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HB1754

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TICK ACT

What this bill does

Creates the Tracking Infectious Cases Knowledgeably Act. Provides that the Act may be referred to as the TICK Act. Provides that the Department of Public Health shall adopt rules no later than January 1, 2026, requiring medical reporters to report cases of alpha-gal syndrome and Lyme disease to the local health department and the Department of Public Health on the date of the diagnosis under the Control of Communicable Diseases Code. Provides that the rules shall dictate that the Department of Public Health shall track cases of alpha-gal syndrome and Lyme disease statewide and within counties and shall publish the results of the tracking of cases of alpha-gal syndrome and Lyme disease publicly on the Department's website in a timely manner. Provides that any case of alpha-gal syndrome or Lyme disease present in an Illinois resident that has been diagnosed by a medical professional shall be reported to, and tracked by, the Department, independent from or concurrent with reporting and tracking by the federal government. Defines terms. Makes findings. Effective immediately.

Sponsor: Dan Swanson Chamber: House Introduced: 2025-01-24
PASSED INTO LAW

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Pipeline Progress

Current stage: Signed into Law · Last action 251 days ago

How does a bill become law in Illinois?
  1. 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.

  2. Committee Work — Hearings

    The bill goes to the appropriate committee, which holds hearings to gather expert opinions and determine the need for the legislation.

  3. Committee Work — Markup, Amendments, Report

    The committee may make amendments to the bill. If approved, a committee report endorsing the bill is issued.

  4. Floor Debate

    The bill is debated and can be further amended. The debate transcripts are accessible online for public viewing.

  5. 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.

  6. 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

41 witness slips filed 40 proponents / 1 opponents 9 organizations

Witness slips

41 slips filed. Proponent / opponent / no position as filed with the committee.

Name Organization Representing Position Hearing committee Hearing date
Abigail Schulz Self Self Proponent Public Health 2025-05-06
David Schwartz Self Self Proponent Public Health 2025-05-06
Jennifer Russell Illinois Lyme Association Illinois Lyme Association Proponent Public Health 2025-05-06
Nicholas Haile self self Proponent Public Health 2025-05-06
Sharon Forsyth Alpha-gal Alliance Action Fund Alpha-gal Alliance Action Fund Proponent Public Health 2025-05-06
David Schwartz Self Self Proponent Public Health 2025-03-13
Jennifer Russell Illinois Lyme Association Illinois Lyme Association Proponent Public Health 2025-03-13
Jensen Savage Self Self Proponent Public Health 2025-03-06
Teresa Armstrong Cass County Health Department Cass County Health Department Opponent Public Health 2025-03-13
Abigail Schulz Self Self Proponent Public Health 2025-03-13
Adell Struble Self Proponent Public Health 2025-03-13
Aidan Warner Not Applicable Proponent Public Health 2025-03-13
Dan Gallagher Self Self Proponent Public Health 2025-03-13
Diane M Potts Illinois Lyme Association Proponent Public Health 2025-03-13
Edith Angelo Self Proponent Public Health 2025-03-13
Elizabeth Angelo Self Self Proponent Public Health 2025-03-13
Eric Drake Misfeldt NA Proponent Public Health 2025-03-13
Francis Angelo None Self Proponent Public Health 2025-03-13
Jaclyn Trujillo Self Self Proponent Public Health 2025-03-13
Jennifer Russell Illinois Lyme Association Illinois Lyme Association Proponent Public Health 2025-03-13
Jeremy Donagher Self Proponent Public Health 2025-03-13
Jessica Harris Lyme advocate Proponent Public Health 2025-03-13
Jonathan B Angelo Self Proponent Public Health 2025-03-13
Julie Salzbrunn Self Self Proponent Public Health 2025-03-13
Juslynn Butts Riggleman Self Self Proponent Public Health 2025-03-13
Kari Schroeder None Proponent Public Health 2025-03-13
Kristina Misfeldt None Individual Proponent Public Health 2025-03-13
Lauryn Russell Self tick borne disease patients in IL Proponent Public Health 2025-03-13
Lisa Weber Self Proponent Public Health 2025-03-13
Mary Gallagher Self Self Proponent Public Health 2025-03-13
Michael Garvey Self Self Proponent Public Health 2025-03-13
Piper grazulis Self Proponent Public Health 2025-03-13
Rebecca Warner Self Self Proponent Public Health 2025-03-13
Richard Warner self Proponent Public Health 2025-03-13
Sarah Brown Self Proponent Public Health 2025-03-13
Scott Reimers Illinois State Medical Society Illinois State Medical Society Proponent Public Health 2025-03-13
Susanna Torres Self Proponent Public Health 2025-03-13
Tera lester Self Proponent Public Health 2025-03-13
Terri McCormick Illinois Lyme Association Proponent Public Health 2025-03-13
Wilfredo Torres Calderon Self Self Proponent Public Health 2025-03-13
Zoe Warner self Proponent Public Health 2025-03-13

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 Public Health 8 0 0 1 Passed 8 —
H Floor Third Reading 106 0 0 12 Passed 106 —
2025-05-06 S Committee Public Health 7 0 0 3 Passed 7 —
2025-05-21 S Floor Third Reading 58 0 0 1 Passed 58 —

Action History

44 actions recorded. Last action: 2025-08-01 — Public Act . . . . . . . . .104-0053. Each action's meaning and outcome signal are classified automatically.

2025-01-24 Introduction & Filing
Filed with the Clerk byRep. Dan Swanson 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.
2025-02-25 Committee Assignment
Assigned toPublic Health 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.
2025-03-10 Amendment Actions
House Committee Amendment No. 1 Filed with Clerk byRep. Dan Swanson
[Amendment] Amendment sub-action.
2025-03-10 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.
2025-03-11 Amendment Actions
House Committee Amendment No. 1 Rules Refers toPublic Health Committee
[Amendment] Amendment sub-action.
2025-03-13 Amendment Actions
House Committee Amendment No. 1 Adopted inPublic Health Committee; by Voice Vote
[Amendment] Amendment sub-action.
2025-03-13 Committee Action Positive
Do Pass as Amended / Short DebatePublic Health Committee; 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.
2025-03-13 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.
2025-04-02 Co-Sponsorship Mild +
Added Chief Co-SponsorRep. Carol Ammons Senate Rule 5-1(a); House Rule 37(a)
Chief co-sponsor added.
2025-04-07 Floor Vote Positive
Third Reading - Short Debate - Passed106-000-000 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.
2025-04-07 Co-Sponsorship Mild +
Added Chief Co-SponsorRep. Robyn Gabel Senate Rule 5-1(a); House Rule 37(a)
Chief co-sponsor added.
2025-04-07 Co-Sponsorship Mild +
Added Chief Co-SponsorRep. Suzanne M. Ness Senate Rule 5-1(a); House Rule 37(a)
Chief co-sponsor added.
2025-04-07 Co-Sponsorship Mild +
Added Co-SponsorRep. Jawaharial Williams Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-04-07 Co-Sponsorship Mild +
Added Co-SponsorRep. Martha Deuter Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-04-07 Co-Sponsorship Mild +
Added Co-SponsorRep. Nicolle Grasse Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
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 April 9, 2025 Senate Rule 4-4/7-4; House Rule 31/54
Bill queued for First Reading in the second chamber.
2025-04-23 Cross-Chamber Positive
Chief Senate SponsorSen. Chapin Rose Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12)
Senate sponsor assigned for a House bill.
2025-04-23 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.
2025-04-23 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.
2025-04-29 Committee Assignment
Assigned toPublic Health 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.
2025-05-02 Co-Sponsorship Mild +
Added as Alternate Co-SponsorSen. Laura M. Murphy Senate Rule 5-1(a); House Rule 37(a)
Alternate co-sponsor added.
2025-05-07 Committee Action Positive
Do PassPublic Health; 007-000-000 Rule 3-11(a)(1), Rule 3-12(a)
Committee recommends passage. The most important positive gate — majority of bills never get here.
2025-05-07 Floor Process Positive
Placed on Calendar Order of 2nd Reading May 8, 2025 Rule 3-12(a), Rule 4-4(7)
Bill placed on the order of Second Reading.
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 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.
2025-05-14 Cross-Chamber
Alternate Chief Sponsor Changed toSen. Darby A. Hills Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12)
Alternate chief sponsor designated.
2025-05-15 Co-Sponsorship Mild +
Added as Alternate Co-SponsorSen. Neil Anderson Senate Rule 5-1(a); House Rule 37(a)
Alternate co-sponsor added.
2025-05-15 Co-Sponsorship Mild +
Added as Alternate Co-SponsorSen. Michael W. Halpin Senate Rule 5-1(a); House Rule 37(a)
Alternate co-sponsor added.
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 Co-Sponsorship Mild +
Added as Alternate Chief Co-SponsorSen. Paul Faraci Senate Rule 5-1(a); House Rule 37(a)
Alternate chief co-sponsor added.
2025-05-21 Co-Sponsorship Mild +
Added as Alternate Co-SponsorSen. Mary Edly-Allen Senate Rule 5-1(a); House Rule 37(a)
Alternate co-sponsor added.
2025-05-21 Concurrence Positive
Passed Both Houses Rule 8-1, Rule 8-4
Bill PASSED BOTH CHAMBERS. Major milestone — bill goes to the Governor next.
2025-05-21 Co-Sponsorship Mild +
Added as Alternate Chief Co-SponsorSen. Chapin Rose Senate Rule 5-1(a); House Rule 37(a)
Alternate chief co-sponsor added.
2025-05-22 Co-Sponsorship Mild +
Added as Alternate Co-SponsorSen. Mike Simmons Senate Rule 5-1(a); House Rule 37(a)
Alternate co-sponsor added.
2025-05-30 Co-Sponsorship Mild +
Added as Alternate Co-SponsorSen. Chris Balkema Senate Rule 5-1(a); House Rule 37(a)
Alternate co-sponsor added.
2025-06-17 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.
2025-08-01 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).
2025-08-01 Enacted Into Law Law
Effective Date August 1, 2025 Article IX
Law's effective date announced. Most IL laws take effect January 1 of the next year unless otherwise specified.
2025-08-01 Enacted Into Law Law
Public Act . . . . . . . . .104-0053 Article IX
Bill signed into law — assigned a Public Act number (e.g., PA 104-0032).

All actions (table)

Date Chamber Action Category Signal
2025-01-24 House Filed with the Clerk byRep. Dan Swanson 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 —
2025-02-25 House Assigned toPublic Health Committee Senate Rule 3-8(a); House Rule 18(b) Committee Assignment —
2025-03-10 House House Committee Amendment No. 1 Filed with Clerk byRep. Dan Swanson Amendment Actions —
2025-03-10 House House Committee Amendment No. 1 Referred toRules Committee Amendment Actions —
2025-03-11 House House Committee Amendment No. 1 Rules Refers toPublic Health Committee Amendment Actions —
2025-03-13 House House Committee Amendment No. 1 Adopted inPublic Health Committee; by Voice Vote Amendment Actions —
2025-03-13 House Do Pass as Amended / Short DebatePublic Health Committee; 008-000-000 Rule 3-11(a)(1), Rule 3-12(a) Committee Action Positive
2025-03-13 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
2025-04-02 House Added Chief Co-SponsorRep. Carol Ammons Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-04-07 House Third Reading - Short Debate - Passed106-000-000 Senate Rule 5-1(f)/7-1/7-2; House Rule 37(f)/49/50 Floor Vote Positive
2025-04-07 House Added Chief Co-SponsorRep. Robyn Gabel Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-04-07 House Added Chief Co-SponsorRep. Suzanne M. Ness Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-04-07 House Added Co-SponsorRep. Jawaharial Williams Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-04-07 House Added Co-SponsorRep. Martha Deuter Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-04-07 House Added Co-SponsorRep. Nicolle Grasse Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
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 April 9, 2025 Senate Rule 4-4/7-4; House Rule 31/54 Procedural —
2025-04-23 Senate Chief Senate SponsorSen. Chapin Rose Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12) Cross-Chamber Positive
2025-04-23 Senate First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38 Introduction & Filing —
2025-04-23 Senate Referred toAssignments Senate Rule 3-8(a); House Rule 18(a) Committee Assignment —
2025-04-29 Senate Assigned toPublic Health Senate Rule 3-8(a); House Rule 18(b) Committee Assignment —
2025-05-02 Senate Added as Alternate Co-SponsorSen. Laura M. Murphy Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-05-07 Senate Do PassPublic Health; 007-000-000 Rule 3-11(a)(1), Rule 3-12(a) Committee Action Positive
2025-05-07 Senate Placed on Calendar Order of 2nd Reading May 8, 2025 Rule 3-12(a), Rule 4-4(7) Floor Process Positive
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 Placed on Calendar Order of 3rd Reading May 13, 2025 Rule 4-4(8) Floor Process Positive
2025-05-14 Senate Alternate Chief Sponsor Changed toSen. Darby A. Hills Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12) Cross-Chamber —
2025-05-15 Senate Added as Alternate Co-SponsorSen. Neil Anderson Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-05-15 Senate Added as Alternate Co-SponsorSen. Michael W. Halpin Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-05-21 Senate Third Reading - Passed;058-000-000 Rule 5-1(f) Floor Vote Positive
2025-05-21 Senate Added as Alternate Chief Co-SponsorSen. Paul Faraci Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-05-21 Senate Added as Alternate Co-SponsorSen. Mary Edly-Allen Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-05-21 House Passed Both Houses Rule 8-1, Rule 8-4 Concurrence Positive
2025-05-21 Senate Added as Alternate Chief Co-SponsorSen. Chapin Rose Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-05-22 Senate Added as Alternate Co-SponsorSen. Mike Simmons Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-05-30 Senate Added as Alternate Co-SponsorSen. Chris Balkema Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-06-17 House Sent to the Governor Senate Article IX/Rules 9-1 to 9-6; House Article IX/Rules 77-82 Governor Action Positive
2025-08-01 House Governor Approved Senate Article IX/Rules 9-1 to 9-6; House Article IX/Rules 77-82 Governor Action Positive
2025-08-01 House Effective Date August 1, 2025 Article IX Enacted Into Law Law
2025-08-01 House Public Act . . . . . . . . .104-0053 Article IX Enacted Into Law Law