Illinois 104th General Assembly Status: Introduced 13 D cosponsors

HB4490      — OPERATING ROOM SAFETY ACT

Last action — Rule 19(a) / Re-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 January 20, 2026. 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.

Summary

Creates the Operating Room Patient Safety Act. Provides that each surgical technologist hired or contracted by a health care facility on or after January 1, 2028 shall meet specified educational, certification, or experiential requirements. Provides that health care facilities located in a Health Professional Shortage Area or Medically Underserved Area, as determined by the federal government, shall be exempt as provided but shall have a hiring preference for surgical technologists who graduated from nationally accredited surgical technology programs and are certified through the National Board of Surgical Technology and Surgical Assisting or the National Center for Competency Testing. Provides that nothing in the Act prohibits a person licensed in the State under any other Act from engaging in the practice for which the person is licensed, including, but not limited to, a physician licensed to practice medicine in all its branches, a physician assistant, an advanced practice registered nurse, or a nurse performing surgery-related tasks within the scope of the nurse's license or registration; or a student or intern from performing surgical technology services under direct supervision, as defined in the Registered Surgical Assistant and Registered Surgical Technologist Title Protection Act.

Bill Text

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

Read HB4490 on the official Illinois source →

Action History

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

  2. Assigned to Health Care Licenses Committee

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

  4. Added Co-Sponsor Rep. Lilian Jiménez

  5. Added Co-Sponsor Rep. Michelle Mussman

  6. Added Co-Sponsor Rep. Katie Stuart

  7. Added Co-Sponsor Rep. Mary Gill

  8. Added Co-Sponsor Rep. Maura Hirschauer

  9. Added Chief Co-Sponsor Rep. Stephanie A. Kifowit

  10. Added Co-Sponsor Rep. Theresa Mah

  11. Added Co-Sponsor Rep. Janet Yang Rohr

  12. Added Co-Sponsor Rep. Dagmara Avelar

  13. Added Chief Co-Sponsor Rep. Michael Crawford

  14. Added Chief Co-Sponsor Rep. Rick Ryan

  15. Referred to Rules Committee

  16. First Reading

  17. Filed with the Clerk by Rep. Barbara Hernandez

Sponsors

Sponsorship breakdown

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1 sponsors · 12 co-sponsors · 170 not signed on

Sponsors (1)

Co-sponsors (12)

Not signed on (170)

170 members have not signed on to this bill.

Show all 170 →

"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

What does HB4490      do?
Creates the Operating Room Patient Safety Act. Provides that each surgical technologist hired or contracted by a health care facility on or after January 1, 2028 shall meet specified educational, certification, or experiential requirements. Provides that health care facilities located in a Health Professional Shortage Area or Medically Underserved Area, as determined by the federal government, shall be exempt as provided but shall have a hiring preference for surgical technologists who graduated from nationally accredited surgical technology programs and are certified through the National Board of Surgical Technology and Surgical Assisting or the National Center for Competency Testing. Provides that nothing in the Act prohibits a person licensed in the State under any other Act from engaging in the practice for which the person is licensed, including, but not limited to, a physician licensed to practice medicine in all its branches, a physician assistant, an advanced practice registered nurse, or a nurse performing surgery-related tasks within the scope of the nurse's license or registration; or a student or intern from performing surgical technology services under direct supervision, as defined in the Registered Surgical Assistant and Registered Surgical Technologist Title Protection Act.
Who sponsors HB4490     ?
HB4490      is sponsored by Barbara Hernandez (Democrat), Rick Ryan (Democrat), Michael Crawford (Democrat), Stephanie A. Kifowit (Democrat), Dagmara Avelar (Democrat), Janet Yang Rohr (Democrat), Theresa Mah (Democrat), Maura Hirschauer (Democrat), Mary Gill (Democrat), Katie Stuart (Democrat), Michelle Mussman (Democrat), Lilian Jiménez (Democrat), and Aarón M. Ortíz (Democrat).
What is the current status of HB4490     ?
This bill has been introduced in the House. Introduced January 20, 2026. It must pass committee before a floor vote.
Where can I track HB4490     ?
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Last checked for changes 3 months ago · updated continuously

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