HB5390 - 104th General Assembly (2025-2026)

PATIENT BILL & OUTSOURCED CARE
Last Action
4/28/2026 - Senate: Assigned to Executive
Statutes Amended In Order of Appearance
210 ILCS 88/5  
210 ILCS 88/10  
210 ILCS 88/16  
210 ILCS 88/25  
210 ILCS 88/27  
210 ILCS 88/30  
210 ILCS 88/35  
210 ILCS 88/40  
210 ILCS 88/45  
210 ILCS 88/70  
210 ILCS 89/5  
210 ILCS 89/10  
210 ILCS 89/15  
Synopsis As Introduced
Amends the Fair Patient Billing Act. Makes changes to findings and defined terms provisions. Provides that a hospital shall not deny any protection or benefit of the Act on the basis of a patient's citizenship or immigration status or assets or prospective assets. Provides that a patient who inquires about a denial of financial assistance in whole or in part must be permitted to appeal the decision within at least 90 days. Requires a hospital to use only a uniform financial assistance form developed and provided by the Attorney General no later than December 31, 2026. Provides that every hospital bill and every collection notice must notify the patient, in the patient's preferred language, of the availability of hospital financial assistance and charity care. Establishes further provisions concerning hospitals pursuing collection actions; outsourced health care services; patient responsibilities; and applicability of the Act. Amends the Hospital Uninsured Patient Discount Act. Sets forth provisions concerning uninsured patient discounts for specified income levels. Prohibits hospitals from making the availability of a discount under the Act contingent upon the uninsured patient first applying for coverage under public health insurance programs. Provides that patients may not be denied a discount under the Act on the basis of citizenship or immigration status or assets or prospective assets. Makes other changes concerning uninsured patient discounts, outsourcing health care services, and patient responsibilities. Effective immediately.

House Floor Amendment No. 1
Deletes reference to:
210 ILCS 88/5  
210 ILCS 88/10  
210 ILCS 88/16  
210 ILCS 88/25  
210 ILCS 88/30  
210 ILCS 88/35  
210 ILCS 88/40  
210 ILCS 88/45  
210 ILCS 88/70  
210 ILCS 89/5  
210 ILCS 89/10  
210 ILCS 89/15  
Replaces everything after the enacting clause. Amends the Fair Patient Billing Act. Provides that the Attorney General shall, by rule, adopt provisions for a uniform financial assistance form (rather than adopt standard provisions) to be included in all applications for financial assistance. Provides that, on or before December 31, 2026, interested stakeholders (rather than a statewide association representing a majority of hospitals) may submit to the Attorney General recommendations concerning a uniform application (rather than standard provisions to be used in an application) for financial assistance, and the Attorney General shall take reasonably relevant recommendations (rather than those recommendations) into account when adopting specified rules. Provides that approval of eligibility for financial assistance is valid for at least 12 months after the first service date for which the patient submitted a financial assistance application. Requires a hospital to use only a uniform financial assistance form developed and provided by the Attorney General. Effective immediately.
Actions
DateChamberAction
2/06/2026HouseFiled with the Clerk by Rep. Dagmara Avelar
2/10/2026HouseFirst Reading
2/10/2026HouseReferred to Rules Committee
2/24/2026HouseAssigned to Health Care Availability & Accessibility Committee
3/18/2026HouseDo Pass / Short Debate Health Care Availability & Accessibility Committee; 008-004-000
3/19/2026HousePlaced on Calendar 2nd Reading - Short Debate
4/10/2026HouseSecond Reading - Short Debate
4/10/2026HouseHeld on Calendar Order of Second Reading - Short Debate
4/15/2026HouseHouse Floor Amendment No. 1 Filed with Clerk by Rep. Dagmara Avelar
4/15/2026HouseHouse Floor Amendment No. 1 Referred to Rules Committee
4/15/2026HouseHouse Floor Amendment No. 1 Rules Refers to Health Care Availability & Accessibility Committee
4/16/2026HouseHouse Floor Amendment No. 1 Recommends Be Adopted Health Care Availability & Accessibility Committee; 014-000-000
4/16/2026HouseHouse Floor Amendment No. 1 Adopted
4/16/2026HousePlaced on Calendar Order of 3rd Reading - Short Debate
4/16/2026HouseThird Reading - Short Debate - Passed 073-034-000
4/21/2026SenateArrive in Senate
4/21/2026SenatePlaced on Calendar Order of First Reading
4/21/2026SenateChief Senate Sponsor Sen. Omar Aquino
4/21/2026SenateFirst Reading
4/21/2026SenateReferred to Assignments
4/23/2026SenateAdded as Alternate Co-Sponsor Sen. Mike Simmons
4/28/2026SenateAssigned to Executive
4/29/2026SenateAdded as Alternate Co-Sponsor Sen. Mary Edly-Allen