Illinois 104th Regular Session Status: To Executive 4 D cosponsors

HB 4403 — EPA-MEDICAL WASTE SHIPPING

Last action — Sent to the Governor

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

This bill has been sent to the executive. Introduced January 13, 2026. It awaits signature.

Next likely step: the executive signs it into law or issues a veto.

Prognosis

Likely to advance 70% · moderate confidence

Where this bill stands today.

Odds of enactment

Moderate

How often bills like it became law.

  • To Executive

    Current position in the legislative process.

  • 4 sponsors

    2 primary, 2 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (4 D).

  • Cleared a recorded vote

    Passed 4 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.

In plain language

This bill regulates the shipping of medical waste.

The bill establishes guidelines for the transportation of medical waste. It aims to ensure safe and compliant shipping practices.

Bill Text

What changed in the latest version

11 added · 11 removed

Plain-language change summary

The latest version of Bill HB 4403 has made a few technical changes, specifically in its formatting designation—moving from "Engrossed" to "Enrolled." While the content of the bill hasn't changed, this shift signifies that the bill has completed the legislative process and is ready for final approval. This matters because it shows that the bill is closer to becoming law, indicating that it has passed through all required legislative steps.

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Previous
Latest
HB4403 Engrossed LRB104 17216 BDA 30636 b AN ACT concerning safety.
HB4403 Enrolled LRB104 17216 BDA 30636 b AN ACT concerning safety.
(c) Beginning July 1, 1992, cause or allow the delivery of any potentially infectious medical waste to a person or facility for storage, treatment, or transfer HB4403 Engrossed - 2 - LRB104 17216 BDA 30636 b that does not have a permit issued by the agency to receive potentially infectious medical waste, unless no permit is required under subsection (g)(1).
(c) Beginning July 1, 1992, cause or allow the delivery of any potentially infectious medical waste to a person or facility for storage, treatment, or transfer HB4403 Enrolled - 2 - LRB104 17216 BDA 30636 b that does not have a permit issued by the agency to receive potentially infectious medical waste, unless no permit is required under subsection (g)(1).
No HB4403 Engrossed - 3 - LRB104 17216 BDA 30636 b permit is required under this provision (f)(1) for:
No HB4403 Enrolled - 3 - LRB104 17216 BDA 30636 b permit is required under this provision (f)(1) for:
(A) Person conducting a potentially infectious medical waste treatment, storage, or transfer operation for potentially infectious medical waste generated by the person's own activities that are HB4403 Engrossed - 4 - LRB104 17216 BDA 30636 b treated, stored, or transferred within the site where the potentially infectious medical waste is generated.
(A) Person conducting a potentially infectious medical waste treatment, storage, or transfer operation for potentially infectious medical waste generated by the person's own activities that are HB4403 Enrolled - 4 - LRB104 17216 BDA 30636 b treated, stored, or transferred within the site where the potentially infectious medical waste is generated.
(1) potentially infectious medical waste being transported by generators who generated the waste by HB4403 Engrossed - 5 - LRB104 17216 BDA 30636 b their own activities, when the potentially infectious medical waste is transported within or between sites or facilities owned, controlled, or operated by that person;
(1) potentially infectious medical waste being transported by generators who generated the waste by HB4403 Enrolled - 5 - LRB104 17216 BDA 30636 b their own activities, when the potentially infectious medical waste is transported within or between sites or facilities owned, controlled, or operated by that person;
(k) Beginning July 1, 2015, knowingly mix household sharps, including, but not limited to, hypodermic, intravenous, or other medical needles or syringes or other medical household waste containing used or unused sharps, including, but not limited to, hypodermic, intravenous, or other medical needles or syringes or other sharps, with HB4403 Engrossed - 6 - LRB104 17216 BDA 30636 b any other material intended for collection as a recyclable material by a residential hauler.
(k) Beginning July 1, 2015, knowingly mix household sharps, including, but not limited to, hypodermic, intravenous, or other medical needles or syringes or other medical household waste containing used or unused sharps, including, but not limited to, hypodermic, intravenous, or other medical needles or syringes or other sharps, with HB4403 Enrolled - 6 - LRB104 17216 BDA 30636 b any other material intended for collection as a recyclable material by a residential hauler.
Commencing March 31, 1993, and annually thereafter, each transporter of potentially infectious medical waste required to have a permit under subsection (f) of Section 56.1 of this Act, each facility for which a permit is HB4403 Engrossed - 7 - LRB104 17216 BDA 30636 b required under subsection (g) of Section 56.1 of this Act that stores, treats, or transfers potentially infectious medical waste and each facility not required to have a permit under subsection (g) of Section 56.1 of this Act that treats more than 50 pounds per month of potentially infectious medical waste shall file a report with the Agency specifying the quantities and disposition of potentially infectious medical waste transported, stored, treated, disposed, or transferred during the previous calendar year.
Commencing March 31, 1993, and annually thereafter, each transporter of potentially infectious medical waste required to have a permit under subsection (f) of Section 56.1 of this Act, each facility for which a permit is HB4403 Enrolled - 7 - LRB104 17216 BDA 30636 b required under subsection (g) of Section 56.1 of this Act that stores, treats, or transfers potentially infectious medical waste and each facility not required to have a permit under subsection (g) of Section 56.1 of this Act that treats more than 50 pounds per month of potentially infectious medical waste shall file a report with the Agency specifying the quantities and disposition of potentially infectious medical waste transported, stored, treated, disposed, or transferred during the previous calendar year.
The treatment or disposal HB4403 Engrossed - 8 - LRB104 17216 BDA 30636 b facility shall keep one copy of the completed manifest and return the original to the generator within 35 days.
The treatment or disposal HB4403 Enrolled - 8 - LRB104 17216 BDA 30636 b facility shall keep one copy of the completed manifest and return the original to the generator within 35 days.
The Agency may establish procedures HB4403 Engrossed - 9 - LRB104 17216 BDA 30636 b relating to the collection of fees under this Section.
The Agency may establish procedures HB4403 Enrolled - 9 - LRB104 17216 BDA 30636 b relating to the collection of fees under this Section.
The Agency may establish procedures HB4403 Engrossed - 10 - LRB104 17216 BDA 30636 b relating to the collection of fees under this Section.
The Agency may establish procedures HB4403 Enrolled - 10 - LRB104 17216 BDA 30636 b relating to the collection of fees under this Section.
A fee in the amount of 3 cents per pound of potentially infectious medical waste shall be collected by the Agency from HB4403 Engrossed - 11 - LRB104 17216 BDA 30636 b a potentially infectious medical waste storage site or treatment facility receiving potentially infectious medical waste shall pay to the Agency a fee in the amount of 5 cents per pound of potentially infectious medical waste received, unless the fee has been previously paid by a transporter.
A fee in the amount of 3 cents per pound of potentially infectious medical waste shall be collected by the Agency from HB4403 Enrolled - 11 - LRB104 17216 BDA 30636 b a potentially infectious medical waste storage site or treatment facility receiving potentially infectious medical waste shall pay to the Agency a fee in the amount of 5 cents per pound of potentially infectious medical waste received, unless the fee has been previously paid by a transporter.
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Amendments

2 amendments

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

Action History

  1. Sent to the Governor

  2. Passed Both Houses

  3. Third Reading - Passed; 059-000-000

  4. Placed on Calendar Order of 3rd Reading **

  5. Placed on Calendar Order of 3rd Reading May 5, 2026

  6. Second Reading

  7. Placed on Calendar Order of 2nd Reading April 30, 2026

  8. Do Pass Public Health; 006-000-000

  9. Added as Alternate Co-Sponsor Sen. David Koehler

  10. Assigned to Public Health

  11. Referred to Assignments

  12. First Reading

  13. Chief Senate Sponsor Sen. Christopher Belt

  14. Placed on Calendar Order of First Reading

  15. Arrive in Senate

  16. Third Reading - Short Debate - Passed 110-000-000

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

  18. Second Reading - Short Debate

  19. House Floor Amendment No. 2 Adopted

  20. House Floor Amendment No. 2 Recommends Be Adopted Rules Committee; 005-000-000

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

  22. House Floor Amendment No. 2 Filed with Clerk by Rep. Jay Hoffman

  23. Placed on Calendar 2nd Reading - Short Debate

  24. Added Co-Sponsor Rep. Jawaharial Williams

  25. House Committee Amendment No. 1 Tabled

  26. Do Pass / Short Debate Energy & Environment Committee; 026-000-000

  27. House Committee Amendment No. 1 Referred to Rules Committee

  28. House Committee Amendment No. 1 Filed with Clerk by Rep. Jay Hoffman

  29. Assigned to Energy & Environment Committee

  30. Referred to Rules Committee

  31. First Reading

  32. Filed with the Clerk by Rep. Jay Hoffman

Sponsors

Sponsorship breakdown

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2 sponsors · 2 co-sponsors · 179 not signed on

Sponsors (2)

Co-sponsors (2)

Not signed on (179)

179 members have not signed on to this bill.

Show all 179 →

"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

Third Reading

Passed 59 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 3000
Democrat 36000
Republican 19000
Total 58000
% of votes cast 100%0%0%0%
How each member voted (58)
Member Party Vote
Simmons — Yea
Glowiak Hilton — Yea
Loughran Cappel — Yea
Bill Cunningham Democrat Yea
Celina Villanueva Democrat Yea
Christopher Belt Democrat Yea
Cristina Castro Democrat Yea
David Koehler Democrat Yea
Doris Turner Democrat Yea
Elgie R. Sims, Jr. Democrat Yea
Emil Jones, III Democrat Yea
Graciela Guzmán Democrat Yea
Gregg Johnson Democrat Yea
Javier L. Cervantes Democrat Yea
Julie A. Morrison Democrat Yea
Karina Villa Democrat Yea
Kimberly A. Lightford Democrat Yea
Lakesia Collins Democrat Yea
Laura Ellman Democrat Yea
Laura Fine Democrat Yea
Laura M. Murphy Democrat Yea
Linda Holmes Democrat Yea
Mark L. Walker Democrat Yea
Mary Edly-Allen Democrat Yea
Mattie Hunter Democrat Yea
Michael E. Hastings Democrat Yea
Michael W. Halpin Democrat Yea
Mike Porfirio Democrat Yea
Napoleon Harris III Democrat Yea
Omar Aquino Democrat Yea
Patrick J. Joyce Democrat Yea
Paul Faraci Democrat Yea
Rachel Ventura Democrat Yea
Ram Villivalam Democrat Yea
Robert F. Martwick Democrat Yea
Robert Peters Democrat Yea
Sara Feigenholtz Democrat Yea
Steve Stadelman Democrat Yea
Willie Preston Democrat Yea
Andrew S. Chesney Republican Yea
Chapin Rose Republican Yea
Chris Balkema Republican Yea
Craig Wilcox Republican Yea
Dale Fowler Republican Yea
Darby A. Hills Republican Yea
Dave Syverson Republican Yea
Donald P. DeWitte Republican Yea
Erica Harriss Republican Yea
Jason Plummer Republican Yea
Jil Tracy Republican Yea
John F. Curran Republican Yea
Li Arellano, Jr. Republican Yea
Neil Anderson Republican Yea
Sally J. Turner Republican Yea
Seth Lewis Republican Yea
Steve McClure Republican Yea
Sue Rezin Republican Yea
Terri Bryant Republican Yea

Official roll call →

Public Health

Passed 6 Yea · 0 Nay · 4 Other
Party YeaNayPresentNot Voting
Republican 2001
Democrat 4003
Total 6004
% of votes cast 60%0%0%40%
How each member voted (10)
Member Party Vote
David Koehler Democrat Yea
Graciela Guzmán Democrat Yea
Laura Fine Democrat Not Voting
Mattie Hunter Democrat Yea
Mike Simmons Democrat Yea
Rachel Ventura Democrat Not Voting
Sara Feigenholtz Democrat Not Voting
Andrew S. Chesney Republican Yea
Dave Syverson Republican Not Voting
Li Arellano, Jr. Republican Yea

Official roll call →

Third Reading

Passed 110 Yea · 0 Nay · 8 Other
Party YeaNayPresentNot Voting
Democrat 67004
Republican 36003
Unaffiliated 6001
Total 109008
% of votes cast 93%0%0%7%
How each member voted (117)
Member Party Vote
Du Buclet — Yea
Faver Dias — Yea
Hernandez, Lisa — Not Voting
Katz Muhl — Yea
La Ha — Yea
Williams, Jawaharial — Yea
Yang Rohr — Yea
Aarón M. Ortíz Democrat Yea
Abdelnasser Rashid Democrat Yea
Amy Briel 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 Yea
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
Diane Blair-Sherlock Democrat Yea
Edgar González, Jr. Democrat Yea
Eva-Dina Delgado Democrat Not Voting
Fred Crespo Democrat Yea
Gregg Johnson Democrat Yea
Harry Benton Democrat Yea
Hoan Huynh Democrat Not Voting
Jaime M. Andrade, Jr. Democrat Yea
Jay Hoffman Democrat Yea
Jehan Gordon-Booth Democrat Yea
Jennifer Gong-Gershowitz Democrat Yea
Joyce Mason Democrat Yea
Justin Cochran Democrat Yea
Justin Slaughter Democrat Yea
Kam Buckner Democrat Yea
Katie Stuart Democrat Yea
Kelly M. Cassidy Democrat Yea
Kevin John Olickal Democrat Yea
La Shawn K. Ford Democrat Yea
Lawrence "Larry" Walsh, Jr. Democrat Yea
Lilian Jiménez Democrat Yea
Lindsey LaPointe Democrat Yea
Lisa Davis Democrat Yea
Marcus C. Evans, Jr. Democrat Not Voting
Margaret A. DeLaRosa Democrat Yea
Margaret Croke Democrat Yea
Martha Deuter Democrat Yea
Mary Beth Canty Democrat Yea
Mary Gill Democrat Yea
Matt Hanson Democrat Yea
Maura Hirschauer Democrat Yea
Maurice A. West, II Democrat Yea
Michael Crawford Democrat Yea
Michael J. Kelly Democrat Not Voting
Michelle Mussman Democrat Yea
Nabeela Syed Democrat Yea
Natalie A. Manley Democrat Yea
Nicholas K. Smith Democrat Yea
Nicolle Grasse Democrat Yea
Norma Hernandez Democrat Yea
Rick Ryan Democrat Yea
Rita Mayfield Democrat Yea
Robert "Bob" Rita Democrat Yea
Robyn Gabel Democrat Yea
Sharon Chung Democrat Yea
Sonya M. Harper Democrat Yea
Stephanie A. Kifowit Democrat Yea
Sue Scherer Democrat Yea
Suzanne M. Ness Democrat Yea
Thaddeus Jones Democrat Yea
Theresa Mah Democrat Yea
Will Guzzardi Democrat Yea
William "Will" Davis Democrat Yea
Yolonda Morris Democrat Yea
Adam M. Niemerg Republican Yea
Amy Elik Republican Yea
Amy L. Grant Republican Yea
Blaine Wilhour Republican Yea
Brad Halbrook Republican Yea
Brad Stephens Republican Yea
Bradley Fritts Republican Yea
Brandun Schweizer Republican Yea
Charles Meier Republican Yea
Chris Miller Republican Yea
Christopher "C.D." Davidsmeyer Republican Not Voting
Dan Swanson Republican Yea
Daniel J. Ugaste Republican Yea
Dave Severin Republican Yea
David Friess Republican Yea
Dennis Tipsword Republican Yea
Jackie Haas Republican Yea
Jason R. Bunting Republican Yea
Jed Davis Republican Yea
Jeff Keicher Republican Yea
Jennifer Sanalitro Republican Yea
Joe C. Sosnowski Republican Yea
John M. Cabello Republican Yea
Kevin Schmidt Republican Yea
Kyle Moore Republican Yea
Martin McLaughlin Republican Yea
Michael J. Coffey, Jr. Republican Yea
Norine K. Hammond Republican Not Voting
Patrick Sheehan Republican Yea
Patrick Windhorst Republican Yea
Paul Jacobs Republican Yea
Regan Deering Republican Yea
Ryan Spain Republican Yea
Steven Reick Republican Yea
Tom Weber Republican Yea
Tony M. McCombie Republican Yea
Travis Weaver Republican Yea
Wayne A. Rosenthal Republican Not Voting
William E Hauter Republican Yea

Official roll call →

Energy & Environment

Passed 26 Yea · 0 Nay · 3 Other
Party YeaNayPresentNot Voting
Democrat 17002
Republican 9001
Total 26003
% of votes cast 90%0%0%10%
How each member voted (29)
Member Party Vote
Abdelnasser Rashid Democrat Yea
Amy Briel Democrat Yea
Anna Moeller Democrat Yea
Anne Stava Democrat Not Voting
Barbara Hernandez Democrat Yea
Carol Ammons Democrat Yea
Diane Blair-Sherlock Democrat Yea
Jawaharial Williams Democrat Yea
Jay Hoffman Democrat Yea
Joyce Mason Democrat Yea
Kimberly Du Buclet Democrat Yea
Laura Faver Dias Democrat Yea
Michael Crawford Democrat Yea
Michelle Mussman Democrat Yea
Norma Hernandez Democrat Yea
Sonya M. Harper Democrat Not Voting
Suzanne M. Ness Democrat Yea
Tracy Katz Muhl Democrat Yea
William "Will" Davis Democrat Yea
Adam M. Niemerg Republican Yea
Blaine Wilhour Republican Not Voting
Brad Halbrook Republican Yea
Bradley Fritts Republican Yea
Charles Meier Republican Yea
Chris Miller Republican Yea
Dave Severin Republican Yea
Jason R. Bunting Republican Yea
Jed Davis Republican Yea
Regan Deering Republican Yea

Official roll call →

Subjects

environment healthcare
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

Who sponsors HB 4403?
HB 4403 is sponsored by Jay Hoffman (Democrat), Christopher Belt (Democrat), David Koehler (Democrat), and Jawaharial Williams (Democrat).
What is the current status of HB 4403?
This bill has been sent to the executive. Introduced January 13, 2026. It awaits signature.
Where can I track HB 4403?
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Last checked for changes 3 months ago · updated continuously

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