All Roll Calls
Yes: 298 • No: 17
IllinoisHB5387104th General Assembly (2025–2026)HouseWALLET
IDFPR-VARIOUS LICENSES
Sponsored By: Sponsor information unavailable
Signed by Governor
Summary
Amends the Regulatory Sunset Act. Changes the repeal date of the Clinical Psychologist Licensing Act, the Illinois Optometric Practice Act of 1987, the Marriage and Family Therapy Licensing Act, the Boxing and Full-contact Martial Arts Act, the Massage Therapy Practice Act, the Medical Practice Act of 1987, and the Licensed Certified Professional Midwife Practice Act to January 1, 2032 (rather than January 1, 2027). Amends the Clinical Psychologist Licensing Act. Makes changes in provisions concerning written collaborative agreements; temporary authorization of practice by persons licensed in other jurisdictions; and disciplinary action. Amends the Marriage and Family Therapy Licensing Act. Makes changes in provisions concerning exemptions and restrictions and limitations. Amends the Massage Therapy Practice Act. Makes changes in provisions concerning licensure requirements and grounds for discipline. Amends the Medical Practice Act of 1987. Makes changes in provisions concerning certain permits; disciplinary action; and physician delegation of authority. Amends the Illinois Optometric Practice Act of 1987. Makes changes in provisions concerning permitted activities and grounds for disciplinary action. Amends the Illinois Physical Therapy Act. Makes changes in provisions concerning exempt activities. Amends the Boxing and Full-contact Martial Arts Act. Makes changes in provisions concerning the authorization to conduct contests; professional or amateur contests; and medical suspension. Amends the Sex Offender Evaluation and Treatment Provider Act. Makes changes in provisions concerning qualifications for licensure and the appointment of a hearing officer. Repeals provisions concerning a roster of names maintained by the Department of Financial and Professional Regulation. Amends the Barber, Cosmetology, Esthetics, Hair Braiding, and Nail Technology Act of 1985. Makes changes in provisions concerning the requisites for ownership or operation of salons and shops. Amends the Electrologist Licensing Act. Makes changes in provisions concerning exemptions. Amends the Professional Service Corporation Act. Makes changes in the definition of "related professional services". Amends the Professional Limited Liability Company Act. Makes changes in provisions concerning the nature of business. Makes other changes. Effective immediately.
health care licensesassignmentslicensed activities
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Bill Overview
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31 provisions identified: 9 benefits, 14 costs, 8 mixed.
Re-entry course counts in doctor reviews
The Illinois Medical Board may consider a completed re-entry course when reviewing whether an applicant can practice medicine safely and competently. Completing the course does not guarantee a license or a favorable decision.
Easier massage license paperwork options
Massage therapist applicants can apply in writing or electronically using Department forms, and they can choose inactive status in writing or electronically. The seven-member Massage Licensing Board includes six massage therapists with at least three years of experience and one public member. Therapist members include private- and public-school representatives and a massage business owner.
More applicants can use tax IDs
Medical license applicants can use an individual taxpayer identification number on an original application instead of a Social Security number. Massage therapist applicants can use a tax ID for original, renewal, reinstated, or restored licenses. Sex offender treatment provider applicants must include either number.
Beauty businesses can combine licensed services
Registered salons and shops can use listed electrology and massage terms when they offer those services under the required licensing laws. Professional service corporations and professional limited liability companies can combine covered beauty services, massage therapy, and electrology. Each service must be provided by a properly licensed person, and company managers and members must meet the stated licensing rules. One salon advertising provision ends January 1, 2031.
Stronger safeguards against unlicensed massage
The state must revoke a massage therapist’s license without a hearing after a covered conviction. A listed conviction or any history of required sex-offender registration bars a person from getting or keeping a license. The Department can also treat failure to follow a nationally recognized professional ethics code as incompetence when it makes that finding. Courts can issue injunctions or other relief against people who give paid massages without a license or claim to be massage therapists.
More paths for psychologists to practice
A psychologist with a doctorate-based license elsewhere can qualify for an Illinois license by endorsement after holding that license for at least 30 months in the past five years, instead of 20 years. The applicant must have no disciplinary action during the entire time licensed, must not have violated the Illinois Act, and must meet other rules, pay the fee, and receive a Board recommendation. A psychologist licensed in good standing at the doctoral level elsewhere can also provide clinical services in Illinois for up to 10 calendar days a year without the specified temporary permit. Court or deposition testimony does not count toward those 10 days; the psychologist cannot have a permanent Illinois office or list an Illinois address or phone number in publicity materials.
Therapists protected for lawful care
Illinois cannot take licensing action against a marriage and family therapist solely for an immigration violation. It also cannot act solely because the therapist took part in health care that was lawful in Illinois. The Department can still review whether the conduct would have been professional misconduct in Illinois.
Professional licensing laws last longer
The law moves the repeal date for several professional licensing acts from January 1, 2027, to January 1, 2032. The listed laws include rules for clinical psychologists, optometrists, marriage and family therapists, massage therapists, physicians, combat sports, and licensed certified professional midwives. Their licensing and practice rules remain in effect until the new repeal date.
Physicians can share fees through companies
Physicians can pool or share professional fees and other revenue through an entity organized under the Professional Limited Liability Company Act. Each owner must be licensed under the Medical Practice Act, and the entity must meet the other applicable requirements.
Massage clients may pay missed-visit fees
Massage therapists may charge clients for late cancellations or missed appointments. They must tell clients about the fee when the appointment is booked. The law does not set the fee amount.
New rules for combat sports workers
A licensed combat-sports promoter cannot also be a contestant, second, referee, timekeeper, judge, or manager, and must give up any such license. Promoters can act as matchmakers. Applicants and licensees must provide Department-requested information within 30 days or face possible discipline. For certain full-contact martial arts bout outcomes, the Department sets a contestant’s medical suspension length in consultation with the ringside physician.
Midwifery services require a license
A person must have a license under the Licensed Certified Professional Midwife Practice Act to provide or offer covered midwifery services or use specified midwife titles. Services from an advanced practice registered nurse certified as a nurse midwife are excluded from the definition of midwifery services.
New limits on optometry practice
Surgical laser use is excluded from the definition of optometry, and a rule that specifically authorized certified optometrists to perform advanced procedures is removed. Original optometry license applicants have three years from the application date to finish the process. If they do not, the application is denied, fees are forfeited, and they must reapply under the rules then in effect.
Shorter practice window for visiting therapists
A therapist regulated elsewhere and qualified for an Illinois license may practice under an exemption after applying in writing. The exemption ends after six months, or sooner if the therapist withdraws, receives a notice of intent to deny, or is denied.
Stricter licensing rules for therapists
People must have the matching Illinois license to use a marriage and family therapist title or provide those services. The law removes exemptions for people who provide therapy without claiming to be licensed and for nonprofit employees. Other exemptions remain.
Tighter rules for marriage therapists
Websites and similar online formats count as advertising under the marriage and family therapy rules. The Department can impose other forms of discipline after a hearing. Licensees must answer written requests for information within 30 days, down from 60 days; missing the deadline can lead to discipline.
Massage therapists face more license requirements
Massage license applicants must submit current, valid government photo identification. Therapists must complete 25 hours of approved continuing education to renew or restore a license, up from 24 hours. The 25-hour rule also applies when restoring a license that has been expired or inactive for more than 5 years.
Psychologist applicants provide more information
Clinical psychologist applicants must provide a Social Security Number or individual taxpayer identification number with an original license application. Applicants and licensees must also give the Department a valid address and email, and report changes within 14 days.
Therapist applications expire after three years
An original or endorsement marriage and family therapist license application expires if it is incomplete three years after filing. The applicant loses the application fee and must reapply under the rules then in effect.
Tighter rules for psychology trainees
Clinical psychology students, interns, and residents working under the Act’s exemption can face discipline for breaking the Act or its rules. Licensed clinical psychologists must answer a written Department request within 30 days, down from 60 days. Missing the deadline can be grounds for discipline.
Provider license hearings and contact rules
Applicants and licensees under the provider licensing act must give the Department a valid address and email, and report changes within 14 days. The Secretary can appoint an attorney to conduct covered license hearings and makes the final decision. The law also repeals a section of the act, but the supplied text does not explain what that section did.
Fewer delegation options for some doctors
The law removes a specific rule that let an Illinois-licensed physician delegate authority set by law to an international medical graduate physician. It does not say whether other laws allow delegation.
New limits on therapy board service
Marriage and Family Therapy Board members can serve no more than two four-year terms, even when the terms are not consecutive. The Secretary can remove a member for a cause the Secretary believes reasonably justifies removal.
New medical records and overcharge rules
Physicians must keep adult records for at least 6 years after the last service date if they were not properly transferred. For minors, records must be kept for at least 6 years after the last service date or until age 21, whichever is later. Physicians can face discipline for gross, willful, and continued overcharging, or for false statements seeking payment for services not provided.
Doctors face updated licensing pathways
Medical license and permit applicants under the covered pathway must submit fingerprints for state and federal criminal-history checks. Canadian-trained applicants follow the requirements for schools outside the United States and its territories. Some people moving from a temporary license to a full license use the education and training rules in effect when they applied for the temporary license, but must still meet the other licensing requirements.
Physical therapy applicants practice under supervision
Physical therapy applicants waiting for exam results can practice under a licensed therapist if they meet the required qualifications. This permission ends after the next exam, receipt of results, and the Department’s eligibility decision. Applicants who fail cannot practice again until they pass an exam.
Combat sports face new safety rules
The law sets rules for classifying boxing and full-contact martial arts contests. Accredited schools and colleges can hold amateur contests without Department authorization, but amateur contests generally need permits and other approvals. Contestants and some event workers need licenses, and the Department sets rules for officials, bout rounds, vital-sign checks, and how often contestants can compete. The Department can stop an amateur contest for health or safety concerns.
Massage clients get clearer provider checks
Massage therapists must display their license and show approved identification when clients or Department staff ask. Only authorized therapists can use protected massage titles in advertising. Therapists charged with covered offenses must work with a licensed chaperone while their case is pending; the order is removed if they are not convicted or their conviction is overturned. Therapists who complete education about abnormal skin growths also receive legal protection for good-faith actions involving that information.
More supervised therapy trainee work
Specified employers can use practicum students, interns, and postdoctoral candidates who are gaining experience for marriage and family therapist licenses. A licensed therapist must directly supervise them and take full professional responsibility. Trainees working under the experience exemption can face discipline for breaking the Act or its rules.
More temporary access to family therapists
Therapists licensed and in good standing elsewhere can provide services in Illinois for up to 10 calendar days per year. After a disaster or catastrophic event, Illinois can also temporarily authorize an out-of-state therapist who has applied for an Illinois license. Students and interns can earn supervised training experience, but unlicensed trainees cannot offer therapy or accept payment for it.
New rules for physician discipline checks
The Department can discipline a physician for sexual harassment related to the physician’s practice. It can inspect a physician’s business premises during normal hours when probable cause points to a disciplinary violation there, while accounting for patient care. The inspection cannot include business, medical, or personnel records unless a subpoena covers them. Most proceedings must begin within five years after the Department receives a complaint or notice of a conviction order, and most actions cannot begin more than 10 years after the incident. Exceptions apply to specified grounds; for a qualifying negligence claim settled for the claimant or decided for the plaintiff, the Department has five years after receiving the required report to investigate and begin formal proceedings, with no 10-year limit.
Sponsors & Cosponsors
Sponsors
There is no primary sponsor on record.
Cosponsors
Bob Morgan
Democratic • House
Suzy Glowiak Hilton
Democratic • Senate
Tom Weber
Republican • House
Roll Call Votes
House vote • 6/1/2026
Senate Committee Amendment No. 1 House Concurs
Yes: 116 • No: 0
House vote • 5/31/2026
Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Health Care Licenses Committee;
Yes: 14 • No: 0
Senate vote • 5/30/2026
Third Reading - Passed;
Yes: 57 • No: 0
Senate vote • 4/30/2026
Do Pass as Amended Licensed Activities;
Yes: 9 • No: 0
House vote • 4/9/2026
Third Reading - Short Debate - Passed
Yes: 88 • No: 17
House vote • 3/25/2026
Do Pass as Amended / Short Debate Health Care Licenses Committee;
Yes: 14 • No: 0
Actions Timeline
Public Act . . . . . . . . . 104-0796
8/7/2026HouseEffective Date August 7, 2026
8/7/2026HouseGovernor Approved
8/7/2026HouseSent to the Governor
6/26/2026HousePassed Both Houses
6/1/2026House3/5 Vote Required
6/1/2026HouseHouse Concurs
6/1/2026HouseSenate Committee Amendment No. 1 House Concurs 116-000-000
6/1/2026HouseAdded Chief Co-Sponsor Rep. Tom Weber
5/31/2026HouseSenate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Health Care Licenses Committee; 014-000-000
5/31/2026HouseSenate Committee Amendment No. 1 Motion to Concur Rules Referred to Health Care Licenses Committee
5/30/2026HouseSenate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee
5/30/2026HouseSenate Committee Amendment No. 1 Motion Filed Concur Rep. Bob Morgan
5/30/2026HousePlaced on Calendar Order of Concurrence Senate Amendment(s) 1
5/30/2026HouseArrived in House
5/30/2026HouseThird Reading - Passed; 057-000-000
5/30/2026SenateRule 2-10 Third Reading Deadline Established As May 31, 2026
5/22/2026SenatePlaced on Calendar Order of 3rd Reading May 18, 2026
5/14/2026SenateSecond Reading
5/14/2026SenatePlaced on Calendar Order of 2nd Reading May 5, 2026
4/30/2026SenateDo Pass as Amended Licensed Activities; 009-000-000
4/30/2026SenateSenate Committee Amendment No. 1 Adopted
4/29/2026SenateSenate Committee Amendment No. 1 Assignments Refers to Licensed Activities
4/29/2026SenateSenate Committee Amendment No. 1 Referred to Assignments
4/28/2026SenateSenate Committee Amendment No. 1 Filed with Secretary by Sen. Suzy Glowiak Hilton
4/28/2026Senate
Bill Text
Engrossed
Enrolled
House Amendment 1
Introduced
Senate Amendment 1
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