All Roll Calls
Yes: 192 • No: 74
IllinoisSB1950104th General Assembly (2025–2026)Senate
SANITARY FOOD PREPARATION
Sponsored By: Linda Holmes (Democratic)
Signed by Governor
Summary
Amends the Sanitary Food Preparation Act. Provides that, if a food distribution facility is engaged in the collection, storage, packaging, or distribution of food to consumers, then that facility is subject to all provisions of the Act and rules adopted under the Act. Provides that the registered sanitarian of a county health department of where a food distribution facility is located shall have the power to enforce and observe the rules and orders of the Department of Public Health and the provisions of this Section. Defines "food distribution facility".
assignmentspublic health
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Bill Overview
Analyzed Economic Effects
11 provisions identified: 5 benefits, 1 costs, 5 mixed.
Aid-in-dying option for terminally ill adults
Beginning 9 months after enactment, Illinois residents age 18 or older can request aid-in-dying medication. Patients must have decision-making capacity and an incurable, irreversible disease expected to cause death within 6 months. An in-person exam and a second physician's confirmation are required; major depression alone does not qualify. Patients must prove Illinois residency and personally make oral and written requests; surrogates and advance directives cannot request medication. The second oral request must come at least 5 days later, unless the physician expects death within 5 days. The written request needs two eligible witnesses; relatives, beneficiaries, treating-entity owners or employees, interpreters, and the attending physician cannot serve. Patients must consciously and voluntarily swallow the medication themselves; injection and infusion are excluded.
Insurance protections for terminally ill patients
Health plans, including Illinois Medicaid, cannot deny or change otherwise available benefits because aid-in-dying care is available. For covered terminally ill patients, protections also apply whether or not they request medication; insurers cannot pressure patients to request it. Covered life, health, accident, and annuity policies cannot be sold, issued, obtained, or priced based on making or withdrawing a request. Self-administration does not invalidate a policy, though material misrepresentation on an application can still justify cancellation. The Illinois Department of Insurance enforces these protections for entities it oversees.
Death records name the terminal disease
For patients who self-administer medication under the law, death certificates name the underlying terminal disease as the cause. Certificates do not identify the death as suicide or homicide or mention self-administration. The attending physician can sign the certificate, subject to other law. The death alone is not grounds for a postmortem inquiry.
Independent providers can help patients
Facilities cannot stop professionals from sharing accurate information about patients' health, aid-in-dying care, or community resources. Professionals can provide care independently, outside their facility employment or contract and off facility property. They must tell patients they are not acting for the facility. Professionals also have protections for requested presence during self-administration or at death outside facility duties. Physicians acting outside their employment contract and off facility property receive liability protections for requested presence and preparing the prescribed medication.
Legal safeguards protect patient choice
An aid-in-dying request alone cannot establish neglect or elder abuse, or justify appointing a guardian. Contract, will, and agreement terms controlling whether a patient can make or withdraw a request are invalid. Making or withdrawing a request cannot affect obligations under contracts already in effect when the law takes effect. Compliant actions are not suicide, assisted suicide, euthanasia, homicide, or elder abuse; the law does not authorize another person to end the patient's life. Liability remains for knowingly forging or altering requests, hiding or destroying withdrawals, coercion, and intentional provider misconduct; other criminal penalties still apply.
Referrals and transfers protect patient access
Providers unable or unwilling to help must tell patients, refer them for help under Illinois conscience law, and document the request and notice. Facilities that prohibit aid-in-dying care must arrange a timely transfer when patients want care elsewhere. Requested records must move without undue delay; changing providers or transferring records does not pause or restart waiting periods. Professionals cannot mislead patients about their willingness to assess or provide care, and facilities cannot misrepresent their policies. Intentional transfer obstruction counts as denying access; intentional deception or misinformation used to block access counts as coercion or undue influence.
Medication holders must dispose of leftovers
After a qualified patient's death, whoever controls unused aid-in-dying medication must take it to the nearest qualified controlled-substance disposal facility. If no such facility is available, that person must dispose of it lawfully under state and federal guidelines.
Patient counseling and mental-capacity checks
Doctors must check that aid-in-dying requests are voluntary and explain the diagnosis, outlook, medication risks, and likely result. They must discuss comfort care, hospice, pain control, and other feasible end-of-life options. A second doctor must confirm the prognosis and capacity; doubts about capacity require a licensed mental-health professional's evaluation. Patients cannot qualify if they lack capacity or have a disorder that substantially impairs judgment. Before prescribing, the attending doctor must verify completed steps, offer a chance to withdraw, explain safety and disposal, and document findings.
Patient privacy limits public records access
Information collected under the aid-in-dying law is privileged and strictly confidential. It is protected from disclosure, discovery, and compelled production in legal proceedings. Unless another law requires disclosure, state public health records are unavailable for public inspection or freedom-of-information requests.
Doctors report prescriptions and patient deaths
Attending doctors must file a checklist within 30 calendar days after providing an aid-in-dying prescription. A follow-up form is due within 60 calendar days after notice that a patient died from self-administration. Illinois public health officials must post both forms within 45 days after the law takes effect. Starting one year after the effective date, annual public reports give prescription, prescribing-physician, and death counts, plus combined, nonidentifying demographic data. Willfully failing or refusing to submit required records on time can lead to discipline.
Providers can decline aid-in-dying care
Health professionals and facilities have no legal or contractual duty to provide aid-in-dying care. Good-faith participation or refusal receives civil and criminal liability protections, and professionals generally receive protection from professional penalties. Facilities can prohibit affiliated workers and contractors from providing this care while performing facility duties and enforce that policy through existing discipline rules. Facilities must give written advance notice at hiring, contracting, or granting privileges, and annually afterward.
Sponsors & Cosponsors
Sponsor
Linda Holmes
Democratic • Senate
Cosponsors
Adriane L. 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 L. 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
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