All Roll Calls
Yes: 192 • No: 74
IllinoisSB1950104th General Assembly (2025–2026)SenateWALLET
SANITARY FOOD PREPARATION
Sponsored By: Linda Holmes (Democratic)
Became Law
assignmentspublic health
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Bill Overview
Analyzed Economic Effects
7 provisions identified: 2 benefits, 0 costs, 5 mixed.
End-of-life option for Illinois adults
Illinois law lets a qualified adult resident get a prescription they can self‑administer to end life peacefully. You must have a terminal disease with a prognosis of 6 months or less and have mental capacity. Only Illinois residents qualify; you can show this with an IL driver’s license, voter registration, lease or deed, car registration, or an IL tax address. A surrogate cannot make the request for you. If a doctor doubts your capacity, a licensed mental health professional must evaluate you; lack of capacity means no prescription.
Steps and safeguards to get medication
You must first make an oral request to your attending doctor, then sign a written request, and repeat the oral request at least 5 days later. If your doctor thinks you are likely to die within 5 days, the written and repeated oral requests can happen sooner. Two witnesses must see you sign; at least one cannot be a relative, an heir, or a worker at your facility, and your doctor or interpreter cannot be witnesses. A second doctor must review your records and confirm your diagnosis, capacity, and voluntariness. Your attending doctor must confirm the terminal diagnosis and capacity, check for coercion, explain risks and alternatives (like hospice and palliative care), document the steps, and send the prescription to a pharmacist.
Insurance cannot punish your choice
Life, health, accident insurance, and annuities cannot deny, change, or cancel coverage because you asked for or used aid‑in‑dying. A lawful self‑administration does not void these policies. This rule also applies to health plans, including Medicaid. The Department of Insurance enforces these protections.
Penalties for coercion and forgery
Altering or forging a patient’s request, hiding a rescission, or coercing a patient remains illegal. People who do these acts can still be sued or prosecuted under other laws. The Act does not allow killing outside its rules.
Facilities may refuse care, must transfer
Hospitals and other licensed health facilities can ban aid‑in‑dying on their premises or during on‑duty hours. They must give staff written notice at hiring and each year. If you ask to transfer because of a facility ban, the facility must help you move care and send your records quickly. Health care workers do not have to take part and are protected if they act or refuse in good faith. Doctors may still provide aid‑in‑dying off‑site in their private practice under the law.
Death certificate rules and drug disposal
When a qualified patient dies after self‑administering the medication, the doctor can sign the death certificate, and the cause of death is the terminal disease. The death is not listed as suicide or homicide, and the certificate does not note self‑administration. After death, anyone holding the medicine must take it to a proper disposal site or dispose of it by lawful methods.
Doctor reporting, privacy, and oversight
The health department creates standard forms within 45 days and posts them. Doctors who prescribe must file a Checklist within 30 days and a Follow‑Up within 60 days after learning of a qualifying self‑administration death. The department keeps individual data confidential, exempts it from public records, and publishes yearly anonymous statistics starting one year after the law takes effect. The health department and the Department of Veterans Affairs can set rules to run the program.
Sponsors & Cosponsors
Sponsor
Linda Holmes
Democratic • Senate
Cosponsors
Adriane Johnson
Democratic • Senate
Amy Briel
Democratic • House
Cristina Castro
Democratic • Senate
Emanuel "Chris" Welch
Democratic • House
Harry Benton
Democratic • House
Karina Villa
Democratic • Senate
Kelly M. Cassidy
Democratic • House
Laura Ellman
Democratic • Senate
Laura Faver Dias
Democratic • House
Laura Fine
Democratic • Senate
Mary Beth Canty
Democratic • House
Mary Edly-Allen
Democratic • Senate
Maura Hirschauer
Democratic • House
Nicolle Grasse
Democratic • House
Robyn Gabel
Democratic • House
Theresa Mah
Democratic • House
Will Guzzardi
Democratic • House
Roll Call Votes
Senate vote • 10/31/2025
House Floor Amendment No. 2 Senate Concurs
Yes: 30 • No: 27
House vote • 5/29/2025
Third Reading - Unlimited Debate - Passed
Yes: 63 • No: 42 • Other: 2
House vote • 5/28/2025
House Floor Amendment No. 2 Recommends Be Adopted Executive Committee;
Yes: 8 • No: 4
House vote • 5/22/2025
House Floor Amendment No. 1 Recommends Be Adopted Public Health Committee;
Yes: 9 • No: 0
House vote • 5/1/2025
Do Pass / Short Debate Public Health Committee;
Yes: 9 • No: 0
Senate vote • 4/9/2025
Third Reading - Passed;
Yes: 54 • No: 1
Senate vote • 4/3/2025
Senate Floor Amendment No. 2 Recommend Do Adopt Public Health;
Yes: 10 • No: 0
Senate vote • 3/19/2025
Do Pass as Amended Public Health;
Yes: 9 • No: 0
Actions Timeline
Public Act . . . . . . . . . 104-0441
12/12/2025SenateEffective Date September 12, 2026
12/12/2025SenateGovernor Approved
12/12/2025SenateSent to the Governor
11/25/2025SenatePassed Both Houses
10/31/2025SenateSenate Concurs
10/31/2025SenateHouse Floor Amendment No. 2 Senate Concurs 030-027-000
10/31/2025SenateHouse Floor Amendment No. 2 Motion to Concur Be Approved for Consideration Assignments
10/31/2025SenateHouse Floor Amendment No. 2 Motion to Concur Referred to Assignments
10/31/2025SenateHouse Floor Amendment No. 2 Motion to Concur Filed with Secretary Sen. Linda Holmes
10/31/2025SenateAdded as Chief Co-Sponsor Sen. Cristina Castro
10/10/2025SenatePursuant to Senate Rule 3-9(b) / Referred to Assignments
7/2/2025SenateAdded as Co-Sponsor Sen. Laura Ellman
5/30/2025SenateAdded as Chief Co-Sponsor Sen. Karina Villa
5/30/2025SenateAdded as Chief Co-Sponsor Sen. Laura Fine
5/30/2025SenateAdded as Co-Sponsor Sen. Mary Edly-Allen
5/30/2025SenateAdded as Chief Co-Sponsor Sen. Adriane Johnson
5/30/2025SenatePlaced on Calendar Order of Concurrence House Amendment(s) 2 - May 29, 2025
5/29/2025SenateSecretary's Desk - Concurrence House Amendment(s) 2
5/29/2025SenateHouse Floor Amendment No. 1 Tabled
5/29/2025HouseThird Reading - Unlimited Debate - Passed 063-042-002
5/29/2025HouseAdded Alternate Co-Sponsor Rep. Will Guzzardi
5/29/2025HouseAdded Alternate Co-Sponsor Rep. Maura Hirschauer
5/29/2025HouseAdded Alternate Co-Sponsor Rep. Amy Briel
5/29/2025HouseAdded Alternate Co-Sponsor Rep. Nicolle Grasse
5/29/2025House
Bill Text
Engrossed
Enrolled
House Amendment 1
House Amendment 2
Introduced
Senate Amendment 1
Senate Amendment 2