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

HB 4698 — MEDICAL PRACTICE-FEE SPLITTING

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 29, 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 5 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 addresses fee splitting practices in medical practice.

The bill regulates how medical practitioners can share or divide fees for services. It aims to clarify and establish guidelines for fee splitting among healthcare providers.

What this means for you
  • Healthcare: What this means for you: This bill establishes clear guidelines for fee splitting, impacting how medical providers share fees.

Bill Text

What changed in the latest version

2 added · 2 removed

Plain-language change summary

The most recent version of Bill HB 4698 has removed references to the "Engrossed" version and updated it to "Enrolled." This change is important because the "Enrolled" bill represents the final version that is sent for approval and is more likely to reflect the bill's final intentions. By clarifying this status, it ensures that everyone is on the same page regarding the bill's current standing in the legislative process.

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Latest
HB4698 Engrossed LRB104 17664 AAS 31095 b AN ACT concerning regulation.
HB4698 Enrolled LRB104 17664 AAS 31095 b AN ACT concerning regulation.
and (2) make, except in an emergency treatment situation, HB4698 Engrossed - 2 - LRB104 17664 AAS 31095 b a good faith effort to obtain written acknowledgment of receipt of the notice described in paragraph (1).
and (2) make, except in an emergency treatment situation, HB4698 Enrolled - 2 - LRB104 17664 AAS 31095 b a good faith effort to obtain written acknowledgment of receipt of the notice described in paragraph (1).
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Amendments

1 amendment

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 18, 2026

  6. Second Reading

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

  8. Do Pass Licensed Activities; 009-000-000

  9. Assigned to Licensed Activities

  10. Referred to Assignments

  11. First Reading

  12. Chief Senate Sponsor Sen. Laura Ellman

  13. Placed on Calendar Order of First Reading

  14. Arrive in Senate

  15. Added Co-Sponsor Rep. Suzanne M. Ness

  16. Added Co-Sponsor Rep. Maura Hirschauer

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

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

  19. House Floor Amendment No. 1 Adopted

  20. House Floor Amendment No. 1 Recommends Be Adopted Health Care Licenses Committee; 014-000-000

  21. House Floor Amendment No. 1 Rules Refers to Health Care Licenses Committee

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

  23. Second Reading - Short Debate

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

  25. House Floor Amendment No. 1 Filed with Clerk by Rep. Janet Yang Rohr

  26. Placed on Calendar 2nd Reading - Short Debate

  27. Do Pass / Short Debate Health Care Licenses Committee; 014-000-000

  28. Assigned to Health Care Licenses Committee

  29. Referred to Rules Committee

  30. First Reading

  31. Filed with the Clerk by Rep. Janet Yang Rohr

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 →

Third Reading

Passed 102 Yea · 0 Nay · 16 Other
Party YeaNayPresentNot Voting
Democrat 62009
Republican 32007
Unaffiliated 7000
Total 1010016
% of votes cast 86%0%0%14%
How each member voted (117)
Member Party Vote
Du Buclet — Yea
Faver Dias — Yea
Hernandez, Lisa — Yea
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 Not Voting
Anthony DeLuca Democrat Yea
Barbara Hernandez Democrat Yea
Bob Morgan Democrat Yea
Camille Y. Lilly Democrat Yea
Carol Ammons Democrat Not Voting
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 Yea
Fred Crespo Democrat Yea
Gregg Johnson Democrat Yea
Harry Benton Democrat Yea
Hoan Huynh Democrat Not Voting
Jaime M. Andrade, Jr. Democrat Not Voting
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 Not Voting
Lawrence "Larry" Walsh, Jr. Democrat Yea
Lilian Jiménez Democrat Yea
Lindsey LaPointe Democrat Yea
Lisa Davis Democrat Yea
Marcus C. Evans, Jr. Democrat Yea
Margaret A. DeLaRosa Democrat Yea
Margaret Croke Democrat Yea
Martha Deuter Democrat Yea
Mary Beth Canty Democrat Yea
Mary Gill Democrat Not Voting
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 Not Voting
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 Not Voting
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 Not Voting
Blaine Wilhour Republican Yea
Brad Halbrook Republican Yea
Brad Stephens Republican Not Voting
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 Not Voting
Daniel J. Ugaste Republican Yea
Dave Severin Republican Yea
David Friess Republican Yea
Dennis Tipsword Republican Yea
Jackie Haas Republican Not Voting
Jason R. Bunting Republican Yea
Jed Davis Republican Yea
Jeff Keicher Republican Yea
Jennifer Sanalitro Republican Yea
Joe C. Sosnowski Republican Not Voting
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 Yea
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 →

Health Care Licenses, Amendment 1

Passed 14 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Democrat 9001
Republican 5000
Total 14001
% of votes cast 93%0%0%7%
How each member voted (15)
Member Party Vote
Aarón M. Ortíz Democrat Yea
Anna Moeller Democrat Yea
Bob Morgan Democrat Yea
Jawaharial Williams Democrat Not Voting
Lindsey LaPointe Democrat Yea
Margaret A. DeLaRosa Democrat Yea
Natalie A. Manley Democrat Yea
Rick Ryan Democrat Yea
Sharon Chung Democrat Yea
Theresa Mah Democrat Yea
Jackie Haas Republican Yea
Kevin Schmidt Republican Yea
Kyle Moore Republican Yea
Paul Jacobs Republican Yea
William E Hauter Republican Yea

Official roll call →

Health Care Licenses

Passed 14 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Democrat 9001
Republican 5000
Total 14001
% of votes cast 93%0%0%7%
How each member voted (15)
Member Party Vote
Aarón M. Ortíz Democrat Yea
Anna Moeller Democrat Yea
Bob Morgan Democrat Yea
Lisa Davis Democrat Yea
Margaret A. DeLaRosa Democrat Not Voting
Michael Crawford Democrat Yea
Natalie A. Manley Democrat Yea
Rick Ryan Democrat Yea
Sharon Chung Democrat Yea
Theresa Mah Democrat Yea
Dennis Tipsword Republican Yea
Jackie Haas Republican Yea
Kyle Moore Republican Yea
Paul Jacobs Republican Yea
William E Hauter Republican Yea

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

Who sponsors HB 4698?
HB 4698 is sponsored by Maura Hirschauer (Democrat), Suzanne M. Ness (Democrat), Laura Ellman (Democrat), and Janet Yang Rohr (Democrat).
What is the current status of HB 4698?
This bill has been sent to the executive. Introduced January 29, 2026. It awaits signature.
Where can I track HB 4698?
Track HB 4698 free on One Click Politics — get push/email alerts when it moves.

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Last checked for changes 3 months ago · updated continuously

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