# Illinois HB4189: HEALTH CARE SANCTITY ACT Illinois HB4189, HEALTH CARE SANCTITY ACT, is a 104th General Assembly (2025–2026) House bill sponsored by Dagmara Avelar (Democratic); status in committee, last action 2025-10-28 (Referred to Rules Committee) (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/IL-HB4189-2025-2026 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Illinois HB4189 - State: Illinois - Session: 104th General Assembly (2025–2026) - Title: HEALTH CARE SANCTITY ACT - Status: in committee - Chamber: House - Introduced: 2025-10-28 - Last action: 2025-10-28, Referred to Rules Committee - Sponsor: Dagmara Avelar (Democratic) - Cosponsors: 25 - Touches household money: no - Economic provisions PRIA read: 0 ## Summary Amends the Hospital Licensing Act. Provides that the amendatory provisions may be referred to as the Health Care Sanctity and Privacy Law. Requires hospitals to adopt and implement a policy regarding interactions with law enforcement agents. Sets forth minimum requirements for the policy, including designating a contact person or persons to be notified of all law enforcement presence or information requests and establishing the following procedures: procedures to respond to such requests; procedures to verify the identity and authority of any law enforcement agent involved in civil immigration activities at a hospital site; procedures for designating space for law enforcement agents to remain and wait at a hospital; procedures for patients to request an amendment to their medical records; and procedures concerning the release of information to law enforcement agents. Requires the policy to be submitted to the Department of Public Health. Establishes a fine for hospitals that fail to submit the policy. Sets forth provisions concerning complaints of noncompliance with the provisions; holding hospital personnel harmless from any civil, criminal, or other liability that may arise as a result of their reasonable compliance with the amendatory provisions; obligations as a mandated reporter; and conflicts with federal law. Amends the University of Illinois Hospital Act to require compliance with the provisions of the amendatory Act. Effective immediately. ## Bill overview No economic impacts identified for this bill. ## Sponsors and cosponsors - Sponsor: Dagmara Avelar (Democratic), House - Cosponsor: Aarón M. Ortíz (Democratic), House - Cosponsor: Abdelnasser Rashid (Democratic), House - Cosponsor: Ann M. Williams (Democratic), House - Cosponsor: Anna Moeller (Democratic), House - Cosponsor: Anne Stava (Democratic), House - Cosponsor: Barbara Hernandez (Democratic), House - Cosponsor: Edgar González, Jr. (Democratic), House - Cosponsor: Elizabeth "Lisa" Hernandez (Democratic), House - Cosponsor: Jaime M. Andrade, Jr. (Democratic), House - Cosponsor: Jawaharial Williams (Democratic), House - Cosponsor: Kam Buckner (Democratic), House - Cosponsor: Kelly M. Cassidy (Democratic), House - Cosponsor: Kevin John Olickal (Democratic), House - Cosponsor: Laura Faver Dias (Democratic), House - Cosponsor: Lilian Jiménez (Democratic), House - Cosponsor: Margaret A. DeLaRosa (Democratic), House - Cosponsor: Mary Beth Canty (Democratic), House - Cosponsor: Maura Hirschauer (Democratic), House - Cosponsor: Nabeela Syed (Democratic), House - Cosponsor: Natalie A. Manley (Democratic), House - Cosponsor: Norma Hernandez (Democratic), House - Cosponsor: Robyn Gabel (Democratic), House - Cosponsor: Theresa Mah (Democratic), House - Cosponsor: Will Guzzardi (Democratic), House - Cosponsor: Yolonda Morris (Democratic), House ## Actions (28) - 2025-10-28: Referred to Rules Committee (House) - 2025-10-28: First Reading (House) - 2025-10-28: Added Co-Sponsor Rep. Margaret A. DeLaRosa (House) - 2025-10-28: Added Co-Sponsor Rep. Ann M. Williams (House) - 2025-10-28: Added Co-Sponsor Rep. Robyn Gabel (House) - 2025-10-28: Added Co-Sponsor Rep. Laura Faver Dias (House) - 2025-10-28: Added Co-Sponsor Rep. Will Guzzardi (House) - 2025-10-28: Added Co-Sponsor Rep. Barbara Hernandez (House) - 2025-10-28: Added Co-Sponsor Rep. Mary Beth Canty (House) - 2025-10-28: Added Co-Sponsor Rep. Anne Stava (House) - 2025-10-28: Added Co-Sponsor Rep. Abdelnasser Rashid (House) - 2025-10-28: Added Co-Sponsor Rep. Anna Moeller (House) - 2025-10-28: Added Co-Sponsor Rep. Lilian Jiménez (House) - 2025-10-28: Added Co-Sponsor Rep. Kelly M. Cassidy (House) - 2025-10-28: Added Co-Sponsor Rep. Yolonda Morris (House) - 2025-10-28: Added Co-Sponsor Rep. Norma Hernandez (House) - 2025-10-28: Added Co-Sponsor Rep. Elizabeth "Lisa" Hernandez (House) - 2025-10-28: Added Co-Sponsor Rep. Maura Hirschauer (House) - 2025-10-28: Added Co-Sponsor Rep. Kam Buckner (House) - 2025-10-28: Added Co-Sponsor Rep. Natalie A. Manley (House) - 2025-10-28: Added Co-Sponsor Rep. Nabeela Syed (House) - 2025-10-28: Added Co-Sponsor Rep. Kevin John Olickal (House) - 2025-10-28: Added Co-Sponsor Rep. Jawaharial Williams (House) - 2025-10-28: Added Co-Sponsor Rep. Edgar González, Jr. (House) - 2025-10-28: Added Co-Sponsor Rep. Aarón M. Ortíz (House) - 2025-10-28: Added Chief Co-Sponsor Rep. Theresa Mah (House) - 2025-10-28: Added Chief Co-Sponsor Rep. Jaime M. Andrade, Jr. (House) - 2025-10-28: Filed with the Clerk by Rep. Dagmara Avelar (House) ## Bill text - Introduced: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4189.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 - [Introduced (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4189.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-HB4189-2025-2026 (as of 2026-11-01).