Illinois 104th General Assembly Status: Introduced 26 D cosponsors

HB4189      — HEALTH CARE SANCTITY ACT

Last action — Referred to Rules Committee

  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.

Odds of enactment

Low chance

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

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

Prognosis

Not enough signal yet

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.

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

Summary

Amends the Hospital Licensing Act. Provides that the amendatory provisions may be referred to as the Health Care Sanctity and Privacy Law. Requires hospitals to adopt and implement a policy regarding interactions with law enforcement agents. Sets forth minimum requirements for the policy, including designating a contact person or persons to be notified of all law enforcement presence or information requests and establishing the following procedures: procedures to respond to such requests; procedures to verify the identity and authority of any law enforcement agent involved in civil immigration activities at a hospital site; procedures for designating space for law enforcement agents to remain and wait at a hospital; procedures for patients to request an amendment to their medical records; and procedures concerning the release of information to law enforcement agents. Requires the policy to be submitted to the Department of Public Health. Establishes a fine for hospitals that fail to submit the policy. Sets forth provisions concerning complaints of noncompliance with the provisions; holding hospital personnel harmless from any civil, criminal, or other liability that may arise as a result of their reasonable compliance with the amendatory provisions; obligations as a mandated reporter; and conflicts with federal law. Amends the University of Illinois Hospital Act to require compliance with the provisions of the amendatory Act. Effective immediately.

Bill Text

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

Read HB4189 on the official Illinois source →

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.

Show all 157 →

"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

public-safety civil-rights healthcare
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

What does HB4189      do?
Amends the Hospital Licensing Act. Provides that the amendatory provisions may be referred to as the Health Care Sanctity and Privacy Law. Requires hospitals to adopt and implement a policy regarding interactions with law enforcement agents. Sets forth minimum requirements for the policy, including designating a contact person or persons to be notified of all law enforcement presence or information requests and establishing the following procedures: procedures to respond to such requests; procedures to verify the identity and authority of any law enforcement agent involved in civil immigration activities at a hospital site; procedures for designating space for law enforcement agents to remain and wait at a hospital; procedures for patients to request an amendment to their medical records; and procedures concerning the release of information to law enforcement agents. Requires the policy to be submitted to the Department of Public Health. Establishes a fine for hospitals that fail to submit the policy. Sets forth provisions concerning complaints of noncompliance with the provisions; holding hospital personnel harmless from any civil, criminal, or other liability that may arise as a result of their reasonable compliance with the amendatory provisions; obligations as a mandated reporter; and conflicts with federal law. Amends the University of Illinois Hospital Act to require compliance with the provisions of the amendatory Act. Effective immediately.
Who sponsors HB4189     ?
HB4189      is sponsored by Dagmara Avelar (Democrat), Jaime M. Andrade, Jr. (Democrat), Theresa Mah (Democrat), Aarón M. Ortíz (Democrat), Edgar González, Jr. (Democrat), Jawaharial Williams (Democrat), Kevin John Olickal (Democrat), Nabeela Syed (Democrat), Natalie A. Manley (Democrat), Kam Buckner (Democrat), Maura Hirschauer (Democrat), Elizabeth "Lisa" Hernandez (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), Laura Faver Dias (Democrat), Robyn Gabel (Democrat), Ann M. Williams (Democrat), and Margaret A. DeLaRosa (Democrat).
What is the current status of HB4189     ?
This bill has been introduced in the House. Introduced October 28, 2025. It must pass committee before a floor vote.
Where can I track HB4189     ?
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Last checked for changes 3 months ago · updated continuously

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