HB 1431 Illinois House · 104th Regular Session

FACILITY FEE TRANSPARENCY

Summary
Creates the Health Care Facility Fee Transparency Act. Sets forth provisions concerning notice requirements for a hospital or health system that charges a facility fee using a current procedural terminology evaluation code or assessment and management code for outpatient services provided at a hospital-based facility where a professional fee is also expected to be charged. Provides notice requirements for hospital-based facilities created or acquired through a business transaction. Establishes limitations on facility fees. Sets forth provisions concerning facility fee billing statements, reporting of facility fees charged by each hospital and health system, and enforcement of the Act by the Department of Public Health. Amends the Consumer Fraud and Deceptive Business Practices Act. Provides that it is an unlawful practice if, from the date of the transaction, a hospital, health system, or hospital-based facility does not wait at least 30 days after the written notice has been mailed to the patient or a copy of the notice has been filed with the Department of Public Health to collect a facility fee for services provided at a hospital-based facility.
Bill status signed all 5 stages cleared
Introduction
Apr 2025
Committee Review
May 2025
House Passage
May 2025
Senate Passage
May 2025
Signed into Law
Aug 2025
Introduced Apr 8, 2025 Signed Aug 15, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed Enrolled · 6 edits · Aug 15, 2025
MODERATE
The bill was finalized as an enrolled version, adding a new enforcement section and modifying an existing one. These changes expand the bill's scope by giving the Attorney General specific powers to investigate violations, issue subpoenas, and seek court orders against hospitals. It also establishes a process for hospitals to submit correction plans and creates a specific state fund to receive payments from civil penalties.
Scope change
The bill's scope expanded from primarily regulating billing information to including active enforcement mechanisms and financial penalties for non-compliance.
ENFORCEMENT

Added a new Section 55 granting the Attorney General authority to investigate violations, issue subpoenas, and bring legal actions against hospitals.

Added a requirement for the Attorney General to develop a formal process for handling complaints from individuals or hospitals.

Added authority for the Attorney General to seek civil monetary penalties of up to $500 or $1,000 per violation depending on the nature of the offense.

Added the ability to refer hospitals to the Department of Public Health for potential license revocation after a court order.

FISCAL

Created a new state fund to collect and use money from civil penalties assessed against hospitals that knowingly violate the Act.

REQUIREMENT

Modified an existing section to include minor formatting adjustments to the list of services and expenses covered by facility fees.

Floor votes · Senate May 21, 2025 · House Apr 7, 2025

How they voted

570
Passed · 1 other
Total votes 58
May 21, 2025
D Democratic39
38 Yea 1
97% Yea
R Republican19
19 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
42
Key actions
10
Committee
12
Amendments
9
Aug 15, 2025
Signed into law
Governor Approved
lower
May 30, 2025
Lower · Passed
Passed Both Houses
lower
May 30, 2025
Introduced
Senate Floor Amendment No. 1 House Concurs 112-001-000
lower
May 29, 2025
Lower · Passed
Senate Floor Amendment No. 1 Motion to Concur Recommends Be Adopted Human Services Committee; 012-000-000
lower
May 28, 2025
Committee
Senate Floor Amendment No. 1 Motion to Concur Rules Referred to Human Services Committee
lower
May 21, 2025
Committee
Senate Floor Amendment No. 1 Motion to Concur Referred to Rules Committee
lower
May 21, 2025
Introduced
Senate Floor Amendment No. 1 Motion Filed Concur Rep. Maurice A. West, II
lower
May 21, 2025
Introduced
Placed on Calendar Order of Concurrence Senate Amendment(s) 1
lower
May 21, 2025
Introduced
Arrived in House
lower
May 21, 2025
Upper · Passed
Third Reading - Passed; 058-000-000
upper
May 8, 2025
Upper · Passed
Senate Floor Amendment No. 1 Adopted; Stadelman
upper
May 7, 2025
Introduced
Senate Floor Amendment No. 1 Recommend Do Adopt Health and Human Services; 009-000-000
upper
May 6, 2025
Introduced
Senate Floor Amendment No. 1 Assignments Refers to Health and Human Services
upper
May 1, 2025
Committee
Senate Floor Amendment No. 1 Referred to Assignments
upper
May 1, 2025
Introduced
Senate Floor Amendment No. 1 Filed with Secretary by Sen. Steve Stadelman
upper
Apr 30, 2025
Upper · Passed
Do Pass Health and Human Services; 008-000-000
upper
Apr 23, 2025
Committee
Assigned to Health and Human Services
upper
Apr 9, 2025
Committee
Referred to Assignments
upper
Apr 8, 2025
Introduced
Arrive in Senate
upper
Apr 7, 2025
Lower · Passed
Third Reading - Short Debate - Passed 103-000-000
lower
Mar 19, 2025
Lower · Passed
Do Pass as Amended / Short Debate Human Services Committee; 012-000-000
lower
Mar 19, 2025
Lower · Passed
House Committee Amendment No. 1 Adopted in Human Services Committee; by Voice Vote
lower
Mar 18, 2025
Lower · Passed
House Committee Amendment No. 1 Rules Refers to Human Services Committee
lower
Mar 17, 2025
Committee
House Committee Amendment No. 1 Referred to Rules Committee
lower
Mar 17, 2025
Introduced
House Committee Amendment No. 1 Filed with Clerk by Rep. Maurice A. West, II
lower
Feb 18, 2025
Committee
Assigned to Human Services Committee
lower
Jan 28, 2025
Committee
Referred to Rules Committee
lower
2 primary · 0 co-sponsors

Sponsors