All Roll Calls
Yes: 200 • No: 0
IllinoisSB0798104th General Assembly (2025–2026)SenateWALLET
STATE GOVERNMENT-TECH
Sponsored By: Omar Aquino (Democratic)
Became Law
assignmentsexecutivehuman services
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 1 benefits, 1 costs, 1 mixed.
New rules for health facility projects
The law sets review thresholds at $11,500,000 for hospital projects, $6,500,000 for nursing home projects, and $3,000,000 for others. These amounts adjust each year for inflation. Planning costs, designs, studies, and donations or below–market transfers count toward capital spending. Applicants must show a 33% financial commitment to the total project cost, either spent or under signed contracts.
Assisted living and home dialysis exemptions
Dialysis sites that only train and support people for home dialysis are excluded from review. Dialysis units in licensed nursing homes that provide home dialysis to residents are also excluded. Capital projects at facilities licensed under the Assisted Living and Shared Housing Act, and conversions under Section 30 of the Older Adult Services Act, are excluded. The Board can still require quarterly statistics from the excluded dialysis sites and nursing homes.
Tighter rules for nursing home deals
When a nursing home changes ownership, the deal must follow Sections 3-101 through 3-119 of the Nursing Home Care Act. A demonstration project converting to a nursing facility must meet the licensing and certificate-of-need rules in effect on the day it applies. This adds compliance steps and current standards for transfers and conversions.
Sponsors & Cosponsors
Sponsor
Omar Aquino
Democratic • Senate
Cosponsors
Barbara Hernandez
Democratic • House
Roll Call Votes
House vote • 5/22/2025
Third Reading - Short Debate - Passed
Yes: 112 • No: 0
House vote • 5/21/2025
Do Pass / Short Debate Human Services Committee;
Yes: 12 • No: 0
Senate vote • 5/8/2025
Third Reading - Passed;
Yes: 56 • No: 0
Senate vote • 5/7/2025
Senate Floor Amendment No. 2 Recommend Do Adopt Health and Human Services;
Yes: 9 • No: 0
Senate vote • 3/19/2025
Do Pass Executive;
Yes: 11 • No: 0
Actions Timeline
Public Act . . . . . . . . . 104-0365
8/15/2025SenateEffective Date January 1, 2026
8/15/2025SenateGovernor Approved
8/15/2025SenateSent to the Governor
6/20/2025SenatePassed Both Houses
5/22/2025SenateThird Reading - Short Debate - Passed 112-000-000
5/22/2025HousePlaced on Calendar Order of 3rd Reading - Short Debate
5/22/2025HouseHeld on Calendar Order of Second Reading - Short Debate
5/21/2025HouseSecond Reading - Short Debate
5/21/2025HousePlaced on Calendar 2nd Reading - Short Debate
5/21/2025HouseDo Pass / Short Debate Human Services Committee; 012-000-000
5/21/2025HouseCommittee/Final Action Deadline Extended-9(b) May 31, 2025
5/13/2025HouseAssigned to Human Services Committee
5/13/2025HouseAlternate Chief Sponsor Changed to Rep. Barbara Hernandez
5/13/2025HouseReferred to Rules Committee
5/9/2025HouseFirst Reading
5/9/2025HouseChief House Sponsor Rep. Emanuel "Chris" Welch
5/8/2025HouseArrived in House
5/8/2025HouseSenate Floor Amendment No. 1 Tabled Pursuant to Rule 5-4(a)
5/8/2025SenateThird Reading - Passed; 056-000-000
5/8/2025SenatePlaced on Calendar Order of 3rd Reading
5/8/2025SenateSenate Floor Amendment No. 2 Adopted; Aquino
5/8/2025SenateRecalled to Second Reading
5/8/2025SenateSenate Floor Amendment No. 2 Recommend Do Adopt Health and Human Services; 009-000-000
5/7/2025SenateSenate Floor Amendment No. 2 Assignments Refers to Health and Human Services
5/6/2025Senate
Bill Text
Engrossed
Enrolled
Introduced
Senate Amendment 1
Senate Amendment 2