# Illinois HB4403: EPA-MEDICAL WASTE SHIPPING Illinois HB4403, EPA-MEDICAL WASTE SHIPPING, is a 104th General Assembly (2025–2026) House bill sponsored by no sponsor on record; status signed, last action 2026-07-24 (Public Act . . . . . . . . . 104-0606) (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/IL-HB4403-2025-2026 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Illinois HB4403 - State: Illinois - Session: 104th General Assembly (2025–2026) - Title: EPA-MEDICAL WASTE SHIPPING - Status: signed - Chamber: House - Introduced: 2026-01-13 - Last action: 2026-07-24, Public Act . . . . . . . . . 104-0606 - Sponsors: no sponsor on record - Cosponsors: 4 - Subjects: energy & environment, assignments, public health - Touches household money: no - Roll calls: 5 (206 yes, 0 no in all) - Economic provisions PRIA read: 3 ## 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. ## Bill overview: provisions PRIA read - Medical-waste shippers lose $4 paperwork fee: benefit, low. 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: cost, low. 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 pound… - Medical-waste handlers pay higher per-pound fees: cost, low. 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… ## Sponsors and cosponsors - Cosponsor: Christopher Belt (Democratic), Senate - Cosponsor: David Koehler (Democratic), Senate - Cosponsor: Jawaharial Williams (Democratic), House - Cosponsor: Jay Hoffman (Democratic), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-05-21 | Senate | Third Reading - Passed; | pass | 59 | 0 | | | 2026-04-29 | Senate | Do Pass Public Health; | pass | 6 | 0 | | | 2026-04-08 | House | Third Reading - Short Debate - Passed | pass | 110 | 0 | | | 2026-03-18 | House | House Floor Amendment No. 2 Recommends Be Adopted Rules Committee; | pass | 5 | 0 | | | 2026-02-24 | House | Do Pass / Short Debate Energy & Environment Committee; | pass | 26 | 0 | | ## Actions (35) - 2026-07-24: Public Act . . . . . . . . . 104-0606 (House) - 2026-07-24: Effective Date January 1, 2027 (House) - 2026-07-24: Governor Approved (House) - 2026-06-18: Sent to the Governor (House) - 2026-05-21: Passed Both Houses (House) - 2026-05-21: Third Reading - Passed; 059-000-000 (Senate) - 2026-05-19: Placed on Calendar Order of 3rd Reading ** (Senate) - 2026-04-30: Placed on Calendar Order of 3rd Reading May 5, 2026 (Senate) - 2026-04-30: Second Reading (Senate) - 2026-04-29: Placed on Calendar Order of 2nd Reading April 30, 2026 (Senate) - 2026-04-29: Do Pass Public Health; 006-000-000 (Senate) - 2026-04-27: Added as Alternate Co-Sponsor Sen. David Koehler (Senate) - 2026-04-22: Assigned to Public Health (Senate) - 2026-04-10: Referred to Assignments (Senate) - 2026-04-10: First Reading (Senate) - 2026-04-10: Chief Senate Sponsor Sen. Christopher Belt (Senate) - 2026-04-10: Placed on Calendar Order of First Reading (Senate) - 2026-04-10: Arrive in Senate (Senate) - 2026-04-08: Third Reading - Short Debate - Passed 110-000-000 (House) - 2026-04-07: Placed on Calendar Order of 3rd Reading - Short Debate (House) - 2026-04-07: Second Reading - Short Debate (House) - 2026-04-07: House Floor Amendment No. 2 Adopted (House) - 2026-03-18: House Floor Amendment No. 2 Recommends Be Adopted Rules Committee; 005-000-000 (House) - 2026-02-25: House Floor Amendment No. 2 Referred to Rules Committee (House) - 2026-02-25: House Floor Amendment No. 2 Filed with Clerk by Rep. Jay Hoffman (House) - 2026-02-25: Placed on Calendar 2nd Reading - Short Debate (House) - 2026-02-24: Added Co-Sponsor Rep. Jawaharial Williams (House) - 2026-02-24: House Committee Amendment No. 1 Tabled (House) - 2026-02-24: Do Pass / Short Debate Energy & Environment Committee; 026-000-000 (House) - 2026-02-17: House Committee Amendment No. 1 Referred to Rules Committee (House) - 2026-02-17: House Committee Amendment No. 1 Filed with Clerk by Rep. Jay Hoffman (House) - 2026-02-11: Assigned to Energy & Environment Committee (House) - 2026-01-14: Referred to Rules Committee (House) - 2026-01-14: First Reading (House) - 2026-01-13: Filed with the Clerk by Rep. Jay Hoffman (House) ## Bill text - Engrossed: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4403eng.pdf) - Enrolled: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4403enr.pdf) - House Amendment 1: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4403ham001.pdf) - House Amendment 2: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4403ham002.pdf) - Introduced: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4403.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 - [Engrossed (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4403eng.pdf) - [Enrolled (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4403enr.pdf) - [House Amendment 1 (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4403ham001.pdf) - [House Amendment 2 (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4403ham002.pdf) - [Introduced (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4403.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-HB4403-2025-2026 (as of 2026-11-01).