HB1431
View on ILGAFACILITY FEE TRANSPARENCY
What this bill does
Creates the Health Care Facility Fee Transparency Act. Sets forth provisions concerning notice requirements for a hospital or health system that charges a facility fee using a current procedural terminology evaluation code or assessment and management code for outpatient services provided at a hospital-based facility where a professional fee is also expected to be charged. Provides notice requirements for hospital-based facilities created or acquired through a business transaction. Establishes limitations on facility fees. Sets forth provisions concerning facility fee billing statements, reporting of facility fees charged by each hospital and health system, and enforcement of the Act by the Department of Public Health. Amends the Consumer Fraud and Deceptive Business Practices Act. Provides that it is an unlawful practice if, from the date of the transaction, a hospital, health system, or hospital-based facility does not wait at least 30 days after the written notice has been mailed to the patient or a copy of the notice has been filed with the Department of Public Health to collect a facility fee for services provided at a hospital-based facility.
PASSED INTO LAW
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Pipeline Progress
Current stage: Signed into Law · Last action 237 days ago
How does a bill become law in Illinois?
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Introduction of Bill
A member of the Senate or the House introduces a bill, which is assigned a unique identifying number (e.g., "H.B. ___" for House bills and "S.B. ___" for Senate bills). If not enacted, it must be reintroduced in the next General Assembly with a new number.
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Committee Work — Hearings
The bill goes to the appropriate committee, which holds hearings to gather expert opinions and determine the need for the legislation.
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Committee Work — Markup, Amendments, Report
The committee may make amendments to the bill. If approved, a committee report endorsing the bill is issued.
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Floor Debate
The bill is debated and can be further amended. The debate transcripts are accessible online for public viewing.
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Passage and Consideration in Second Chamber
If the bill passes in the first chamber, it moves to the second chamber for a similar review process. If both chambers approve, it goes to the governor.
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Gubernatorial Action
The governor can sign the bill into law, veto it, or take no action (resulting in an automatic law after 60 days). The type of veto can be total or amendatory. Once signed, the bill becomes a Public Act and is assigned a Public Act number.
Sponsor Context
Public Engagement
33 witness slips filed
29 proponents / 2 opponents
10 organizations
Witness slips
33 slips filed. Proponent / opponent / no position as filed with the committee.
| Name | Organization | Representing | Position | Hearing committee | Hearing date |
|---|---|---|---|---|---|
| Aces Lira | AIDS Foundation Chicago | AIDS Foundation Chicago | Proponent | Health and Human Services | 2025-04-29 |
| Dave Gross | Illinois Health and Hospital Association | Illinois Health & Hospital Association | Proponent | Health and Human Services | 2025-04-29 |
| Elaine Nekritz | Nekritz Amdor Andersson Group | Shriver Center on Poverty Law | Proponent | Health and Human Services | 2025-04-29 |
| Lori Reimers | AHIP | AHIP | Proponent | Health and Human Services | 2025-04-29 |
| Aces Lira | AIDS Foundation Chicago | AIDS Foundation Chicago | Proponent | Human Services | 2025-03-20 |
| Michelle Grisat | National Nurses United | National Nurses Organizing Committee - Illinois - National Nurses United | Proponent | Human Services | 2025-03-20 |
| Aces Lira | AIDS Foundation Chicago | AIDS Foundation Chicago | Proponent | Human Services | 2025-03-19 |
| Lori Reimers | AHIP | AHIP | Proponent | Human Services | 2025-03-19 |
| Margo Gislain | Illinois Nurses Association | Illinois Nurses Association | Proponent | Human Services | 2025-03-19 |
| Michelle Grisat | National Nurses United | National Nurses Organizing Committee - Illinois - National Nurses United | Proponent | Human Services | 2025-03-19 |
| Steve Andersson | Nekritz, Amdor, Andersson Group | Shriver Center on Poverty Law | Proponent | Human Services | 2025-03-19 |
| Aces Lira | AIDS Foundation Chicago | AIDS Foundation Chicago | Proponent | Human Services | 2025-03-12 |
| Lori Reimers | AHIP | AHIP | Proponent | Human Services | 2025-03-12 |
| Margo Gislain | Illinois Nurses Association | Illinois Nurses Association | Proponent | Human Services | 2025-03-12 |
| Michelle Grisat | National Nurses United | National Nurses Organizing Committee - Illinois - National Nurses United | Proponent | Human Services | 2025-03-12 |
| Steve Andersson | Nekritz, Amdor, Andersson Group | Shriver Center on Poverty Law | Proponent | Human Services | 2025-03-12 |
| Aces Lira | AIDS Foundation Chicago | AIDS Foundation Chicago | Proponent | Human Services | 2025-03-05 |
| Angela Raymer | CCSI Case Coordination LLC | Self | Proponent | Human Services | 2025-03-05 |
| Margo Gislain | Illinois Nurses Association | Illinois Nurses Association | Proponent | Human Services | 2025-03-05 |
| Michelle Grisat | National Nurses United | National Nurses Organizing Committee - Illinois - National Nurses United | Proponent | Human Services | 2025-03-05 |
| Steve Andersson | Nekritz, Amdor, Andersson Group | Shriver Center for Poverty Law | Proponent | Human Services | 2025-03-05 |
| David Schwartz | Self | Self | Proponent | Human Services | 2025-02-26 |
| Jordan Ryan | Illinois Chamber of Commerce | Illinois Chamber of Commerce | Opponent | Human Services | 2025-03-12 |
| Jordan Ryan | Illinois Chamber of Commerce | Illinois Chamber of Commerce | Opponent | Human Services | 2025-03-05 |
| Michelle Grisat | National Nurses United | National Nurses Organizing Committee - Illinois - National Nurses United | No Position On Merits | Health and Human Services | 2025-04-29 |
| Cassie Yarbrough | Illinois Health and Hospital Association | Illinois Health & Hospital Association | Proponent | Human Services | 2025-03-19 |
| Dave Gross | Illinois Health and Hospital Association | Illinois Health & Hospital Association | Proponent | Human Services | 2025-03-19 |
| Steve Andersson | Nekritz, Amdor, Andersson Group | Shriver Center on Poverty Law | Proponent | Human Services | 2025-03-19 |
| Jordan Ryan | Illinois Chamber of Commerce | Illinois Chamber of Commerce | No Position On Merits | Human Services | 2025-03-19 |
| Dave Gross | Illinois Health and Hospital Association | Illinois Health and Hospital Association | Proponent | Human Services | 2025-05-29 |
| John Amdor | Nekritz Amdor Andersson Group | Shriver Center on Poverty Law | Proponent | Human Services | 2025-05-29 |
| Dave Gross | Illinois Health and Hospital Association | Illinois Health & Hospital Association | Proponent | Health and Human Services | 2025-05-06 |
| Elaine Nekritz | Nekritz Amdor Andersson Group | Shriver Center on Poverty Law | Proponent | Health and Human Services | 2025-05-06 |
Roll-call votes
Total votes and outcome per event. Deciding vote = margin of 1; those voters on the winning side could have changed the outcome by flipping.
| Date | Chamber | Type | Description | Yea | Nay | Present | NV | Outcome | Margin | Deciding voters |
|---|---|---|---|---|---|---|---|---|---|---|
| H | Committee | Human Services | 12 | 0 | 0 | 0 | Passed | 12 | — | |
| H | Floor | Third Reading | 103 | 0 | 0 | 15 | Passed | 103 | — | |
| S | Committee | Health and Human Services | 8 | 0 | 0 | 4 | Passed | 8 | — | |
| 2025-05-21 | S | Floor | Third Reading | 58 | 0 | 0 | 1 | Passed | 58 | — |
Action History
42 actions recorded. Last action: 2025-08-15 — Public Act . . . . . . . . .104-0181. Each action's meaning and outcome signal are classified automatically.
2025-01-16
Introduction & Filing
Filed with the Clerk byRep. Maurice A. West, II House Rule 6(b)
Bill officially submitted to the House Clerk during the session.
2025-01-28
Introduction & Filing
First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38
Formal introduction — title read into the official record. Required procedural step; bill now exists in the system.
2025-01-28
Committee Assignment
Referred toRules Committee Senate Rule 3-8(a); House Rule 18(a)
Sent to a committee (usually Rules in the House, Assignments in the Senate). The gatekeeping step — Rules/Assignments decides which substantive committee hears the bill.
2025-02-18
Committee Assignment
Assigned toHuman Services Committee Senate Rule 3-8(a); House Rule 18(b)
Sent to a substantive committee (e.g., Transportation, Revenue). This is where the bill gets a real hearing and evaluation.
2025-03-17
Amendment Actions
House Committee Amendment No. 1 Filed with Clerk byRep. Maurice A. West, II
[Amendment] Amendment sub-action.
2025-03-17
Amendment Actions
House Committee Amendment No. 1 Referred toRules Committee
[Amendment] Sent to a committee (usually Rules in the House, Assignments in the Senate). The gatekeeping step — Rules/Assignments decides which substantive committee hears the bill.
2025-03-18
Amendment Actions
House Committee Amendment No. 1 Rules Refers toHuman Services Committee
[Amendment] Amendment sub-action.
2025-03-19
Amendment Actions
House Committee Amendment No. 1 Adopted inHuman Services Committee; by Voice Vote
[Amendment] Amendment sub-action.
2025-03-19
Committee Action
Positive
Do Pass as Amended / Short DebateHuman Services Committee; 012-000-000 Rule 3-11(a)(1), Rule 3-12(a)
Committee recommends passage. The most important positive gate — majority of bills never get here.
2025-03-19
Floor Process
Positive
Placed on Calendar 2nd Reading - Short Debate Senate Rule 4-4(7-8)/5-2; House Rule 31(8-9)/38/52
Bill placed on the Second Reading calendar. Positive — bill is queued for floor action.
2025-03-25
Floor Process
Positive
Second Reading - Short Debate Senate Rule 3-12(a)/5-4(a); House Rule 24(a)/40(b)/52(a)(1)
Bill reaches the floor amendment stage on Short Debate calendar. Major milestone — bill has passed committee and is on the floor.
2025-03-25
Floor Process
Positive
Placed on Calendar Order of 3rd Reading - Short Debate Rule 4-4(8)
Bill placed on the Third Reading calendar — queued for final vote.
2025-04-07
Floor Vote
Positive
Third Reading - Short Debate - Passed103-000-000 Senate Rule 5-1(f)/7-1/7-2; House Rule 37(f)/49/50
Bill PASSED on Short Debate Third Reading. Bill cleared the chamber.
2025-04-08
Cross-Chamber
Positive
Arrive in Senate Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12)
House bill arrives in the Senate after passing the House.
2025-04-08
Procedural
Placed on Calendar Order of First Reading Senate Rule 4-4/7-4; House Rule 31/54
Bill queued for First Reading in the second chamber.
2025-04-09
Cross-Chamber
Positive
Chief Senate SponsorSen. Steve Stadelman Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12)
Senate sponsor assigned for a House bill.
2025-04-09
Introduction & Filing
First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38
Formal introduction — title read into the official record. Required procedural step; bill now exists in the system.
2025-04-09
Committee Assignment
Referred toAssignments Senate Rule 3-8(a); House Rule 18(a)
Sent to a committee (usually Rules in the House, Assignments in the Senate). The gatekeeping step — Rules/Assignments decides which substantive committee hears the bill.
2025-04-23
Committee Assignment
Assigned toHealth and Human Services Senate Rule 3-8(a); House Rule 18(b)
Sent to a substantive committee (e.g., Transportation, Revenue). This is where the bill gets a real hearing and evaluation.
2025-04-30
Committee Action
Positive
Do PassHealth and Human Services; 008-000-000 Rule 3-11(a)(1), Rule 3-12(a)
Committee recommends passage. The most important positive gate — majority of bills never get here.
2025-04-30
Floor Process
Positive
Placed on Calendar Order of 2nd Reading May 1, 2025 Rule 3-12(a), Rule 4-4(7)
Bill placed on the order of Second Reading.
2025-05-01
Amendment Actions
Senate Floor Amendment No. 1 Filed with Secretary bySen. Steve Stadelman
[Amendment] Bill officially submitted to the Senate Secretary during the session.
2025-05-01
Amendment Actions
Senate Floor Amendment No. 1 Referred toAssignments
[Amendment] Sent to a committee (usually Rules in the House, Assignments in the Senate). The gatekeeping step — Rules/Assignments decides which substantive committee hears the bill.
2025-05-06
Amendment Actions
Senate Floor Amendment No. 1 Assignments Refers toHealth and Human Services
[Amendment] Senate Assignments Committee forwards the bill to a substantive committee.
2025-05-07
Amendment Actions
Senate Floor Amendment No. 1 Recommend Do AdoptHealth and Human Services; 009-000-000
[Amendment] Amendment sub-action.
2025-05-08
Floor Process
Positive
Second Reading Senate Rule 3-12(a)/5-4(a); House Rule 24(a)/40(b)
Bill reaches the floor amendment stage. Floor amendments can be offered here.
2025-05-08
Amendment Actions
Senate Floor Amendment No. 1 Adopted; Stadelman
[Amendment] Amendment sub-action.
2025-05-08
Floor Process
Positive
Placed on Calendar Order of 3rd Reading May 13, 2025 Rule 4-4(8)
Bill placed on the Third Reading calendar — queued for final vote.
2025-05-21
Floor Vote
Positive
Third Reading - Passed;058-000-000 Rule 5-1(f)
Bill PASSED a floor vote on Third Reading. Major milestone — bill has cleared one chamber.
2025-05-21
Cross-Chamber
Positive
Arrived in House Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12)
Senate bill arrives in the House after passing the Senate.
2025-05-21
Concurrence
Mild +
Placed on Calendar Order of Concurrence Senate Amendment(s) 1 Senate Rule 8-1/Article VIII; House Rule 72/Article VIII
Concurrence vote scheduled on the calendar.
2025-05-21
Amendment Actions
Senate Floor Amendment No. 1 Motion Filed ConcurRep. Maurice A. West, II
[Amendment] Amendment sub-action.
2025-05-21
Amendment Actions
Senate Floor Amendment No. 1 Motion to Concur Referred toRules Committee
[Amendment] Motion filed to agree with the other chamber's amendments.
2025-05-28
Amendment Actions
Senate Floor Amendment No. 1 Motion to Concur Rules Referred toHuman Services Committee
[Amendment] Motion filed to agree with the other chamber's amendments.
2025-05-29
Amendment Actions
Senate Floor Amendment No. 1 Motion to Concur Recommends Be AdoptedHuman Services Committee; 012-000-000
[Amendment] Motion filed to agree with the other chamber's amendments.
2025-05-30
Amendment Actions
Positive
Senate Floor Amendment No. 1 House Concurs112-001-000
[Amendment] House agrees with Senate amendments to the bill.
2025-05-30
Concurrence
Positive
House Concurs Senate Rule 8-1/Article VIII; House Rule 72/Article VIII
House agrees with Senate amendments to the bill.
2025-05-30
Concurrence
Positive
Passed Both Houses Rule 8-1, Rule 8-4
Bill PASSED BOTH CHAMBERS. Major milestone — bill goes to the Governor next.
2025-06-24
Governor Action
Positive
Sent to the Governor Senate Article IX/Rules 9-1 to 9-6; House Article IX/Rules 77-82
Bill transmitted to the Governor for signature. Strong positive — bill has passed both chambers.
2025-08-15
Governor Action
Positive
Governor Approved Senate Article IX/Rules 9-1 to 9-6; House Article IX/Rules 77-82
GOVERNOR SIGNED THE BILL. Bill is now law (pending effective date).
2025-08-15
Enacted Into Law
Law
Effective Date January 1, 2026 Article IX
Law's effective date announced. Most IL laws take effect January 1 of the next year unless otherwise specified.
2025-08-15
Enacted Into Law
Law
Public Act . . . . . . . . .104-0181 Article IX
Bill signed into law — assigned a Public Act number (e.g., PA 104-0032).
All actions (table)
| Date | Chamber | Action | Category | Signal |
|---|---|---|---|---|
| 2025-01-16 | House | Filed with the Clerk byRep. Maurice A. West, II House Rule 6(b) | Introduction & Filing | — |
| 2025-01-28 | House | First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38 | Introduction & Filing | — |
| 2025-01-28 | House | Referred toRules Committee Senate Rule 3-8(a); House Rule 18(a) | Committee Assignment | — |
| 2025-02-18 | House | Assigned toHuman Services Committee Senate Rule 3-8(a); House Rule 18(b) | Committee Assignment | — |
| 2025-03-17 | House | House Committee Amendment No. 1 Filed with Clerk byRep. Maurice A. West, II | Amendment Actions | — |
| 2025-03-17 | House | House Committee Amendment No. 1 Referred toRules Committee | Amendment Actions | — |
| 2025-03-18 | House | House Committee Amendment No. 1 Rules Refers toHuman Services Committee | Amendment Actions | — |
| 2025-03-19 | House | House Committee Amendment No. 1 Adopted inHuman Services Committee; by Voice Vote | Amendment Actions | — |
| 2025-03-19 | House | Do Pass as Amended / Short DebateHuman Services Committee; 012-000-000 Rule 3-11(a)(1), Rule 3-12(a) | Committee Action | Positive |
| 2025-03-19 | House | Placed on Calendar 2nd Reading - Short Debate Senate Rule 4-4(7-8)/5-2; House Rule 31(8-9)/38/52 | Floor Process | Positive |
| 2025-03-25 | House | Second Reading - Short Debate Senate Rule 3-12(a)/5-4(a); House Rule 24(a)/40(b)/52(a)(1) | Floor Process | Positive |
| 2025-03-25 | House | Placed on Calendar Order of 3rd Reading - Short Debate Rule 4-4(8) | Floor Process | Positive |
| 2025-04-07 | House | Third Reading - Short Debate - Passed103-000-000 Senate Rule 5-1(f)/7-1/7-2; House Rule 37(f)/49/50 | Floor Vote | Positive |
| 2025-04-08 | Senate | Arrive in Senate Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12) | Cross-Chamber | Positive |
| 2025-04-08 | Senate | Placed on Calendar Order of First Reading Senate Rule 4-4/7-4; House Rule 31/54 | Procedural | — |
| 2025-04-09 | Senate | Chief Senate SponsorSen. Steve Stadelman Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12) | Cross-Chamber | Positive |
| 2025-04-09 | Senate | First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38 | Introduction & Filing | — |
| 2025-04-09 | Senate | Referred toAssignments Senate Rule 3-8(a); House Rule 18(a) | Committee Assignment | — |
| 2025-04-23 | Senate | Assigned toHealth and Human Services Senate Rule 3-8(a); House Rule 18(b) | Committee Assignment | — |
| 2025-04-30 | Senate | Do PassHealth and Human Services; 008-000-000 Rule 3-11(a)(1), Rule 3-12(a) | Committee Action | Positive |
| 2025-04-30 | Senate | Placed on Calendar Order of 2nd Reading May 1, 2025 Rule 3-12(a), Rule 4-4(7) | Floor Process | Positive |
| 2025-05-01 | Senate | Senate Floor Amendment No. 1 Filed with Secretary bySen. Steve Stadelman | Amendment Actions | — |
| 2025-05-01 | Senate | Senate Floor Amendment No. 1 Referred toAssignments | Amendment Actions | — |
| 2025-05-06 | Senate | Senate Floor Amendment No. 1 Assignments Refers toHealth and Human Services | Amendment Actions | — |
| 2025-05-07 | Senate | Senate Floor Amendment No. 1 Recommend Do AdoptHealth and Human Services; 009-000-000 | Amendment Actions | — |
| 2025-05-08 | Senate | Second Reading Senate Rule 3-12(a)/5-4(a); House Rule 24(a)/40(b) | Floor Process | Positive |
| 2025-05-08 | Senate | Senate Floor Amendment No. 1 Adopted; Stadelman | Amendment Actions | — |
| 2025-05-08 | Senate | Placed on Calendar Order of 3rd Reading May 13, 2025 Rule 4-4(8) | Floor Process | Positive |
| 2025-05-21 | Senate | Third Reading - Passed;058-000-000 Rule 5-1(f) | Floor Vote | Positive |
| 2025-05-21 | House | Arrived in House Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12) | Cross-Chamber | Positive |
| 2025-05-21 | House | Placed on Calendar Order of Concurrence Senate Amendment(s) 1 Senate Rule 8-1/Article VIII; House Rule 72/Article VIII | Concurrence | Mild + |
| 2025-05-21 | House | Senate Floor Amendment No. 1 Motion Filed ConcurRep. Maurice A. West, II | Amendment Actions | — |
| 2025-05-21 | House | Senate Floor Amendment No. 1 Motion to Concur Referred toRules Committee | Amendment Actions | — |
| 2025-05-28 | House | Senate Floor Amendment No. 1 Motion to Concur Rules Referred toHuman Services Committee | Amendment Actions | — |
| 2025-05-29 | House | Senate Floor Amendment No. 1 Motion to Concur Recommends Be AdoptedHuman Services Committee; 012-000-000 | Amendment Actions | — |
| 2025-05-30 | House | Senate Floor Amendment No. 1 House Concurs112-001-000 | Amendment Actions | Positive |
| 2025-05-30 | House | House Concurs Senate Rule 8-1/Article VIII; House Rule 72/Article VIII | Concurrence | Positive |
| 2025-05-30 | House | Passed Both Houses Rule 8-1, Rule 8-4 | Concurrence | Positive |
| 2025-06-24 | House | Sent to the Governor Senate Article IX/Rules 9-1 to 9-6; House Article IX/Rules 77-82 | Governor Action | Positive |
| 2025-08-15 | House | Governor Approved Senate Article IX/Rules 9-1 to 9-6; House Article IX/Rules 77-82 | Governor Action | Positive |
| 2025-08-15 | House | Effective Date January 1, 2026 Article IX | Enacted Into Law | Law |
| 2025-08-15 | House | Public Act . . . . . . . . .104-0181 Article IX | Enacted Into Law | Law |