HB4359

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LONG-TERM CARE BILL OF RIGHTS

What this bill does

Creates the Sexual Orientation, Gender Identity, and Gender Expression in Long-Term Care Bill of Rights Act. Establishes rights for a client who lives in a long-term care facility, or who receives home care services from a home care provider, from discrimination on the basis of actual or perceived sex, actual or perceived sexual orientation, actual or perceived gender identity, actual or perceived gender expression, or actual or perceived HIV status. Provides that an aggrieved person may enforce violations of the Act against a long-term care facility or a home care provider and the staff of the long-term care facility or home care provider through a civil action. Sets forth provisions concerning gender identity in client records; required training for all long-term care facilities and home care providers; arbitration agreements; interpretation of the Act; and enforcement of rights, including civil penalties and other administrative actions. Amends the Assisted Living and Shared Housing Act, the Nursing Home Care Act, and the Home Health, Home Services, and Home Nursing Agency Licensing Act to require compliance with the Sexual orientation, Gender Identity, and Gender Expression in Long-Term Care Bill of Rights Act. Amends the Adult Protective Services Act to include intentional misgendering and unlawful discrimination in the definition of "abuse".

Sponsor: Nicolle Grasse Chamber: House Introduced: 2026-01-08
Stuck
P(Advance)
22.1%
Chance it ever reaches a milestone (committee, floor, etc.). Not “next step.”
P(Law)
3.6%
Chance it becomes law given where it is now (stage, momentum).
Forecast
38.6%
Medium P(law) at intro — sponsor & topic only; no progress or delay.
Confidence: 78% FORECAST

Calculating prediction drivers...

Pipeline Progress

Current stage: In Committee · Last action 57 days ago · PENDING

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

67 witness slips filed 67 proponents / 0 opponents 13 organizations

Hearings

This bill has not been scheduled for a committee hearing.

Witness slips

67 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 Judiciary - Civil 2026-02-18
Aisha Davis ACLU of Illinois Proponent Judiciary - Civil 2026-02-18
Alexandra Dupps NA Proponent Judiciary - Civil 2026-02-18
Alicia Lauhon Self Self Proponent Judiciary - Civil 2026-02-18
Amanda Jenkins self Proponent Judiciary - Civil 2026-02-18
Amy Lester Self Self Proponent Judiciary - Civil 2026-02-18
Amy Yargosz NA Proponent Judiciary - Civil 2026-02-18
Andrew Rice Self Self Proponent Judiciary - Civil 2026-02-18
Anne McDermott NA Proponent Judiciary - Civil 2026-02-18
Brea Morris Self Self Proponent Judiciary - Civil 2026-02-18
Brigid Coleman SELF SELF Proponent Judiciary - Civil 2026-02-18
Carolyn Newberry Schwartz NA Proponent Judiciary - Civil 2026-02-18
Carrie Felix N/A Self Proponent Judiciary - Civil 2026-02-18
Cathy Ferguson Self Proponent Judiciary - Civil 2026-02-18
Cheryl Das Self Self Proponent Judiciary - Civil 2026-02-18
Cheyenne Johnson Self Proponent Judiciary - Civil 2026-02-18
Claudia Baier self Self Proponent Judiciary - Civil 2026-02-18
Conny Moody Illinois Public Health Association Illinois Public Health Association Proponent Judiciary - Civil 2026-02-18
David Schwartz Self Self Proponent Judiciary - Civil 2026-02-18
Dayle Holmquist Self Proponent Judiciary - Civil 2026-02-18
Deborah Fenner Self Proponent Judiciary - Civil 2026-02-18
Diane L Herrmann NA Proponent Judiciary - Civil 2026-02-18
Dwain Thomas none self Proponent Judiciary - Civil 2026-02-18
Eric Poorman self self Proponent Judiciary - Civil 2026-02-18
Gail Housman Self Self Proponent Judiciary - Civil 2026-02-18
Gina Lawrence self Proponent Judiciary - Civil 2026-02-18
Heriberto Leon Self Proponent Judiciary - Civil 2026-02-18
Janet Ferguson self Proponent Judiciary - Civil 2026-02-18
JAY D STARKS Denna Mugs LLC Proponent Judiciary - Civil 2026-02-18
Jeanne Hostetler NA Self Proponent Judiciary - Civil 2026-02-18
Jenna Braunstein na Proponent Judiciary - Civil 2026-02-18
Jennifer Linton self Proponent Judiciary - Civil 2026-02-18
Joan Scheeter self self Proponent Judiciary - Civil 2026-02-18
Joanna L Brown Self Proponent Judiciary - Civil 2026-02-18
Jody Rachel Adler self na Proponent Judiciary - Civil 2026-02-18
Joshua Mark self self Proponent Judiciary - Civil 2026-02-18
Joy Bunton N/A Proponent Judiciary - Civil 2026-02-18
Julia R Fine self self Proponent Judiciary - Civil 2026-02-18
Karen Yatsko Self Proponent Judiciary - Civil 2026-02-18
Kat Hatziavramidis 10 Minutes A Day 10 Minutes A Day Proponent Judiciary - Civil 2026-02-18
Lane Silvas self self Proponent Judiciary - Civil 2026-02-18
Lindsey Anderson 217-254-2290 Self Proponent Judiciary - Civil 2026-02-18
Madeline Miley Self Proponent Judiciary - Civil 2026-02-18
Margaret Van Dyke Self Self Proponent Judiciary - Civil 2026-02-18
Mary Elizabeth McCormick Self Proponent Judiciary - Civil 2026-02-18
Mary Kate Turek Na Proponent Judiciary - Civil 2026-02-18
Mary Lenehan NA Proponent Judiciary - Civil 2026-02-18
Matangi Melpakkam NA Proponent Judiciary - Civil 2026-02-18
Matthew Slade N/A Self Proponent Judiciary - Civil 2026-02-18
Maureen Keane She Votes Illinois She Votes Illinois Proponent Judiciary - Civil 2026-02-18
Meg Eifrig Self Proponent Judiciary - Civil 2026-02-18
Megan Ramelli Self Self Proponent Judiciary - Civil 2026-02-18
Michele Niccolai Self Self Proponent Judiciary - Civil 2026-02-18
Paula Clark NA Proponent Judiciary - Civil 2026-02-18
Paula Clark NA NA Proponent Judiciary - Civil 2026-02-18
Paula Clark NA Self Proponent Judiciary - Civil 2026-02-18
Rachel Becknell na Proponent Judiciary - Civil 2026-02-18
Rachel Das Self Self Proponent Judiciary - Civil 2026-02-18
Rebecca Miller Self Proponent Judiciary - Civil 2026-02-18
RoseMarie Carvallo Self Proponent Judiciary - Civil 2026-02-18
Sammie Gonzalez Self Proponent Judiciary - Civil 2026-02-18
Stephanie Carrera Self Proponent Judiciary - Civil 2026-02-18
Stephanie Holt none self Proponent Judiciary - Civil 2026-02-18
Susan Balaban Self Self Proponent Judiciary - Civil 2026-02-18
Theresa Palluzzi MVCC Proponent Judiciary - Civil 2026-02-18
Theresa Palluzzi self Proponent Judiciary - Civil 2026-02-18
Victor Skade 60513-1711 self Proponent Judiciary - Civil 2026-02-18

Action History

6 actions recorded. Last action: 2026-02-11 — Assigned toJudiciary - Civil Committee. Each action's meaning and outcome signal are classified automatically.

2026-01-08 Introduction & Filing
Filed with the Clerk byRep. Nicolle Grasse House Rule 6(b)
Bill officially submitted to the House Clerk during the session.
2026-01-14 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.
2026-01-14 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.
2026-01-22 Co-Sponsorship Mild +
Added Chief Co-SponsorRep. Yolonda Morris Senate Rule 5-1(a); House Rule 37(a)
Chief co-sponsor added.
2026-02-02 Co-Sponsorship Mild +
Added Co-SponsorRep. Dagmara Avelar Senate Rule 5-1(a); House Rule 37(a)
A legislator adds their name as co-sponsor, signaling public support for the bill.
2026-02-11 Committee Assignment
Assigned toJudiciary - Civil 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.

All actions (table)

Date Chamber Action Category Signal
2026-01-08 House Filed with the Clerk byRep. Nicolle Grasse House Rule 6(b) Introduction & Filing
2026-01-14 House First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38 Introduction & Filing
2026-01-14 House Referred toRules Committee Senate Rule 3-8(a); House Rule 18(a) Committee Assignment
2026-01-22 House Added Chief Co-SponsorRep. Yolonda Morris Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2026-02-02 House Added Co-SponsorRep. Dagmara Avelar Senate Rule 5-1(a); House Rule 37(a) Co-Sponsorship Mild +
2026-02-11 House Assigned toJudiciary - Civil Committee Senate Rule 3-8(a); House Rule 18(b) Committee Assignment