HB4359
View on ILGALONG-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".
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Pipeline Progress
Current stage: In Committee · Last action 241 days ago · STAGNANT
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 Nicolle Grasse advance 11% 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 |
|---|---|---|---|---|
| Nicolle Grasse | Chief sponsor | 109 | $337,169.54 | LIUNA Chicago Laborers' District Council PAC ($75,800.00); Carpentry Advancement Political Action Committee Fund ($73,800.00); I.P.A.C.E. ($52,500.00) |
| Yolonda Morris | Sponsor | 92 | $106,625.63 | SEIU HCII ($17,000.00); Chicagoland Operators Joint Labor-Management Pac ($12,500.00); SEIU IL Council PAC ($10,279.00) |
| Dagmara Avelar | Sponsor | 151 | $186,808.21 | Chicago Land Operators Joint Labor-Management PAC ($10,500.00); LIUNA CHICAGO LABORERS' DISTRICT COUNCIL ($10,000.00); Save Our Local Businesses IL PAC ($10,000.00) |
Overlapping donors
Donors who gave to more than one sponsor or voter on this bill. Still not earmarked to the bill.
| Donor | Members | Total |
|---|---|---|
| Chicago Land Operators Joint Labor-Management PAC | Dagmara Avelar, Nicolle Grasse | $18,500.00 |
| Democrats for the Illinois House | Yolonda Morris, Nicolle Grasse | $7,268.08 |
| Associated Beer Distributors of Illinois PAC | Dagmara Avelar, Nicolle Grasse | $5,666.88 |
| Accel Entertainment Gaming LLC | Dagmara Avelar, Yolonda Morris | $5,500.00 |
| Sports Betting Alliance | Dagmara Avelar, Yolonda Morris | $5,000.00 |
| IHA PAC | Yolonda Morris, Nicolle Grasse | $4,000.00 |
| Illinois Federation of Teachers COPE | Yolonda Morris, Nicolle Grasse | $3,500.00 |
| Friends of Nicholas Smith | Dagmara Avelar, Yolonda Morris, Nicolle Grasse | $3,000.00 |
| Ben Lazare Consulting | Dagmara Avelar, Yolonda Morris | $3,000.00 |
| Cozen O'Connor | Dagmara Avelar, Yolonda Morris, Nicolle Grasse | $2,250.00 |
| PhRMA | Dagmara Avelar, Nicolle Grasse | $2,000.00 |
| J&J Ventures Gaming LLC | Dagmara Avelar, Yolonda Morris | $2,000.00 |
| Dan Shomon Inc | Yolonda Morris, Nicolle Grasse | $1,750.00 |
| CAR of Illinois | Dagmara Avelar, Nicolle Grasse | $1,300.00 |
| Nicor Gas Company | Dagmara Avelar, Nicolle Grasse | $1,250.00 |
| Smart TD PAC | Dagmara Avelar, Yolonda Morris, Nicolle Grasse | $1,000.00 |
| Peoples Energy PAC | Dagmara Avelar, Nicolle Grasse | $750.00 |
| Matthew O'Shea Consulting | Dagmara Avelar, Nicolle Grasse | $500.00 |
| Turing Strategies | Dagmara Avelar, Yolonda Morris | $500.00 |
Top donors across these members
| Donor | Occupation | Employer | Receipts | Total |
|---|---|---|---|---|
| LIUNA Chicago Laborers' District Council PAC | — | — | 2 | $75,800.00 |
| Carpentry Advancement Political Action Committee Fund | — | — | 5 | $73,800.00 |
| I.P.A.C.E. | — | — | 2 | $52,500.00 |
| SEIU HealthCare IL IN PAC | — | — | 2 | $26,400.00 |
| SEIU IL Council PAC Fund | — | — | 1 | $20,000.00 |
| Chicago Land Operators Joint Labor-Management PAC | — | — | 8 | $18,500.00 |
| SEIU HCII | — | — | 3 | $17,000.00 |
| AFSCME Illinois Council 31 PAC | — | — | 1 | $15,000.00 |
| Chicagoland Operators Joint Labor-Management Pac | — | — | 4 | $12,500.00 |
| SEIU IL Council PAC | — | — | 2 | $10,279.00 |
| Save Our Local Businesses IL PAC | — | — | 1 | $10,000.00 |
| LIUNA CHICAGO LABORERS' DISTRICT COUNCIL | — | — | 3 | $10,000.00 |
| AFT Local 604 COPE II | — | — | 2 | $8,333.00 |
| Carpentry Advancement PAC | — | — | 5 | $7,500.00 |
| Democrats for the Illinois House | — | — | 15 | $7,268.08 |
| SEIU Healthcare IL IN PAC | — | — | 2 | $7,000.00 |
| Associated Beer Distributors of Illinois PAC | — | — | 3 | $5,666.88 |
| Accel Entertainment Gaming LLC | — | — | 3 | $5,500.00 |
| Sports Betting Alliance | — | — | 2 | $5,000.00 |
| McDonalds | — | — | 1 | $5,000.00 |
| West Suburban Teachers Union Local 571 COPE Fund | — | — | 1 | $4,500.00 |
| Joliet Firefighters PAC | — | — | 2 | $4,166.67 |
| Associated Fire Fighters of IL PAC Fund | — | — | 3 | $4,000.00 |
| Illinois Trial Lawyers Assn PAC | — | — | 2 | $4,000.00 |
| IHA PAC | — | — | 3 | $4,000.00 |
Public Engagement
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.
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 | — |