Illinois 104th Regular Session Status: To Executive Bipartisan · 10 D · 2 R cosponsors

SB 3445 — KIDNEY TREATMENT DELEGATE ACT

Last action — Sent to the Governor

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

This bill has been sent to the executive. Introduced February 04, 2026. It awaits signature.

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

Prognosis

Likely to advance 90% · high 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.

  • 13 sponsors

    2 primary, 11 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (10 D · 2 R) — cross-party backing.

  • 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

The bill allows for the designation of a delegate for kidney treatment decisions.

This legislation establishes a framework for allowing individuals with kidney conditions to delegate treatment decisions to others. This aims to improve patient care and streamline decision-making processes.

What this means for you
  • Patients: This means you can designate someone to help make decisions about your kidney treatment.

Bill Text

What changed in the latest version

17 added · 17 removed

Plain-language change summary

The updates to Bill SB 3445 include the replacement of the term "Engrossed" with "Enrolled," which signifies that the bill has passed through all the necessary stages of approval. Although there are no substantial content changes indicated, this update essentially moves the bill closer to finalization and enactment. This transition matters because it reflects the bill's progress in the legislative process and indicates that it may soon become law, potentially impacting the individuals or sectors it addresses.

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Latest
SB3445 Engrossed LRB104 18158 BAB 31597 b AN ACT concerning regulation.
SB3445 Enrolled LRB104 18158 BAB 31597 b AN ACT concerning regulation.
"Certified dialysis technician" means a person with an SB3445 Engrossed - 2 - LRB104 18158 BAB 31597 b accredited high school diploma or State of Illinois High School Diploma who has been certified by the Nephrology Nursing Certification Commission as a certified clinical hemodialysis technician or by the Board of Nephrology Examiners Nursing and Technology as a certified hemodialysis technologist/technician.
"Certified dialysis technician" means a person with an SB3445 Enrolled - 2 - LRB104 18158 BAB 31597 b accredited high school diploma or State of Illinois High School Diploma who has been certified by the Nephrology Nursing Certification Commission as a certified clinical hemodialysis technician or by the Board of Nephrology Examiners Nursing and Technology as a certified hemodialysis technologist/technician.
"Registered nurse", "Registered Professional Nurse", or "RN" means a person who is licensed as a professional nurse SB3445 Engrossed - 3 - LRB104 18158 BAB 31597 b under the Nurse Practice Act and practices nursing as defined in that Act.
"Registered nurse", "Registered Professional Nurse", or "RN" means a person who is licensed as a professional nurse SB3445 Enrolled - 3 - LRB104 18158 BAB 31597 b under the Nurse Practice Act and practices nursing as defined in that Act.
(c) Notwithstanding any provision of the Nurse Practice SB3445 Engrossed - 4 - LRB104 18158 BAB 31597 b Act or any rule of the Department to the contrary, delegation under this Section shall not include medication administration, except for the administration of heparin and saline for the purposes of performing dialysis treatments and flushing lines and the application of topical anesthetics.
(c) Notwithstanding any provision of the Nurse Practice SB3445 Enrolled - 4 - LRB104 18158 BAB 31597 b Act or any rule of the Department to the contrary, delegation under this Section shall not include medication administration, except for the administration of heparin and saline for the purposes of performing dialysis treatments and flushing lines and the application of topical anesthetics.
If the delegating party is a physician or physician SB3445 Engrossed - 5 - LRB104 18158 BAB 31597 b assistant, the physician or physician assistant shall act in a similar manner as required by the Medical Practice Act of 1987 and the Physician Assistant Practice Act of 1987.
If the delegating party is a physician or physician SB3445 Enrolled - 5 - LRB104 18158 BAB 31597 b assistant, the physician or physician assistant shall act in a similar manner as required by the Medical Practice Act of 1987 and the Physician Assistant Practice Act of 1987.
SB3445 Engrossed - 6 - LRB104 18158 BAB 31597 b Section 20.
SB3445 Enrolled - 6 - LRB104 18158 BAB 31597 b Section 20.
(3) Conviction by plea of guilty or nolo contendere, finding of guilt, jury verdict, or entry of judgment or by sentencing of any crime, including, but not limited to, convictions, preceding sentences of supervision, conditional discharge, or first offender probation, under SB3445 Engrossed - 7 - LRB104 18158 BAB 31597 b the laws of any jurisdiction of the United States:
(3) Conviction by plea of guilty or nolo contendere, finding of guilt, jury verdict, or entry of judgment or by sentencing of any crime, including, but not limited to, convictions, preceding sentences of supervision, conditional discharge, or first offender probation, under SB3445 Enrolled - 7 - LRB104 18158 BAB 31597 b the laws of any jurisdiction of the United States:
jurisdiction or foreign nation, if at least one of the grounds for the discipline is the same or substantially equivalent to SB3445 Engrossed - 8 - LRB104 18158 BAB 31597 b those set forth in this Section.
jurisdiction or foreign nation, if at least one of the grounds for the discipline is the same or substantially equivalent to SB3445 Enrolled - 8 - LRB104 18158 BAB 31597 b those set forth in this Section.
(16) Failure of a licensee to report to the Department any adverse final action taken against him or her by SB3445 Engrossed - 9 - LRB104 18158 BAB 31597 b another licensing jurisdiction of the United States or any foreign state or country, any peer review body, any health care institution, any professional or nursing society or association, any governmental agency, any law enforcement agency, or any court or a nursing liability claim related to acts or conduct similar to acts or conduct that would constitute grounds for action as defined in this Section.
(16) Failure of a licensee to report to the Department any adverse final action taken against him or her by SB3445 Enrolled - 9 - LRB104 18158 BAB 31597 b another licensing jurisdiction of the United States or any foreign state or country, any peer review body, any health care institution, any professional or nursing society or association, any governmental agency, any law enforcement agency, or any court or a nursing liability claim related to acts or conduct similar to acts or conduct that would constitute grounds for action as defined in this Section.
(21) Allowing another person or organization to use SB3445 Engrossed - 10 - LRB104 18158 BAB 31597 b the licensee's license to deceive the public.
(21) Allowing another person or organization to use SB3445 Enrolled - 10 - LRB104 18158 BAB 31597 b the licensee's license to deceive the public.
Nothing in this paragraph (28) SB3445 Engrossed - 11 - LRB104 18158 BAB 31597 b affects any bona fide independent contractor or employment arrangements among health care professionals, health facilities, health care providers, or other entities, except as otherwise prohibited by law.
Nothing in this paragraph (28) SB3445 Enrolled - 11 - LRB104 18158 BAB 31597 b affects any bona fide independent contractor or employment arrangements among health care professionals, health facilities, health care providers, or other entities, except as otherwise prohibited by law.
(33) Prescribing, selling, administering, SB3445 Engrossed - 12 - LRB104 18158 BAB 31597 b distributing, giving, or self-administering a drug classified as a controlled substance (designated product) or narcotic for other than medically accepted therapeutic purposes.
(33) Prescribing, selling, administering, SB3445 Enrolled - 12 - LRB104 18158 BAB 31597 b distributing, giving, or self-administering a drug classified as a controlled substance (designated product) or narcotic for other than medically accepted therapeutic purposes.
(40) Violating the Compassionate Use of Medical SB3445 Engrossed - 13 - LRB104 18158 BAB 31597 b Cannabis Program Act.
(40) Violating the Compassionate Use of Medical SB3445 Enrolled - 13 - LRB104 18158 BAB 31597 b Cannabis Program Act.
(b-10) The Department shall not revoke, suspend, summarily suspend, place on prohibition, reprimand, refuse to issue or renew, or take any other disciplinary or non-disciplinary action against a person's authorization to practice under this Act based upon the person's license, registration, or permit being revoked or suspended, or the person being otherwise disciplined, by any other state if that revocation, suspension, or other form of discipline was based solely on the person violating another state's laws prohibiting the provision of, authorization of, recommendation of, aiding or assisting in, referring for, or participation in any health care service if that health care service as provided would not have been unlawful under the laws of this State and is SB3445 Engrossed - 14 - LRB104 18158 BAB 31597 b consistent with the applicable standard of conduct for the person practicing in Illinois under this Act.
(b-10) The Department shall not revoke, suspend, summarily suspend, place on prohibition, reprimand, refuse to issue or renew, or take any other disciplinary or non-disciplinary action against a person's authorization to practice under this Act based upon the person's license, registration, or permit being revoked or suspended, or the person being otherwise disciplined, by any other state if that revocation, suspension, or other form of discipline was based solely on the person violating another state's laws prohibiting the provision of, authorization of, recommendation of, aiding or assisting in, referring for, or participation in any health care service if that health care service as provided would not have been unlawful under the laws of this State and is SB3445 Enrolled - 14 - LRB104 18158 BAB 31597 b consistent with the applicable standard of conduct for the person practicing in Illinois under this Act.
The suspension will end only upon a finding by a court that the patient is no longer subject to involuntary admission or SB3445 Engrossed - 15 - LRB104 18158 BAB 31597 b judicial admission and issues an order so finding and discharging the patient;
The suspension will end only upon a finding by a court that the patient is no longer subject to involuntary admission or SB3445 Enrolled - 15 - LRB104 18158 BAB 31597 b judicial admission and issues an order so finding and discharging the patient;
Failure of an individual to submit to a SB3445 Engrossed - 16 - LRB104 18158 BAB 31597 b mental or physical examination, when directed, shall result in an automatic suspension without hearing.
Failure of an individual to submit to a SB3445 Enrolled - 16 - LRB104 18158 BAB 31597 b mental or physical examination, when directed, shall result in an automatic suspension without hearing.
SB3445 Engrossed - 17 - LRB104 18158 BAB 31597 b In instances in which the Secretary immediately suspends a person's license under this subsection (e), a hearing on that person's license must be convened by the Department within 15 days after the suspension and completed without appreciable delay.
SB3445 Enrolled - 17 - LRB104 18158 BAB 31597 b In instances in which the Secretary immediately suspends a person's license under this subsection (e), a hearing on that person's license must be convened by the Department within 15 days after the suspension and completed without appreciable delay.
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Amendments

1 amendment

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Action History

  1. Sent to the Governor

  2. Added Alternate Co-Sponsor Rep. Yolonda Morris

  3. Passed Both Houses

  4. Third Reading - Short Debate - Passed 108-000-000

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

  6. Second Reading - Short Debate

  7. Placed on Calendar 2nd Reading - Short Debate

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

  9. Added Alternate Co-Sponsor Rep. Aarón M. Ortíz

  10. Added Alternate Co-Sponsor Rep. Rick Ryan

  11. Added Alternate Co-Sponsor Rep. Sharon Chung

  12. Added Alternate Co-Sponsor Rep. Theresa Mah

  13. Added Alternate Co-Sponsor Rep. William E Hauter

  14. Added as Chief Co-Sponsor Sen. Mattie Hunter

  15. Assigned to Health Care Licenses Committee

  16. Referred to Rules Committee

  17. First Reading

  18. Chief House Sponsor Rep. Robert "Bob" Rita

  19. Arrived in House

  20. Added as Chief Co-Sponsor Sen. Sara Feigenholtz

  21. Third Reading - Passed; 054-001-000

  22. Placed on Calendar Order of 3rd Reading

  23. Senate Floor Amendment No. 1 Adopted; Cunningham

  24. Recalled to Second Reading

  25. Senate Floor Amendment No. 1 Recommend Do Adopt Licensed Activities; 008-000-000

  26. Placed on Calendar Order of 3rd Reading April 15, 2026

  27. Second Reading

  28. Senate Floor Amendment No. 1 Assignments Refers to Licensed Activities

  29. Senate Floor Amendment No. 1 Referred to Assignments

  30. Senate Floor Amendment No. 1 Filed with Secretary by Sen. Bill Cunningham

  31. Placed on Calendar Order of 2nd Reading March 12, 2026

  32. Do Pass Licensed Activities; 008-000-000

  33. Added as Chief Co-Sponsor Sen. Christopher Belt

  34. Added as Co-Sponsor Sen. Dave Syverson

  35. Postponed - Licensed Activities

  36. Added as Co-Sponsor Sen. Javier L. Cervantes

  37. Assigned to Licensed Activities

  38. Referred to Assignments

  39. First Reading

  40. Filed with Secretary by Sen. Bill Cunningham

Sponsors

Sponsorship breakdown

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2 sponsors · 11 co-sponsors · 170 not signed on · 1 voted No

Sponsors (2)

Co-sponsors (11)

Not signed on (170)

170 members have not signed on to this bill.

Show all 170 →

"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 108 Yea · 0 Nay · 10 Other
Party YeaNayPresentNot Voting
Democrat 66005
Republican 34005
Unaffiliated 7000
Total 1070010
% of votes cast 91%0%0%9%
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 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 Not Voting
Jay Hoffman Democrat Yea
Jehan Gordon-Booth Democrat Not Voting
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 Not Voting
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 Yea
Matt Hanson Democrat Yea
Maura Hirschauer Democrat Yea
Maurice A. West, II Democrat Yea
Michael Crawford Democrat Yea
Michael J. Kelly Democrat Yea
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 Yea
Dan Swanson Republican Yea
Daniel J. Ugaste Republican Yea
Dave Severin Republican Yea
David Friess Republican Yea
Dennis Tipsword Republican Not Voting
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 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 Not Voting
Steven Reick Republican Not Voting
Tom Weber Republican Yea
Tony M. McCombie Republican Yea
Travis Weaver Republican Yea
Wayne A. Rosenthal Republican Yea
William E Hauter Republican Not Voting

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
Anna Moeller Democrat Yea
Bob Morgan Democrat Yea
Diane Blair-Sherlock Democrat Yea
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 Not Voting
Tracy Katz Muhl Democrat Yea
Dennis Tipsword Republican Yea
Kevin Schmidt Republican Yea
Kyle Moore Republican Yea
Paul Jacobs Republican Yea
William E Hauter Republican Yea

Official roll call →

Third Reading

Passed 54 Yea · 1 Nay · 4 Other
Party YeaNayPresentNot Voting
Unaffiliated 3000
Democrat 32004
Republican 18100
Total 53104
% of votes cast 91%2%0%7%
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 Not Voting
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 Not Voting
Napoleon Harris III Democrat Yea
Omar Aquino Democrat Yea
Patrick J. Joyce Democrat Yea
Paul Faraci Democrat Yea
Rachel Ventura Democrat Not Voting
Ram Villivalam Democrat Yea
Robert F. Martwick Democrat Yea
Robert Peters Democrat Not Voting
Sara Feigenholtz Democrat Yea
Steve Stadelman Democrat Yea
Willie Preston Democrat Yea
Andrew S. Chesney Republican Yea
Chapin Rose Republican Yea
Chris Balkema Republican Nay
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 →

Licensed Activities, Amendment 1

Passed 8 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Democrat 5001
Republican 3000
Total 8001
% of votes cast 89%0%0%11%
How each member voted (9)
Member Party Vote
Emil Jones, III Democrat Yea
Javier L. Cervantes Democrat Yea
Lakesia Collins Democrat Yea
Michael E. Hastings Democrat Yea
Ram Villivalam Democrat Not Voting
Suzy Glowiak Hilton Democrat Yea
Dave Syverson Republican Yea
Erica Harriss Republican Yea
Steve McClure Republican Yea

Official roll call →

Licensed Activities

Passed 8 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Democrat 5001
Republican 3000
Total 8001
% of votes cast 89%0%0%11%
How each member voted (9)
Member Party Vote
Christopher Belt Democrat Yea
Emil Jones, III Democrat Not Voting
Javier L. Cervantes Democrat Yea
Michael E. Hastings Democrat Yea
Ram Villivalam Democrat Yea
Suzy Glowiak Hilton Democrat Yea
Dave Syverson Republican Yea
Erica Harriss Republican Yea
Steve McClure Republican Yea

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

Who sponsors SB 3445?
SB 3445 is sponsored by Bill Cunningham (Democrat), Christopher Belt (Democrat), Sara Feigenholtz (Democrat), Mattie Hunter (Democrat), Javier L. Cervantes (Democrat), Dave Syverson (Republican), Robert "Bob" Rita (Democrat), William E Hauter (Republican), Theresa Mah (Democrat), Sharon Chung (Democrat), Rick Ryan (Democrat), Aarón M. Ortíz, and Yolonda Morris (Democrat).
What is the current status of SB 3445?
This bill has been sent to the executive. Introduced February 04, 2026. It awaits signature.
Where can I track SB 3445?
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