HB 4403 Illinois House · 104th Regular Session

EPA-MEDICAL WASTE SHIPPING

Summary

Amends the Environmental Protection Act. Provides that no person shall cause or allow the delivery or transfer of any potentially infectious medical waste for transport unless, among other things, the potentially infectious medical waste is accompanied by completed shipping papers that meet the requirements of federal hazardous materials transportation regulations (rather than a potentially infectious medical waste manifest from the Illinois Environmental Protection Agency) if required under the Act for transport of that waste. Provides that, except in specified circumstances, no person shall transport potentially infectious medical waste, unless the transporter carries completed shipping papers for the waste that meet the requirements of the federal hazardous materials transportation regulations (rather than a manifest from the Illinois Environmental Protection Agency). Provides that the potentially infectious medical waste transportation fees are 5 cents (rather than 3 cents) per pound of potentially infectious medical waste. Makes other and conforming changes. Effective July 1, 2026.

Bill status signed all 5 stages cleared

Introduction

Apr 2026

Committee Review

Apr 2026

House Passage

May 2026

Senate Passage

May 2026

Signed into Law

Jul 2026

Introduced Apr 10, 2026 Signed Jul 24, 2026

Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed → Enrolled · 1 edit · Jul 24, 2026

MINOR

The bill text was updated from its 'Engrossed' version to the final 'Enrolled' version ready for signing. The changes are primarily technical formatting adjustments, such as correcting spacing and indentation, rather than substantive policy modifications to the law's content.

TECHNICAL

Fixed inconsistent spacing and indentation in the header and various sections of the text to ensure a clean final version.

Floor votes · Senate May 21, 2026 · House Apr 8, 2026

How they voted

58–0

Passed

Total votes 58

May 21, 2026

D Democratic39

39 Yea

100% Yea

R Republican19

19 Yea

100% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Jul 24, 2026

Signed into law

Governor Approved

lower

May 21, 2026

Lower · Passed

Passed Both Houses

lower

May 21, 2026

Upper · Passed

Third Reading - Passed; 059-000-000

upper

Apr 29, 2026

Upper · Passed

Do Pass Public Health; 006-000-000

upper

Apr 22, 2026

Committee

Assigned to Public Health

upper

Apr 10, 2026

Committee

Referred to Assignments

upper

Apr 10, 2026

Introduced

Arrive in Senate

upper

Apr 8, 2026

Lower · Passed

Third Reading - Short Debate - Passed 110-000-000

lower

Apr 7, 2026

Lower · Passed

House Floor Amendment No. 2 Adopted

lower

Mar 18, 2026

Lower · Passed

House Floor Amendment No. 2 Recommends Be Adopted Rules Committee; 005-000-000

lower

Feb 25, 2026

Committee

House Floor Amendment No. 2 Referred to Rules Committee

lower

Feb 25, 2026

Introduced

House Floor Amendment No. 2 Filed with Clerk by Rep. Jay Hoffman

lower

Feb 24, 2026

Amended

House Committee Amendment No. 1 Tabled

lower

Feb 24, 2026

Lower · Passed

Do Pass / Short Debate Energy & Environment Committee; 026-000-000

lower

Feb 17, 2026

Committee

House Committee Amendment No. 1 Referred to Rules Committee

lower

Feb 17, 2026

Introduced

House Committee Amendment No. 1 Filed with Clerk by Rep. Jay Hoffman

lower

Feb 11, 2026

Committee

Assigned to Energy & Environment Committee

lower

Jan 14, 2026

Committee

Referred to Rules Committee

lower

2 primary · 2 co-sponsors