IllinoisHB4461104th General Assembly (2025–2026)HouseWALLET

HOSPITAL COLLECTION LIENS

Sponsored By: Sponsor information unavailable

Signed by Governor

Summary

Amends the Fair Patient Billing Act. In provisions concerning hospitals and their agents pursuing collection actions, provides that, for any legal action initiated against a patient for unpaid medical debt, a hospital may not file for or be granted a lien upon that patient's primary residence or on any other real property owned by the patient. Effective January 1, 2027.

judiciary - civilassignmentsexecutive

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Bill Overview

Analyzed Economic Effects

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

Patients get stronger medical debt protections

Starting January 1, 2027, hospitals must take added steps before collecting unpaid bills. For uninsured patients, hospitals must complete screening, apply available discounts, and let patients review bills, seek financial help, and ask for a payment plan. When circumstances suggest charity-care eligibility, patients get at least 90 days after discharge or outpatient care to apply, and hospitals must offer charity-care information regardless of immigration or residency status. For insured patients, hospitals must complete screening and offer a reasonable payment plan before sending bills to a collection agency or lawyer; patients have 90 days from the first bill, and collection can proceed if a requested plan is not agreed on within that time. Hospitals need written approval before suing; neither a hospital nor a judgment can place a lien on a patient's primary home. The debt is not erased, and hospitals may use third parties only when they are bound to follow the law.

Sponsors & Cosponsors

Sponsors

There is no primary sponsor on record.

Cosponsors

  • Aarón M. Ortíz

    Democratic • House

  • Abdelnasser Rashid

    Democratic • House

  • Amy Briel

    Democratic • House

  • Camille Y. Lilly

    Democratic • House

  • Curtis J. Tarver, II

    Democratic • House

  • Dagmara Avelar

    Democratic • House

  • Daniel Didech

    Democratic • House

  • Dave Vella

    Democratic • House

  • Diane Blair-Sherlock

    Democratic • House

  • Edgar González, Jr.

    Democratic • House

  • Eva-Dina Delgado

    Democratic • House

  • Graciela Guzmán

    Democratic • Senate

  • Janet Yang Rohr

    Democratic • House

  • Jay Hoffman

    Democratic • House

  • Joyce Mason

    Democratic • House

  • Justin Cochran

    Democratic • House

  • Justin Slaughter

    Democratic • House

  • Kelly M. Cassidy

    Democratic • House

  • Laura Faver Dias

    Democratic • House

  • Lawrence "Larry" Walsh, Jr.

    Democratic • House

  • Lisa Davis

    Democratic • House

  • Margaret A. DeLaRosa

    Democratic • House

  • Martha Deuter

    Democratic • House

  • Mary Beth Canty

    Democratic • House

  • Mary Edly-Allen

    Democratic • Senate

  • Michael Crawford

    Democratic • House

  • Nabeela Syed

    Democratic • House

  • Nicolle Grasse

    Democratic • House

  • Robert "Bob" Rita

    Democratic • House

  • Robyn Gabel

    Democratic • House

  • Sharon Chung

    Democratic • House

  • Sonya M. Harper

    Democratic • House

  • Sue Scherer

    Democratic • House

  • Suzanne M. Ness

    Democratic • House

  • Theresa Mah

    Democratic • House

  • Tracy Katz Muhl

    Democratic • House

  • William "Will" Davis

    Democratic • House

  • Yolonda Morris

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 153 • No: 65

Senate vote • 5/19/2026

Third Reading - Passed;

Yes: 46 • No: 12

Senate vote • 5/6/2026

Do Pass Executive;

Yes: 9 • No: 2

House vote • 4/16/2026

Third Reading - Short Debate - Passed

Yes: 74 • No: 37

House vote • 4/15/2026

House Floor Amendment No. 3 Recommends Be Adopted Judiciary - Civil Committee;

Yes: 11 • No: 7

House vote • 3/26/2026

Do Pass / Short Debate Judiciary - Civil Committee;

Yes: 13 • No: 7

Actions Timeline

  1. Public Act . . . . . . . . . 104-0490

    6/26/2026House
  2. Effective Date January 1, 2027

    6/26/2026House
  3. Governor Approved

    6/26/2026House
  4. Sent to the Governor

    6/18/2026House
  5. Passed Both Houses

    5/19/2026House
  6. Third Reading - Passed; 046-012-000

    5/19/2026Senate
  7. Added Co-Sponsor Rep. Robyn Gabel

    5/18/2026House
  8. Placed on Calendar Order of 3rd Reading May 18, 2026

    5/14/2026Senate
  9. Second Reading

    5/14/2026Senate
  10. Added as Alternate Co-Sponsor Sen. Mary Edly-Allen

    5/7/2026Senate
  11. Placed on Calendar Order of 2nd Reading May 7, 2026

    5/6/2026Senate
  12. Do Pass Executive; 009-002-000

    5/6/2026Senate
  13. Assigned to Executive

    4/28/2026Senate
  14. Referred to Assignments

    4/21/2026Senate
  15. First Reading

    4/21/2026Senate
  16. Chief Senate Sponsor Sen. Graciela Guzmán

    4/21/2026Senate
  17. Placed on Calendar Order of First Reading

    4/21/2026Senate
  18. Arrive in Senate

    4/21/2026Senate
  19. Added Co-Sponsor Rep. Eva-Dina Delgado

    4/16/2026House
  20. Added Co-Sponsor Rep. Theresa Mah

    4/16/2026House
  21. Added Co-Sponsor Rep. Suzanne M. Ness

    4/16/2026House
  22. Added Co-Sponsor Rep. Laura Faver Dias

    4/16/2026House
  23. Added Co-Sponsor Rep. William "Will" Davis

    4/16/2026House
  24. Added Co-Sponsor Rep. Lisa Davis

    4/16/2026House
  25. Added Co-Sponsor Rep. Justin Slaughter

    4/16/2026House

Bill Text

  • Engrossed

  • Enrolled

  • House Amendment 1

  • House Amendment 2

  • House Amendment 3

  • Introduced

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