HB 4434 Illinois House · 104th Regular Session

CD CORR-END OF LIFE CARE

Summary
Amends the Unified Code of Corrections. Creates the End-of-life Care Peer Support Program. Provides that the program is available to terminally ill persons committed to the Department of Corrections. Provides that the program shall be administered by the Department of Corrections in partnership with certain health care providers. Provides that individual patients may accept or decline care or participation in the program. Provides that individual patients shall define the scope of peer support, including the option to opt out of certain aspects of support. Provides that patient care plans shall be developed with the individual patient, the patient's peer support attendants, and the interdisciplinary team. Provides that participating patients shall be subject to the least restrictive security measures possible, with access to comfort items such as blankets, memorabilia, music, and books. Provides that participating patients shall have the following rights: (1) the right to dignity, privacy, respect, and culturally competent care; (2) the right to request peer support services; (3) the right to refuse services; and (4) the right to request family visitation. Provides that all participants in the program, including patients and peer support attendants, shall have access to grief counseling and mental health care services as needed. Provides that the program shall be funded through: (1) the Individual Benefit Fund; (2) direct appropriations from the General Revenue Fund; and (3) federal appropriations if applicable.
Bill status passed 3 of 5 stages cleared
Introduction
Apr 2026
Committee Review
Apr 2026
House Passage
Apr 2026
Senate Passage
Governor
Introduced Apr 21, 2026 Last action May 28, 2026
Maddy AI version diff · 1 comparison

What changed between versions

Introduced Engrossed · 5 edits · Apr 16, 2026
MODERATE
The bill was formally marked as 'Engrossed' and reorganized to clarify its purpose of establishing a peer-to-peer end-of-life care program. The text was cleaned up to remove redundant headers and fix formatting inconsistencies in the legislative findings. Substantively, the bill now explicitly defines 'terminal illness' as a condition likely to cause death within 18 months and clarifies that the program expands existing services rather than replacing medical staff.
Scope change
The bill's scope was clarified to explicitly include incarcerated women, who were previously excluded from existing end-of-life care programs, and to formalize the use of incarcerated volunteers as peer support attendants.
DEFINITION

Added a specific definition for 'terminal illness' requiring the condition to be irreversible, incurable, and likely to cause death within 18 months.

ELIGIBILITY

Clarified that the program is available to all incarcerated individuals with terminal illnesses, explicitly ensuring access for incarcerated women who were previously excluded.

REQUIREMENT

Reorganized the legislative findings to remove redundant headers and fix formatting errors in the text regarding prison health statistics and program purposes.

Added a specific finding that peer-to-peer programs can help volunteers achieve employment and career paths after release.

TECHNICAL

Corrected a typo in the findings section regarding the 'looming care worker shortage' and adjusted line numbering for consistency.

Floor votes · House Apr 16, 2026

How they voted

7033
Passed · 13 other
Total votes 116
Apr 16, 2026
D Democratic76
70 Yea 6
92% Yea
R Republican40
33 Nay 7
82% Nay
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
62
Key actions
6
Committee
9
Amendments
4
Apr 21, 2026
Committee
Referred to Assignments
upper
Apr 21, 2026
Introduced
Arrive in Senate
upper
Apr 16, 2026
Amended
House Floor Amendment No. 1 Tabled
lower
Apr 16, 2026
Lower · Passed
Third Reading - Short Debate - Passed 072-033-000
lower
Apr 16, 2026
Lower · Passed
House Floor Amendment No. 2 Adopted
lower
Apr 15, 2026
Lower · Passed
House Floor Amendment No. 2 Recommends Be Adopted Judiciary - Criminal Committee; 010-005-000
lower
Apr 14, 2026
Lower · Passed
House Floor Amendment No. 2 Rules Refers to Judiciary - Criminal Committee
lower
Apr 14, 2026
Committee
House Floor Amendment No. 2 Referred to Rules Committee
lower
Apr 14, 2026
Introduced
House Floor Amendment No. 2 Filed with Clerk by Rep. Nicolle Grasse
lower
Apr 7, 2026
Lower · Passed
House Floor Amendment No. 1 Rules Refers to Judiciary - Criminal Committee
lower
Apr 1, 2026
Committee
House Floor Amendment No. 1 Referred to Rules Committee
lower
Apr 1, 2026
Introduced
House Floor Amendment No. 1 Filed with Clerk by Rep. Nicolle Grasse
lower
Mar 26, 2026
Lower · Passed
Do Pass / Short Debate Judiciary - Criminal Committee; 010-005-000
lower
Feb 11, 2026
Committee
Assigned to Judiciary - Criminal Committee
lower
Jan 20, 2026
Committee
Referred to Rules Committee
lower
1 primary · 34 co-sponsors

Sponsors