Illinois 104th Regular Session Status: Introduced 26 D cosponsors

HB 4189 — HEALTH CARE SANCTITY ACT

Last action — Referred to Rules Committee

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

This bill has been introduced in the House. Introduced October 28, 2025. It must pass committee before a floor vote.

Next likely step: a committee referral and hearing.

Prognosis

Not enough signal yet

Where this bill stands today.

Odds of enactment

Low

How often bills like it became law.

Not enough signal yet to read this bill's trajectory — we surface a likelihood only once there's real movement (stage, sponsorship, committee, or votes) to point to.

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

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The bill establishes the Health Care Sanctity and Privacy Law, requiring hospitals to implement policies regarding interactions with law enforcement agents.

  • 210 ILCS 85/6.14h

    Sec. 6.14h. The Health Care Sanctity and Privacy Law. (a) This Section may be referred to as the Health Care Sanctity and Privacy Law....

    This new section creates a framework for hospital policies on law enforcement interactions.

  • 110 ILCS 330/15

    Sec. 15. Compliance with the Health Care Sanctity and Privacy Law. The University of Illinois Hospital shall comply with Section 6.14h of the Hospital Licensing Act.

    This section mandates that the University of Illinois Hospital adhere to the newly established policy requirements.

  • 210 ILCS 85/6.14h

    Each general acute care hospital shall adopt and implement a policy regarding interactions with law enforcement agents by January 1, 2026...

    Hospitals must create specific policies for interaction with law enforcement by set deadlines.

  • 210 ILCS 85/6.14h

    Procedures to verify the identity and authority of any law enforcement agent involved in civil immigration activities at the hospital site...

    Hospitals are required to verify the identity of law enforcement agents engaging in immigration enforcement.

  • 210 ILCS 85/6.14h

    Procedures for patients to request an amendment to their medical records...

    Patients may request amendments to their medical records concerning sensitive information.

  • 210 ILCS 85/6.14h

    Hospitals shall post, either by physical or electronic means, in a conspicuous place within the hospital...a description...regarding the phone number that individuals can call to learn about their immigration rights.

    Hospitals must provide information regarding immigration rights visibly to patients and visitors.

  • 210 ILCS 85/6.14h

    A hospital receiving such a notice shall have 7 working days to provide a copy of the policy...

    Hospitals must respond promptly if notified of policy submission failures or face fines.

  • 210 ILCS 85/6.14h

    The Department shall have the authority to investigate and respond to complaints from patients, employees, and the public alleging noncompliance with subsection (c).

    The Department gains authority to address compliance complaints about hospital policies.

  • 210 ILCS 85/6.14h

    All hospital personnel...shall be forever held harmless from any civil, criminal, or other liability that may arise...as a result of their reasonable compliance with the provisions of this Section.

    Hospital staff are protected from liability when complying with the new law.

  • 210 ILCS 85/6.14h

    This Section is not intended to conflict with federal law or stand as an obstacle to the enforcement of federal laws.

    Clarifies that the new law respects federal laws and does not create conflicts.

Action History

  1. Referred to Rules Committee

  2. First Reading

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

  4. Added Co-Sponsor Rep. Ann M. Williams

  5. Added Co-Sponsor Rep. Robyn Gabel

  6. Added Co-Sponsor Rep. Laura Faver Dias

  7. Added Co-Sponsor Rep. Will Guzzardi

  8. Added Co-Sponsor Rep. Barbara Hernandez

  9. Added Co-Sponsor Rep. Mary Beth Canty

  10. Added Co-Sponsor Rep. Anne Stava

  11. Added Co-Sponsor Rep. Abdelnasser Rashid

  12. Added Co-Sponsor Rep. Anna Moeller

  13. Added Co-Sponsor Rep. Lilian Jiménez

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

  15. Added Co-Sponsor Rep. Yolonda Morris

  16. Added Co-Sponsor Rep. Norma Hernandez

  17. Added Co-Sponsor Rep. Elizabeth "Lisa" Hernandez

  18. Added Co-Sponsor Rep. Maura Hirschauer

  19. Added Co-Sponsor Rep. Kam Buckner

  20. Added Co-Sponsor Rep. Natalie A. Manley

  21. Added Co-Sponsor Rep. Nabeela Syed

  22. Added Co-Sponsor Rep. Kevin John Olickal

  23. Added Co-Sponsor Rep. Jawaharial Williams

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

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

  26. Added Chief Co-Sponsor Rep. Theresa Mah

  27. Added Chief Co-Sponsor Rep. Jaime M. Andrade, Jr.

  28. Filed with the Clerk by Rep. Dagmara Avelar

Sponsors

Sponsorship breakdown

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1 sponsors · 25 co-sponsors · 157 not signed on

Sponsors (1)

Co-sponsors (25)

Not signed on (157)

157 members have not signed on to this bill.

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"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

civil-rights healthcare
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Frequently asked questions

Who sponsors HB 4189?
HB 4189 is sponsored by Dagmara Avelar (Democrat), Jaime M. Andrade, Jr. (Democrat), Theresa Mah (Democrat), Kevin John Olickal (Democrat), Nabeela Syed (Democrat), Natalie A. Manley (Democrat), Kam Buckner (Democrat), Maura Hirschauer (Democrat), Norma Hernandez (Democrat), Yolonda Morris (Democrat), Kelly M. Cassidy (Democrat), Lilian Jiménez (Democrat), Anna Moeller (Democrat), Abdelnasser Rashid (Democrat), Anne Stava (Democrat), Mary Beth Canty (Democrat), Barbara Hernandez (Democrat), Will Guzzardi (Democrat), Robyn Gabel (Democrat), Ann M. Williams (Democrat), Margaret A. DeLaRosa (Democrat), Laura Faver Dias (Democrat), Jawaharial Williams (Democrat), Edgar González, Jr. (Democrat), Aarón M. Ortíz (Democrat), and Elizabeth "Lisa" Hernandez (Democrat).
What is the current status of HB 4189?
This bill has been introduced in the House. Introduced October 28, 2025. It must pass committee before a floor vote.
Where can I track HB 4189?
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Last checked for changes 3 months ago · updated continuously

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