SB1411
View on ILGAHEALTH CARE SURROGATE-POLST
What this bill does
Amends the Health Care Surrogate Act. Provides that if an individual without decisional capacity has an operative and unrevoked living will and the attending physician, in accordance with Section 4 of the Illinois Living Will Act, determines that the individual has a terminal condition and records the condition in the individual's medical record, then the individual's surrogate decision maker, in the order of priority under subsection (a) of Section 25, is authorized to consent to a POLST on behalf of the individual to ensure that the individual's wishes are respected.
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Pipeline Progress
Current stage: Signed into Law · Last action 421 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
Bills sponsored by Laura Fine advance 8% more often than the chamber average.
Campaign finance
This is SBE campaign receipts to the people on this bill, not Moneyball and not earmarked to the bill.
Money is campaign receipts to matched candidate committees, not earmarked to this bill. Window 2025-01-01 – 2026-09-13.
Sponsor and voter funding
| Member | Role | Receipts | Total received | Top donors |
|---|---|---|---|---|
| Laura Fine | Chief sponsor | 113 | $251,356.10 | Friends of Don Harmon ($36,776.08); Julie Morrison for State Senate ($26,000.00); Chicago Land Operators Joint Labor-Management PAC ($16,000.00) |
| Jennifer Gong-Gershowitz | Sponsor | 127 | $206,174.77 | Chicago Land Operators Joint Labor-Management PAC ($9,500.00); Illinois Laborers' Legislative Committee ($8,000.00); I.P.A.C.E. ($7,500.00) |
| Bob Morgan | Sponsor | 275 | $400,474.94 | Health Care Council of Illinois PAC ($50,000.00); IPACE ($15,000.00); Illinois State Medical Society PAC ($12,000.00) |
| Daniel Didech | Sponsor | 228 | $458,909.70 | JPMC ($108,803.32); Sports Betting Alliance ($14,200.00); Health Care Council of Illinois PAC ($11,000.00) |
| Margaret Croke | Sponsor | 821 | $2,491,864.69 | Michael Sacks ($307,300.00); Illinois Laborers' Legislative Committee ($145,600.00); LIUNA Chicago Laborers' District Council PAC ($140,600.00) |
Overlapping donors
Donors who gave to more than one sponsor or voter on this bill. Still not earmarked to the bill.
| Donor | Members | Total |
|---|---|---|
| Michael Sacks | Laura Fine, Daniel Didech, Jennifer Gong-Gershowitz, Margaret Croke | $329,200.00 |
| Illinois Laborers' Legislative Committee | Jennifer Gong-Gershowitz, Bob Morgan, Margaret Croke | $163,600.00 |
| LIUNA Chicago Laborers' District Council PAC | Laura Fine, Margaret Croke | $143,600.00 |
| Health Care Council of Illinois PAC | Laura Fine, Daniel Didech, Bob Morgan, Margaret Croke | $121,000.00 |
| Chicago Land Operators Joint Labor-Management PAC | Laura Fine, Daniel Didech, Jennifer Gong-Gershowitz, Bob Morgan, Margaret Croke | $113,000.00 |
| Realtor Political Action Committee | Laura Fine, Daniel Didech, Jennifer Gong-Gershowitz, Bob Morgan, Margaret Croke | $35,500.00 |
| Sports Betting Alliance | Laura Fine, Daniel Didech, Bob Morgan, Margaret Croke | $24,200.00 |
| Associated Beer Distributors of IL PAC | Daniel Didech, Margaret Croke | $23,449.36 |
| Friends of Bill Cunningham | Laura Fine, Margaret Croke | $20,000.00 |
| Ironworkers District Council of Chicago & Vicinity PAC | Daniel Didech, Bob Morgan, Margaret Croke | $17,500.00 |
| Accel Entertainment Gaming, LLC | Daniel Didech, Jennifer Gong-Gershowitz, Bob Morgan | $16,000.00 |
| Peter Lofgren | Daniel Didech, Jennifer Gong-Gershowitz | $14,600.00 |
| Benjamin West | Daniel Didech, Jennifer Gong-Gershowitz | $14,600.00 |
| Tao Lin | Daniel Didech, Jennifer Gong-Gershowitz | $14,600.00 |
| Todor Markov | Daniel Didech, Jennifer Gong-Gershowitz | $14,600.00 |
| William Saunders | Daniel Didech, Jennifer Gong-Gershowitz | $14,600.00 |
| Lauren Foster | Daniel Didech, Jennifer Gong-Gershowitz | $14,600.00 |
| Matthew Fisher | Daniel Didech, Jennifer Gong-Gershowitz | $14,600.00 |
| Andrew Callahan | Daniel Didech, Jennifer Gong-Gershowitz | $14,600.00 |
| Evan Hubinger | Daniel Didech, Jennifer Gong-Gershowitz | $14,600.00 |
| Illinois State Medical Society PAC | Daniel Didech, Bob Morgan | $14,000.00 |
| Midwest Gaming & Entertainment, LLC | Daniel Didech, Bob Morgan, Margaret Croke | $11,500.00 |
| Illinois Trial Lawyers Association Political Action Committee | Jennifer Gong-Gershowitz, Bob Morgan | $10,500.00 |
| Illinois Hospital Association PAC | Laura Fine, Daniel Didech, Bob Morgan | $9,500.00 |
| Community BancPac | Daniel Didech, Jennifer Gong-Gershowitz | $9,500.00 |
Top donors across these members
| Donor | Occupation | Employer | Receipts | Total |
|---|---|---|---|---|
| Michael Sacks | CEO | GCM Grosvenor | 7 | $329,200.00 |
| Illinois Laborers' Legislative Committee | — | — | 7 | $163,600.00 |
| LIUNA Chicago Laborers' District Council PAC | — | — | 4 | $143,600.00 |
| Health Care Council of Illinois PAC | — | — | 8 | $121,000.00 |
| Chicago Land Operators Joint Labor-Management PAC | — | — | 21 | $113,000.00 |
| JPMC | — | — | 1 | $108,803.32 |
| Illinois Pipe Trades PAC | — | — | 2 | $72,800.00 |
| JB for Governor | — | — | 1 | $72,800.00 |
| Jewish Caucus PAC | — | — | 1 | $72,800.00 |
| Carpentry Advancement Fund | — | — | 4 | $58,500.00 |
| Margaret Croke for State Central Comm | — | — | 2 | $50,000.00 |
| Margaret Noble Croke | State Representative | State of Illinois | 1 | $40,000.00 |
| Illinois Bankers' PAC | — | — | 4 | $37,500.00 |
| Friends of Don Harmon | — | — | 1 | $36,776.08 |
| Realtor Political Action Committee | — | — | 13 | $35,500.00 |
| Engineers Political Education Committee Separate Education Fund | — | — | 1 | $35,000.00 |
| Custom Global Logistics | — | — | 3 | $29,600.00 |
| Donald R Wilson, Jr | CEO | DRW | 3 | $27,300.00 |
| Julie Morrison for State Senate | — | — | 4 | $26,000.00 |
| Downstate Illinois Laborer's District Council PAC Fund | — | — | 1 | $25,000.00 |
| Sports Betting Alliance | — | — | 5 | $24,200.00 |
| Friends for Eva Dina Delgado | — | — | 17 | $23,480.00 |
| Associated Beer Distributors of IL PAC | — | — | 7 | $23,449.36 |
| Friends of Bill Cunningham | — | — | 4 | $20,000.00 |
| North Central IL Laborers Council PAC | — | — | 1 | $20,000.00 |
Public Engagement
Witness slips
18 slips filed. Proponent / opponent / no position as filed with the committee.
| Name | Organization | Representing | Position | Hearing committee | Hearing date |
|---|---|---|---|---|---|
| Dan Hohl | Illinois State Medical Society | Illinois State Medical Society | Proponent | Judiciary - Civil | 2025-04-23 |
| Daniel Belko | Office of Cook County Public Guardian | Office of Cook County Public Guardian | Proponent | Judiciary - Civil | 2025-04-23 |
| David Eldridge | David P. Eldridge | Illinois State Bar Association | Proponent | Judiciary - Civil | 2025-04-23 |
| David Schwartz | Self | Self | Proponent | Judiciary - Civil | 2025-04-23 |
| Julie Goldstein | POLST - Physician Order for Life-Sustaining Treatment- Illinois Committee | Proponent | Judiciary - Civil | 2025-04-23 | |
| Daniel Belko | Office of Cook County Public Guardian | Office of Cook County Public Guardian | Proponent | Judiciary | 2025-03-19 |
| Dave Gross | Illinois Health and Hospital Association | Illinois Health & Hospital Association | Proponent | Judiciary | 2025-03-19 |
| David Eldridge | David P. Eldridge | Illinois State Bar Association | Proponent | Judiciary | 2025-03-19 |
| Julie Goldstein | POLST Illinois Committee | Practitioner Orders for Life-Sustaining Treatment (POLST) Illinois Committee | Proponent | Judiciary | 2025-03-19 |
| Dan Hohl | Illinois State Medical Society | Illinois State Medical Society | Proponent | Judiciary | 2025-03-05 |
| Robert Gilligan | Catholic Conference of Illinois | CCI | Proponent | Judiciary | 2025-03-05 |
| Dan Hohl | Illinois State Medical Society | Illinois State Medical Society | Proponent | Judiciary | 2025-02-19 |
| David Schwartz | Self | Self | Proponent | Judiciary | 2025-02-19 |
| Robert Gilligan | Catholic Conference of Illinois | Catholics across Illinois | Proponent | Judiciary | 2025-02-19 |
| Dan Hohl | Illinois State Medical Society | Illinois State Medical Society | Proponent | Judiciary | 2025-04-09 |
| Daniel Belko | Office of Cook County Public Guardian | Office of Cook County Public Guardian | Proponent | Judiciary | 2025-04-09 |
| David Eldridge | David P. Eldridge | Illinois State Bar Association | Proponent | Judiciary | 2025-04-09 |
| Julie Goldstein | Practitioner Order for Life-Sustaining Treatment -POLST- Illinois Committee | POLST Illinois Committee | Proponent | Judiciary | 2025-04-09 |
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 | Judiciary - Civil | 19 | 0 | 0 | 1 | Passed | 19 | — | |
| 2025-05-22 | H | Floor | Third Reading | 112 | 0 | 0 | 6 | Passed | 112 | — |
| S | Committee | Judiciary | 9 | 0 | 0 | 0 | Passed | 9 | — | |
| S | Floor | Third Reading | 55 | 0 | 0 | 4 | Passed | 55 | — |
Action History
41 actions recorded. Last action: 2025-08-15 — Public Act . . . . . . . . .104-0378. Each action's meaning and outcome signal are classified automatically.
All actions (table)
| Date | Chamber | Action | Category | Signal |
|---|---|---|---|---|
| 2025-01-31 | Senate | Filed with Secretary bySen. Laura Fine Rule 2-7(b) | Introduction & Filing | — |
| 2025-01-31 | Senate | First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38 | Introduction & Filing | — |
| 2025-01-31 | Senate | Referred toAssignments Senate Rule 3-8(a); House Rule 18(a) | Committee Assignment | — |
| 2025-02-11 | Senate | Assigned toJudiciary Senate Rule 3-8(a); House Rule 18(b) | Committee Assignment | — |
| 2025-02-20 | Senate | Postponed -Judiciary Senate Rule 3-11; House Rule 22 | Committee Action | — |
| 2025-03-06 | Senate | Postponed -Judiciary Senate Rule 3-11; House Rule 22 | Committee Action | — |
| 2025-03-11 | Senate | Senate Committee Amendment No. 1 Filed with Secretary bySen. Laura Fine | Amendment Actions | — |
| 2025-03-11 | Senate | Senate Committee Amendment No. 1 Referred toAssignments | Amendment Actions | — |
| 2025-03-18 | Senate | Senate Committee Amendment No. 1 Assignments Refers toJudiciary | Amendment Actions | — |
| 2025-03-19 | Senate | Senate Committee Amendment No. 1 Adopted | Amendment Actions | Positive |
| 2025-03-19 | Senate | Do Pass as AmendedJudiciary; 009-000-000 Rule 3-11(a)(1), Rule 3-12(a) | Committee Action | Positive |
| 2025-03-19 | Senate | Placed on Calendar Order of 2nd Reading March 20, 2025 Rule 3-12(a), Rule 4-4(7) | Floor Process | Positive |
| 2025-03-20 | Senate | Second Reading Senate Rule 3-12(a)/5-4(a); House Rule 24(a)/40(b) | Floor Process | Positive |
| 2025-03-20 | Senate | Placed on Calendar Order of 3rd Reading April 1, 2025 Rule 4-4(8) | Floor Process | Positive |
| 2025-04-03 | Senate | Senate Floor Amendment No. 2 Filed with Secretary bySen. Laura Fine | Amendment Actions | — |
| 2025-04-03 | Senate | Senate Floor Amendment No. 2 Referred toAssignments | Amendment Actions | — |
| 2025-04-08 | Senate | Senate Floor Amendment No. 2 Assignments Refers toJudiciary | Amendment Actions | — |
| 2025-04-09 | Senate | Senate Floor Amendment No. 2 Recommend Do AdoptJudiciary; 008-000-000 | Amendment Actions | — |
| 2025-04-10 | Senate | Recalled to Second Reading Rule 5-4(a) | Floor Process | — |
| 2025-04-10 | Senate | Senate Floor Amendment No. 2 Adopted; Fine | Amendment Actions | — |
| 2025-04-10 | Senate | Placed on Calendar Order of 3rd Reading Rule 4-4(8) | Floor Process | Positive |
| 2025-04-10 | Senate | Third Reading - Passed;055-000-000 Rule 5-1(f) | Floor Vote | Positive |
| 2025-04-10 | House | Arrived in House Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12) | Cross-Chamber | Positive |
| 2025-04-10 | House | Chief House SponsorRep. Jennifer Gong-Gershowitz Senate Rule 5-1(d)/4-4(9-11); House Rule 37(d)/31(10-12) | Cross-Chamber | Positive |
| 2025-04-11 | House | First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38 | Introduction & Filing | — |
| 2025-04-11 | House | Referred toRules Committee Senate Rule 3-8(a); House Rule 18(a) | Committee Assignment | — |
| 2025-04-17 | House | Assigned toJudiciary - Civil Committee Senate Rule 3-8(a); House Rule 18(b) | Committee Assignment | — |
| 2025-04-23 | House | Do Pass / Short DebateJudiciary - Civil Committee; 019-000-000 Senate Rule 3-11(a)(1); House Rule 22(a)(1), 52(b) | Committee Action | Positive |
| 2025-04-23 | 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 |
| 2025-05-16 | 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 |
| 2025-05-16 | House | Held on Calendar Order of Second Reading - Short Debate Senate Rule 4-4(7-8)/5-2; House Rule 31(8-9)/38/52 | Floor Process | — |
| 2025-05-20 | House | Added Alternate Chief Co-SponsorRep. Bob Morgan Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-05-20 | House | Added Alternate Chief Co-SponsorRep. Daniel Didech Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-05-20 | House | Added Alternate Chief Co-SponsorRep. Margaret Croke Senate Rule 5-1(a); House Rule 37(a) | Co-Sponsorship | Mild + |
| 2025-05-22 | House | Placed on Calendar Order of 3rd Reading - Short Debate Rule 4-4(8) | Floor Process | Positive |
| 2025-05-22 | House | Third Reading - Short Debate - Passed112-000-000 Senate Rule 5-1(f)/7-1/7-2; House Rule 37(f)/49/50 | Floor Vote | Positive |
| 2025-05-22 | Senate | Passed Both Houses Rule 8-1, Rule 8-4 | Concurrence | Positive |
| 2025-06-20 | Senate | 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 | Senate | Governor Approved Senate Article IX/Rules 9-1 to 9-6; House Article IX/Rules 77-82 | Governor Action | Positive |
| 2025-08-15 | Senate | Effective Date January 1, 2026 Article IX | Enacted Into Law | Law |
| 2025-08-15 | Senate | Public Act . . . . . . . . .104-0378 Article IX | Enacted Into Law | Law |