, discount, or collectible amount applicable under the Act.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Dagmara Avelar (Democratic), House
- Cosponsor: Barbara Hernandez (Democratic), House
- Cosponsor: Hoan Huynh (Democratic), House
- Cosponsor: Laura Faver Dias (Democratic), House
- Cosponsor: Maura Hirschauer (Democratic), House
- Cosponsor: Nicolle Grasse (Democratic), House
- Cosponsor: Rita Mayfield (Democratic), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-03-18 | House | Do Pass / Short Debate Health Care Availability & Accessibility Committee; | pass | 8 | 5 |   |

## Actions (19)

- 2025-04-11: House Floor Amendment No. 1 Rule 19(c) / Re-referred to Rules Committee (House)
- 2025-04-11: Rule 19(a) / Re-referred to Rules Committee (House)
- 2025-04-09: Added Co-Sponsor Rep. Maura Hirschauer (House)
- 2025-04-08: Added Co-Sponsor Rep. Nicolle Grasse (House)
- 2025-04-08: House Floor Amendment No. 1 Rules Refers to Health Care Availability & Accessibility Committee (House)
- 2025-04-07: House Floor Amendment No. 1 Referred to Rules Committee (House)
- 2025-04-07: House Floor Amendment No. 1 Filed with Clerk by Rep. Dagmara Avelar (House)
- 2025-04-07: Added Co-Sponsor Rep. Hoan Huynh (House)
- 2025-03-26: Held on Calendar Order of Second Reading - Short Debate (House)
- 2025-03-26: Second Reading - Short Debate (House)
- 2025-03-19: Placed on Calendar 2nd Reading - Short Debate (House)
- 2025-03-18: Do Pass / Short Debate Health Care Availability & Accessibility Committee; 008-005-000 (House)
- 2025-03-11: Assigned to Health Care Availability & Accessibility Committee (House)
- 2025-02-27: Added Co-Sponsor Rep. Barbara Hernandez (House)
- 2025-02-20: Added Co-Sponsor Rep. Rita Mayfield (House)
- 2025-02-19: Added Co-Sponsor Rep. Laura Faver Dias (House)
- 2025-02-18: Referred to Rules Committee (House)
- 2025-02-18: First Reading (House)
- 2025-02-07: Filed with the Clerk by Rep. Dagmara Avelar (House)

## Bill text

- House Amendment 1: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB3593ham001.pdf)
- Introduced: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB3593.pdf)

## Related bills

- HB5198: AFFORDABLE HOUSING-CILAS (passed house)
- SB1937: PENSION CODE-VARIOUS (passed senate)
- HB2563: CONDO-RESERVE STUDY (in committee)
- HB4701: LIMITATIONS FACILITY FEES ACT (in committee)
- SB3008: DHS-ABLE PROGRAM INFO MATERIAL (passed senate)
- SB3484: VEH CD-PLATES-REGISTRATION (signed)

## Sources
- [House Amendment 1 (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB3593ham001.pdf)
- [Introduced (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB3593.pdf)

## Related
- [HB5198: AFFORDABLE HOUSING-CILAS](https://policyrisk.com/state-bill/IL-HB5198-2025-2026)
- [SB1937: PENSION CODE-VARIOUS](https://policyrisk.com/state-bill/IL-SB1937-2025-2026)
- [HB2563: CONDO-RESERVE STUDY](https://policyrisk.com/state-bill/IL-HB2563-2025-2026)
- [HB4701: LIMITATIONS FACILITY FEES ACT](https://policyrisk.com/state-bill/IL-HB4701-2025-2026)
- [SB3008: DHS-ABLE PROGRAM INFO MATERIAL](https://policyrisk.com/state-bill/IL-SB3008-2025-2026)
- [SB3484: VEH CD-PLATES-REGISTRATION](https://policyrisk.com/state-bill/IL-SB3484-2025-2026)
- [Illinois bills](https://policyrisk.com/states/illinois/bills)
- [Illinois state hub](https://policyrisk.com/states/illinois)
- [All state legislation](https://policyrisk.com/state-bills)

Source: PRIA, https://policyrisk.com/state-bill/IL-HB3593-2025-2026 (as of 2026-11-01).
