All Roll Calls
Yes: 213 • No: 113
IllinoisHB3637104th General Assembly (2025–2026)HouseWALLET
HEALTH REGULATION-VARIOUS
Sponsored By: Dagmara Avelar (Democratic)
Became Law
health care availability & accessibilityassignmentsexecutive
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Bill Overview
Analyzed Economic Effects
24 provisions identified: 6 benefits, 9 costs, 9 mixed.
Protections for doctors using lawful treatments
Illinois protects doctors who provide lawful investigational or experimental care. The Department cannot discipline you solely for recommending or giving an investigational drug or device, or for experimental Lyme treatments. It also cannot act based only on another state's discipline when the care was legal here. This conduct does not trigger mandatory reports, suspension grounds, or public profile posting. These protections end on January 1, 2027.
Stricter discipline for social workers
The Department can fine clinical social workers and social workers up to $10,000 per violation and suspend or revoke a license for listed misconduct. It can order exams and require treatment; refusing an ordered exam causes automatic suspension until you comply. If the Secretary suspends you immediately, a hearing must start within 30 days, and fines must be paid within 60 days. A court-ordered involuntary or judicial admission also suspends your license until a court discharge and Board approval. The Department may refuse, not renew, or suspend a license for unpaid Illinois taxes or unpaid court‑ordered child support. These rules are effective until January 1, 2028.
Tougher discipline for physicians
The Department can fine physicians up to $10,000 per violation and suspend or revoke a license for many listed violations. After a second felony under the Illinois Controlled Substances Act or Methamphetamine Act, or a second listed Class 1 felony under the Public Aid Code, the Department must revoke the license to use drugs or perform surgery. These Medical Practice Act rules are in effect until January 1, 2027.
Bigger fines and license loss for violations
The Department can discipline licensees and fine up to $10,000 per violation. It can deny, not renew, or suspend a license without a hearing for unpaid or unfiled state taxes until paid. Nurses can be fined up to $10,000 per violation, with money going to the Nursing Fund. Pharmacy fines are due within 60 days and go to the Pharmacy Disciplinary Fund. After a second qualifying controlled‑substance felony (or listed Class 1 Public Aid felonies), pharmacy licenses must be revoked. The law also adds and clarifies many grounds for nursing discipline, including crimes, deception, gross negligence, substance abuse, failure to report abuse, and more.
Mandatory exams and automatic suspensions for clinicians
The Department can order mental or physical exams at its expense when it shows a possible violation. If you refuse a required exam or assessment, your license is automatically suspended until you comply. The Department may require treatment or counseling to keep or restore your license. A court’s involuntary or judicial mental‑health admission automatically suspends your license. It only ends after the court discharges you and the Board recommends you can return to practice.
More medical board exams and fines
The Medical Board can order mental, physical, substance-use, or sex-offender evaluations if it shows a possible violation. The Department pays exam costs. If you refuse, your license is automatically suspended until you comply. If you are found unable to practice, the Board can require treatment or counseling to keep or renew your license, and can suspend you for not following orders. The Department can fine up to $10,000 per violation, and a hearing must start within 15 days after an immediate suspension. These powers end on January 1, 2027.
Licenses tied to state tax compliance
The Department can refuse, not renew, or suspend your professional license if you fail to file returns or pay Illinois taxes, penalties, interest, or a final assessment. The action stays in place until you resolve the tax debt.
Criminal and civil penalties for nonreporting
Breaking the law’s reporting rules is a Class A misdemeanor. The Attorney General can go to court to stop violations, get restraining orders without notice or bond, and seek injunctions and contempt penalties.
Stricter rules and protections for therapists
The law lets the Department fine marriage and family therapists up to $10,000 per violation and suspend or revoke a license. It can order mental or physical exams and require treatment; refusing an ordered exam triggers automatic suspension until you comply. A court-ordered involuntary or judicial admission automatically suspends your license until a court discharge and Board approval. If the Secretary suspends you immediately, a hearing starts within 30 days. The Department may refuse or suspend your license for unpaid Illinois taxes; fines must be paid within 60 days. It cannot discipline you just for lawful Illinois care, for related out‑of‑state bans, or solely for an immigration violation. These rules last until January 1, 2027.
Protections for lawful Illinois care
The Department cannot discipline you solely for authorizing, helping with, or providing health care that is lawful in Illinois. It also cannot rely only on another state’s discipline if that action was based solely on a ban that does not exist here and your conduct meets Illinois standards.
Limits on discipline for Illinois‑lawful care
The Department cannot discipline nurses or social workers solely for providing or helping with care that is legal in Illinois, even if the patient lives elsewhere. It cannot punish social workers based only on immigration violations. It also cannot act just because another state punished a provider for care that is lawful and consistent with standards in Illinois. Liability insurers for nurses must report plaintiff‑favoring malpractice outcomes, but they cannot take adverse action based only on out‑of‑state bans when the care was lawful here. The social‑worker protections last until January 1, 2028.
Protections for reporters and board members
People and organizations who report or help investigations in good faith are immune from lawsuits and criminal charges. Board members acting in good faith get State legal defense and indemnity. Members must notify the Attorney General within 7 days of a lawsuit, and the Attorney General must decide within 7 days whether to represent them. If the Attorney General declines, members may hire counsel, and the State may pay reasonable fees with approval.
Shields lawful care from other states
The law shields Illinois-licensed clinicians when their care is legal in Illinois. The Department, hospitals, and other institutions cannot take action based only on another state's ban or discipline. Insurers cannot deny, cancel, refuse to renew, or raise rates for that reason. Pharmacies cannot punish pharmacists or technicians solely for such out-of-state actions. For nurses, this covered conduct is not reportable and does not trigger automatic suspension. These protections apply only when the care would be lawful in Illinois and meets Illinois standards.
Safer pharmacy staffing, no quotas
Pharmacies must keep enough staff and allow uninterrupted rest and meal breaks. They must give pharmacists time to counsel patients, check prescriptions, give shots, and review drug use. The law bans quotas or other pressures that interfere with professional judgment. It also bans incentives to move a prescription without a clinical reason.
Board notified when trainee leaves early
Program directors must tell the Medical Board when a post-graduate clinical trainee leaves before finishing. If the Board asks, the director must send all documents about the separation so the Board can decide if a violation occurred.
Higher fines for drug wholesalers
If you run or own a wholesale drug distributor (5%+ ownership), the Department can discipline you and fine up to $10,000 per violation. This authority applies to applicants, licensees, and certain owners. The rule sunsets on January 1, 2028.
Behavior analysts: discipline and safeguards
The Department can discipline licensed behavior analysts and fine up to $10,000 per violation. It can order mental or physical exams and require treatment; refusing an ordered exam causes automatic suspension until you comply. A court-ordered involuntary or judicial admission also suspends your license until a court discharge and Board approval. The Department may refuse, not renew, or suspend your license for unpaid Illinois taxes or unpaid court‑ordered child support. It cannot discipline you just for lawful Illinois care or rely only on an out‑of‑state ban when the service is legal in Illinois.
Genetic counselors: discipline and protections
The Department can fine licensed genetic counselors up to $10,000 per violation and take actions like suspension or revocation. Fines or costs must be paid within 60 days. It may refuse, not renew, or suspend a license for unpaid Illinois taxes (without a hearing) or when child support is more than 30 days past due. The Department cannot discipline you just for lawful Illinois care, or rely only on an out‑of‑state ban when the service is legal in Illinois. Illinois also cannot deny a new license based only on such out‑of‑state discipline unless the conduct would be misconduct here. These rules are in effect through January 1, 2030.
Rules and protections for surgical assistants
The Department can discipline registered surgical assistants and technologists and fine up to $10,000 per violation. Fines must be paid within 60 days. It may require treatment as a condition to keep or restore a registration; if the Secretary suspends you immediately, a hearing must start within 15 days. The Department cannot discipline you just for lawful Illinois care or rely only on an out‑of‑state ban when the service is legal in Illinois, and that protected conduct cannot be used as a suspension ground. These rules last until January 1, 2029.
More groups must report risky clinicians
Hospitals and other licensed health facilities must report when they end or limit clinical privileges for safety reasons, including voluntary resignations. They must also report impaired clinicians and give status updates at least twice a year. Professional associations, insurers, State’s Attorneys (within 5 days of a felony or Class A misdemeanor conviction), and state agencies must report specified cases. Mandatory reports are due in writing within 60 days and must include set details; pharmacy terminations tied to patient safety must be reported within 60 days and stay confidential. In cases alleging death or permanent injury, the Board or Department may subpoena records.
WHO exceptions and notice in drug law
For drugs the FDA approved before January 1, 2025, a later FDA revocation alone does not make them adulterated in Illinois if the World Health Organization recommends them and the labeling was true when made. Lack of FDA approval alone also does not make a WHO-recommended drug misbranded when the original labeling was accurate. The adulteration exception ends on January 1, 2035. Before the Director reports a violation, the person gets notice and a chance to respond. After a report, the state's attorney must bring the case in court.
Faster hearings and notice in license cases
After an immediate suspension, the Department must hold a hearing within 15 days for nursing, pharmacy, and counseling, and within 30 days for physician assistants and others. The Medical Board must notify you within 30 days if you are the subject of a report, and you have 30 days to respond. The first Board review happens between day 61 and day 180. If the Department fines you, you must pay within 60 days unless the order sets other terms.
Rulemaking for genetic counselor discipline
The Department may adopt rules to carry out the Genetic Counselor Licensing Act changes. This shapes how discipline is applied and runs through January 1, 2030.
Confidentiality and public discipline summaries
Medical Board reports are confidential and may be shared only with law enforcement by subpoena in an ongoing criminal case or to licensing bodies on official request. Recipients may use the information only for investigations, prosecutions, or discipline. The Board also issues public summaries of final disciplinary actions at least every other month. Closed cases without discipline are not included, and the Department may charge a fee.
Sponsors & Cosponsors
Sponsor
Dagmara Avelar
Democratic • House
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
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
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
Public Act . . . . . . . . . 104-0432
8/22/2025HouseEffective Date January 1, 2026
8/22/2025HouseGovernor Approved
8/22/2025HouseAdded as Alternate Co-Sponsor Sen. Paul Faraci
8/20/2025SenateSent to the Governor
6/24/2025HousePassed Both Houses
5/30/2025HouseHouse Concurs
5/30/2025HouseSenate Committee Amendment No. 1 House Concurs 075-039-000
5/30/2025HouseAdded Co-Sponsor Rep. Laura Faver Dias
5/30/2025HouseAdded Co-Sponsor Rep. Michelle Mussman
5/30/2025HouseAdded Co-Sponsor Rep. Amy Briel
5/30/2025HouseChair Rules placed on Standard debate.
5/30/2025HouseAdded Co-Sponsor Rep. Camille Y. Lilly
5/29/2025HouseSenate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Health Care Availability & Accessibility Committee; 008-004-000
5/29/2025HouseSenate Committee Amendment No. 1 Motion to Concur Rules Referred to Health Care Availability & Accessibility Committee
5/28/2025HouseAdded as Alternate Co-Sponsor Sen. Graciela Guzmán
5/27/2025SenateSenate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee
5/23/2025HouseSenate Committee Amendment No. 1 Motion Filed Concur Rep. Dagmara Avelar
5/23/2025HousePlaced on Calendar Order of Concurrence Senate Amendment(s) 1
5/23/2025HouseArrived in House
5/23/2025HouseThird Reading - Passed; 038-019-000
5/22/2025SenateAdded as Alternate Co-Sponsor Sen. Rachel Ventura
5/21/2025SenateAdded as Alternate Co-Sponsor Sen. Mary Edly-Allen
5/20/2025SenateAdded as Alternate Co-Sponsor Sen. Mike Simmons
5/16/2025SenatePlaced on Calendar Order of 3rd Reading May 20, 2025
5/15/2025Senate
Bill Text
Engrossed
Enrolled
House Amendment 1
Introduced
Senate Amendment 1