IllinoisHB5000104th General Assembly (2025–2026)HouseWALLET

HEALTH FACILITIES PLANNING

Sponsored By: Sponsor information unavailable

Became Law

Summary

Amends the Illinois Health Care Facilities Planning Act. Repeals the January 1, 2027 inoperative date affecting a change of ownership among related persons. Amends the Illinois Antitrust Act. Repeals the January 1, 2027 inoperative date affecting notice provisions to the Attorney General before a health care merger or affiliation. Amends provisions requiring health care entities to notify the Attorney General within 30 days before a merger or affiliation to include a "covered transaction" even if the parties to the transaction are not themselves a health care facility or provider organization but own or control, directly or indirectly, one or more of the 2 or more health care facilities or provider organizations that will be under common ownership or contracting affiliation if the transaction is consummated, including if parties to the covered transaction are private equity companies. Defines "private equity company" to mean any company or partnership that collects capital investments from individuals or entities and purchases, as a parent company, at any level of corporate ownership, or through another entity or entities so that the company completely or partially owns or controls, a direct or indirect ownership share of an Illinois health care entity or an out-of-state health care entity that generates $10,000,000 or more in annual revenue from patients residing in this State. Changes notice provisions. Defines terms.

judiciary - civilassignmentsexecutive

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Bill Overview

Analyzed Economic Effects

5 provisions identified: 2 benefits, 1 costs, 2 mixed.

Hospitals keep charity care after a sale

The law requires hospitals that seek a sale to sign a certification. For two years after the sale, the hospital cannot make its charity care policy more restrictive than the year before. This applies starting January 1, 2024 and remains in effect until January 1, 2027.

State review and penalties on health deals

Parties to a covered health care merger, acquisition, or contracting affiliation must give written notice to the Illinois Attorney General at least 30 days before the closing date. Notice is also required when an out‑of‑state party earns $10 million or more a year from Illinois patients. You can satisfy notice by sending a copy of your federal Hart‑Scott‑Rodino premerger filing, or by filing a change‑of‑ownership application with the State Board. If no federal filing applies, the notice must list the names and addresses of all parties, every care location, a brief description, and the expected effective date. The Attorney General may request more information within 30 days; the deal may not close until 30 days after you substantially comply. The Attorney General can seek a court order in Sangamon or Cook County and civil penalties up to $500 per day for violations, after a 10‑day cure period that ends by the closing date. Penalties go to the State’s Antitrust Enforcement Fund. These rules take effect January 1, 2024 and end January 1, 2027, and the Fund is repealed on January 1, 2027.

Faster review, fewer limits on related sales

For ownership changes among related persons under common control, applicants may file a standard notice. After the filing is complete, the Board Chair must act on the exemption within 45 days, unless the Chair refers it to the full Board for a conflict or good cause. The Board cannot add extra conditions, such as waiting periods before another sale or forced commitments to keep certain services. These rules apply January 1, 2024 through January 1, 2027.

More notice and paperwork for facility sales

When a change‑of‑ownership application is complete, the Board publishes a legal notice on three straight days in a local paper. In metro areas, an extra notice runs in a limited‑circulation paper if one exists. The Board posts the notice online and alerts the local State Representative, State Senator, and the Attorney General. The applicant pays the publishing costs. An applicant may list key deal terms instead of signed papers, but must certify within 90 days after closing that the deal matched those terms. If key terms change, a new application is required. These rules apply January 1, 2024 through January 1, 2027.

Rules to end a service at facilities

If a facility applies to stop a category of service and the filing is complete, the Board issues an exemption. Within 30 days after the exemption, the facility must notify the local State Senator and State Representative. Within 90 days after the service stops, the facility must certify completion to the Board. These rules apply January 1, 2024 through January 1, 2027.

Sponsors & Cosponsors

Sponsors

There is no primary sponsor on record.

Cosponsors

  • Debbie Meyers-Martin

    Affiliation unavailable

  • Graciela Guzmán

    Affiliation unavailable

  • Jay Hoffman

    Affiliation unavailable

  • Jennifer Gong-Gershowitz

    Affiliation unavailable

  • Karina Villa

    Affiliation unavailable

  • Rachel Ventura

    Affiliation unavailable

Roll Call Votes

All Roll Calls

Yes: 342 • No: 0

House vote 5/28/2026

Senate Floor Amendment No. 2 House Concurs

Yes: 113 • No: 0

House vote 5/27/2026

Senate Floor Amendment No. 2 Motion to Concur Recommends Be Adopted Judiciary - Civil Committee;

Yes: 19 • No: 0

Senate vote 5/21/2026

Third Reading - Passed;

Yes: 57 • No: 0

Senate vote 5/6/2026

Senate Floor Amendment No. 2 Recommend Do Adopt Executive;

Yes: 13 • No: 0

Senate vote 4/30/2026

Do Pass Executive;

Yes: 13 • No: 0

House vote 4/8/2026

Third Reading - Short Debate - Passed

Yes: 107 • No: 0

House vote 3/19/2026

Do Pass / Short Debate Judiciary - Civil Committee;

Yes: 20 • No: 0

Actions Timeline

  1. Public Act . . . . . . . . . 104-0782

    8/7/2026House
  2. Effective Date January 1, 2027

    8/7/2026House
  3. Governor Approved

    8/7/2026House
  4. Sent to the Governor

    6/26/2026House
  5. Passed Both Houses

    5/28/2026House
  6. House Concurs

    5/28/2026House
  7. Senate Floor Amendment No. 2 House Concurs 113-000-000

    5/28/2026House
  8. Senate Floor Amendment No. 2 Motion to Concur Recommends Be Adopted Judiciary - Civil Committee; 019-000-000

    5/27/2026House
  9. Senate Floor Amendment No. 2 Motion to Concur Rules Referred to Judiciary - Civil Committee

    5/26/2026House
  10. Senate Floor Amendment No. 2 Motion to Concur Referred to Rules Committee

    5/22/2026House
  11. Senate Floor Amendment No. 2 Motion Filed Concur Rep. Jennifer Gong-Gershowitz

    5/22/2026House
  12. Placed on Calendar Order of Concurrence Senate Amendment(s) 2

    5/21/2026House
  13. Arrived in House

    5/21/2026House
  14. Senate Committee Amendment No. 1 Tabled Pursuant to Rule 5-4(a)

    5/21/2026Senate
  15. Third Reading - Passed; 057-000-000

    5/21/2026Senate
  16. Placed on Calendar Order of 3rd Reading May 18, 2026

    5/14/2026Senate
  17. Senate Floor Amendment No. 2 Adopted; Guzman

    5/14/2026Senate
  18. Second Reading

    5/14/2026Senate
  19. Added Co-Sponsor Rep. Debbie Meyers-Martin

    5/14/2026House
  20. Senate Floor Amendment No. 2 Recommend Do Adopt Executive; 013-000-000

    5/6/2026Senate
  21. Senate Floor Amendment No. 2 Assignments Refers to Executive

    5/6/2026Senate
  22. Senate Floor Amendment No. 2 Referred to Assignments

    5/5/2026Senate
  23. Senate Floor Amendment No. 2 Filed with Secretary by Sen. Graciela Guzmán

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

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

    4/30/2026Senate

Bill Text

  • Engrossed

  • Enrolled

  • Introduced

  • Senate Amendment 1

  • Senate Amendment 2

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