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IllinoisSB1411104th General Assembly (2025–2026)SenateWALLET

HEALTH CARE SURROGATE-POLST

Sponsored By: Laura Fine (Democratic)

Became Law

assignmentsjudiciaryjudiciary - civil

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Bill Overview

Analyzed Economic Effects

5 provisions identified: 4 benefits, 0 costs, 1 mixed.

Legal and insurance protections at end‑of‑life

Stopping or not starting life‑support under this law is not suicide. Withholding or withdrawal under the law does not cancel or weaken any life insurance. The law keeps any other legal rights to refuse treatment. It also bans mercy killing and any act meant to cause death.

More ways to make a valid living will

Illinois honors older living wills that substantially meet today’s form. It also honors living wills made in another state if they followed that state’s law or Illinois law. You can make, sign, or revoke a declaration on paper or electronically if the system uses secure, unique IDs and meets electronic signature rules.

No forced forms or assumed wishes

Doctors, hospitals, and insurers cannot make you sign a declaration to get care or coverage. If you did not sign a declaration, the law does not assume you agree to use or withhold life‑support.

Providers must honor your living will

Providers must follow a qualified patient’s living will that is apparent and immediately available when the patient cannot give directions. No one can require you to sign a POLST form to make your valid declaration take effect.

Who decides your life‑support care

The law sets clear rules for who makes end‑of‑life decisions. If you named a health care agent and that agent is available, the agent’s choices control over your living will. A living will works only when it is valid, not revoked, you cannot give directions, and you are a qualified patient. If you cannot decide and have a qualifying condition, a surrogate under the Health Care Surrogate Act keeps authority.

Sponsors & Cosponsors

Sponsor

  • Laura Fine

    Democratic • Senate

Cosponsors

  • Bob Morgan

    Democratic • House

  • Daniel Didech

    Democratic • House

  • Jennifer Gong-Gershowitz

    Democratic • House

  • Margaret Croke

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 203 • No: 0

House vote • 5/22/2025

Third Reading - Short Debate - Passed

Yes: 112 • No: 0

House vote • 4/23/2025

Do Pass / Short Debate Judiciary - Civil Committee;

Yes: 19 • No: 0

Senate vote • 4/10/2025

Third Reading - Passed;

Yes: 55 • No: 0

Senate vote • 4/9/2025

Senate Floor Amendment No. 2 Recommend Do Adopt Judiciary;

Yes: 8 • No: 0

Senate vote • 3/19/2025

Do Pass as Amended Judiciary;

Yes: 9 • No: 0

Actions Timeline

  1. Public Act . . . . . . . . . 104-0378

    8/15/2025Senate

  2. Effective Date January 1, 2026

    8/15/2025Senate

  3. Governor Approved

    8/15/2025Senate

  4. Sent to the Governor

    6/20/2025Senate

  5. Passed Both Houses

    5/22/2025Senate

  6. Third Reading - Short Debate - Passed 112-000-000

    5/22/2025House

  7. Placed on Calendar Order of 3rd Reading - Short Debate

    5/22/2025House

  8. Added Alternate Chief Co-Sponsor Rep. Margaret Croke

    5/20/2025House

  9. Added Alternate Chief Co-Sponsor Rep. Daniel Didech

    5/20/2025House

  10. Added Alternate Chief Co-Sponsor Rep. Bob Morgan

    5/20/2025House

  11. Held on Calendar Order of Second Reading - Short Debate

    5/16/2025House

  12. Second Reading - Short Debate

    5/16/2025House

  13. Placed on Calendar 2nd Reading - Short Debate

    4/23/2025House

  14. Do Pass / Short Debate Judiciary - Civil Committee; 019-000-000

    4/23/2025House

  15. Assigned to Judiciary - Civil Committee

    4/17/2025House

  16. Referred to Rules Committee

    4/11/2025House

  17. First Reading

    4/11/2025House

  18. Chief House Sponsor Rep. Jennifer Gong-Gershowitz

    4/10/2025House

  19. Arrived in House

    4/10/2025House

  20. Third Reading - Passed; 055-000-000

    4/10/2025Senate

  21. Placed on Calendar Order of 3rd Reading

    4/10/2025Senate

  22. Senate Floor Amendment No. 2 Adopted; Fine

    4/10/2025Senate

  23. Recalled to Second Reading

    4/10/2025Senate

  24. Senate Floor Amendment No. 2 Recommend Do Adopt Judiciary; 008-000-000

    4/9/2025Senate

  25. Senate Floor Amendment No. 2 Assignments Refers to Judiciary

    4/8/2025Senate

Bill Text

  • Engrossed

    PDF

  • Enrolled

    PDF

  • Introduced

    PDF

  • Senate Amendment 1

    PDF

  • Senate Amendment 2

    PDF

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