Illinois 104th General Assembly Status: Introduced 37 D cosponsors

HB4701      — LIMITATIONS FACILITY FEES ACT

Last action — Added Co-Sponsor Rep. Gregg Johnson

  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 29, 2026. 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

Advancing 38% · moderate confidence

  • Introduced

    Current position in the legislative process.

  • 38 sponsors

    1 primary, 37 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (37 D).

  • Cleared a recorded vote

    Passed 2 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

The bill limits when healthcare providers can charge facility fees.

The Limitations on Facility Fees Act restricts healthcare providers from charging facility fees for most outpatient services. It allows such fees only for specific services provided in designated locations, aiming to reduce unexpected medical costs for patients.

What this means for you
  • Workers: Healthcare workers may need to adjust billing practices and understand new regulations regarding facility fees.
  • Consumers: Patients may face fewer unexpected charges for outpatient services, potentially lowering their overall healthcare costs.

Summary

Creates the Limitations on Facility Fees Act. Provides that no health care provider shall charge, bill, or collect a facility fee, except for: (i) services provided on a hospital's campus; (ii) services provided at a facility that includes a licensed hospital emergency department; or (iii) emergency services provided at a freestanding emergency center. Provides that, except as specified, no health care provider shall charge, bill, or collect a facility fee for: (i) outpatient evaluation and management services; or (ii) any other outpatient, diagnostic, or imaging services identified by the Department of Public Health. Requires the Department to annually identify services subject to the limitations on specified facility fees that may reliably be provided safely and effectively in settings other than hospitals. Sets forth provisions concerning reporting, rulemaking, and enforcement of the Act. Amends the Fair Patient Billing Act to make a conforming change. Amends the Consumer Fraud and Deceptive Business Practices Act. Provides that any person who violates the Limitations on Facility Fees Act commits an unlawful practice.

Bill Text

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

Read HB4701 on the official Illinois source →

Action History

  1. Added Co-Sponsor Rep. Gregg Johnson

  2. House Floor Amendment No. 1 Rule 19(c) / Re-referred to Rules Committee

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

  4. House Floor Amendment No. 1 Recommends Be Adopted Health Care Availability & Accessibility Committee; 008-005-000

  5. House Floor Amendment No. 1 Rules Refers to Health Care Availability & Accessibility Committee

  6. House Floor Amendment No. 1 Referred to Rules Committee

  7. House Floor Amendment No. 1 Filed with Clerk by Rep. Tracy Katz Muhl

  8. Held on Calendar Order of Second Reading - Short Debate

  9. Second Reading - Short Debate

  10. Added Co-Sponsor Rep. Anne Stava

  11. Added Co-Sponsor Rep. Amy Briel

  12. Added Co-Sponsor Rep. Daniel Didech

  13. Added Co-Sponsor Rep. Jawaharial Williams

  14. Added Co-Sponsor Rep. William "Will" Davis

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

  16. Added Co-Sponsor Rep. Katie Stuart

  17. Added Co-Sponsor Rep. La Shawn K. Ford

  18. Added Co-Sponsor Rep. Norma Hernandez

  19. Added Co-Sponsor Rep. Rita Mayfield

  20. Added Co-Sponsor Rep. Janet Yang Rohr

  21. Added Co-Sponsor Rep. Jaime M. Andrade, Jr.

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

  23. Added Co-Sponsor Rep. Sharon Chung

  24. Added Co-Sponsor Rep. Sonya M. Harper

  25. Added Co-Sponsor Rep. Lawrence "Larry" Walsh, Jr.

  26. Added Co-Sponsor Rep. Curtis J. Tarver, II

  27. Added Co-Sponsor Rep. Mary Beth Canty

  28. Added Co-Sponsor Rep. Kevin John Olickal

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

  30. Added Co-Sponsor Rep. Barbara Hernandez

  31. Added Co-Sponsor Rep. Maura Hirschauer

  32. Added Co-Sponsor Rep. Suzanne M. Ness

  33. Added Co-Sponsor Rep. Sue Scherer

  34. Added Co-Sponsor Rep. Anna Moeller

  35. Added Co-Sponsor Rep. Yolonda Morris

  36. Added Co-Sponsor Rep. Lisa Davis

  37. Added Co-Sponsor Rep. Michael Crawford

  38. Added Co-Sponsor Rep. Nabeela Syed

  39. Added Co-Sponsor Rep. Will Guzzardi

  40. Added Chief Co-Sponsor Rep. Martha Deuter

  41. Added Co-Sponsor Rep. Maurice A. West, II

  42. Added Co-Sponsor Rep. Justin Cochran

  43. Placed on Calendar 2nd Reading - Short Debate

  44. Added Co-Sponsor Rep. Theresa Mah

  45. Added Co-Sponsor Rep. Nicolle Grasse

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

  47. Do Pass / Short Debate Health Care Availability & Accessibility Committee; 013-000-000

  48. Assigned to Health Care Availability & Accessibility Committee

  49. Referred to Rules Committee

  50. First Reading

  51. Filed with the Clerk by Rep. Tracy Katz Muhl

Sponsors

Sponsorship breakdown

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1 sponsors · 37 co-sponsors · 145 not signed on · 5 voted No

Sponsors (1)

Co-sponsors (37)

Not signed on (145)

145 members have not signed on to this bill.

Show all 145 →

"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

Health Care Availability & Access

Passed 8 Yea · 5 Nay · 1 Other
Party YeaNayPresentNot Voting
Democrat 8001
Republican 0500
Total 8501
% of votes cast 57%36%0%7%
How each member voted (14)
Member Party Vote
Dagmara Avelar Democrat Yea
Justin Cochran Democrat Yea
Michael Crawford Democrat Yea
Nabeela Syed Democrat Not Voting
Natalie A. Manley Democrat Yea
Nicolle Grasse Democrat Yea
Theresa Mah Democrat Yea
Tracy Katz Muhl Democrat Yea
Yolonda Morris Democrat Yea
Jackie Haas Republican Nay
Jennifer Sanalitro Republican Nay
Kevin Schmidt Republican Nay
Nicole La Ha Republican Nay
William E Hauter Republican Nay

Official roll call →

Health Care Availability & Access

Passed 13 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Democrat 9000
Republican 4001
Total 13001
% of votes cast 93%0%0%7%
How each member voted (14)
Member Party Vote
Camille Y. Lilly Democrat Yea
Dagmara Avelar Democrat Yea
Justin Cochran Democrat Yea
Michael Crawford Democrat Yea
Nabeela Syed Democrat Yea
Natalie A. Manley Democrat Yea
Nicolle Grasse Democrat Yea
Theresa Mah Democrat Yea
Yolonda Morris Democrat Yea
Jackie Haas Republican Yea
Jennifer Sanalitro Republican Yea
Kevin Schmidt Republican Yea
Nicole La Ha Republican Yea
William E Hauter Republican Not Voting

Official roll call →

Subjects

healthcare health-insurance
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 HB4701      do?
Creates the Limitations on Facility Fees Act. Provides that no health care provider shall charge, bill, or collect a facility fee, except for: (i) services provided on a hospital's campus; (ii) services provided at a facility that includes a licensed hospital emergency department; or (iii) emergency services provided at a freestanding emergency center. Provides that, except as specified, no health care provider shall charge, bill, or collect a facility fee for: (i) outpatient evaluation and management services; or (ii) any other outpatient, diagnostic, or imaging services identified by the Department of Public Health. Requires the Department to annually identify services subject to the limitations on specified facility fees that may reliably be provided safely and effectively in settings other than hospitals. Sets forth provisions concerning reporting, rulemaking, and enforcement of the Act. Amends the Fair Patient Billing Act to make a conforming change. Amends the Consumer Fraud and Deceptive Business Practices Act. Provides that any person who violates the Limitations on Facility Fees Act commits an unlawful practice.
Who sponsors HB4701     ?
HB4701      is sponsored by Tracy Katz Muhl (Democrat), Martha Deuter (Democrat), Natalie A. Manley (Democrat), Gregg Johnson, Nicolle Grasse (Democrat), Theresa Mah (Democrat), Justin Cochran (Democrat), Maurice A. West, II (Democrat), Will Guzzardi (Democrat), Nabeela Syed (Democrat), Michael Crawford (Democrat), Lisa Davis (Democrat), Yolonda Morris (Democrat), Anna Moeller (Democrat), Sue Scherer (Democrat), Suzanne M. Ness (Democrat), Maura Hirschauer (Democrat), Barbara Hernandez (Democrat), Kelly M. Cassidy (Democrat), Kevin John Olickal (Democrat), Mary Beth Canty (Democrat), Curtis J. Tarver, II (Democrat), Lawrence "Larry" Walsh, Jr. (Democrat), Sonya M. Harper (Democrat), Sharon Chung (Democrat), Edgar González, Jr. (Democrat), Jaime M. Andrade, Jr. (Democrat), Janet Yang Rohr (Democrat), Rita Mayfield (Democrat), Norma Hernandez (Democrat), La Shawn K. Ford (Democrat), Katie Stuart (Democrat), Margaret A. DeLaRosa (Democrat), William "Will" Davis (Democrat), Jawaharial Williams (Democrat), Daniel Didech (Democrat), Amy Briel (Democrat), and Anne Stava (Democrat).
What is the current status of HB4701     ?
This bill has been introduced in the House. Introduced January 29, 2026. It must pass committee before a floor vote.
Where can I track HB4701     ?
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