IllinoisHB4698104th General Assembly (2025–2026)HouseWALLET

MEDICAL PRACTICE-FEE SPLITTING

Sponsored By: Sponsor information unavailable

Signed by Governor

Summary

Amends the Medical Practice Act of 1987. In provisions concerning an exception to the prohibition on fee splitting for billing, administrative preparation, or collection services, requires any charges for multiple in-network services during the same appointment, including, but not limited to, an office visit that was added to a physical exam, to be disclosed to the patient during the appointment.

health care licensesassignmentslicensed activities

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Bill Overview

Analyzed Economic Effects

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

Patients get notices about separate visit charges

Illinois medical offices, clinics, group practices, and other organizations for licensed professionals must give patients paper or electronic billing notices. The notices explain possible separate charges when a preventive or wellness visit includes a new or ongoing problem needing more evaluation. Charges may include a separate office visit, diagnostic tests, follow-up, or a combination of these services. The notice must say this billing follows standard billing guidelines and include billing department contact information, including a phone number. Except during emergency treatment, the organization must make a good-faith effort to get written acknowledgment that the patient received the notice. The law expressly excludes health care providers from these requirements. It does not set or reduce charges.

Sponsors & Cosponsors

Sponsors

There is no primary sponsor on record.

Cosponsors

  • Janet Yang Rohr

    Democratic • House

  • Laura Ellman

    Democratic • Senate

  • Maura Hirschauer

    Democratic • House

  • Suzanne M. Ness

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 198 • No: 0

Senate vote • 5/21/2026

Third Reading - Passed;

Yes: 59 • No: 0

Senate vote • 5/6/2026

Do Pass Licensed Activities;

Yes: 9 • No: 0

House vote • 4/17/2026

Third Reading - Short Debate - Passed

Yes: 102 • No: 0

House vote • 4/15/2026

House Floor Amendment No. 1 Recommends Be Adopted Health Care Licenses Committee;

Yes: 14 • No: 0

House vote • 3/25/2026

Do Pass / Short Debate Health Care Licenses Committee;

Yes: 14 • No: 0

Actions Timeline

  1. Public Act . . . . . . . . . 104-0673

    7/31/2026House
  2. Effective Date January 1, 2027

    7/31/2026House
  3. Governor Approved

    7/31/2026House
  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 18, 2026

    5/14/2026Senate
  9. Second Reading

    5/14/2026Senate
  10. Placed on Calendar Order of 2nd Reading May 7, 2026

    5/6/2026Senate
  11. Do Pass Licensed Activities; 009-000-000

    5/6/2026Senate
  12. Assigned to Licensed Activities

    4/28/2026Senate
  13. Referred to Assignments

    4/21/2026Senate
  14. First Reading

    4/21/2026Senate
  15. Chief Senate Sponsor Sen. Laura Ellman

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

    4/21/2026Senate
  17. Arrive in Senate

    4/21/2026Senate
  18. Added Co-Sponsor Rep. Suzanne M. Ness

    4/17/2026House
  19. Added Co-Sponsor Rep. Maura Hirschauer

    4/17/2026House
  20. Third Reading - Short Debate - Passed 102-000-000

    4/17/2026House
  21. Placed on Calendar Order of 3rd Reading - Short Debate

    4/17/2026House
  22. House Floor Amendment No. 1 Adopted

    4/17/2026House
  23. House Floor Amendment No. 1 Recommends Be Adopted Health Care Licenses Committee; 014-000-000

    4/15/2026House
  24. House Floor Amendment No. 1 Rules Refers to Health Care Licenses Committee

    4/14/2026House
  25. Held on Calendar Order of Second Reading - Short Debate

    4/10/2026House

Bill Text

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