All Roll Calls
Yes: 318 • No: 0
Sponsored By: Sponsor information unavailable
Became Law
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.
Personalized for You
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.
9 provisions identified: 3 benefits, 3 costs, 3 mixed.
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.
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.
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.
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.
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.
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.
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.
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.
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.
There is no primary sponsor on record.
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
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
Public Act . . . . . . . . . 104-0557
Effective Date January 1, 2027
Governor Approved
Sent to the Governor
Passed Both Houses
House Concurs
Senate Committee Amendment No. 1 House Concurs 111-000-000
Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Human Services Committee; 012-000-000
Senate Committee Amendment No. 1 Motion to Concur Rules Referred to Human Services Committee
Senate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee
Senate Committee Amendment No. 1 Motion Filed Concur Rep. Theresa Mah
Placed on Calendar Order of Concurrence Senate Amendment(s) 1
Arrived in House
Third Reading - Passed; 059-000-000
Placed on Calendar Order of 3rd Reading **
Placed on Calendar Order of 3rd Reading May 18, 2026
Second Reading
Placed on Calendar Order of 2nd Reading May 7, 2026
Do Pass as Amended Health and Human Services; 009-000-000
Senate Committee Amendment No. 1 Adopted
Senate Committee Amendment No. 1 Assignments Refers to Health and Human Services
Added as Alternate Co-Sponsor Sen. Rachel Ventura
Senate Committee Amendment No. 1 Referred to Assignments
Senate Committee Amendment No. 1 Filed with Secretary by Sen. Omar Aquino
Assigned to Health and Human Services
Engrossed
Enrolled
House Amendment 1
Introduced
Senate Amendment 1
SB3213, ELECTRONIC PRESCRIPTIONS
Amends the Pharmacy Practice Act. Provides that prescriptions for drugs in Schedule II of the Illinois Controlled Substances Act may be transferred only once and may not be further transferred, consistent with federal regulations. Amends the Illinois Controlled Substances Act. Provides that the prescriber shall not be required to issue prescriptions electronically if the prescriptions need to be filled outside of typical retail pharmacy operating hours or may be difficult to obtain because of drug shortages or pharmacy inventory limitations. Effective immediately.
SB2951, MORTGAGE FORECLOSURE TIME
Amends the Code of Civil Procedure. Provides that any indebtedness of any kind that is secured by a mortgage or deed of trust in the nature of a mortgage has a 10-year period to commence an action. Amends the Probate Act of 1975. Provides that in any proceeding to sell or mortgage real estate, if the secured creditors cannot be satisfied in full, then the court shall not direct the sale without the secured creditors' approval to accept partial satisfaction; and if the secured creditors cannot be satisfied in full, a sale of the property is not considered necessary for the proper administration of the estate. Effective immediately.
SB3465, CONSTRUCTION-SANITARY REQS
Amends the Construction Site Temporary Restroom Facility Act. Changes the Act's short title to the Construction Site Temporary Restroom Facility and Sanitary Conditions for Menstruation and Lactation Act. Repeals a provision which specifies that separate toileting facilities are not required for males and females if individual portable toilet facilities are used by an owner of a portable building or building under construction to provide access to a restroom. Provides that, if a woman or an individual who menstruates is present on a work site and there are 10 or more workers of any gender at the work site, then a separate toilet facility shall be provided at the work site and designated for use by women and individuals who menstruate. Requires employers in the construction industry to provide their workers who menstruate and are performing construction activities on a work site with minimum sanitary conditions. Describes the required minimum sanitary conditions. Requires employers in the construction industry, upon request, to provide their workers who are lactating and performing construction activities on a work site with reasonable accommodations needed to express breast milk. Describes reasonable accommodations for lactation. Provides that, on or before January 1, 2027, the Department of Public Health shall provide guidance to employers on the accommodations to be provided. Authorizes employees of construction sites to call the certified local public health agency with jurisdiction over a construction site to request an inspection if noncompliance with the Act is suspected. Prohibits retaliation by employers if a call is made by an employee on a construction site for suspected noncompliance with the Act. Provides that any owner who fails or refuses to comply with the provisions of the Act commits a petty offense and is subject to a fine to be determined by the certified local public health agency (rather than only being subject to a petty offense). Defines "employer". Effective immediately.
SB3211, TELEDENTISTRY EXAMINATIONS
Amends the Illinois Dental Practice Act. In provisions concerning teledentistry, provides that an initial examination for new patients, excluding patients seeking orthodontic treatment, may be conducted through teledentistry if the authorizing dentist establishes a bona fide dentist-patient relationship by reviewing the patient's medical and dental history and verifying both the patient's identity and physical location to ensure that dental care is being administered within the State. Provides that an initial examination for orthodontia treatment shall be performed in person only. Requires an in-person clinical examination to be performed immediately before providing or authorizing services or treatments to patients that are not reversible. Provides that, for ongoing dentist-patient relationships, dentists shall strongly encourage patients to be seen in person at least annually. Makes other changes.
SB3707, VISION BENEFIT MANAGERS
Amends the Illinois Insurance Code. Creates the Vision Benefit Managers Article. Beginning on July 1, 2026, requires a vision benefit manager to be registered with the Department of Insurance, as specified, to conduct business in the State. Requires amounts collected under provisions concerning vision benefit manager registration requirements to be deposited into the Low-Income Student Vision Examination Fund, which is created as a special fund in the State treasury. Grants the Director or the Director's designee the authority to examine a registered vision benefit manager related to all of its lines of business. Amends the Vision Care Plan Regulation Act. Changes the name of the Act to the Vision Benefit Manager Regulation Act. Establishes the legislative intent of the Act. Makes changes to defined terms. Throughout the Act, replaces references to vision care plans with vision benefit plans and vision benefit discount plans and vision care organizations with vision benefit managers. Sets forth provisions concerning required actions for noncovered services; fee schedules for eye care providers; reimbursement paid by a vision benefit manager to an eye care provider; application of the Act to a specified limited health service organization; an eye care provider's choice of vendors and affiliations; the modification of a plan; audits of an eye care provider; prohibited conduct impacting patient access and choice; credentialing; termination of agreements; prohibition on security interests; arbitration costs; nonretaliation; and private rights of action. Amends the Consumer Fraud and Deceptive Business Practices Act and the State Finance Act to make conforming changes. Effective January 1, 2027.
SB3403, PEN CD-BD OF INVESTMENT AUDIT
Amends the Investment Board Article of the Illinois Pension. Provides that, if the Illinois State Board of Investment has not received a required audit opinion by December 15, the Board shall not be considered in violation of a provision requiring an annual report to each pension fund, retirement system, or education fund under the Board's jurisdiction within 6 months after the close of each fiscal year. Effective immediately.