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HB4189

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HEALTH CARE SANCTITY ACT

What this bill does

Amends the Hospital Licensing Act. Provides that the amendatory provisions may be referred to as the Health Care Sanctity and Privacy Law. Requires hospitals to adopt and implement a policy regarding interactions with law enforcement agents. Sets forth minimum requirements for the policy, including designating a contact person or persons to be notified of all law enforcement presence or information requests and establishing the following procedures: procedures to respond to such requests; procedures to verify the identity and authority of any law enforcement agent involved in civil immigration activities at a hospital site; procedures for designating space for law enforcement agents to remain and wait at a hospital; procedures for patients to request an amendment to their medical records; and procedures concerning the release of information to law enforcement agents. Requires the policy to be submitted to the Department of Public Health. Establishes a fine for hospitals that fail to submit the policy. Sets forth provisions concerning complaints of noncompliance with the provisions; holding hospital personnel harmless from any civil, criminal, or other liability that may arise as a result of their reasonable compliance with the amendatory provisions; obligations as a mandated reporter; and conflicts with federal law. Amends the University of Illinois Hospital Act to require compliance with the provisions of the amendatory Act. Effective immediately.

Sponsor: Dagmara Avelar Chamber: House Introduced: 2025-10-28
Stuck
P(Advance)
12.1%
Chance it ever reaches a milestone (committee, floor, etc.). Not “next step.”
P(Law)
0.0%
Chance it becomes law given where it is now (stage, momentum).
Forecast
6.0%
Low P(law) at intro — sponsor & topic only; no progress or delay.
Confidence: 88%

Calculating prediction drivers...

Pipeline Progress

Current stage: In Committee · Last action 209 days ago · STAGNANT

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

Hearings

This bill has not been scheduled for a committee hearing.

Action History

28 actions recorded. Last action: 2025-10-28 — Referred toRules Committee. Each action's meaning and outcome signal are classified automatically.

2025-10-28 Introduction & Filing
Filed with the Clerk byRep. Dagmara Avelar House Rule 6(b)
Bill officially submitted to the House Clerk during the session.
2025-10-28 Co-Sponsorship Mild +
Added Chief Co-SponsorRep. Jaime M. Andrade, Jr. Senate Rule 5-1(a); House Rule 37(a)
Chief co-sponsor added.
2025-10-28 Co-Sponsorship Mild +
Added Chief Co-SponsorRep. Theresa Mah Senate Rule 5-1(a); House Rule 37(a)
Chief co-sponsor added.
2025-10-28 Co-Sponsorship Mild +
Added Co-SponsorRep. Aarón M. Ortíz Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-10-28 Co-Sponsorship Mild +
Added Co-SponsorRep. Edgar González, Jr. Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-10-28 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.
2025-10-28 Co-Sponsorship Mild +
Added Co-SponsorRep. Kevin John Olickal Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-10-28 Co-Sponsorship Mild +
Added Co-SponsorRep. Nabeela Syed Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-10-28 Co-Sponsorship Mild +
Added Co-SponsorRep. Natalie A. Manley Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-10-28 Co-Sponsorship Mild +
Added Co-SponsorRep. Kam Buckner Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-10-28 Co-Sponsorship Mild +
Added Co-SponsorRep. Maura Hirschauer Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-10-28 Co-Sponsorship Mild +
Added Co-SponsorRep. Elizabeth "Lisa" Hernandez Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-10-28 Co-Sponsorship Mild +
Added Co-SponsorRep. Norma Hernandez Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-10-28 Co-Sponsorship Mild +
Added Co-SponsorRep. Yolonda Morris Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-10-28 Co-Sponsorship Mild +
Added Co-SponsorRep. Kelly M. Cassidy Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-10-28 Co-Sponsorship Mild +
Added Co-SponsorRep. Lilian Jiménez Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-10-28 Co-Sponsorship Mild +
Added Co-SponsorRep. Anna Moeller Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-10-28 Co-Sponsorship Mild +
Added Co-SponsorRep. Abdelnasser Rashid Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-10-28 Co-Sponsorship Mild +
Added Co-SponsorRep. Anne Stava Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-10-28 Co-Sponsorship Mild +
Added Co-SponsorRep. Mary Beth Canty Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-10-28 Co-Sponsorship Mild +
Added Co-SponsorRep. Barbara Hernandez Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-10-28 Co-Sponsorship Mild +
Added Co-SponsorRep. Will Guzzardi Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-10-28 Co-Sponsorship Mild +
Added Co-SponsorRep. Laura Faver Dias Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-10-28 Co-Sponsorship Mild +
Added Co-SponsorRep. Robyn Gabel Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-10-28 Co-Sponsorship Mild +
Added Co-SponsorRep. Ann M. Williams Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-10-28 Co-Sponsorship Mild +
Added Co-SponsorRep. Margaret A. DeLaRosa Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2025-10-28 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.
2025-10-28 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.

All actions (table)

Date Chamber Action Category Signal
2025-10-28 House Filed with the Clerk byRep. Dagmara Avelar House Rule 6(b) Introduction & Filing —
2025-10-28 House Added Chief Co-SponsorRep. Jaime M. Andrade, Jr. Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-10-28 House Added Chief Co-SponsorRep. Theresa Mah Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-10-28 House Added Co-SponsorRep. Aarón M. Ortíz Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-10-28 House Added Co-SponsorRep. Edgar González, Jr. Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-10-28 House Added Co-SponsorRep. Jawaharial Williams Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-10-28 House Added Co-SponsorRep. Kevin John Olickal Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-10-28 House Added Co-SponsorRep. Nabeela Syed Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-10-28 House Added Co-SponsorRep. Natalie A. Manley Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-10-28 House Added Co-SponsorRep. Kam Buckner Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-10-28 House Added Co-SponsorRep. Maura Hirschauer Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-10-28 House Added Co-SponsorRep. Elizabeth "Lisa" Hernandez Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-10-28 House Added Co-SponsorRep. Norma Hernandez Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-10-28 House Added Co-SponsorRep. Yolonda Morris Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-10-28 House Added Co-SponsorRep. Kelly M. Cassidy Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-10-28 House Added Co-SponsorRep. Lilian Jiménez Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-10-28 House Added Co-SponsorRep. Anna Moeller Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-10-28 House Added Co-SponsorRep. Abdelnasser Rashid Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-10-28 House Added Co-SponsorRep. Anne Stava Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-10-28 House Added Co-SponsorRep. Mary Beth Canty Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-10-28 House Added Co-SponsorRep. Barbara Hernandez Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-10-28 House Added Co-SponsorRep. Will Guzzardi Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-10-28 House Added Co-SponsorRep. Laura Faver Dias Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-10-28 House Added Co-SponsorRep. Robyn Gabel Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-10-28 House Added Co-SponsorRep. Ann M. Williams Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-10-28 House Added Co-SponsorRep. Margaret A. DeLaRosa Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2025-10-28 House First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38 Introduction & Filing —
2025-10-28 House Referred toRules Committee Senate Rule 3-8(a); House Rule 18(a) Committee Assignment —