Illinois 104th Regular Session Status: In Committee 1 D cosponsors

HB 5233 — NURSING-DELEGATION

Last action — Rule 19(a) / Re-referred to Rules Committee

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

This bill is in committee in the House. Introduced February 05, 2026. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the House.

Prognosis

Stalled 16% · moderate confidence

Where this bill stands today.

Odds of enactment

Low

How often bills like it became law.

  • In Committee

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (1 D).

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.

Bill Text

How this bill changes current law

4 changes Share ↗

Compared against the Illinois Compiled Statutes as published AI-generated reading aid — verify against the official bill.

The bill revises definitions and delegation authority in the Nurse Practice Act, clarifying the scope of nursing practice and the delegation of tasks by registered professional nurses.

  • 225 ILCS 65/50-10

    registered professional nursing practice means the protection, promotion, and optimization of health and abilities, the prevention of illness and injury, the development and implementation of the nursing plan of care, the facilitation of nursing interventions to alleviate suffering, care coordination, and advocacy in the care of individuals, families, groups, communities, and populations. → registered professional nursing practice is a scientific process founded on a professional body of knowledge.

    This change redefines what constitutes registered professional nursing practice to emphasize its scientific foundation.

  • 225 ILCS 65/50-75

    this Section authorizes a registered professional nurse to: (1) delegate nursing interventions to other registered professional nurses, licensed practical nurses, and other unlicensed personnel based on the comprehensive nursing assessment. → this Section authorizes a registered professional nurse to: (1) delegate nursing interventions and tasks to other registered professional nurses and licensed practical nurses based on a comprehensive nursing assessment.

    This change broadens the delegation authority to include both nursing interventions and tasks.

  • 225 ILCS 65/50-75

    delegate the administration of medication (limited to oral or subcutaneous dosage and topical or transdermal application) to unlicensed personnel, if all the conditions for delegation set forth in this Section are met; (4) refuse to delegate, stop, or rescind a previously authorized delegation; or (5) in community-based or in-home care settings, delegate, guide, and evaluate the implementation of nursing interventions as a component of patient care coordination after completion of the comprehensive patient assessment based on analysis of the comprehensive nursing assessment data; care coordination in in-home care and school settings may occur in person, by telecommunication, or by electronic communication. → removes provisions concerning delegation of nursing interventions and administration of medications in community-based or in-home care settings.

    This deletion removes specific provisions allowing delegation in home care settings.

  • 225 ILCS 65/50-75

    A nurse shall not be subject to disciplinary or any other adverse action for refusing to delegate a nursing intervention based on patient safety. → A registered professional nurse is prohibited from delegating work requiring nursing knowledge, assessment, judgment, inference, and decision making (including medication administration), the development of a plan of care, and the evaluation of a plan of care to unlicensed non-nurse personnel.

    This change tightens the restriction on what can be delegated, particularly with non-nurse unlicensed personnel.

Action History

  1. Rule 19(a) / Re-referred to Rules Committee

  2. Assigned to Health Care Licenses Committee

  3. Referred to Rules Committee

  4. First Reading

  5. Filed with the Clerk by Rep. Debbie Meyers-Martin

Sponsors

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 182 not signed on

Sponsors (1)

Co-sponsors (0)

None.

Not signed on (182)

182 members have not signed on to this bill.

Show all 182 →

"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

Subjects

healthcare labor
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 5233?
HB 5233 is sponsored by Debbie Meyers-Martin (Democrat).
What is the current status of HB 5233?
This bill is in committee in the House. Introduced February 05, 2026. It must pass committee before a floor vote.
Where can I track HB 5233?
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Last checked for changes 3 months ago · updated continuously

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