IllinoisHB5390104th General Assembly (2025–2026)HouseWALLET

PATIENT BILL & OUTSOURCED CARE

Sponsored By: Sponsor information unavailable

Signed by Governor

Summary

Amends the Fair Patient Billing Act. Makes changes to findings and defined terms provisions. Provides that a hospital shall not deny any protection or benefit of the Act on the basis of a patient's citizenship or immigration status or assets or prospective assets. Provides that a patient who inquires about a denial of financial assistance in whole or in part must be permitted to appeal the decision within at least 90 days. Requires a hospital to use only a uniform financial assistance form developed and provided by the Attorney General no later than December 31, 2026. Provides that every hospital bill and every collection notice must notify the patient, in the patient's preferred language, of the availability of hospital financial assistance and charity care. Establishes further provisions concerning hospitals pursuing collection actions; outsourced health care services; patient responsibilities; and applicability of the Act. Amends the Hospital Uninsured Patient Discount Act. Sets forth provisions concerning uninsured patient discounts for specified income levels. Prohibits hospitals from making the availability of a discount under the Act contingent upon the uninsured patient first applying for coverage under public health insurance programs. Provides that patients may not be denied a discount under the Act on the basis of citizenship or immigration status or assets or prospective assets. Makes other changes concerning uninsured patient discounts, outsourcing health care services, and patient responsibilities. Effective immediately.

health care availability & accessibilityassignmentsexecutive

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Patients get standard forms, longer aid approval

Hospitals must use the financial assistance form developed and provided by the Illinois Attorney General. Approved eligibility lasts at least 12 months after the first service date covered by the application, under the hospital’s financial assistance policy. Stakeholders may send form recommendations to the Attorney General by December 31, 2026, and the Attorney General must consider them when making rules. The law takes effect upon becoming law.

Sponsors & Cosponsors

Sponsors

There is no primary sponsor on record.

Cosponsors

  • Dagmara Avelar

    Democratic • House

  • Karina Villa

    Democratic • Senate

  • Mary Edly-Allen

    Democratic • Senate

  • Mike Simmons

    Democratic • Senate

  • Napoleon Harris III

    Democratic • Senate

  • Omar Aquino

    Democratic • Senate

Roll Call Votes

All Roll Calls

Yes: 143 • No: 61

Senate vote • 5/20/2026

Third Reading - Passed;

Yes: 39 • No: 19

Senate vote • 5/6/2026

Do Pass Executive;

Yes: 9 • No: 4

House vote • 4/16/2026

House Floor Amendment No. 1 Recommends Be Adopted Health Care Availability & Accessibility Committee;

Yes: 14 • No: 0

House vote • 4/16/2026

Third Reading - Short Debate - Passed

Yes: 73 • No: 34

House vote • 3/18/2026

Do Pass / Short Debate Health Care Availability & Accessibility Committee;

Yes: 8 • No: 4

Actions Timeline

  1. Public Act . . . . . . . . . 104-0521

    6/26/2026House
  2. Effective Date June 26, 2026

    6/26/2026House
  3. Governor Approved

    6/26/2026House
  4. Sent to the Governor

    6/18/2026House
  5. Added as Alternate Co-Sponsor Sen. Karina Villa

    5/28/2026Senate
  6. Passed Both Houses

    5/20/2026House
  7. Third Reading - Passed; 039-019-000

    5/20/2026Senate
  8. Added as Alternate Co-Sponsor Sen. Napoleon Harris III

    5/14/2026Senate
  9. Placed on Calendar Order of 3rd Reading May 18, 2026

    5/14/2026Senate
  10. Second Reading

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

    5/6/2026Senate
  12. Do Pass Executive; 009-004-000

    5/6/2026Senate
  13. Added as Alternate Co-Sponsor Sen. Mary Edly-Allen

    4/29/2026Senate
  14. Assigned to Executive

    4/28/2026Senate
  15. Added as Alternate Co-Sponsor Sen. Mike Simmons

    4/23/2026Senate
  16. Referred to Assignments

    4/21/2026Senate
  17. First Reading

    4/21/2026Senate
  18. Chief Senate Sponsor Sen. Omar Aquino

    4/21/2026Senate
  19. Placed on Calendar Order of First Reading

    4/21/2026Senate
  20. Arrive in Senate

    4/21/2026Senate
  21. Third Reading - Short Debate - Passed 073-034-000

    4/16/2026House
  22. Placed on Calendar Order of 3rd Reading - Short Debate

    4/16/2026House
  23. House Floor Amendment No. 1 Adopted

    4/16/2026House
  24. House Floor Amendment No. 1 Recommends Be Adopted Health Care Availability & Accessibility Committee; 014-000-000

    4/16/2026House
  25. House Floor Amendment No. 1 Rules Refers to Health Care Availability & Accessibility Committee

    4/15/2026House

Bill Text

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