IllinoisHB3637104th General Assembly (2025–2026)House

HEALTH REGULATION-VARIOUS

Sponsored By: Sponsor information unavailable

Signed by Governor

Summary

Amends the Behavior Analyst Licensing Act, the Clinical Psychologist Licensing Act, the Clinical Social Work and Social Work Practice Act, the Marriage and Family Therapy Licensing Act, the Medical Practice Act of 1987, the Licensed Certified Professional Midwife Practice Act, the Nurse Practice Act, the Pharmacy Practice Act, the Physician Assistant Practice Act of 1987, the Professional Counselor and Clinical Professional Counselor Licensing and Practice Act, the Wholesale Drug Distribution Licensing Act, the Registered Surgical Assistant and Registered Surgical Technologist Title Protection Act, and the Genetic Counselor Licensing Act. Provides that the Department of Professional and Financial Regulation shall not take any disciplinary or non-disciplinary action against a person's authorization to practice (rather than against the license or permit issued) under each of the amended Acts based solely upon the person's involvement in any health care service, so long as the care was not unlawful under the laws of the State. Prohibits the Department from taking any disciplinary or non-disciplinary action against a person's authorization to practice (rather than against the license or permit issued) under each of the amended Acts based upon the person's license, registration, or permit (rather than only license) being revoked or suspended, or the person being otherwise disciplined by any other state, if that form of discipline was based solely on the person violating another state's laws prohibiting involvement in any health care service if that health care service would not have been unlawful under the laws of the State and is consistent with the applicable standard of conduct for a person practicing in Illinois under those Acts. Changes certain references to official occupation titles in the amended Acts to "person". Amends the Illinois Food, Drug and Cosmetic Act. Provides that a drug's status as not approved by the U.S. Food and Drug Administration shall not cause it to be deemed an adulterated drug if its safety and efficacy have been established by peer-reviewed research or if it is recommended for use by the World Health Organization, even if the drug's labelling reflects prior approval that is no longer in effect, so long as such labelling was true and accurate at the time of manufacture.

health care availability & accessibilityassignmentsexecutive

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Bill Overview

Analyzed Economic Effects

10 provisions identified: 8 benefits, 2 costs, 0 mixed.

Doctors and nurses gain insurance protections

Professional liability insurers cannot deny or cancel coverage, or raise rates, solely over qualifying care or related out-of-state license actions. For practitioners under the Medical Practice Act, the protected services must have been provided in Illinois. For nurses and advanced practice nurses, the services must have been lawful and met Illinois standards if provided here. The medical protections also require lawful care that meets Illinois standards. Insurers do not have to cover illegal services.

Care providers gain workplace practice protections

Covered health care institutions cannot restrict clinical privileges because of prior discipline based solely on qualifying care. This includes protections for nurses and advanced practice registered nurses. Pharmacies also cannot penalize practitioners because of prior license or privilege actions based solely on another state's ban on the care. The care must be lawful in Illinois and meet the applicable Illinois conduct standards.

Doctors gain protections for specified treatments

Illinois limits licensing actions for conduct specifically protected under the Medical Practice Act. This includes recommending investigational treatment and experimental treatment for Lyme or other tick-borne diseases. It also includes participating in health care that is lawful in Illinois and meets Illinois conduct standards. The listed conduct cannot trigger the specified reporting duties, serve as grounds for the specified suspension, or appear on required physician profiles.

Immigration violations alone cannot trigger discipline

Illinois cannot take licensing action against covered professionals solely because of their immigration violations. It also cannot rely solely on another state's discipline based only on those violations. The protections cover social work practitioners and people authorized under other covered laws. Under the marriage and family therapy law, protection extends beyond the previously named therapist categories to everyone authorized to practice. These rules do not grant immigration status or benefits.

Lawful care protections for health practitioners

Illinois bars licensing actions based solely on lawful Illinois care involving covered nurses, pharmacy practitioners, physician assistants, and certified professional midwives. The protections cover providing or helping with care, including recommendations and referrals, regardless of where patients live. Illinois also bars action based on another state's discipline solely over that care when it meets Illinois conduct standards. Related protections apply under the other covered health-profession laws. The pharmacy licensing protections end January 1, 2028.

License applicants gain care discipline protections

Illinois cannot deny covered professional licenses solely because another jurisdiction disciplined an applicant for taking part in health care. This includes social work and physician assistant applicants, along with applicants under other covered health-profession laws. The Department can still deny an application if it finds the conduct amounts to professional misconduct in Illinois.

Licensing protections for behavioral health providers

Illinois bars licensing actions based solely on participation in lawful Illinois care by behavior analysts, psychologists, social workers, marriage and family therapists, and counselors. This covers recommending, helping with, or referring for care, even when patients live elsewhere. For the first four groups, Illinois also protects against another state's discipline over care lawful in Illinois that meets Illinois conduct standards. Analysts and psychologists have an additional protection when another state or territory disciplines them solely under its service ban for referrals or participation.

Illinois relaxes rules for certain drugs

Until January 1, 2035, Illinois does not classify qualifying drugs as adulterated solely because the FDA revoked approval. Approval must predate January 1, 2025, and revocation must occur after that date. The World Health Organization must recommend the drug, and its labeling must have been accurate when manufactured. Separately, WHO-recommended drugs are not misbranded solely for lacking FDA approval; labels showing expired approval must have been accurate when manufactured. Neither rule requires anyone to market or supply the drug.

Behavioral providers face specified discipline grounds

Illinois can discipline clinical psychologists for unauthorized conduct defined by Department rules. Behavior analysts can face discipline for materially misstating insurance claim information about claims for themselves or clients. The behavior analyst rule replaces the word “patient” with “client.”

Genetic counselors face tax-related license discipline

Licensed genetic counselors can face professional discipline for failing to file required Illinois or federal tax returns. The rule also covers unpaid tax, penalties, or interest shown on filed returns or owed under final assessments. It applies to taxes administered by the Illinois Department of Revenue, the IRS, or successor agencies.

Sponsors & Cosponsors

Sponsors

There is no primary sponsor on record.

Cosponsors

  • Aarón M. Ortíz

    Democratic • House

  • Abdelnasser Rashid

    Democratic • House

  • Amy Briel

    Democratic • House

  • Anna Moeller

    Democratic • House

  • Barbara Hernandez

    Democratic • House

  • Bob Morgan

    Democratic • House

  • Camille Y. Lilly

    Democratic • House

  • Dagmara Avelar

    Democratic • House

  • Edgar González, Jr.

    Democratic • House

  • Eva-Dina Delgado

    Democratic • House

  • Graciela Guzmán

    Democratic • Senate

  • Janet Yang Rohr

    Democratic • House

  • Jehan Gordon-Booth

    Democratic • House

  • Jennifer Gong-Gershowitz

    Democratic • House

  • Joyce Mason

    Democratic • House

  • Karina Villa

    Democratic • Senate

  • Kelly M. Cassidy

    Democratic • House

  • Kimberly Du Buclet

    Democratic • House

  • Laura Faver Dias

    Democratic • House

  • Lindsey LaPointe

    Democratic • House

  • Margaret Croke

    Democratic • House

  • Mary Beth Canty

    Democratic • House

  • Mary Edly-Allen

    Democratic • Senate

  • Maura Hirschauer

    Democratic • House

  • Michael Crawford

    Democratic • House

  • Michelle Mussman

    Democratic • House

  • Mike Simmons

    Democratic • Senate

  • Nabeela Syed

    Democratic • House

  • Natalie A. Manley

    Democratic • House

  • Nicolle Grasse

    Democratic • House

  • Omar Aquino

    Democratic • Senate

  • Paul Faraci

    Democratic • Senate

  • Rachel Ventura

    Democratic • Senate

  • Robyn Gabel

    Democratic • House

  • Sara Feigenholtz

    Democratic • Senate

  • Sharon Chung

    Democratic • House

  • Will Guzzardi

    Democratic • House

  • Yolonda Morris

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 213 • No: 113

House vote • 5/30/2025

Senate Committee Amendment No. 1 House Concurs

Yes: 75 • No: 39

House vote • 5/29/2025

Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Health Care Availability & Accessibility Committee;

Yes: 8 • No: 4

Senate vote • 5/22/2025

Third Reading - Passed;

Yes: 38 • No: 19

Senate vote • 5/15/2025

Do Pass as Amended Executive;

Yes: 8 • No: 4

House vote • 4/7/2025

Third Reading - Short Debate - Passed

Yes: 67 • No: 39

House vote • 3/25/2025

House Floor Amendment No. 1 Recommends Be Adopted Health Care Availability & Accessibility Committee;

Yes: 8 • No: 3

House vote • 3/18/2025

Do Pass / Short Debate Health Care Availability & Accessibility Committee;

Yes: 9 • No: 5

Actions Timeline

  1. Public Act . . . . . . . . . 104-0432

    8/22/2025House
  2. Effective Date January 1, 2026

    8/22/2025House
  3. Governor Approved

    8/22/2025House
  4. Added as Alternate Co-Sponsor Sen. Paul Faraci

    8/20/2025Senate
  5. Sent to the Governor

    6/24/2025House
  6. Passed Both Houses

    5/30/2025House
  7. House Concurs

    5/30/2025House
  8. Senate Committee Amendment No. 1 House Concurs 075-039-000

    5/30/2025House
  9. Added Co-Sponsor Rep. Laura Faver Dias

    5/30/2025House
  10. Added Co-Sponsor Rep. Michelle Mussman

    5/30/2025House
  11. Added Co-Sponsor Rep. Amy Briel

    5/30/2025House
  12. Chair Rules placed on Standard debate.

    5/30/2025House
  13. Added Co-Sponsor Rep. Camille Y. Lilly

    5/29/2025House
  14. Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Health Care Availability & Accessibility Committee; 008-004-000

    5/29/2025House
  15. Senate Committee Amendment No. 1 Motion to Concur Rules Referred to Health Care Availability & Accessibility Committee

    5/28/2025House
  16. Added as Alternate Co-Sponsor Sen. Graciela Guzmán

    5/27/2025Senate
  17. Senate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee

    5/23/2025House
  18. Senate Committee Amendment No. 1 Motion Filed Concur Rep. Dagmara Avelar

    5/23/2025House
  19. Placed on Calendar Order of Concurrence Senate Amendment(s) 1

    5/23/2025House
  20. Arrived in House

    5/23/2025House
  21. Third Reading - Passed; 038-019-000

    5/22/2025Senate
  22. Added as Alternate Co-Sponsor Sen. Rachel Ventura

    5/21/2025Senate
  23. Added as Alternate Co-Sponsor Sen. Mary Edly-Allen

    5/20/2025Senate
  24. Added as Alternate Co-Sponsor Sen. Mike Simmons

    5/16/2025Senate
  25. Placed on Calendar Order of 3rd Reading May 20, 2025

    5/15/2025Senate

Bill Text

  • Engrossed

  • Enrolled

  • House Amendment 1

  • Introduced

  • Senate Amendment 1

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