IllinoisHB5000104th General Assembly (2025–2026)HouseWALLET

HEALTH FACILITIES PLANNING

Sponsored By: Sponsor information unavailable

Signed by Governor

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

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

Health care deals need advance notice

Parties to covered mergers, acquisitions, and contracting affiliations involving health care facilities or provider groups must notify the Illinois Attorney General at least 30 days before closing or taking effect. The rules can cover parties that own or control those organizations indirectly. For certain deals with an out-of-state health care entity, that entity must earn at least $10 million a year from Illinois patients. The Attorney General can request information within 30 days; after an initial request, closing is delayed until 30 days after the parties substantially comply. A party that fails to comply can face a penalty of up to $500 per day.

Illinois antitrust fund stays active

The law keeps the Illinois Antitrust Enforcement Fund active after its planned January 1, 2027, repeal date. Penalties collected for violations of the Illinois Antitrust Act go into the fund to support enforcement. The law does not set a funding amount.

Hospital patients keep charity care safeguards

Health facility review procedures remain in place after January 1, 2027, for ownership changes and plans to end a category of service. The Health Facilities and Services Review Board must give public notice, and it must hold a hearing in the affected area when one is requested. For a hospital ownership change, the application must include a promise not to tighten the charity-care policy for 2 years compared with the prior-year policy. Applicants must file a follow-up certification within 90 days after closing; facilities ending a service must notify their state legislators and certify completion within 90 days after the service ends.

Sponsors & Cosponsors

Sponsors

There is no primary sponsor on record.

Cosponsors

  • Debbie Meyers-Martin

    Democratic • House

  • Graciela Guzmán

    Democratic • Senate

  • Jay Hoffman

    Democratic • House

  • Jennifer Gong-Gershowitz

    Democratic • House

  • Karina Villa

    Democratic • Senate

  • Rachel Ventura

    Democratic • Senate

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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