IllinoisHB4757104th General Assembly (2025–2026)HouseWALLET

HEALTH CARE FACILITY PLANNING

Sponsored By: Sponsor information unavailable

Became Law

Summary

Amends Illinois Health Facilities Planning Act. Provides that the Health Facilities and Services Review Board may review the applicable criteria in the consideration of any application for an exemption submitted under the Act. Provides that, upon review and consideration, the State Board may approve, deny, or defer for additional information an application for a Certificate of Need or Certificate of Exemption. Makes changes in provisions concerning administrative hearings; powers and duties of State Board; powers of the State Board staff; and review and investigation of applications for permits.

human servicesassignmentshealth and human services

Personalized for You

How does this bill affect your finances?

Personalize government policy and PRIA will tell you what this bill means for your household, plus every other piece of legislation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.

Bill Overview

Analyzed Economic Effects

9 provisions identified: 3 benefits, 3 costs, 3 mixed.

More public planning data and oversight

The Board keeps a public, updated statewide inventory of facilities and needs; for certain long‑term care, the inventory is updated every year by July 1. Through December 31, 2029, the Board posts rules, criteria, references, filings, and public comments online, and publishes annual, redacted reports on fees, fines, and settlements, plus how applications meet review standards. The Board coordinates with other state agencies and may issue non‑binding staff advisory opinions through December 31, 2029. The Board can investigate projects, issue subpoenas, swear witnesses, and ask courts to enforce compliance through December 31, 2029.

State board setup and ethics rules

Illinois creates the Health Facilities and Services Review Board, with support from the Department of Public Health. The Board has 11 voting members, at least four from outside the Chicago metro area, and party balance limits; certain agency heads are nonvoting members. Members and close family cannot have ties to health facilities, and felons cannot serve; ex parte talks on filed applications are banned. The Board cannot delegate discretionary approvals, but the Chair may approve unopposed, fully compliant applications by rule. Through December 31, 2029, staff must review applications using Board standards and certify their findings to the Board.

Faster, clearer permit reviews and appeals

Board staff must say in writing within 10 business days if an application is complete. Standard reviews finish within 120 days. Some projects get expedited: 120 days for substantive projects and 60 days for new or discontinued services. A public hearing is available within 90 days, with at least 10 business days’ notice; staff reports are posted 14 days before the meeting, and responses are due 10 days before. If denied, you can ask for a hearing within 30 days; it wraps in 120 days, the Board decides within 90 days, and you can ask a court to review with a certified transcript.

Permit needed for big health facility projects

Health care providers and project sponsors must get a permit or an exemption from the State Board before starting major projects in Illinois. This applies to building, changing, or establishing a facility, and to buying major medical equipment. Approval is required before any work starts, including for hospitals, long‑term care, dialysis, surgical, emergency, and birth centers.

New rules for closures and sales

A facility closure application is complete only after at least 30 days’ prior written notice to local officials and state leaders, plus legal and media notice and a chance for a hearing. After an exemption to stop a service, the facility must notify the local State Senator and Representative within 30 days and certify completion to the Board within 90 days. For ownership changes, the Board posts notice for three straight days on its website and in local papers, and the applicant pays publishing costs. Hospital buyers must certify their charity‑care policy will not be stricter than the seller’s for two years, and post‑closing certifications are due within 90 days. The Board can accept only one discontinuation‑exemption filing for the same facility every six months, and it must offer an expedited path for related‑party ownership changes.

Which facility projects need permits

A state permit is required when project spending is above set limits: $11.5 million for hospitals, $6.5 million for skilled and intermediate long‑term care, and $3 million for others. A permit is also required if the project changes the facility’s scope or if bed changes over two years exceed the smaller of 20 beds or 10% of total beds. Projects must show at least 33% of the total cost is legally committed. Work only in non‑clinical service areas is exempt. Dialysis training/support units and nursing‑home dialysis units do not need permits, though the Board can require quarterly statistics.

Permit stays valid; annual reports required

A permit only covers the listed work, site, project amount, and named parties. It remains valid until the project is complete if work starts with due diligence. Permit holders must file a final completion and cost report within 90 days after the approved completion date. They must also submit annual progress reports each year until the project finishes; these include funding commitment details. The Board may extend the commitment period for good cause.

Application fees support the review system

Through December 31, 2029, the Board charges application‑processing fees set by rule. For continuing care retirement communities and other multi‑component models, fees apply only to the parts regulated by this law. All fees and fines go into the Illinois Health Facilities Planning Fund to run the program.

Annual data reporting for facilities

Facilities licensed under named Illinois Acts, and those meeting 42 CFR 494, must file an annual questionnaire through December 31, 2029. Facilities with long‑term care beds must report staffed beds, physical capacity, and beds ready now. Nursing homes and certain mental health facilities must list specialty services. ID/DD and MC/DD facilities file tailored reports, and the Board must consult their associations. The Board must consult broadly before new data requests, avoid undue paperwork, give local access to planning data, and report noncompliant facilities to licensing or payment agencies.

Sponsors & Cosponsors

Sponsors

There is no primary sponsor on record.

Cosponsors

  • Amy Briel

    Affiliation unavailable

  • Debbie Meyers-Martin

    Affiliation unavailable

  • Karina Villa

    Affiliation unavailable

  • Omar Aquino

    Affiliation unavailable

  • Rachel Ventura

    Affiliation unavailable

  • Suzanne M. Ness

    Affiliation unavailable

  • Theresa Mah

    Affiliation unavailable

  • William "Will" Davis

    Affiliation unavailable

Roll Call Votes

All Roll Calls

Yes: 318 • No: 0

House vote 5/28/2026

Senate Committee Amendment No. 1 House Concurs

Yes: 111 • No: 0

House vote 5/27/2026

Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Human Services Committee;

Yes: 12 • No: 0

Senate vote 5/21/2026

Third Reading - Passed;

Yes: 59 • No: 0

Senate vote 5/6/2026

Do Pass as Amended Health and Human Services;

Yes: 9 • No: 0

House vote 4/16/2026

Third Reading - Short Debate - Passed

Yes: 104 • No: 0

House vote 4/15/2026

House Floor Amendment No. 1 Recommends Be Adopted Human Services Committee;

Yes: 12 • No: 0

House vote 3/19/2026

Do Pass / Short Debate Human Services Committee;

Yes: 11 • No: 0

Actions Timeline

  1. Public Act . . . . . . . . . 104-0557

    7/10/2026House
  2. Effective Date January 1, 2027

    7/10/2026House
  3. Governor Approved

    7/10/2026House
  4. Sent to the Governor

    6/26/2026House
  5. Passed Both Houses

    5/28/2026House
  6. House Concurs

    5/28/2026House
  7. Senate Committee Amendment No. 1 House Concurs 111-000-000

    5/28/2026House
  8. Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Human Services Committee; 012-000-000

    5/27/2026House
  9. Senate Committee Amendment No. 1 Motion to Concur Rules Referred to Human Services Committee

    5/25/2026House
  10. Senate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee

    5/21/2026House
  11. Senate Committee Amendment No. 1 Motion Filed Concur Rep. Theresa Mah

    5/21/2026House
  12. Placed on Calendar Order of Concurrence Senate Amendment(s) 1

    5/21/2026House
  13. Arrived in House

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

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

    5/19/2026Senate
  16. Placed on Calendar Order of 3rd Reading May 18, 2026

    5/14/2026Senate
  17. Second Reading

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

    5/6/2026Senate
  19. Do Pass as Amended Health and Human Services; 009-000-000

    5/6/2026Senate
  20. Senate Committee Amendment No. 1 Adopted

    5/5/2026Senate
  21. Senate Committee Amendment No. 1 Assignments Refers to Health and Human Services

    5/5/2026Senate
  22. Added as Alternate Co-Sponsor Sen. Rachel Ventura

    5/5/2026Senate
  23. Senate Committee Amendment No. 1 Referred to Assignments

    4/30/2026Senate
  24. Senate Committee Amendment No. 1 Filed with Secretary by Sen. Omar Aquino

    4/30/2026Senate
  25. Assigned to Health and Human Services

    4/28/2026Senate

Bill Text

  • Engrossed

  • Enrolled

  • House Amendment 1

  • Introduced

  • Senate Amendment 1

Related Bills

Back to State Legislation