Illinois 104th General Assembly Status: To Executive 36 D cosponsors

HB4461      — HOSPITAL COLLECTION LIENS

Last action — Public Act . . . . . . . . . 104-0490

  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 15, 2026. It awaits signature.

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

Odds of enactment

Moderate chance

Based on the sponsor, cosponsors, and committee posture, this bill has a moderate chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 74% · moderate confidence

  • To Executive

    Current position in the legislative process.

  • 38 sponsors

    1 primary, 37 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (36 D).

  • Cleared a recorded vote

    Passed 5 recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

In plain language

The bill limits hospitals from placing liens on patients' properties for unpaid medical debts.

This bill amends the Fair Patient Billing Act by preventing hospitals from filing liens on patients' primary residences due to unpaid medical debts. It aims to protect patients from legal actions that could jeopardize their homes.

What this means for you
  • Families: This means families will be better protected from losing their homes due to unpaid medical bills.

Summary

Amends the Fair Patient Billing Act. In provisions concerning hospitals and their agents pursuing collection actions, provides that, for any legal action initiated against a patient for unpaid medical debt, a hospital may not file for or be granted a lien upon that patient's primary residence or on any other real property owned by the patient. Effective January 1, 2027.

Bill Text

We don't have the full text on file for this bill yet.

Read HB4461 on the official Illinois source →

Action History

  1. Public Act . . . . . . . . . 104-0490

  2. Effective Date January 1, 2027

  3. Governor Approved

  4. Sent to the Governor

  5. Passed Both Houses

  6. Third Reading - Passed; 046-012-000

  7. Added Co-Sponsor Rep. Robyn Gabel

  8. Placed on Calendar Order of 3rd Reading May 18, 2026

  9. Second Reading

  10. Added as Alternate Co-Sponsor Sen. Mary Edly-Allen

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

  12. Do Pass Executive; 009-002-000

  13. Assigned to Executive

  14. Referred to Assignments

  15. First Reading

  16. Chief Senate Sponsor Sen. Graciela Guzmán

  17. Placed on Calendar Order of First Reading

  18. Arrive in Senate

  19. Added Co-Sponsor Rep. Eva-Dina Delgado

  20. Added Co-Sponsor Rep. Theresa Mah

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

  22. Added Co-Sponsor Rep. Laura Faver Dias

  23. Added Co-Sponsor Rep. William "Will" Davis

  24. Added Co-Sponsor Rep. Lisa Davis

  25. Added Co-Sponsor Rep. Justin Slaughter

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

  27. Added Co-Sponsor Rep. Abdelnasser Rashid

  28. Added Co-Sponsor Rep. Curtis J. Tarver, II

  29. Added Co-Sponsor Rep. Robert "Bob" Rita

  30. Added Co-Sponsor Rep. Sue Scherer

  31. Added Co-Sponsor Rep. Justin Cochran

  32. Added Co-Sponsor Rep. Margaret A. DeLaRosa

  33. Added Co-Sponsor Rep. Tracy Katz Muhl

  34. Added Co-Sponsor Rep. Camille Y. Lilly

  35. Added Co-Sponsor Rep. Yolonda Morris

  36. Added Co-Sponsor Rep. Sharon Chung

  37. Added Co-Sponsor Rep. Nabeela Syed

  38. Added Co-Sponsor Rep. Michael Crawford

  39. Added Co-Sponsor Rep. Lawrence "Larry" Walsh, Jr.

  40. Added Co-Sponsor Rep. Janet Yang Rohr

  41. Added Co-Sponsor Rep. Aarón M. Ortíz

  42. Added Co-Sponsor Rep. Edgar González, Jr.

  43. Added Co-Sponsor Rep. Martha Deuter

  44. Added Co-Sponsor Rep. Nicolle Grasse

  45. Added Co-Sponsor Rep. Diane Blair-Sherlock

  46. House Floor Amendment No. 2 Tabled

  47. House Floor Amendment No. 1 Tabled

  48. Third Reading - Short Debate - Passed 074-037-000

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

  50. House Floor Amendment No. 3 Adopted

  51. House Floor Amendment No. 3 Recommends Be Adopted Judiciary - Civil Committee; 011-007-000

  52. House Floor Amendment No. 3 Rules Refers to Judiciary - Civil Committee

  53. House Floor Amendment No. 3 Referred to Rules Committee

  54. House Floor Amendment No. 3 Filed with Clerk by Rep. Amy Briel

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

  56. Second Reading - Short Debate

  57. House Floor Amendment No. 2 Rules Refers to Judiciary - Civil Committee

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

  59. House Floor Amendment No. 2 Filed with Clerk by Rep. Amy Briel

  60. House Floor Amendment No. 1 Rules Refers to Judiciary - Civil Committee

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

  62. House Floor Amendment No. 1 Filed with Clerk by Rep. Amy Briel

  63. Placed on Calendar 2nd Reading - Short Debate

  64. Added Co-Sponsor Rep. Joyce Mason

  65. Added Co-Sponsor Rep. Kelly M. Cassidy

  66. Added Co-Sponsor Rep. Jay Hoffman

  67. Added Co-Sponsor Rep. Dagmara Avelar

  68. Added Co-Sponsor Rep. Dave Vella

  69. Added Co-Sponsor Rep. Daniel Didech

  70. Added Co-Sponsor Rep. Mary Beth Canty

  71. Do Pass / Short Debate Judiciary - Civil Committee; 013-007-000

  72. Assigned to Judiciary - Civil Committee

  73. Referred to Rules Committee

  74. First Reading

  75. Filed with the Clerk by Rep. Amy Briel

Sponsors

Sponsorship breakdown

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1 sponsors · 37 co-sponsors · 145 not signed on · 48 voted No

Sponsors (1)

Co-sponsors (37)

Not signed on (145)

145 members have not signed on to this bill.

Show all 145 →

"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 46 Yea · 12 Nay
Party YeaNayPresentNot Voting
Republican 61201
Democrat 38000
Unaffiliated 1000
Total 451201
% of votes cast 78%21%0%2%
How each member voted (58)
Member Party Vote
Johnson — 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
Graciela Guzmán 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
Meg Loughran Cappel Democrat Yea
Michael E. Hastings Democrat Yea
Michael W. Halpin Democrat Yea
Mike Porfirio Democrat Yea
Mike Simmons 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
Suzy Glowiak Hilton Democrat Yea
Thaddeus Jones Democrat Yea
Willie Preston Democrat Yea
Andrew S. Chesney Republican Nay
Chapin Rose Republican Nay
Chris Balkema Republican Nay
Craig Wilcox Republican Nay
Dale Fowler Republican Nay
Darby A. Hills Republican Yea
Dave Syverson Republican Nay
Donald P. DeWitte Republican Nay
Erica Harriss Republican Yea
Jason Plummer Republican Nay
Jil Tracy Republican Nay
John F. Curran Republican Yea
Li Arellano, Jr. Republican Yea
Neil Anderson Republican Nay
Sally J. Turner Republican Nay
Seth Lewis Republican Yea
Steve McClure Republican Not Voting
Sue Rezin Republican Yea
Terri Bryant Republican Nay

Official roll call →

Executive

Passed 9 Yea · 2 Nay · 2 Other
Party YeaNayPresentNot Voting
Republican 1201
Democrat 8001
Total 9202
% of votes cast 69%15%0%15%
How each member voted (13)
Member Party Vote
Bill Cunningham Democrat Yea
Cristina Castro Democrat Yea
Don Harmon Democrat Yea
Kimberly A. Lightford Democrat Yea
Laura M. Murphy Democrat Not Voting
Linda Holmes Democrat Yea
Mattie Hunter Democrat Yea
Napoleon Harris III Democrat Yea
Omar Aquino Democrat Yea
Jil Tracy Republican Nay
John F. Curran Republican Not Voting
Neil Anderson Republican Nay
Sue Rezin Republican Yea

Official roll call →

Third Reading

Passed 74 Yea · 37 Nay
Party YeaNayPresentNot Voting
Democrat 71004
Republican 03603
Unaffiliated 2100
Total 733707
% of votes cast 62%32%0%6%
How each member voted (117)
Member Party Vote
Jacobs — Nay
Johnson — Yea
Hernandez, Lisa — 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 Yea
Fred Crespo Democrat Yea
Harry Benton Democrat Not Voting
Hoan Huynh Democrat Not Voting
Jaime M. Andrade, Jr. Democrat Yea
Janet Yang Rohr Democrat Yea
Jawaharial Williams 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
Kimberly Du Buclet Democrat Yea
La Shawn K. Ford Democrat Not Voting
Laura Faver Dias 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 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 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 Yea
Theresa Mah Democrat Yea
Tracy Katz Muhl Democrat Yea
Will Guzzardi Democrat Yea
William "Will" Davis Democrat Yea
Yolonda Morris Democrat Yea
Adam M. Niemerg Republican Nay
Amy Elik Republican Nay
Amy L. Grant Republican Not Voting
Blaine Wilhour Republican Nay
Brad Halbrook Republican Nay
Brad Stephens Republican Not Voting
Bradley Fritts Republican Nay
Brandun Schweizer Republican Nay
Charles Meier Republican Nay
Chris Miller Republican Nay
Christopher "C.D." Davidsmeyer Republican Nay
Dan Swanson Republican Nay
Daniel J. Ugaste Republican Nay
Dave Severin Republican Nay
David Friess Republican Nay
Dennis Tipsword Republican Nay
Jackie Haas Republican Nay
Jason R. Bunting Republican Nay
Jed Davis Republican Nay
Jeff Keicher Republican Nay
Jennifer Sanalitro Republican Nay
Joe C. Sosnowski Republican Nay
John M. Cabello Republican Nay
Kevin Schmidt Republican Nay
Kyle Moore Republican Nay
Martin McLaughlin Republican Nay
Michael J. Coffey, Jr. Republican Nay
Nicole La Ha Republican Nay
Norine K. Hammond Republican Nay
Patrick Sheehan Republican Nay
Patrick Windhorst Republican Nay
Regan Deering Republican Nay
Ryan Spain Republican Nay
Steven Reick Republican Nay
Tom Weber Republican Nay
Tony M. McCombie Republican Nay
Travis Weaver Republican Nay
Wayne A. Rosenthal Republican Not Voting
William E Hauter Republican Nay

Official roll call →

Judiciary

Passed 11 Yea · 7 Nay · 2 Other
Party YeaNayPresentNot Voting
Democrat 11002
Republican 0700
Total 11702
% of votes cast 55%35%0%10%
How each member voted (20)
Member Party Vote
Ann M. Williams Democrat Not Voting
Bob Morgan Democrat Yea
Dagmara Avelar Democrat Yea
Daniel Didech Democrat Yea
Dave Vella Democrat Yea
Eva-Dina Delgado Democrat Yea
Jay Hoffman Democrat Yea
Jennifer Gong-Gershowitz Democrat Yea
Kevin John Olickal Democrat Yea
Lilian Jiménez Democrat Yea
Mary Beth Canty Democrat Yea
Thaddeus Jones Democrat Not Voting
Tracy Katz Muhl Democrat Yea
Bradley Fritts Republican Nay
Daniel J. Ugaste Republican Nay
David Friess Republican Nay
Jed Davis Republican Nay
Martin McLaughlin Republican Nay
Steven Reick Republican Nay
Tom Weber Republican Nay

Official roll call →

Judiciary

Passed 13 Yea · 7 Nay
Party YeaNayPresentNot Voting
Democrat 13000
Republican 0700
Total 13700
% of votes cast 65%35%0%0%
How each member voted (20)
Member Party Vote
Ann M. Williams Democrat Yea
Bob Morgan Democrat Yea
Curtis J. Tarver, II Democrat Yea
Daniel Didech Democrat Yea
Dave Vella Democrat Yea
Eva-Dina Delgado Democrat Yea
Jay Hoffman Democrat Yea
Jennifer Gong-Gershowitz Democrat Yea
Kam Buckner Democrat Yea
Kevin John Olickal Democrat Yea
Lilian Jiménez Democrat Yea
Mary Beth Canty Democrat Yea
Tracy Katz Muhl Democrat Yea
Bradley Fritts Republican Nay
Daniel J. Ugaste Republican Nay
David Friess Republican Nay
Jed Davis Republican Nay
Martin McLaughlin Republican Nay
Steven Reick Republican Nay
Tom Weber Republican Nay

Official roll call →

Subjects

finance civil-rights healthcare health-insurance
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Frequently asked questions

What does HB4461      do?
Amends the Fair Patient Billing Act. In provisions concerning hospitals and their agents pursuing collection actions, provides that, for any legal action initiated against a patient for unpaid medical debt, a hospital may not file for or be granted a lien upon that patient's primary residence or on any other real property owned by the patient. Effective January 1, 2027.
Who sponsors HB4461     ?
HB4461      is sponsored by Graciela Guzmán, Mary Edly-Allen, Amy Briel (Democrat), Mary Beth Canty (Democrat), Daniel Didech (Democrat), Dave Vella (Democrat), Dagmara Avelar (Democrat), Jay Hoffman (Democrat), Kelly M. Cassidy (Democrat), Joyce Mason (Democrat), Diane Blair-Sherlock (Democrat), Nicolle Grasse (Democrat), Martha Deuter (Democrat), Edgar González, Jr. (Democrat), Aarón M. Ortíz (Democrat), Janet Yang Rohr (Democrat), Lawrence "Larry" Walsh, Jr. (Democrat), Michael Crawford (Democrat), Nabeela Syed (Democrat), Sharon Chung (Democrat), Yolonda Morris (Democrat), Camille Y. Lilly (Democrat), Tracy Katz Muhl (Democrat), Margaret A. DeLaRosa (Democrat), Justin Cochran (Democrat), Sue Scherer (Democrat), Robert "Bob" Rita (Democrat), Curtis J. Tarver, II (Democrat), Abdelnasser Rashid (Democrat), Sonya M. Harper (Democrat), Justin Slaughter (Democrat), Lisa Davis (Democrat), William "Will" Davis (Democrat), Laura Faver Dias (Democrat), Suzanne M. Ness (Democrat), Theresa Mah (Democrat), Eva-Dina Delgado (Democrat), and Robyn Gabel (Democrat).
What is the current status of HB4461     ?
This bill has been sent to the executive. Introduced January 15, 2026. It awaits signature.
Where can I track HB4461     ?
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