# Illinois HB5390: PATIENT BILL & OUTSOURCED CARE Illinois HB5390, PATIENT BILL & OUTSOURCED CARE, is a 104th General Assembly (2025–2026) House bill sponsored by no sponsor on record; status signed, last action 2026-06-26 (Public Act . . . . . . . . . 104-0521); PRIA reads it as touching household money (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/IL-HB5390-2025-2026 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Illinois HB5390 - State: Illinois - Session: 104th General Assembly (2025–2026) - Title: PATIENT BILL & OUTSOURCED CARE - Status: signed - Chamber: House - Introduced: 2026-02-06 - Last action: 2026-06-26, Public Act . . . . . . . . . 104-0521 - Sponsors: no sponsor on record - Cosponsors: 6 - Subjects: health care availability & accessibility, assignments, executive - Touches household money: yes - Roll calls: 5 (143 yes, 61 no in all) - Economic provisions PRIA read: 1 ## 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. ## Bill overview: provisions PRIA read - Patients get standard forms, longer aid approval: benefit, low. 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 recommendatio… ## Sponsors and cosponsors - Cosponsor: Dagmara Avelar (Democratic), House - Cosponsor: Karina Villa (Democratic), Senate - Cosponsor: Mary Edly-Allen (Democratic), Senate - Cosponsor: Mike Simmons (Democratic), Senate - Cosponsor: Napoleon Harris III (Democratic), Senate - Cosponsor: Omar Aquino (Democratic), Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-05-20 | Senate | Third Reading - Passed; | pass | 39 | 19 | | | 2026-05-06 | Senate | Do Pass Executive; | pass | 9 | 4 | | | 2026-04-16 | House | House Floor Amendment No. 1 Recommends Be Adopted Health Care Availability & Accessibility Committee; | pass | 14 | 0 | | | 2026-04-16 | House | Third Reading - Short Debate - Passed | pass | 73 | 34 | | | 2026-03-18 | House | Do Pass / Short Debate Health Care Availability & Accessibility Committee; | pass | 8 | 4 | | ## Actions (35) - 2026-06-26: Public Act . . . . . . . . . 104-0521 (House) - 2026-06-26: Effective Date June 26, 2026 (House) - 2026-06-26: Governor Approved (House) - 2026-06-18: Sent to the Governor (House) - 2026-05-28: Added as Alternate Co-Sponsor Sen. Karina Villa (Senate) - 2026-05-20: Passed Both Houses (House) - 2026-05-20: Third Reading - Passed; 039-019-000 (Senate) - 2026-05-14: Added as Alternate Co-Sponsor Sen. Napoleon Harris III (Senate) - 2026-05-14: Placed on Calendar Order of 3rd Reading May 18, 2026 (Senate) - 2026-05-14: Second Reading (Senate) - 2026-05-06: Placed on Calendar Order of 2nd Reading May 7, 2026 (Senate) - 2026-05-06: Do Pass Executive; 009-004-000 (Senate) - 2026-04-29: Added as Alternate Co-Sponsor Sen. Mary Edly-Allen (Senate) - 2026-04-28: Assigned to Executive (Senate) - 2026-04-23: Added as Alternate Co-Sponsor Sen. Mike Simmons (Senate) - 2026-04-21: Referred to Assignments (Senate) - 2026-04-21: First Reading (Senate) - 2026-04-21: Chief Senate Sponsor Sen. Omar Aquino (Senate) - 2026-04-21: Placed on Calendar Order of First Reading (Senate) - 2026-04-21: Arrive in Senate (Senate) - 2026-04-16: Third Reading - Short Debate - Passed 073-034-000 (House) - 2026-04-16: Placed on Calendar Order of 3rd Reading - Short Debate (House) - 2026-04-16: House Floor Amendment No. 1 Adopted (House) - 2026-04-16: House Floor Amendment No. 1 Recommends Be Adopted Health Care Availability & Accessibility Committee; 014-000-000 (House) - 2026-04-15: House Floor Amendment No. 1 Rules Refers to Health Care Availability & Accessibility Committee (House) - 2026-04-15: House Floor Amendment No. 1 Referred to Rules Committee (House) - 2026-04-15: House Floor Amendment No. 1 Filed with Clerk by Rep. Dagmara Avelar (House) - 2026-04-10: Held on Calendar Order of Second Reading - Short Debate (House) - 2026-04-10: Second Reading - Short Debate (House) - 2026-03-19: Placed on Calendar 2nd Reading - Short Debate (House) - 2026-03-18: Do Pass / Short Debate Health Care Availability & Accessibility Committee; 008-004-000 (House) - 2026-02-24: Assigned to Health Care Availability & Accessibility Committee (House) - 2026-02-10: Referred to Rules Committee (House) - 2026-02-10: First Reading (House) - 2026-02-06: Filed with the Clerk by Rep. Dagmara Avelar (House) ## Bill text - Engrossed: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB5390eng.pdf) - Enrolled: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB5390enr.pdf) - House Amendment 1: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB5390ham001.pdf) - Introduced: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB5390.pdf) ## Related bills - HB5198: AFFORDABLE HOUSING-CILAS (passed house) - SB1937: PENSION CODE-VARIOUS (passed senate) - HB2563: CONDO-RESERVE STUDY (in committee) - HB4701: LIMITATIONS FACILITY FEES ACT (in committee) - SB3008: DHS-ABLE PROGRAM INFO MATERIAL (passed senate) - SB3484: VEH CD-PLATES-REGISTRATION (signed) ## Sources - [Engrossed (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB5390eng.pdf) - [Enrolled (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB5390enr.pdf) - [House Amendment 1 (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB5390ham001.pdf) - [Introduced (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB5390.pdf) ## Related - [HB5198: AFFORDABLE HOUSING-CILAS](https://policyrisk.com/state-bill/IL-HB5198-2025-2026) - [SB1937: PENSION CODE-VARIOUS](https://policyrisk.com/state-bill/IL-SB1937-2025-2026) - [HB2563: CONDO-RESERVE STUDY](https://policyrisk.com/state-bill/IL-HB2563-2025-2026) - [HB4701: LIMITATIONS FACILITY FEES ACT](https://policyrisk.com/state-bill/IL-HB4701-2025-2026) - [SB3008: DHS-ABLE PROGRAM INFO MATERIAL](https://policyrisk.com/state-bill/IL-SB3008-2025-2026) - [SB3484: VEH CD-PLATES-REGISTRATION](https://policyrisk.com/state-bill/IL-SB3484-2025-2026) - [Illinois bills](https://policyrisk.com/states/illinois/bills) - [Illinois state hub](https://policyrisk.com/states/illinois) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/IL-HB5390-2025-2026 (as of 2026-11-01).