# Illinois HB4461: HOSPITAL COLLECTION LIENS

Illinois HB4461, HOSPITAL COLLECTION LIENS, is a 104th General Assembly (2025–2026) House bill sponsored by no sponsor on record; status signed, last action 2026-06-26 (Public Act . . . . . . . . . 104-0490); PRIA reads it as touching household money (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/IL-HB4461-2025-2026
- As of: 2026-11-01
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Illinois HB4461
- State: Illinois
- Session: 104th General Assembly (2025–2026)
- Title: HOSPITAL COLLECTION LIENS
- Status: signed
- Chamber: House
- Introduced: 2026-01-15
- Last action: 2026-06-26, Public Act . . . . . . . . . 104-0490
- Sponsors: no sponsor on record
- Cosponsors: 38
- Subjects: judiciary - civil, assignments, executive
- Touches household money: yes
- Roll calls: 5 (153 yes, 65 no in all)
- Economic provisions PRIA read: 1

## 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.

## Bill overview: provisions PRIA read

- Patients get stronger medical debt protections: benefit, medium. 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 eli…

## Sponsors and cosponsors

- Cosponsor: Aarón M. Ortíz (Democratic), House
- Cosponsor: Abdelnasser Rashid (Democratic), House
- Cosponsor: Amy Briel (Democratic), House
- Cosponsor: Camille Y. Lilly (Democratic), House
- Cosponsor: Curtis J. Tarver, II (Democratic), House
- Cosponsor: Dagmara Avelar (Democratic), House
- Cosponsor: Daniel Didech (Democratic), House
- Cosponsor: Dave Vella (Democratic), House
- Cosponsor: Diane Blair-Sherlock (Democratic), House
- Cosponsor: Edgar González, Jr. (Democratic), House
- Cosponsor: Eva-Dina Delgado (Democratic), House
- Cosponsor: Graciela Guzmán (Democratic), Senate
- Cosponsor: Janet Yang Rohr (Democratic), House
- Cosponsor: Jay Hoffman (Democratic), House
- Cosponsor: Joyce Mason (Democratic), House
- Cosponsor: Justin Cochran (Democratic), House
- Cosponsor: Justin Slaughter (Democratic), House
- Cosponsor: Kelly M. Cassidy (Democratic), House
- Cosponsor: Laura Faver Dias (Democratic), House
- Cosponsor: Lawrence "Larry" Walsh, Jr. (Democratic), House
- Cosponsor: Lisa Davis (Democratic), House
- Cosponsor: Margaret A. DeLaRosa (Democratic), House
- Cosponsor: Martha Deuter (Democratic), House
- Cosponsor: Mary Beth Canty (Democratic), House
- Cosponsor: Mary Edly-Allen (Democratic), Senate
- Cosponsor: Michael Crawford (Democratic), House
- Cosponsor: Nabeela Syed (Democratic), House
- Cosponsor: Nicolle Grasse (Democratic), House
- Cosponsor: Robert "Bob" Rita (Democratic), House
- Cosponsor: Robyn Gabel (Democratic), House
- Cosponsor: Sharon Chung (Democratic), House
- Cosponsor: Sonya M. Harper (Democratic), House
- Cosponsor: Sue Scherer (Democratic), House
- Cosponsor: Suzanne M. Ness (Democratic), House
- Cosponsor: Theresa Mah (Democratic), House
- Cosponsor: Tracy Katz Muhl (Democratic), House
- Cosponsor: William "Will" Davis (Democratic), House
- Cosponsor: Yolonda Morris (Democratic), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-05-19 | Senate | Third Reading - Passed; | pass | 46 | 12 |   |
| 2026-05-06 | Senate | Do Pass Executive; | pass | 9 | 2 |   |
| 2026-04-16 | House | Third Reading - Short Debate - Passed | pass | 74 | 37 |   |
| 2026-04-15 | House | House Floor Amendment No. 3 Recommends Be Adopted Judiciary - Civil Committee; | pass | 11 | 7 |   |
| 2026-03-26 | House | Do Pass / Short Debate Judiciary - Civil Committee; | pass | 13 | 7 |   |

## Actions (75)

- 2026-06-26: Public Act . . . . . . . . . 104-0490 (House)
- 2026-06-26: Effective Date January 1, 2027 (House)
- 2026-06-26: Governor Approved (House)
- 2026-06-18: Sent to the Governor (House)
- 2026-05-19: Passed Both Houses (House)
- 2026-05-19: Third Reading - Passed; 046-012-000 (Senate)
- 2026-05-18: Added Co-Sponsor Rep. Robyn Gabel (House)
- 2026-05-14: Placed on Calendar Order of 3rd Reading May 18, 2026 (Senate)
- 2026-05-14: Second Reading (Senate)
- 2026-05-07: Added as Alternate Co-Sponsor Sen. Mary Edly-Allen (Senate)
- 2026-05-06: Placed on Calendar Order of 2nd Reading May 7, 2026 (Senate)
- 2026-05-06: Do Pass Executive; 009-002-000 (Senate)
- 2026-04-28: Assigned to Executive (Senate)
- 2026-04-21: Referred to Assignments (Senate)
- 2026-04-21: First Reading (Senate)
- 2026-04-21: Chief Senate Sponsor Sen. Graciela Guzmán (Senate)
- 2026-04-21: Placed on Calendar Order of First Reading (Senate)
- 2026-04-21: Arrive in Senate (Senate)
- 2026-04-16: Added Co-Sponsor Rep. Eva-Dina Delgado (House)
- 2026-04-16: Added Co-Sponsor Rep. Theresa Mah (House)
- 2026-04-16: Added Co-Sponsor Rep. Suzanne M. Ness (House)
- 2026-04-16: Added Co-Sponsor Rep. Laura Faver Dias (House)
- 2026-04-16: Added Co-Sponsor Rep. William "Will" Davis (House)
- 2026-04-16: Added Co-Sponsor Rep. Lisa Davis (House)
- 2026-04-16: Added Co-Sponsor Rep. Justin Slaughter (House)
- 2026-04-16: Added Co-Sponsor Rep. Sonya M. Harper (House)
- 2026-04-16: Added Co-Sponsor Rep. Abdelnasser Rashid (House)
- 2026-04-16: Added Co-Sponsor Rep. Curtis J. Tarver, II (House)
- 2026-04-16: Added Co-Sponsor Rep. Robert "Bob" Rita (House)
- 2026-04-16: Added Co-Sponsor Rep. Sue Scherer (House)
- 2026-04-16: Added Co-Sponsor Rep. Justin Cochran (House)
- 2026-04-16: Added Co-Sponsor Rep. Margaret A. DeLaRosa (House)
- 2026-04-16: Added Co-Sponsor Rep. Tracy Katz Muhl (House)
- 2026-04-16: Added Co-Sponsor Rep. Camille Y. Lilly (House)
- 2026-04-16: Added Co-Sponsor Rep. Yolonda Morris (House)
- 2026-04-16: Added Co-Sponsor Rep. Sharon Chung (House)
- 2026-04-16: Added Co-Sponsor Rep. Nabeela Syed (House)
- 2026-04-16: Added Co-Sponsor Rep. Michael Crawford (House)
- 2026-04-16: Added Co-Sponsor Rep. Lawrence "Larry" Walsh, Jr. (House)
- 2026-04-16: Added Co-Sponsor Rep. Janet Yang Rohr (House)
- 2026-04-16: Added Co-Sponsor Rep. Aarón M. Ortíz (House)
- 2026-04-16: Added Co-Sponsor Rep. Edgar González, Jr. (House)
- 2026-04-16: Added Co-Sponsor Rep. Martha Deuter (House)
- 2026-04-16: Added Co-Sponsor Rep. Nicolle Grasse (House)
- 2026-04-16: Added Co-Sponsor Rep. Diane Blair-Sherlock (House)
- 2026-04-16: House Floor Amendment No. 2 Tabled (House)
- 2026-04-16: House Floor Amendment No. 1 Tabled (House)
- 2026-04-16: Third Reading - Short Debate - Passed 074-037-000 (House)
- 2026-04-16: Placed on Calendar Order of 3rd Reading - Short Debate (House)
- 2026-04-16: House Floor Amendment No. 3 Adopted (House)
- 2026-04-15: House Floor Amendment No. 3 Recommends Be Adopted Judiciary - Civil Committee; 011-007-000 (House)
- 2026-04-15: House Floor Amendment No. 3 Rules Refers to Judiciary - Civil Committee (House)
- 2026-04-14: House Floor Amendment No. 3 Referred to Rules Committee (House)
- 2026-04-14: House Floor Amendment No. 3 Filed with Clerk by Rep. Amy Briel (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: House Floor Amendment No. 2 Rules Refers to Judiciary - Civil Committee (House)
- 2026-04-08: House Floor Amendment No. 2 Referred to Rules Committee (House)
- 2026-04-08: House Floor Amendment No. 2 Filed with Clerk by Rep. Amy Briel (House)
- 2026-04-07: House Floor Amendment No. 1 Rules Refers to Judiciary - Civil Committee (House)
- 2026-03-30: House Floor Amendment No. 1 Referred to Rules Committee (House)
- 2026-03-30: House Floor Amendment No. 1 Filed with Clerk by Rep. Amy Briel (House)
- 2026-03-27: Placed on Calendar 2nd Reading - Short Debate (House)
- 2026-03-27: Added Co-Sponsor Rep. Joyce Mason (House)
- 2026-03-27: Added Co-Sponsor Rep. Kelly M. Cassidy (House)
- 2026-03-27: Added Co-Sponsor Rep. Jay Hoffman (House)
- 2026-03-27: Added Co-Sponsor Rep. Dagmara Avelar (House)
- 2026-03-27: Added Co-Sponsor Rep. Dave Vella (House)
- 2026-03-27: Added Co-Sponsor Rep. Daniel Didech (House)
- 2026-03-27: Added Co-Sponsor Rep. Mary Beth Canty (House)
- 2026-03-26: Do Pass / Short Debate Judiciary - Civil Committee; 013-007-000 (House)
- 2026-02-11: Assigned to Judiciary - Civil Committee (House)
- 2026-01-20: Referred to Rules Committee (House)
- 2026-01-20: First Reading (House)
- 2026-01-15: Filed with the Clerk by Rep. Amy Briel (House)

## Bill text

- Engrossed: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4461eng.pdf)
- Enrolled: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4461enr.pdf)
- House Amendment 1: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4461ham001.pdf)
- House Amendment 2: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4461ham002.pdf)
- House Amendment 3: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4461ham003.pdf)
- Introduced: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4461.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/10400HB4461eng.pdf)
- [Enrolled (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4461enr.pdf)
- [House Amendment 1 (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4461ham001.pdf)
- [House Amendment 2 (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4461ham002.pdf)
- [House Amendment 3 (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4461ham003.pdf)
- [Introduced (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4461.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-HB4461-2025-2026 (as of 2026-11-01).