Illinois 102nd Regular Session Status: Enacted 20 D cosponsors

HB 4645 — EQUITY IN HEALTH CARE ACT

Last action — Public Act . . . . . . . . . 102-0942

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed House
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced January 20, 2022. Enacted.

Prognosis

Likely to advance 82% · moderate confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 26 sponsors

    2 primary, 24 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (20 D).

  • Cleared a recorded vote

    Passed 3 recorded votes so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Summary

Creates the Equity and Representation in Health Care Act. Contains the findings of the General Assembly. Creates the Equity and Representation in Health Care Workforce Repayment Program and the Equity and Representation in Health Care Workforce Scholarship Program to be administered by the Department of Public Health. Provides that a health care professional, medical facility, or behavioral health provider may apply to the Department for loan repayment assistance under the Program. Provides that, in order to be eligible for loan repayment under the Act, the health care professional or behavioral health provider shall comply with specified requirements. Requires the Department to submit an annual report with specified requirements to the General Assembly and the Governor. Contains provisions regarding the adoption of rules by the Department. Contains other provisions. House Floor Amendment No. 2 Replaces everything after the enacting clause with the provisions of the introduced bill with the following changes. Provides that loan repayment and scholarship program funds are subject to appropriation. Provides that an individual who is awarded a loan repayment authorized under the Act shall not receive concurrent loan repayments through any other Illinois or federal loan repayment program. Requires the Department of Public Health to share information about the application process for a scholarship or loan repayment under the Act prominently on the Department's website, as well as with specified Illinois-based health care training programs and institutions of higher education. Requires recipients who fail to meet their obligations to pay to the Department a sum of at least 1.5 times plus 7% interest annually (rather than a sum equal to) the amount of the received moneys. Contains provisions for waiver or deferment of a recipient's obligation under the Act. Provides that the Act is effective January 1, 2023. Makes other changes. Senate Committee Amendment No. 1 Provides that a nurse is a "health care professional". Removes language providing that a certified nurse midwife is a "health care professional". Defines "nurse" as a person who is licensed as a licensed practical nurse or as a registered nurse under the Nurse Practice Act.

Bill Text

Amendments

3 amendments

Click Show changes on an amendment above to see how it modifies the bill.

Action History

  1. Public Act . . . . . . . . . 102-0942

  2. Effective Date January 1, 2023

  3. Governor Approved

  4. Sent to the Governor

  5. Passed Both Houses

  6. House Concurs

  7. Senate Committee Amendment No. 1 House Concurs 112-000-000

  8. Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Health Care Availability & Accessibility Committee; 013-000-000

  9. Senate Committee Amendment No. 1 Motion to Concur Rules Referred to Health Care Availability & Accessibility Committee

  10. Senate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee

  11. Senate Committee Amendment No. 1 Motion Filed Concur Rep. LaToya Greenwood

  12. Added Co-Sponsor Rep. Maurice A. West, II

  13. Placed on Calendar Order of Concurrence Senate Amendment(s) 1

  14. Arrived in House

  15. Added as Alternate Co-Sponsor Sen. Mike Simmons

  16. Third Reading - Passed; 054-000-000

  17. Added as Alternate Co-Sponsor Sen. Ram Villivalam

  18. Added as Alternate Chief Co-Sponsor Sen. Omar Aquino

  19. Placed on Calendar Order of 3rd Reading March 24, 2022

  20. Second Reading

  21. Added as Alternate Chief Co-Sponsor Sen. Jacqueline Y. Collins

  22. Placed on Calendar Order of 2nd Reading

  23. Do Pass as Amended Healthcare Access and Availability; 008-000-000

  24. Senate Committee Amendment No. 1 Adopted

  25. Added as Alternate Co-Sponsor Sen. Sara Feigenholtz

  26. Senate Committee Amendment No. 1 Assignments Refers to Healthcare Access and Availability

  27. Senate Committee Amendment No. 1 Referred to Assignments

  28. Senate Committee Amendment No. 1 Filed with Secretary by Sen. Mattie Hunter

  29. Added as Alternate Co-Sponsor Sen. Napoleon Harris, III

  30. Assigned to Healthcare Access and Availability

  31. Added as Alternate Co-Sponsor Sen. Laura M. Murphy

  32. Added as Alternate Co-Sponsor Sen. Celina Villanueva

  33. Added as Alternate Co-Sponsor Sen. Cristina Castro

  34. Added as Alternate Co-Sponsor Sen. Antonio Muñoz

  35. Added as Alternate Chief Co-Sponsor Sen. Patricia Van Pelt

  36. Added as Alternate Co-Sponsor Sen. Robert Peters

  37. Referred to Assignments

  38. First Reading

  39. Chief Senate Sponsor Sen. Mattie Hunter

  40. Placed on Calendar Order of First Reading

  41. Arrive in Senate

  42. Added Co-Sponsor Rep. Maura Hirschauer

  43. House Floor Amendment No. 1 Tabled Pursuant to Rule 40

  44. Third Reading - Short Debate - Passed 102-000-000

  45. Placed on Calendar Order of 3rd Reading - Short Debate

  46. House Floor Amendment No. 2 Adopted

  47. Added Co-Sponsor Rep. Emanuel Chris Welch

  48. House Floor Amendment No. 2 Recommends Be Adopted Health Care Availability & Accessibility Committee; 012-000-000

  49. Held on Calendar Order of Second Reading - Short Debate

  50. Second Reading - Short Debate

  51. House Floor Amendment No. 2 Rules Refers to Health Care Availability & Accessibility Committee

  52. House Floor Amendment No. 2 Referred to Rules Committee

  53. House Floor Amendment No. 2 Filed with Clerk by Rep. LaToya Greenwood

  54. Added Co-Sponsor Rep. Marcus C. Evans, Jr.

  55. Added Co-Sponsor Rep. Robyn Gabel

  56. Added Co-Sponsor Rep. Delia C. Ramirez

  57. Added Co-Sponsor Rep. Nicholas K. Smith

  58. Added Co-Sponsor Rep. Sonya M. Harper

  59. Added Co-Sponsor Rep. Dagmara Avelar

  60. Added Co-Sponsor Rep. Angelica Guerrero-Cuellar

  61. Added Chief Co-Sponsor Rep. Camille Y. Lilly

  62. Added Chief Co-Sponsor Rep. Kambium Buckner

  63. House Floor Amendment No. 1 Rules Refers to Health Care Availability & Accessibility Committee

  64. House Floor Amendment No. 1 Referred to Rules Committee

  65. House Floor Amendment No. 1 Filed with Clerk by Rep. LaToya Greenwood

  66. Placed on Calendar 2nd Reading - Short Debate

  67. Do Pass / Short Debate Health Care Availability & Accessibility Committee; 012-000-000

  68. Assigned to Health Care Availability & Accessibility Committee

  69. Referred to Rules Committee

  70. First Reading

  71. Filed with the Clerk by Rep. LaToya Greenwood

Sponsors

Sponsorship breakdown

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2 sponsors · 24 co-sponsors · 157 not signed on

Sponsors (2)

Co-sponsors (24)

Not signed on (157)

157 members have not signed on to this bill.

Show all 157 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Concurrence

Passed 112 Yea · 0 Nay · 6 Other
Party YeaNayPresentNot Voting
Republican 23003
Democrat 52002
Unaffiliated 37001
Total 112006
% of votes cast 95%0%0%5%
How each member voted (118)
Member Party Vote
Flowers — Yea
Frese — Yea
Willis — Yea
Yednock — Yea
Yingling — Yea
Zalewski — Yea
Greenwood — Yea
Jones — Not Voting
Nichols — Yea
Ozinga — Yea
Batinick — Yea
Ramirez — Yea
Hamilton — Yea
Bennett — Yea
Bos — Yea
Bourne — Yea
Robinson — Yea
Harris — Yea
Brady — Yea
Burke — Yea
Butler — Yea
Carroll — Yea
Sommer — Yea
Hurley — Yea
Caulkins — Yea
Conroy — Yea
Stoneback — Yea
Luft — Yea
Davis — Yea
Marron — Yea
Demmer — Yea
Welter — Yea
Durkin — Yea
Mazzochi — Yea
Wheeler — Yea
Costa Howard — Yea
Williams, Jawaharial — Yea
Yang Rohr — Yea
Aarón M. Ortíz Democrat Yea
Angelica Guerrero-Cuellar Democrat Yea
Ann M. Williams Democrat Yea
Anna Moeller Democrat Yea
Anne Stava Democrat Yea
Anthony DeLuca Democrat Yea
Barbara Hernandez Democrat Not Voting
Bob Morgan Democrat Yea
Camille Y. Lilly Democrat Yea
Carol Ammons Democrat Yea
Curtis J. Tarver, II Democrat Yea
Dagmara Avelar Democrat Yea
Daniel Didech Democrat Yea
Dave Vella Democrat Yea
Debbie Meyers-Martin Democrat Yea
Edgar González, Jr. Democrat Yea
Elizabeth "Lisa" Hernandez Democrat Yea
Emanuel "Chris" Welch Democrat Yea
Eva-Dina Delgado Democrat Yea
Fred Crespo Democrat Yea
Jaime M. Andrade, Jr. Democrat Yea
Jay Hoffman Democrat Yea
Jehan Gordon-Booth Democrat Yea
Jennifer Gong-Gershowitz Democrat Yea
Joyce Mason Democrat Yea
Julie A. Morrison Democrat Yea
Justin Slaughter Democrat Yea
Kam Buckner Democrat Yea
Katie Stuart Democrat Yea
Kelly M. Cassidy Democrat Yea
La Shawn K. Ford Democrat Yea
Lakesia Collins Democrat Not Voting
Lawrence "Larry" Walsh, Jr. Democrat Yea
Lindsey LaPointe Democrat Yea
Marcus C. Evans, Jr. Democrat Yea
Margaret Croke Democrat Yea
Mark L. Walker Democrat Yea
Martin J. Moylan Democrat Yea
Maura Hirschauer Democrat Yea
Maurice A. West, II Democrat Yea
Michael J. Kelly Democrat Yea
Michael W. Halpin Democrat Yea
Michelle Mussman Democrat Yea
Natalie A. Manley Democrat Yea
Nicholas K. Smith Democrat Yea
Rita Mayfield Democrat Yea
Robert "Bob" Rita Democrat Yea
Robyn Gabel Democrat Yea
Sonya M. Harper Democrat Yea
Stephanie A. Kifowit Democrat Yea
Sue Scherer Democrat Yea
Suzanne M. Ness Democrat Yea
Theresa Mah Democrat Yea
Will Guzzardi Democrat Yea
Adam M. Niemerg Republican Yea
Amy Elik Republican Yea
Amy L. Grant Republican Yea
Andrew S. Chesney Republican Yea
Blaine Wilhour Republican Yea
Brad Halbrook Republican Yea
Brad Stephens Republican Yea
Charles Meier Republican Not Voting
Chris Miller Republican Yea
Christopher "C.D." Davidsmeyer Republican Yea
Dan Swanson Republican Yea
Daniel J. Ugaste Republican Yea
Dave Severin Republican Not Voting
David Friess Republican Yea
Jackie Haas Republican Yea
Jeff Keicher Republican Yea
Joe C. Sosnowski Republican Not Voting
Martin McLaughlin Republican Yea
Norine K. Hammond Republican Yea
Patrick Windhorst Republican Yea
Paul Jacobs Republican Yea
Ryan Spain Republican Yea
Seth Lewis Republican Yea
Steven Reick Republican Yea
Tom Weber Republican Yea
Tony M. McCombie Republican Yea

Official roll call →

Third Reading

Passed 54 Yea · 0 Nay · 5 Other
Party YeaNayPresentNot Voting
Democrat 24002
Republican 13001
Unaffiliated 17002
Total 54005
% of votes cast 92%0%0%8%
How each member voted (59)
Member Party Vote
Stewart — Yea
Bailey — Yea
Stoller — Yea
Gillespie — Yea
Bennett — Yea
Muñoz — Yea
Harris — Yea
Bush — Yea
Pacione-Zayas — Yea
Pappas — Yea
Johnson — Yea
Connor — Yea
Landek — Yea
Barickman — Not Voting
Crowe — Not Voting
Glowiak Hilton — Yea
Loughran Cappel — Yea
Simmons, Mike — Yea
Van Pelt — Yea
Bill Cunningham Democrat Yea
Celina Villanueva Democrat Yea
Christopher Belt Democrat Not Voting
Cristina Castro Democrat Yea
David Koehler Democrat Yea
Don Harmon Democrat Yea
Doris Turner Democrat Yea
Elgie R. Sims, Jr. Democrat Yea
Emil Jones, III Democrat Yea
Julie A. Morrison Democrat Yea
Karina Villa Democrat Yea
Kimberly A. Lightford Democrat Yea
Lakesia Collins Democrat Not Voting
Laura Ellman Democrat Yea
Laura Fine Democrat Yea
Laura M. Murphy Democrat Yea
Linda Holmes Democrat Yea
Mattie Hunter Democrat Yea
Michael E. Hastings Democrat Yea
Omar Aquino Democrat Yea
Patrick J. Joyce Democrat Yea
Ram Villivalam Democrat Yea
Robert F. Martwick Democrat Yea
Robert Peters Democrat Yea
Sara Feigenholtz Democrat Yea
Steve Stadelman Democrat Yea
Chapin Rose Republican Yea
Craig Wilcox Republican Yea
Dale Fowler Republican Yea
Dan McConchie Republican Yea
Dave Syverson Republican Not Voting
Donald P. DeWitte Republican Yea
Jason Plummer Republican Yea
Jil Tracy Republican Yea
John F. Curran Republican Yea
Neil Anderson Republican Yea
Sally J. Turner Republican Yea
Steve McClure Republican Yea
Sue Rezin Republican Yea
Terri Bryant Republican Yea

Official roll call →

Third Reading

Passed 102 Yea · 0 Nay · 16 Other
Party YeaNayPresentNot Voting
Unaffiliated 31007
Democrat 50004
Republican 21005
Total 1020016
% of votes cast 86%0%0%14%
How each member voted (118)
Member Party Vote
Nichols — Yea
Batinick — Yea
Hamilton — Yea
Bennett — Yea
Bos — Yea
Bourne — Yea
Harris — Yea
Burke — Yea
Butler — Yea
Sommer — Yea
Hurley — Yea
Jones — Yea
Conroy — Yea
Stoneback — Yea
Luft — Yea
Davis — Yea
Marron — Yea
Demmer — Yea
Durkin — Yea
Mazzochi — Yea
Wheeler — Yea
Flowers — Yea
Frese — Yea
Willis — Yea
Yednock — Yea
Yingling — Yea
Zalewski — Yea
Greenwood — Yea
Ozinga — Not Voting
Brady — Not Voting
Carroll — Not Voting
Welter — Not Voting
Caulkins — Not Voting
Ramirez — Not Voting
Robinson — Not Voting
Costa Howard — Yea
Williams, Jawaharial — Yea
Yang Rohr — Yea
Aarón M. Ortíz Democrat Yea
Angelica Guerrero-Cuellar Democrat Yea
Ann M. Williams Democrat Yea
Anna Moeller Democrat Yea
Anne Stava Democrat Yea
Anthony DeLuca Democrat Yea
Barbara Hernandez Democrat Not Voting
Bob Morgan Democrat Yea
Camille Y. Lilly Democrat Not Voting
Carol Ammons Democrat Yea
Curtis J. Tarver, II Democrat Yea
Dagmara Avelar Democrat Yea
Daniel Didech Democrat Yea
Dave Vella Democrat Yea
Debbie Meyers-Martin Democrat Yea
Edgar González, Jr. Democrat Yea
Elizabeth "Lisa" Hernandez Democrat Yea
Emanuel "Chris" Welch Democrat Yea
Eva-Dina Delgado Democrat Yea
Fred Crespo Democrat Yea
Jaime M. Andrade, Jr. Democrat Yea
Jay Hoffman Democrat Yea
Jehan Gordon-Booth Democrat Yea
Jennifer Gong-Gershowitz Democrat Yea
Joyce Mason Democrat Yea
Julie A. Morrison Democrat Yea
Justin Slaughter Democrat Yea
Kam Buckner Democrat Yea
Katie Stuart Democrat Yea
Kelly M. Cassidy Democrat Yea
La Shawn K. Ford Democrat Yea
Lakesia Collins Democrat Yea
Lawrence "Larry" Walsh, Jr. Democrat Not Voting
Lindsey LaPointe Democrat Yea
Marcus C. Evans, Jr. Democrat Yea
Margaret Croke Democrat Yea
Mark L. Walker Democrat Yea
Martin J. Moylan Democrat Not Voting
Maura Hirschauer Democrat Yea
Maurice A. West, II Democrat Yea
Michael J. Kelly Democrat Yea
Michael W. Halpin Democrat Yea
Michelle Mussman Democrat Yea
Natalie A. Manley Democrat Yea
Nicholas K. Smith Democrat Yea
Rita Mayfield Democrat Yea
Robert "Bob" Rita Democrat Yea
Robyn Gabel Democrat Yea
Sonya M. Harper Democrat Yea
Stephanie A. Kifowit Democrat Yea
Sue Scherer Democrat Yea
Suzanne M. Ness Democrat Yea
Theresa Mah Democrat Yea
Will Guzzardi Democrat Yea
Adam M. Niemerg Republican Yea
Amy Elik Republican Yea
Amy L. Grant Republican Yea
Andrew S. Chesney Republican Not Voting
Blaine Wilhour Republican Yea
Brad Halbrook Republican Yea
Brad Stephens Republican Not Voting
Charles Meier Republican Not Voting
Chris Miller Republican Not Voting
Christopher "C.D." Davidsmeyer Republican Yea
Dan Swanson Republican Yea
Daniel J. Ugaste Republican Not Voting
Dave Severin Republican Yea
David Friess Republican Yea
Jackie Haas Republican Yea
Jeff Keicher Republican Yea
Joe C. Sosnowski Republican Yea
Martin McLaughlin Republican Yea
Norine K. Hammond Republican Yea
Patrick Windhorst Republican Yea
Paul Jacobs Republican Yea
Ryan Spain Republican Yea
Seth Lewis Republican Yea
Steven Reick Republican Yea
Tom Weber Republican Yea
Tony M. McCombie Republican Yea

Official roll call →

Subjects

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Frequently asked questions

What does HB 4645 do?
Creates the Equity and Representation in Health Care Act. Contains the findings of the General Assembly. Creates the Equity and Representation in Health Care Workforce Repayment Program and the Equity and Representation in Health Care Workforce Scholarship Program to be administered by the Department of Public Health. Provides that a health care professional, medical facility, or behavioral health provider may apply to the Department for loan repayment assistance under the Program. Provides that, in order to be eligible for loan repayment under the Act, the health care professional or behavioral health provider shall comply with specified requirements. Requires the Department to submit an annual report with specified requirements to the General Assembly and the Governor. Contains provisions regarding the adoption of rules by the Department. Contains other provisions. House Floor Amendment No. 2 Replaces everything after the enacting clause with the provisions of the introduced bill with the following changes. Provides that loan repayment and scholarship program funds are subject to appropriation. Provides that an individual who is awarded a loan repayment authorized under the Act shall not receive concurrent loan repayments through any other Illinois or federal loan repayment program. Requires the Department of Public Health to share information about the application process for a scholarship or loan repayment under the Act prominently on the Department's website, as well as with specified Illinois-based health care training programs and institutions of higher education. Requires recipients who fail to meet their obligations to pay to the Department a sum of at least 1.5 times plus 7% interest annually (rather than a sum equal to) the amount of the received moneys. Contains provisions for waiver or deferment of a recipient's obligation under the Act. Provides that the Act is effective January 1, 2023. Makes other changes. Senate Committee Amendment No. 1 Provides that a nurse is a "health care professional". Removes language providing that a certified nurse midwife is a "health care professional". Defines "nurse" as a person who is licensed as a licensed practical nurse or as a registered nurse under the Nurse Practice Act.
Who sponsors HB 4645?
HB 4645 is sponsored by Simmons, Mike, LaToya Greenwood, Kam Buckner (Democrat), Camille Y. Lilly (Democrat), Angelica Guerrero-Cuellar (Democrat), Dagmara Avelar (Democrat), Sonya M. Harper (Democrat), Nicholas K. Smith (Democrat), Delia C. Ramirez, Robyn Gabel (Democrat), Marcus C. Evans, Jr. (Democrat), Maura Hirschauer (Democrat), Maurice A. West, II (Democrat), Mattie Hunter (Democrat), Jacqueline Y. Collins, Omar Aquino (Democrat), Robert Peters (Democrat), Antonio Muñoz, Cristina Castro (Democrat), Celina Villanueva (Democrat), Laura M. Murphy (Democrat), Napoleon Harris III (Democrat), Sara Feigenholtz (Democrat), Ram Villivalam (Democrat), Emanuel "Chris" Welch (Democrat), and Van Pelt.
What is the current status of HB 4645?
This bill has been enacted into law. Introduced January 20, 2022. Enacted.
Where can I track HB 4645?
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