IllinoisHB4403104th General Assembly (2025–2026)House

EPA-MEDICAL WASTE SHIPPING

Sponsored By: Sponsor information unavailable

Signed by Governor

Summary

Amends the Environmental Protection Act. Provides that no person shall cause or allow the delivery or transfer of any potentially infectious medical waste for transport unless, among other things, the potentially infectious medical waste is accompanied by completed shipping papers that meet the requirements of federal hazardous materials transportation regulations (rather than a potentially infectious medical waste manifest from the Illinois Environmental Protection Agency) if required under the Act for transport of that waste. Provides that, except in specified circumstances, no person shall transport potentially infectious medical waste, unless the transporter carries completed shipping papers for the waste that meet the requirements of the federal hazardous materials transportation regulations (rather than a manifest from the Illinois Environmental Protection Agency). Provides that the potentially infectious medical waste transportation fees are 5 cents (rather than 3 cents) per pound of potentially infectious medical waste. Makes other and conforming changes. Effective July 1, 2026.

energy & environmentassignmentspublic health

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 1 benefits, 2 costs, 0 mixed.

Medical-waste shippers lose $4 paperwork fee

Beginning January 1, 2027, Illinois ends its $4 fee for each potentially infectious medical-waste manifest. Entities that otherwise paid this waste-tracking paperwork fee save $4 per manifest.

Federal shipping rules for medical-waste shippers

Beginning January 1, 2027, covered shippers of potentially infectious medical waste must use papers meeting federal hazardous-materials shipping rules. Generators moving their own waste within or between sites they own, control, or operate are exempt. Noncommercial trips carrying less than 50 pounds at a time are also exempt. The requirement does not apply to the U.S. Postal Service.

Medical-waste handlers pay higher per-pound fees

Beginning January 1, 2027, the fee on covered potentially infectious medical waste rises from 3 to 5 cents per pound. Permitted transporters pay for waste they carry. Transporters exempt because they move waste from their own activities pay only for deliveries to sites they do not own, control, or operate. Storage sites and treatment facilities pay for waste received unless a transporter has already paid. Payments cannot be required more often than quarterly.

Sponsors & Cosponsors

Sponsors

There is no primary sponsor on record.

Cosponsors

  • Christopher Belt

    Democratic • Senate

  • David Koehler

    Democratic • Senate

  • Jawaharial Williams

    Democratic • House

  • Jay Hoffman

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 206 • No: 0

Senate vote • 5/21/2026

Third Reading - Passed;

Yes: 59 • No: 0

Senate vote • 4/29/2026

Do Pass Public Health;

Yes: 6 • No: 0

House vote • 4/8/2026

Third Reading - Short Debate - Passed

Yes: 110 • No: 0

House vote • 3/18/2026

House Floor Amendment No. 2 Recommends Be Adopted Rules Committee;

Yes: 5 • No: 0

House vote • 2/24/2026

Do Pass / Short Debate Energy & Environment Committee;

Yes: 26 • No: 0

Actions Timeline

  1. Public Act . . . . . . . . . 104-0606

    7/24/2026House
  2. Effective Date January 1, 2027

    7/24/2026House
  3. Governor Approved

    7/24/2026House
  4. Sent to the Governor

    6/18/2026House
  5. Passed Both Houses

    5/21/2026House
  6. Third Reading - Passed; 059-000-000

    5/21/2026Senate
  7. Placed on Calendar Order of 3rd Reading **

    5/19/2026Senate
  8. Placed on Calendar Order of 3rd Reading May 5, 2026

    4/30/2026Senate
  9. Second Reading

    4/30/2026Senate
  10. Placed on Calendar Order of 2nd Reading April 30, 2026

    4/29/2026Senate
  11. Do Pass Public Health; 006-000-000

    4/29/2026Senate
  12. Added as Alternate Co-Sponsor Sen. David Koehler

    4/27/2026Senate
  13. Assigned to Public Health

    4/22/2026Senate
  14. Referred to Assignments

    4/10/2026Senate
  15. First Reading

    4/10/2026Senate
  16. Chief Senate Sponsor Sen. Christopher Belt

    4/10/2026Senate
  17. Placed on Calendar Order of First Reading

    4/10/2026Senate
  18. Arrive in Senate

    4/10/2026Senate
  19. Third Reading - Short Debate - Passed 110-000-000

    4/8/2026House
  20. Placed on Calendar Order of 3rd Reading - Short Debate

    4/7/2026House
  21. Second Reading - Short Debate

    4/7/2026House
  22. House Floor Amendment No. 2 Adopted

    4/7/2026House
  23. House Floor Amendment No. 2 Recommends Be Adopted Rules Committee; 005-000-000

    3/18/2026House
  24. House Floor Amendment No. 2 Referred to Rules Committee

    2/25/2026House
  25. House Floor Amendment No. 2 Filed with Clerk by Rep. Jay Hoffman

    2/25/2026House

Bill Text

  • Engrossed

  • Enrolled

  • House Amendment 1

  • House Amendment 2

  • Introduced

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