HB 5295 Illinois House · 104th Regular Session

REPRODUCTIVE HEALTH PRIVACY

Summary
Creates the Reproductive Health Records Privacy Act. Requires health information exchanges to implement policies and technical capabilities by July 1, 2027, to segregate medical information related to abortion care, restrict access by out-of-state entities, and limit disclosure. Provides enforcement through private actions and civil actions by the Attorney General, including injunctive relief and civil penalties. Defines terms. Amends the Medical Patient Rights Act to clarify patient privacy rights and allow segregation of abortion-related information in health information exchanges. Provides for severability.
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 24, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed Enrolled · 8 edits · Jun 24, 2026
MODERATE
The bill was finalized as Enrolled, incorporating significant changes to how abortion-related health data is handled in electronic health networks. The most critical change is the removal of a strict 'segregation' requirement that forced networks to hide abortion data from out-of-state providers, replacing it with a 'coded' system that allows providers to manually opt out of sharing specific sensitive codes. Additionally, the definition of who can consent to data sharing was expanded to include surrogates and powers of attorney, and the bill was updated to align with federal HIPAA terminology.
Scope change
The bill's scope shifted from a rigid mandate to segregate abortion data to a more flexible framework allowing for manual opt-outs by providers, while expanding the group of people authorized to consent to data sharing.
REQUIREMENT

Deleted the requirement for electronic health networks to automatically segregate or hide abortion-related data from out-of-state providers.

Changed the data sharing rules to allow providers to manually prevent the sharing of private health care codes rather than forcing automatic segregation.

Updated the list of exceptions for sharing data out-of-state to use standard HIPAA terms like 'payment' and 'health care operations' instead of specific state categories.

Removed the specific prohibition against notifying out-of-state networks that data has been segregated.

DEFINITION

Added a new definition for 'coded private health care information' to describe specific medical codes related to abortion and gender dysphoria that can be filtered.

Added a new definition for 'Covered entity' to align the bill's language with federal HIPAA standards.

ELIGIBILITY

Expanded the list of individuals who can consent to data sharing to include health care surrogates and powers of attorney, not just patients and parents.

TECHNICAL

Corrected formatting and spacing in the definitions section to match standard legislative style.

Floor votes · Senate May 30, 2026 · House Apr 16, 2026

How they voted

3719
Passed · 2 other
Total votes 58
May 30, 2026
D Democratic39
37 Yea 2
94% Yea
R Republican19
19 Nay
100% Nay
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
68
Key actions
16
Committee
18
Amendments
5
Jun 24, 2026
Signed into law
Governor Approved
lower
May 31, 2026
Lower · Passed
Passed Both Houses
lower
May 31, 2026
Lower · Passed
Senate Committee Amendment No. 1 House Concurs 073-039-000
lower
May 31, 2026
Lower · Passed
Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Health Care Availability & Accessibility Committee; by Voice Vote
lower
May 30, 2026
Committee
Senate Committee Amendment No. 1 Motion to Concur Rules Referred to Health Care Availability & Accessibility Committee
lower
May 30, 2026
Committee
Senate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee
lower
May 30, 2026
Lower · Passed
Senate Committee Amendment No. 1 Motion Filed Concur Rep. Mary Beth Canty
lower
May 30, 2026
Introduced
Placed on Calendar Order of Concurrence Senate Amendment(s) 1
lower
May 30, 2026
Introduced
Arrived in House
lower
May 30, 2026
Upper · Passed
Third Reading - Passed; 038-019-000
upper
May 20, 2026
Upper · Passed
Do Pass as Amended Executive; 009-004-000
upper
May 20, 2026
Upper · Passed
Senate Committee Amendment No. 1 Adopted
upper
May 20, 2026
Upper · Passed
Senate Committee Amendment No. 1 Assignments Refers to Executive
upper
May 20, 2026
Committee
Senate Committee Amendment No. 1 Referred to Assignments
upper
May 20, 2026
Introduced
Senate Committee Amendment No. 1 Filed with Secretary by Sen. Celina Villanueva
upper
May 15, 2026
Upper · Passed
Rule 2-10 Committee Deadline Established As May 22, 2026
upper
May 8, 2026
Upper · Passed
Rule 2-10 Committee Deadline Established As May 15, 2026
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
Lower · Passed
Third Reading - Standard Debate - Passed 073-034-000
lower
Apr 16, 2026
Lower · Passed
House Floor Amendment No. 1 Adopted
lower
Apr 15, 2026
Lower · Passed
House Floor Amendment No. 1 Recommends Be Adopted Health Care Availability & Accessibility Committee; 009-005-000
lower
Apr 14, 2026
Lower · Passed
House Floor Amendment No. 1 Rules Refers to Health Care Availability & Accessibility Committee
lower
Apr 14, 2026
Committee
House Floor Amendment No. 1 Referred to Rules Committee
lower
Apr 14, 2026
Introduced
House Floor Amendment No. 1 Filed with Clerk by Rep. Mary Beth Canty
lower
Mar 18, 2026
Lower · Passed
Do Pass / Short Debate Health Care Availability & Accessibility Committee; 009-004-000
lower
Mar 12, 2026
Committee
Assigned to Health Care Availability & Accessibility Committee
lower
Feb 10, 2026
Committee
Referred to Rules Committee
lower
2 primary · 16 co-sponsors

Sponsors