Illinois 104th General Assembly Status: To Executive 2 D cosponsors

HB4403      — EPA-MEDICAL WASTE SHIPPING

Last action — Public Act . . . . . . . . . 104-0606

  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 13, 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 70% · moderate confidence

  • To Executive

    Current position in the legislative process.

  • 4 sponsors

    1 primary, 3 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (2 D).

  • Cleared a recorded vote

    Passed 4 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

This bill changes how potentially infectious medical waste is documented and transported in Illinois.

The bill amends the Environmental Protection Act regarding the transport of potentially infectious medical waste. It shifts the documentation requirements to align with federal regulations and adjusts the transportation fees per pound of waste.

What this means for you
  • Workers: Workers in the medical waste transportation industry will need to familiarize themselves with new federal shipping requirements.
  • Families: Families may see a small increase in medical waste disposal fees as transportation costs rise.

Summary

Amends the Environmental Protection Act. Provides that no person shall cause or allow the delivery or transfer of any potentially infectious medical waste for transport unless, among other things, the potentially infectious medical waste is accompanied by completed shipping papers that meet the requirements of federal hazardous materials transportation regulations (rather than a potentially infectious medical waste manifest from the Illinois Environmental Protection Agency) if required under the Act for transport of that waste. Provides that, except in specified circumstances, no person shall transport potentially infectious medical waste, unless the transporter carries completed shipping papers for the waste that meet the requirements of the federal hazardous materials transportation regulations (rather than a manifest from the Illinois Environmental Protection Agency). Provides that the potentially infectious medical waste transportation fees are 5 cents (rather than 3 cents) per pound of potentially infectious medical waste. Makes other and conforming changes. Effective July 1, 2026.

Bill Text

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

Read HB4403 on the official Illinois source →

Action History

  1. Public Act . . . . . . . . . 104-0606

  2. Effective Date January 1, 2027

  3. Governor Approved

  4. Sent to the Governor

  5. Passed Both Houses

  6. Third Reading - Passed; 059-000-000

  7. Placed on Calendar Order of 3rd Reading **

  8. Placed on Calendar Order of 3rd Reading May 5, 2026

  9. Second Reading

  10. Placed on Calendar Order of 2nd Reading April 30, 2026

  11. Do Pass Public Health; 006-000-000

  12. Added as Alternate Co-Sponsor Sen. David Koehler

  13. Assigned to Public Health

  14. Referred to Assignments

  15. First Reading

  16. Chief Senate Sponsor Sen. Christopher Belt

  17. Placed on Calendar Order of First Reading

  18. Arrive in Senate

  19. Third Reading - Short Debate - Passed 110-000-000

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

  21. Second Reading - Short Debate

  22. House Floor Amendment No. 2 Adopted

  23. House Floor Amendment No. 2 Recommends Be Adopted Rules Committee; 005-000-000

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

  25. House Floor Amendment No. 2 Filed with Clerk by Rep. Jay Hoffman

  26. Placed on Calendar 2nd Reading - Short Debate

  27. Added Co-Sponsor Rep. Jawaharial Williams

  28. House Committee Amendment No. 1 Tabled

  29. Do Pass / Short Debate Energy & Environment Committee; 026-000-000

  30. House Committee Amendment No. 1 Referred to Rules Committee

  31. House Committee Amendment No. 1 Filed with Clerk by Rep. Jay Hoffman

  32. Assigned to Energy & Environment Committee

  33. Referred to Rules Committee

  34. First Reading

  35. Filed with the Clerk by Rep. Jay Hoffman

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 3 co-sponsors · 179 not signed on

Sponsors (1)

Co-sponsors (3)

Not signed on (179)

179 members have not signed on to this bill.

Show all 179 →

"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

May 21, 2026

Passed 59 Yea · 0 Nay
Party YeaNayPresentNot Voting
Republican 19000
Democrat 38000
Unaffiliated 1000
Total 58000
% of votes cast 100%0%0%0%
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 Yea
Chapin Rose Republican Yea
Chris Balkema Republican Yea
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 →

Public Health

Passed 6 Yea · 0 Nay · 4 Other
Party YeaNayPresentNot Voting
Republican 2001
Democrat 4003
Total 6004
% of votes cast 60%0%0%40%
How each member voted (10)
Member Party Vote
David Koehler Democrat Yea
Graciela Guzmán Democrat Yea
Laura Fine Democrat Not Voting
Mattie Hunter Democrat Yea
Mike Simmons Democrat Yea
Rachel Ventura Democrat Not Voting
Sara Feigenholtz Democrat Not Voting
Andrew S. Chesney Republican Yea
Dave Syverson Republican Not Voting
Li Arellano, Jr. Republican Yea

Official roll call →

Third Reading

Passed 110 Yea · 0 Nay
Party YeaNayPresentNot Voting
Democrat 71004
Republican 36003
Unaffiliated 2001
Total 109008
% of votes cast 93%0%0%7%
How each member voted (117)
Member Party Vote
Jacobs — Yea
Johnson — Yea
Hernandez, Lisa — Not Voting
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
Harry Benton Democrat Yea
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 Yea
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 Not Voting
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 Not Voting
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
Tracy Katz Muhl 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 Not Voting
Dan Swanson Republican Yea
Daniel J. Ugaste Republican Yea
Dave Severin Republican Yea
David Friess Republican Yea
Dennis Tipsword Republican Yea
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 Yea
John M. Cabello Republican Yea
Kevin Schmidt Republican Yea
Kyle Moore Republican Yea
Martin McLaughlin Republican Yea
Michael J. Coffey, Jr. Republican Yea
Nicole La Ha Republican Yea
Norine K. Hammond Republican Not Voting
Patrick Sheehan Republican Yea
Patrick Windhorst Republican Yea
Regan Deering Republican Yea
Ryan Spain Republican Yea
Steven Reick Republican Yea
Tom Weber Republican Yea
Tony M. McCombie Republican Yea
Travis Weaver Republican Yea
Wayne A. Rosenthal Republican Not Voting
William E Hauter Republican Yea

Official roll call →

Energy & Environment

Passed 26 Yea · 0 Nay · 3 Other
Party YeaNayPresentNot Voting
Democrat 17002
Republican 9001
Total 26003
% of votes cast 90%0%0%10%
How each member voted (29)
Member Party Vote
Abdelnasser Rashid Democrat Yea
Amy Briel Democrat Yea
Anna Moeller Democrat Yea
Anne Stava Democrat Not Voting
Barbara Hernandez Democrat Yea
Carol Ammons Democrat Yea
Diane Blair-Sherlock Democrat Yea
Jawaharial Williams Democrat Yea
Jay Hoffman Democrat Yea
Joyce Mason Democrat Yea
Kimberly Du Buclet Democrat Yea
Laura Faver Dias Democrat Yea
Michael Crawford Democrat Yea
Michelle Mussman Democrat Yea
Norma Hernandez Democrat Yea
Sonya M. Harper Democrat Not Voting
Suzanne M. Ness Democrat Yea
Tracy Katz Muhl Democrat Yea
William "Will" Davis Democrat Yea
Adam M. Niemerg Republican Yea
Blaine Wilhour Republican Not Voting
Brad Halbrook Republican Yea
Bradley Fritts Republican Yea
Charles Meier Republican Yea
Chris Miller Republican Yea
Dave Severin Republican Yea
Jason R. Bunting Republican Yea
Jed Davis Republican Yea
Regan Deering Republican Yea

Official roll call →

Subjects

public-safety environment 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 HB4403      do?
Amends the Environmental Protection Act. Provides that no person shall cause or allow the delivery or transfer of any potentially infectious medical waste for transport unless, among other things, the potentially infectious medical waste is accompanied by completed shipping papers that meet the requirements of federal hazardous materials transportation regulations (rather than a potentially infectious medical waste manifest from the Illinois Environmental Protection Agency) if required under the Act for transport of that waste. Provides that, except in specified circumstances, no person shall transport potentially infectious medical waste, unless the transporter carries completed shipping papers for the waste that meet the requirements of the federal hazardous materials transportation regulations (rather than a manifest from the Illinois Environmental Protection Agency). Provides that the potentially infectious medical waste transportation fees are 5 cents (rather than 3 cents) per pound of potentially infectious medical waste. Makes other and conforming changes. Effective July 1, 2026.
Who sponsors HB4403     ?
HB4403      is sponsored by Christopher Belt, David Koehler, Jay Hoffman (Democrat), and Jawaharial Williams (Democrat).
What is the current status of HB4403     ?
This bill has been sent to the executive. Introduced January 13, 2026. It awaits signature.
Where can I track HB4403     ?
Track HB4403      free on One Click Politics — get push/email alerts when it moves.

Make your voice heard on HB4403     

Find the representatives who decide this bill and tell them where you stand — for yourself, or mobilize your whole list in one click with One Click Politics advocacy software.

Find my representatives → Run a campaign

Stay ahead of HB4403     

Last checked for changes 2 months ago · updated continuously

One Click Politics tracks every bill in Congress and all 50 states.

Track this bill →