All Roll Calls
Yes: 196 • No: 0
IllinoisSB2494104th General Assembly (2025–2026)SenateWALLET
RESPIRATORY CARE PRACTICE ACT
Sponsored By: Suzy Glowiak Hilton (Democratic)
Signed by Governor
Summary
Amends the Regulatory Sunset Act. Changes the repeal date of the Respiratory Care Practice Act from January 1, 2026 to January 1, 2031. Amends the Respiratory Care Practice Act. Adds provisions concerning address of record and email address of record. Removes the requirement that the Department of Financial and Professional Regulation maintain a roster of the names and addresses of all licenses and all persons whose licenses have been suspended, revoked, or denied renewal for cause within the previous calendar year. Changes the membership of the Respiratory Care Board to 5 persons of which 3 members shall be currently engaged in the practice of respiratory care and one member who is a hospital administrator (rather than 7 persons of which 4 members shall be currently engaged in the practice of respiratory care and two members who are hospital administrators). Provides that a majority of the Board members (rather than 4) shall constitute a quorum. Provides that an applicant shall include the applicant's Social Security number or Individual Taxpayer Identification Number in an application to the Department (rather than only the applicant's Social Security Number). Provides that the Department shall provide a certified shorthand reporter to take down the testimony and preserve the record of all proceedings at a formal hearing (rather than the Department preserving the record). Provides that provisions concerning the repeal date of the Act are effective immediately. Makes other changes.
assignmentslicensed activitieshealth care licenses
Personalized for You
How does this bill affect your finances?
Personalize government policy and PRIA will tell you what this bill means for your household, plus every other piece of legislation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.
Bill Overview
Analyzed Economic Effects
10 provisions identified: 5 benefits, 2 costs, 3 mixed.
Practitioners face assessments and license actions
The Department can take disciplinary or non-disciplinary action when a listed legal ground applies. A substance-related violation triggers an automatic assessment by a licensed physician certified in addiction or an advanced practice nurse certified in addictions. Refusing the assessment can be grounds for automatic suspension. When a listed ground makes someone unable or unfit to practice, the Department can require evaluation or treatment or seek discipline. Breaking substance-related license conditions can lead to immediate suspension pending a hearing, as decided by the Secretary.
More respiratory education and referral options
Respiratory care practitioners can teach patients and caregivers skills based on assessed heart-lung problems. This training must follow respiratory care guidelines and a licensed health professional's referrals and orders. Practitioners must refer patients whose needs go beyond their scope to a licensed health care professional. Referrals are no longer limited to physicians.
Respiratory practitioners can give adult vaccines
Respiratory care practitioners can give vaccines that prevent respiratory illness to patients age 18 or older. They must complete training set by state rules. They also need a valid prescription or standing order from a physician who gives vaccines in professional practice. The Department must set rules for vaccine safety, storage, administration, notice to the patient's physician, and recordkeeping.
Military athletic trainers get restoration fee relief
Athletic trainers whose licenses expire during qualifying military service, training, or education can restore them without lapsed renewal or restoration fees. The activity must end other than by dishonorable discharge. Trainers must give the Department satisfactory evidence within 2 years after the activity ends. The law no longer requires that evidence to be an affidavit.
More options for respiratory license paperwork
Original respiratory care license applicants can use an Individual Taxpayer Identification Number instead of a Social Security Number. The Department keeps that number in the license record. Applicants can submit the prescribed application in writing or electronically. Renewal applicants can provide proof or certification that they met the Department's minimum continuing education requirement. These paperwork options do not change the underlying licensing or education requirements.
Professional licensing laws continue through 2030
The law moves the scheduled repeal of Illinois athletic training and respiratory care laws from January 1, 2026, to January 1, 2031. This keeps their licensing and practice rules in place for five more years. The Department of Financial and Professional Regulation also gets authority to make athletic training rules, including fee rules. This authority change does not itself set a fee.
Court challengers pay license record costs
People seeking court review of Department decisions face Department-set costs to prepare and certify the record. Payment is required before the Department must certify the record or otherwise appear in court. The law removes the previous requirement to certify exhibits for free. It does not set a dollar amount.
Hearing records bring protections and fees
The Department must pay for a certified shorthand reporter to record testimony at formal hearings. Participants do not have to provide or pay for that reporter. People interested in a hearing can access its record by paying the required fee. The provision does not state the fee amount.
License contact updates and email notices
Athletic trainer and respiratory care applicants and license holders must give the Department a valid mailing address and email. They must provide these when applying or renewing and report changes within 14 days. Respiratory care disciplinary notices can be served by mail or email to the address on record. Mailing or emailing to the recorded address satisfies the applicable notice requirement.
Respiratory trainees face time and supervision limits
Respiratory students can use the practice exemption for up to 3 years after associate's-program enrollment or 5 years after bachelor's-program enrollment. Their work must be part of approved, supervised study, and they must be identified as students or trainees. Students employed in licensed hospitals for direct patient care need authorized licensed supervisors nearby and ready to help. Applicants meeting all licensing requirements except the exam can practice under close supervision, but cannot supervise others. That practice ends with the Department's decision about the next available exam or application withdrawal, and cannot exceed 6 months.
Sponsors & Cosponsors
Sponsor
Suzy Glowiak Hilton
Democratic • Senate
Cosponsors
Bob Morgan
Democratic • House
Jawaharial Williams
Democratic • House
Kimberly A. Lightford
Democratic • Senate
Roll Call Votes
House vote • 5/22/2025
Third Reading - Short Debate - Passed
Yes: 113 • No: 0
House vote • 4/23/2025
Do Pass / Short Debate Health Care Licenses Committee;
Yes: 13 • No: 0
Senate vote • 4/9/2025
Third Reading - Passed;
Yes: 56 • No: 0
Senate vote • 4/3/2025
Senate Floor Amendment No. 1 Recommend Do Adopt Licensed Activities;
Yes: 8 • No: 0
Senate vote • 3/19/2025
Do Pass Licensed Activities;
Yes: 6 • No: 0
Actions Timeline
Public Act . . . . . . . . . 104-0152
8/1/2025SenateEffective Date January 1, 2026; Some Provisions
8/1/2025SenateEffective Date August 1, 2025; Some Provisions
8/1/2025SenateGovernor Approved
8/1/2025SenateSent to the Governor
6/20/2025SenatePassed Both Houses
5/22/2025SenateThird Reading - Short Debate - Passed 113-000-000
5/22/2025HousePlaced on Calendar Order of 3rd Reading - Short Debate
5/14/2025HouseSecond Reading - Short Debate
5/14/2025HousePlaced on Calendar 2nd Reading - Short Debate
4/23/2025HouseDo Pass / Short Debate Health Care Licenses Committee; 013-000-000
4/23/2025HouseAdded Alternate Co-Sponsor Rep. Jawaharial Williams
4/23/2025HouseAssigned to Health Care Licenses Committee
4/17/2025HouseReferred to Rules Committee
4/9/2025HouseFirst Reading
4/9/2025HouseChief House Sponsor Rep. Bob Morgan
4/9/2025HouseArrived in House
4/9/2025HouseThird Reading - Passed; 056-000-000
4/9/2025SenatePlaced on Calendar Order of 3rd Reading
4/9/2025SenatePlaced on Calendar Order of 3rd Reading **
4/4/2025SenatePlaced on Calendar Order of 3rd Reading
4/4/2025SenateSenate Floor Amendment No. 1 Adopted; Glowiak-Hilton
4/4/2025SenateRecalled to Second Reading
4/4/2025SenateAdded as Co-Sponsor Sen. Kimberly A. Lightford
4/4/2025SenateSenate Floor Amendment No. 1 Recommend Do Adopt Licensed Activities; 008-000-000
4/3/2025Senate
Bill Text
Engrossed
Enrolled
Introduced
Senate Amendment 1
Related Bills
HB5198, AFFORDABLE HOUSING-CILAS
Amends the Affordable Housing Planning and Appeal Act. Requires non-exempt local governments to provide residents with notice and the opportunity for comment at a public hearing prior to adopting an affordable housing plan. Requires a non-exempt local government to provide proof of its compliance with the notice and public hearing requirements when it submits a copy of its affordable housing plan to the Illinois Housing Development Authority. Expands the list of information that must be provided in the affordable housing plan to include, (i) an identification of "specific lands" (rather than "lands") within the jurisdiction that are most appropriate for the construction of affordable housing, (ii) proposed timelines to commence "specific actions and deadlines" (rather than "actions") to implement the components of the affordable housing plan, and (iii) incentives, including certain measures to address the need for affordable housing, that the local government may provide for the purpose of attracting affordable housing. In a provision permitting certain persons to appeal a local government's denial of a proposed affordable housing plan, expands the list to include a service provider that is under contract to provide services for potential residents of a proposed supportive housing project or community-integrated living arrangement that is included in the proposed affordable housing plan. Contains provisions concerning final actions or decisions by the governing body of the local government on the proposed affordable housing plans; appeal procedures and timelines; and other matters. Expands the Illinois Housing Development Authority's rulemaking authority to include the adoption of rules and regulations concerning the substance of affordable housing plans consistent with the changes made in the amendatory Act.
SB1937, PENSION CODE-VARIOUS
Amends the State Employee Article of the Illinois Pension Code. Provides that a member who is eligible to receive an alternative retirement annuity may elect to receive an estimated payment that shall commence no later than 30 days after the later of either the member's last day of employment or 30 days after the member files for the retirement benefit with the System. Provides that the estimated payment shall be the best estimate by the System of the total monthly amount due to the member based on the information that the System possesses at the time of the estimate. Provides that if the amount of the estimate is greater or less than the actual amount of the monthly annuity, the System shall pay or recover the difference within 6 months after the start of the monthly annuity. Excludes a benefit increase resulting from the amendatory Act from the definition of "new benefit increase". Effective immediately.
HB2563, CONDO-RESERVE STUDY
Amends the Common Interest Community Association Act. Requires a common interest association to conduct and update a reserve study every 5 years. "Reserve study" means an analysis of the reserves required for future major maintenance, repairs, and replacements of the common elements. Grants a 5-year window for an association to conduct a reserve study or update a current study. Requires a reserve study to be made available to any prospective purchaser of a unit upon request for a resale of any unit in the community. Exempts an association with 15 or fewer units but still requires the board to comply with the budgeting and reserve requirements elsewhere in the Act. Amends the Condominium Property Act to make similar changes.
HB4701, LIMITATIONS FACILITY FEES ACT
Creates the Limitations on Facility Fees Act. Provides that no health care provider shall charge, bill, or collect a facility fee, except for: (i) services provided on a hospital's campus; (ii) services provided at a facility that includes a licensed hospital emergency department; or (iii) emergency services provided at a freestanding emergency center. Provides that, except as specified, no health care provider shall charge, bill, or collect a facility fee for: (i) outpatient evaluation and management services; or (ii) any other outpatient, diagnostic, or imaging services identified by the Department of Public Health. Requires the Department to annually identify services subject to the limitations on specified facility fees that may reliably be provided safely and effectively in settings other than hospitals. Sets forth provisions concerning reporting, rulemaking, and enforcement of the Act. Amends the Fair Patient Billing Act to make a conforming change. Amends the Consumer Fraud and Deceptive Business Practices Act. Provides that any person who violates the Limitations on Facility Fees Act commits an unlawful practice.
SB3008, DHS-ABLE PROGRAM INFO MATERIAL
Amends the Mental Health and Developmental Disabilities Administrative Act and the Rehabilitation of Persons with Disabilities Act. Required the Department of Human Services to provide informational materials about the Senator Scott Bennett ABLE Program to: persons who are placed in a facility licensed under the ID/DD Community Care Act, the MC/DD Act, or the Specialized Mental Health Rehabilitation Act of 2013; persons with disabilities who receive services funded by or administered in conjunction with the Department, including, but not limited to, home and community based services, home-based support services, PUNS services, home care services, and services at a Center for Independent Living. Provides that the informational materials shall be provided when a person first enrolls for such services and as part of any annual process required for the person to maintain eligibility for such services. Requires the Office of the State Treasurer to prepare and deliver the informational materials in an electronic format to the Department and distribute the materials to eligible persons.
SB3484, VEH CD-PLATES-REGISTRATION
Amends the Illinois Vehicle Code. Provides that the design and color of registration plates shall be wholly within the discretion of the Secretary of State. Provides that plates for veterans with disabilities who have been approved for benefits under the Senior Citizens and Persons with Disabilities Property Tax Relief Act shall pay a specified fee (instead of $24). Authorizes the Secretary to suspend or revoke a certificate or the special plates issued to tow truck or wrecker operator upon determining that the person is not lawfully entitled thereto or has made or knowingly permitted any illegal use of the plates or has committed fraud in the registration of vehicles or failed to give notices of transfers. Prohibits a vehicle from being registered in the name of a person who is not an owner or lessee of that vehicle. Requires a vehicle owner seeking to register a vehicle in the State to register that vehicle to a State address. Provides that it is a violation for a person to alter, forge, or counterfeit a license plate or digital license plate. Provides that if no assignable title is available when auctioning a vehicle, the auctioneer or dealer must apply for Illinois title for the purpose of assigning title. Provides that the renewal fee for licenses and permits issued to 18, 19, and 20 year olds is $5. Provides that the Secretary shall issue a meter-exempt decal or device to the parent of a person with a disability who is under 18 years of age and incapable of driving or the legal guardian of a person with a disability incapable of driving. Makes other changes.