Illinois 104th General Assembly Status: To Executive 5 D cosponsors

HB4757      — HEALTH CARE FACILITY PLANNING

Last action — Public Act . . . . . . . . . 104-0557

  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 February 02, 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 74% · moderate confidence

  • To Executive

    Current position in the legislative process.

  • 8 sponsors

    1 primary, 7 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (5 D).

  • Cleared a recorded vote

    Passed 7 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 updates how health facility applications are reviewed and approved in Illinois.

This legislation modifies the Illinois Health Facilities Planning Act to allow a review of applications for health facility exemptions. The State Board can approve, deny, or request more information on applications for Certificates of Need or Exemption.

What this means for you
  • Healthcare: This means that healthcare facilities seeking exemptions will undergo a revised review process by the State Board.

Summary

Amends Illinois Health Facilities Planning Act. Provides that the Health Facilities and Services Review Board may review the applicable criteria in the consideration of any application for an exemption submitted under the Act. Provides that, upon review and consideration, the State Board may approve, deny, or defer for additional information an application for a Certificate of Need or Certificate of Exemption. Makes changes in provisions concerning administrative hearings; powers and duties of State Board; powers of the State Board staff; and review and investigation of applications for permits.

Bill Text

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

Read HB4757 on the official Illinois source →

Action History

  1. Public Act . . . . . . . . . 104-0557

  2. Effective Date January 1, 2027

  3. Governor Approved

  4. Sent to the Governor

  5. Passed Both Houses

  6. House Concurs

  7. Senate Committee Amendment No. 1 House Concurs 111-000-000

  8. Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Human Services Committee; 012-000-000

  9. Senate Committee Amendment No. 1 Motion to Concur Rules Referred to Human Services Committee

  10. Senate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee

  11. Senate Committee Amendment No. 1 Motion Filed Concur Rep. Theresa Mah

  12. Placed on Calendar Order of Concurrence Senate Amendment(s) 1

  13. Arrived in House

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

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

  16. Placed on Calendar Order of 3rd Reading May 18, 2026

  17. Second Reading

  18. Placed on Calendar Order of 2nd Reading May 7, 2026

  19. Do Pass as Amended Health and Human Services; 009-000-000

  20. Senate Committee Amendment No. 1 Adopted

  21. Senate Committee Amendment No. 1 Assignments Refers to Health and Human Services

  22. Added as Alternate Co-Sponsor Sen. Rachel Ventura

  23. Senate Committee Amendment No. 1 Referred to Assignments

  24. Senate Committee Amendment No. 1 Filed with Secretary by Sen. Omar Aquino

  25. Assigned to Health and Human Services

  26. Added as Alternate Co-Sponsor Sen. Karina Villa

  27. Referred to Assignments

  28. First Reading

  29. Chief Senate Sponsor Sen. Omar Aquino

  30. Placed on Calendar Order of First Reading

  31. Arrive in Senate

  32. Added Chief Co-Sponsor Rep. Debbie Meyers-Martin

  33. Added Chief Co-Sponsor Rep. William "Will" Davis

  34. Added Chief Co-Sponsor Rep. Suzanne M. Ness

  35. Third Reading - Short Debate - Passed 104-000-000

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

  37. House Floor Amendment No. 1 Adopted

  38. House Floor Amendment No. 1 Recommends Be Adopted Human Services Committee; 012-000-000

  39. House Floor Amendment No. 1 Rules Refers to Human Services Committee

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

  41. House Floor Amendment No. 1 Filed with Clerk by Rep. Theresa Mah

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

  43. Second Reading - Short Debate

  44. Placed on Calendar 2nd Reading - Short Debate

  45. Do Pass / Short Debate Human Services Committee; 011-000-000

  46. Added Co-Sponsor Rep. Amy Briel

  47. Assigned to Human Services Committee

  48. Referred to Rules Committee

  49. First Reading

  50. Filed with the Clerk by Rep. Theresa Mah

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 7 co-sponsors · 175 not signed on

Sponsors (1)

Co-sponsors (7)

Not signed on (175)

175 members have not signed on to this bill.

Show all 175 →

"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

Concurrence

Passed 111 Yea · 0 Nay
Party YeaNayPresentNot Voting
Democrat 71004
Republican 36003
Unaffiliated 3000
Total 110007
% of votes cast 94%0%0%6%
How each member voted (117)
Member Party Vote
Jacobs — Yea
Johnson — Yea
Hernandez, Lisa — Yea
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 Not Voting
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 Yea
Fred Crespo Democrat Yea
Harry Benton Democrat Yea
Hoan Huynh Democrat Yea
Jaime M. Andrade, Jr. Democrat Not Voting
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 Yea
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 Not Voting
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 Not Voting
Amy Elik Republican Yea
Amy L. Grant Republican Yea
Blaine Wilhour Republican Not Voting
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 Yea
Dan Swanson Republican Yea
Daniel J. Ugaste Republican Yea
Dave Severin Republican Yea
David Friess Republican Yea
Dennis Tipsword Republican Yea
Jackie Haas Republican Not Voting
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 Yea
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 Yea
William E Hauter Republican Yea

Official roll call →

Human Services

Passed 12 Yea · 0 Nay
Party YeaNayPresentNot Voting
Democrat 8000
Republican 4000
Total 12000
% of votes cast 100%0%0%0%
How each member voted (12)
Member Party Vote
Amy Briel Democrat Yea
Anna Moeller Democrat Yea
Kelly M. Cassidy Democrat Yea
Lindsey LaPointe Democrat Yea
Margaret A. DeLaRosa Democrat Yea
Michael Crawford Democrat Yea
Nicolle Grasse Democrat Yea
Yolonda Morris Democrat Yea
Amy Elik Republican Yea
Charles Meier Republican Yea
Kevin Schmidt Republican Yea
Norine K. Hammond Republican Yea

Official roll call →

May 21, 2026

Passed 59 Yea · 0 Nay
Party YeaNayPresentNot Voting
Democrat 38000
Republican 19000
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 →

Health and Human Services

Passed 9 Yea · 0 Nay · 3 Other
Party YeaNayPresentNot Voting
Republican 3001
Democrat 6002
Total 9003
% of votes cast 75%0%0%25%
How each member voted (12)
Member Party Vote
David Koehler Democrat Yea
Doris Turner Democrat Yea
Elgie R. Sims, Jr. Democrat Not Voting
Julie A. Morrison Democrat Yea
Karina Villa Democrat Yea
Kimberly A. Lightford Democrat Yea
Laura Fine Democrat Not Voting
Mary Edly-Allen Democrat Yea
Dave Syverson Republican Not Voting
Jason Plummer Republican Yea
Li Arellano, Jr. Republican Yea
Neil Anderson Republican Yea

Official roll call →

Third Reading

Passed 104 Yea · 0 Nay
Party YeaNayPresentNot Voting
Democrat 67008
Republican 33006
Unaffiliated 3000
Total 1030014
% of votes cast 88%0%0%12%
How each member voted (117)
Member Party Vote
Jacobs — Yea
Johnson — Yea
Hernandez, Lisa — Yea
Aarón M. Ortíz Democrat Yea
Abdelnasser Rashid Democrat Yea
Amy Briel Democrat Yea
Angelica Guerrero-Cuellar Democrat Not Voting
Ann M. Williams Democrat Yea
Anna Moeller Democrat Yea
Anne Stava Democrat Not Voting
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 Not Voting
Debbie Meyers-Martin Democrat Yea
Diane Blair-Sherlock Democrat Yea
Edgar González, Jr. Democrat Yea
Eva-Dina Delgado Democrat Yea
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 Not Voting
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 Yea
Margaret A. DeLaRosa Democrat Yea
Margaret Croke Democrat Yea
Martha Deuter Democrat Yea
Mary Beth Canty Democrat Yea
Mary Gill Democrat Not Voting
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 Not Voting
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 Not Voting
Blaine Wilhour Republican Yea
Brad Halbrook Republican Yea
Brad Stephens Republican Not Voting
Bradley Fritts Republican Yea
Brandun Schweizer Republican Yea
Charles Meier Republican Yea
Chris Miller Republican Yea
Christopher "C.D." Davidsmeyer Republican Yea
Dan Swanson Republican Yea
Daniel J. Ugaste Republican Yea
Dave Severin Republican Yea
David Friess Republican Yea
Dennis Tipsword Republican Not Voting
Jackie Haas Republican Not Voting
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 Yea
Patrick Sheehan Republican Yea
Patrick Windhorst Republican Yea
Regan Deering Republican Yea
Ryan Spain Republican Not Voting
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 →

Human Services

Passed 12 Yea · 0 Nay
Party YeaNayPresentNot Voting
Democrat 8000
Republican 4000
Total 12000
% of votes cast 100%0%0%0%
How each member voted (12)
Member Party Vote
Amy Briel Democrat Yea
Anna Moeller Democrat Yea
Kelly M. Cassidy Democrat Yea
Lindsey LaPointe Democrat Yea
Margaret A. DeLaRosa Democrat Yea
Nicolle Grasse Democrat Yea
Suzanne M. Ness Democrat Yea
Yolonda Morris Democrat Yea
Charles Meier Republican Yea
Jackie Haas Republican Yea
Kevin Schmidt Republican Yea
Norine K. Hammond Republican Yea

Official roll call →

Human Services

Passed 11 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Democrat 7001
Republican 4000
Total 11001
% of votes cast 92%0%0%8%
How each member voted (12)
Member Party Vote
Amy Briel Democrat Yea
Anna Moeller Democrat Yea
Lindsey LaPointe Democrat Yea
Margaret A. DeLaRosa Democrat Not Voting
Michael Crawford Democrat Yea
Nicolle Grasse Democrat Yea
Suzanne M. Ness Democrat Yea
Yolonda Morris Democrat Yea
Charles Meier Republican Yea
Jackie Haas Republican Yea
Kevin Schmidt Republican Yea
Norine K. Hammond Republican Yea

Official roll call →

Subjects

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 HB4757      do?
Amends Illinois Health Facilities Planning Act. Provides that the Health Facilities and Services Review Board may review the applicable criteria in the consideration of any application for an exemption submitted under the Act. Provides that, upon review and consideration, the State Board may approve, deny, or defer for additional information an application for a Certificate of Need or Certificate of Exemption. Makes changes in provisions concerning administrative hearings; powers and duties of State Board; powers of the State Board staff; and review and investigation of applications for permits.
Who sponsors HB4757     ?
HB4757      is sponsored by Omar Aquino, Karina Villa, Rachel Ventura, Theresa Mah (Democrat), Suzanne M. Ness (Democrat), William "Will" Davis (Democrat), Debbie Meyers-Martin (Democrat), and Amy Briel (Democrat).
What is the current status of HB4757     ?
This bill has been sent to the executive. Introduced February 02, 2026. It awaits signature.
Where can I track HB4757     ?
Track HB4757      free on One Click Politics — get push/email alerts when it moves.

Make your voice heard on HB4757     

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 HB4757     

Last checked for changes 3 months ago · updated continuously

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

Track this bill →