# Illinois HB4359: LONG-TERM CARE BILL OF RIGHTS

Illinois HB4359, LONG-TERM CARE BILL OF RIGHTS, is a 104th General Assembly (2025–2026) House bill sponsored by Nicolle Grasse (Democratic); status in committee, last action 2026-04-17 (Rule 19(a) / Re-referred to Rules Committee) (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/IL-HB4359-2025-2026
- As of: 2026-11-01
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Illinois HB4359
- State: Illinois
- Session: 104th General Assembly (2025–2026)
- Title: LONG-TERM CARE BILL OF RIGHTS
- Status: in committee
- Chamber: House
- Introduced: 2026-01-08
- Last action: 2026-04-17, Rule 19(a) / Re-referred to Rules Committee
- Sponsor: Nicolle Grasse (Democratic)
- Cosponsors: 12
- Subjects: judiciary - civil
- Touches household money: no
- Roll calls: 1 (13 yes, 7 no in all)
- Economic provisions PRIA read: 0

## Summary

Creates the Sexual Orientation, Gender Identity, and Gender Expression in Long-Term Care Bill of Rights Act. Establishes rights for a client who lives in a long-term care facility, or who receives home care services from a home care provider, from discrimination on the basis of actual or perceived sex, actual or perceived sexual orientation, actual or perceived gender identity, actual or perceived gender expression, or actual or perceived HIV status. Provides that an aggrieved person may enforce violations of the Act against a long-term care facility or a home care provider and the staff of the long-term care facility or home care provider through a civil action. Sets forth provisions concerning gender identity in client records; required training for all long-term care facilities and home care providers; arbitration agreements; interpretation of the Act; and enforcement of rights, including civil penalties and other administrative actions. Amends the Assisted Living and Shared Housing Act, the Nursing Home Care Act, and the Home Health, Home Services, and Home Nursing Agency Licensing Act to require compliance with the Sexual orientation, Gender Identity, and Gender Expression in Long-Term Care Bill of Rights Act. Amends the Adult Protective Services Act to include intentional misgendering and unlawful discrimination in the definition of "abuse".

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Nicolle Grasse (Democratic), House
- Cosponsor: Anne Stava (Democratic), House
- Cosponsor: Dagmara Avelar (Democratic), House
- Cosponsor: Edgar González, Jr. (Democratic), House
- Cosponsor: Laura Faver Dias (Democratic), House
- Cosponsor: Lilian Jiménez (Democratic), House
- Cosponsor: Lindsey LaPointe (Democratic), House
- Cosponsor: Michael Crawford (Democratic), House
- Cosponsor: Norma Hernandez (Democratic), House
- Cosponsor: Rita Mayfield (Democratic), House
- Cosponsor: Sharon Chung (Democratic), House
- Cosponsor: Will Guzzardi (Democratic), House
- Cosponsor: Yolonda Morris (Democratic), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-03-26 | House | Do Pass / Short Debate Judiciary - Civil Committee; | pass | 13 | 7 |   |

## Actions (21)

- 2026-04-17: Rule 19(a) / Re-referred to Rules Committee (House)
- 2026-04-16: Added Co-Sponsor Rep. Laura Faver Dias (House)
- 2026-04-10: Held on Calendar Order of Second Reading - Short Debate (House)
- 2026-04-10: Second Reading - Short Debate (House)
- 2026-04-08: Added Co-Sponsor Rep. Norma Hernandez (House)
- 2026-04-08: Added Co-Sponsor Rep. Lilian Jiménez (House)
- 2026-04-08: Added Co-Sponsor Rep. Anne Stava (House)
- 2026-04-08: Added Co-Sponsor Rep. Will Guzzardi (House)
- 2026-04-08: Added Co-Sponsor Rep. Edgar González, Jr. (House)
- 2026-04-08: Added Co-Sponsor Rep. Michael Crawford (House)
- 2026-03-30: Added Co-Sponsor Rep. Lindsey LaPointe (House)
- 2026-03-27: Placed on Calendar 2nd Reading - Short Debate (House)
- 2026-03-26: Do Pass / Short Debate Judiciary - Civil Committee; 013-007-000 (House)
- 2026-02-25: Added Co-Sponsor Rep. Sharon Chung (House)
- 2026-02-19: Added Co-Sponsor Rep. Rita Mayfield (House)
- 2026-02-11: Assigned to Judiciary - Civil Committee (House)
- 2026-02-02: Added Co-Sponsor Rep. Dagmara Avelar (House)
- 2026-01-22: Added Chief Co-Sponsor Rep. Yolonda Morris (House)
- 2026-01-14: Referred to Rules Committee (House)
- 2026-01-14: First Reading (House)
- 2026-01-08: Filed with the Clerk by Rep. Nicolle Grasse (House)

## Bill text

- Introduced: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4359.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/10400HB4359.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-HB4359-2025-2026 (as of 2026-11-01).