IllinoisHealth facility ownership changes get public notice and hearing options
Starting January 1, 2027, the State Board publishes notice of health care facility ownership-change applications, and the public may request a hearing.
What it does
The State Board publishes notice of a health care facility ownership-change application and lets the public request a hearing. Hospital buyers must promise not to make charity care rules more restrictive for two years.
Argument forPublic notice and a chance to speak at a hearing could help people in the affected community understand a facility ownership change.
Argument againstA hospital buyer could have less room to change charity care rules, since the application must promise they will not become more restrictive for two years.
More detail
The State Board publishes notice of a complete application to change a health care facility’s ownership and gives the public a chance to request a hearing. These provisions cover applications to change ownership of health care facilities. The special 45-day process applies when the parties remain under common control or ownership before and after the deal. A hospital ownership-change application must include a signed promise that, for two years after the deal takes effect, the hospital will not adopt a more restrictive charity care policy. For a change among parties under common control or ownership both before and after the deal, the Board Chair acts within 45 days after the application is complete if it meets the standards; the Chair may refer it to the Board for a conflict or other good cause. If the public requests a hearing, it must be held 15 to 30 days after the notice is published. The charity care promise covers the two years after the ownership change takes effect.
Where do you stand?
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Where it stands
- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
Looking ahead
No hearings or votes scheduled.
History
- 2026
- Aug 7Public Act . . . . . . . . . 104-0782Latest
- Aug 7Effective Date January 1, 2027
- Aug 7Governor J. B. Pritzker ApprovedBecame Law
- Jun 26Sent to the GovernorTo Governor
- May 28Passed Both Houses
- Vote recorded Concurrence, Amendment 2. Result: pass.Lower
- May 28House Concurs
- May 28Senate Floor Amendment No. 2 House Concurs 113-000-000
- May 27Senate Floor Amendment No. 2 Motion to Concur Recommends Be Adopted Judiciary - Civil Committee; 019-000-000
- Vote recorded Do Pass, Amendment 2. Result: pass.Lower
- May 26Senate Floor Amendment No. 2 Motion to Concur Rules Referred to Judiciary - Civil Committee
- May 22Senate Floor Amendment No. 2 Motion to Concur Referred to Rules Committee
- May 22Senate Floor Amendment No. 2 Motion Filed Concur Rep. Jennifer Gong-Gershowitz
- May 21Placed on Calendar Order of Concurrence Senate Amendment(s) 2
- Vote recorded Third Reading. Result: pass.Upper
- May 21Arrived in HouseMinor
- May 21Senate Committee Amendment No. 1 Tabled Pursuant to Rule 5-4(a)Minor
- May 21Third Reading - Passed; 057-000-000Passed Senate
- May 14Placed on Calendar Order of 3rd Reading May 18, 2026
- May 14Senate Floor Amendment No. 2 Adopted; GuzmanMajor
- May 14Second ReadingMinor
- May 14Added Co-Sponsor Rep. Debbie Meyers-Martin
- May 6Senate Floor Amendment No. 2 Recommend Do Adopt Executive; 013-000-000
- Vote recorded Do Pass, Amendment 2. Result: pass.Upper
- May 6Senate Floor Amendment No. 2 Assignments Refers to Executive
- May 5Senate Floor Amendment No. 2 Referred to Assignments
- May 5Senate Floor Amendment No. 2 Filed with Secretary by Sen. Graciela GuzmánMinor
- May 5Added as Alternate Co-Sponsor Sen. Rachel Ventura
- Apr 30Placed on Calendar Order of 2nd Reading May 5, 2026Minor
- Apr 30Do Pass Executive; 013-000-000
- Apr 29Senate Committee Amendment No. 1 Referred to Assignments
- Vote recorded Do Pass. Result: pass.Upper
- Apr 29Senate Committee Amendment No. 1 Filed with Secretary by Sen. Graciela GuzmánMinor
- Apr 22Added as Alternate Co-Sponsor Sen. Karina Villa
- Apr 22Assigned to ExecutiveMinor
- Apr 17Referred to Assignments
- Apr 17First ReadingMinor
- Apr 17Chief Senate Sponsor Sen. Graciela Guzmán
- Apr 10Placed on Calendar Order of First Reading April 14, 2026Minor
- Apr 10Arrive in SenateMinor
- Apr 8Third Reading - Short Debate - Passed 107-000-000Passed House
- Vote recorded Third Reading. Result: pass.Lower
- Apr 7Placed on Calendar Order of 3rd Reading - Short Debate
- Apr 7Second Reading - Short DebateMinor
- Mar 19Placed on Calendar 2nd Reading - Short DebateMinor
- Vote recorded Do Pass. Result: pass.Lower
- Mar 19Do Pass / Short Debate Judiciary - Civil Committee; 020-000-000
- Mar 18Added Chief Co-Sponsor Rep. Jay Hoffman
- Mar 4Assigned to Judiciary - Civil CommitteeMinor
- Feb 6Referred to Rules Committee
- Feb 6First ReadingMinor
- Feb 4Filed with the Clerk by Rep. Jennifer Gong-GershowitzIntroduced
Healthcare