SB 3445 Illinois Senate · 104th Regular Session

KIDNEY TREATMENT DELEGATE ACT

Summary
Creates the Kidney Disease Treatment Delegation Act. Provides that, notwithstanding any provision of the Nurse Practice Act or any rule of the Department of Financial and Professional Regulation to the contrary, delegation, including, but not limited to, delegation of the performance of central venous catheter procedures in a kidney disease treatment center, shall only be allowed if the individual receiving delegation is a licensed practical nurse who has obtained the proper training, education, and experience or a certified dialysis technician who currently holds, or is in the process of acquiring, the necessary experience to apply for and obtain certification as a certified clinical hemodialysis technician by the Nephrology Nursing Certification Commission or a Certified Hemodialysis Technologist/Technician by the Board of Nephrology Examiners Nursing and Technology. Sets forth additional provisions concerning delegation of duties in a kidney disease treatment center. Provides that the Department is authorized to adopt rules for the administration and enforcement of the Act, and the rules may define standards and criteria for the necessary training, education, and experience for licensed practical nurses to obtain before receiving delegation under the Act. Amends the Nurse Practice Act. Provides that a violation of the Kidney Disease Treatment Delegation Act is grounds for disciplinary action. Effective immediately.
Bill status signed all 5 stages cleared
Introduction
Apr 2026
Committee Review
May 2026
Senate Passage
May 2026
House Passage
May 2026
Signed into Law
Jul 2026
Introduced Apr 17, 2026 Signed Jul 31, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed Enrolled · 1 edit · Jul 31, 2026
MINOR
The bill text was updated from its 'Engrossed' version to the final 'Enrolled' version, which is the official text signed into law. The changes consist entirely of replacing the draft version headers with the final version headers and updating the pagination numbers to reflect the final document structure. There are no substantive policy changes, new definitions, or altered requirements in this specific diff.
TECHNICAL

Updated document headers to change the status from 'Engrossed' to 'Enrolled' and adjusted page numbering to match the final legislative text.

Floor votes · Senate Apr 16, 2026 · House May 21, 2026

How they voted

531
Passed · 4 other
Total votes 58
Apr 16, 2026
D Democratic39
35 Yea 4
89% Yea
R Republican19
18 Yea 1 Nay
94% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
43
Key actions
7
Committee
7
Amendments
4
Jul 31, 2026
Signed into law
Governor Approved
upper
May 21, 2026
Upper · Passed
Passed Both Houses
upper
May 21, 2026
Lower · Passed
Third Reading - Short Debate - Passed 108-000-000
lower
May 6, 2026
Lower · Passed
Do Pass / Short Debate Health Care Licenses Committee; 014-000-000
lower
Apr 27, 2026
Committee
Assigned to Health Care Licenses Committee
lower
Apr 17, 2026
Committee
Referred to Rules Committee
lower
Apr 17, 2026
Introduced
Arrived in House
lower
Apr 16, 2026
Upper · Passed
Third Reading - Passed; 054-001-000
upper
Apr 16, 2026
Upper · Passed
Senate Floor Amendment No. 1 Adopted; Cunningham
upper
Apr 15, 2026
Introduced
Senate Floor Amendment No. 1 Recommend Do Adopt Licensed Activities; 008-000-000
upper
Apr 14, 2026
Introduced
Senate Floor Amendment No. 1 Assignments Refers to Licensed Activities
upper
Apr 13, 2026
Committee
Senate Floor Amendment No. 1 Referred to Assignments
upper
Apr 13, 2026
Introduced
Senate Floor Amendment No. 1 Filed with Secretary by Sen. Bill Cunningham
upper
Mar 11, 2026
Upper · Passed
Do Pass Licensed Activities; 008-000-000
upper
Feb 17, 2026
Committee
Assigned to Licensed Activities
upper
Feb 4, 2026
Committee
Referred to Assignments
upper
2 primary · 10 co-sponsors

Sponsors