HB 4461 Illinois House · 104th Regular Session

HOSPITAL COLLECTION LIENS

Summary

Amends the Fair Patient Billing Act. In provisions concerning hospitals and their agents pursuing collection actions, provides that, for any legal action initiated against a patient for unpaid medical debt, a hospital may not file for or be granted a lien upon that patient's primary residence or on any other real property owned by the patient. Effective January 1, 2027.

Issues: ✓ Healthcare ✓ Housing

Bill status signed all 5 stages cleared

Introduction

Apr 2026

Committee Review

May 2026

House Passage

May 2026

Senate Passage

May 2026

Signed into Law

Jun 2026

Introduced Apr 21, 2026 Signed Jun 26, 2026

Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed → Enrolled · 1 edit · Jun 26, 2026

MINOR

The bill transitioned from its Engrossed version to the final Enrolled version, which includes minor formatting updates to the header and page footers. The substantive policy text regarding hospital billing, payment plans, and collection restrictions remains unchanged.

Scope change

No change in the bill's scope or applicability; the text of the law is identical.

TECHNICAL

Updated the document header and page footers to reflect the 'Enrolled' status instead of 'Engrossed', indicating the bill has been signed into law.

Floor votes · Senate May 19, 2026 · House Apr 16, 2026

How they voted

45–12

Passed · 1 other

Total votes 58

May 19, 2026

D Democratic39

39 Yea

100% Yea

R Republican19

6 Yea 12 Nay 1

63% Nay

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Jun 26, 2026

Signed into law

Governor Approved

lower

May 19, 2026

Lower · Passed

Passed Both Houses

lower

May 19, 2026

Upper · Passed

Third Reading - Passed; 046-012-000

upper

May 6, 2026

Upper · Passed

Do Pass Executive; 009-002-000

upper

Apr 28, 2026

Committee

Assigned to Executive

upper

Apr 21, 2026

Committee

Referred to Assignments

upper

Apr 21, 2026

Introduced

Arrive in Senate

upper

Apr 16, 2026

Amended

House Floor Amendment No. 2 Tabled

lower

Apr 16, 2026

Amended

House Floor Amendment No. 1 Tabled

lower

Apr 16, 2026

Lower · Passed

Third Reading - Short Debate - Passed 074-037-000

lower

Apr 16, 2026

Lower · Passed

House Floor Amendment No. 3 Adopted

lower

Apr 15, 2026

Lower · Passed

House Floor Amendment No. 3 Recommends Be Adopted Judiciary - Civil Committee; 011-007-000

lower

Apr 15, 2026

Lower · Passed

House Floor Amendment No. 3 Rules Refers to Judiciary - Civil Committee

lower

Apr 14, 2026

Committee

House Floor Amendment No. 3 Referred to Rules Committee

lower

Apr 14, 2026

Introduced

House Floor Amendment No. 3 Filed with Clerk by Rep. Amy Briel

lower

Apr 8, 2026

Lower · Passed

House Floor Amendment No. 2 Rules Refers to Judiciary - Civil Committee

lower

Apr 8, 2026

Committee

House Floor Amendment No. 2 Referred to Rules Committee

lower

Apr 8, 2026

Introduced

House Floor Amendment No. 2 Filed with Clerk by Rep. Amy Briel

lower

Apr 7, 2026

Lower · Passed

House Floor Amendment No. 1 Rules Refers to Judiciary - Civil Committee

lower

Mar 30, 2026

Committee

House Floor Amendment No. 1 Referred to Rules Committee

lower

Mar 30, 2026

Introduced

House Floor Amendment No. 1 Filed with Clerk by Rep. Amy Briel

lower

Mar 26, 2026

Lower · Passed

Do Pass / Short Debate Judiciary - Civil Committee; 013-007-000

lower

Feb 11, 2026

Committee

Assigned to Judiciary - Civil Committee

lower

Jan 20, 2026

Committee

Referred to Rules Committee

lower

2 primary · 32 co-sponsors