---
type: "Bill"
title: "INS-SMALL EMPLYR INS POOL"
description: "Amends the Comprehensive Health Insurance Plan Act. Requires the Illinois Comprehensive Health Insurance Board to conduct a study pertaining to the feasibility of establishing a small employer health insurance pool in which employers may provide affordable health insurance coverage to their employees. Effective immediately."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "93rd"
identifier: "HB 4478"
citation: "Illinois HB 4478 (93rd)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: []
version_count: 3
action_count: 51
vote_count: 2
first_action: "2004-02-03"
last_action: "2004-07-28"
source: "openstates"
source_identifier: "ocd-bill/547305d8-ad5d-4214-ac74-f2a88f31f820"
source_url: "http://ilga.gov/legislation/BillStatus.asp?DocNum=4478&GAID=3&DocTypeID=HB&LegId=8892&SessionID=3&GA=93"
source_hash: "7e137495eb2596672b4084b1320018c5777899ab977e4f3d0c6acdf5d55d4b51"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-il"]
---

# Illinois HB 4478 (93rd) — INS-SMALL EMPLYR INS POOL

Amends the Comprehensive Health Insurance Plan Act. Requires the Illinois Comprehensive Health Insurance Board to conduct a study pertaining to the feasibility of establishing a small employer health insurance pool in which employers may provide affordable health insurance coverage to their employees. Effective immediately.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Introduced** (filed) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09300HB4478&GA=93&SessionId=3&DocTypeId=HB&LegID=8892&DocNum=4478&GAID=3&Session=&print=true)
2. **Engrossed** (committee substitute) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09300HB4478eng&GA=93&SessionId=3&DocTypeId=HB&LegID=8892&DocNum=4478&GAID=3&Session=&print=true)
3. **Enrolled** (enrolled) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09300HB4478enr&GA=93&SessionId=3&DocTypeId=HB&LegID=8892&DocNum=4478&GAID=3&Session=&print=true)

## Votes

- Third Reading — **55–0** (pass) · upper
- Third Reading — **115–0** (pass) · lower

## Sponsors

- Karen May — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2004-02-03** Filed with the Clerk by Rep. Karen May `filing`
- **2004-02-03** First Reading `reading-1`
- **2004-02-03** Referred to Rules Committee `referral-committee`
- **2004-02-10** Added Chief Co-Sponsor Rep. Naomi D. Jakobsson
- **2004-02-10** Added Chief Co-Sponsor Rep. Patricia Bailey
- **2004-02-10** Added Chief Co-Sponsor Rep. Monique D. Davis
- **2004-02-10** Added Chief Co-Sponsor Rep. Carolyn H. Krause
- **2004-02-10** Added Co-Sponsor Rep. Cynthia Soto
- **2004-02-18** Added Co-Sponsor Rep. Sara Feigenholtz
- **2004-02-18** Added Co-Sponsor Rep. Kathleen A. Ryg
- **2004-02-20** Added Co-Sponsor Rep. Rosemary Kurtz
- **2004-02-20** Added Co-Sponsor Rep. Harry Osterman
- **2004-02-20** Added Co-Sponsor Rep. Elizabeth Coulson
- **2004-02-20** Added Co-Sponsor Rep. Angelo Saviano
- **2004-02-20** Added Co-Sponsor Rep. Elaine Nekritz
- **2004-02-25** Assigned to Insurance Committee `referral-committee`
- **2004-02-26** Added Co-Sponsor Rep. Robert F. Flider
- **2004-03-02** Added Co-Sponsor Rep. Careen Gordon
- **2004-03-03** Do Pass / Short Debate Insurance Committee; 012-000-000 `committee-passage`
- **2004-03-03** Placed on Calendar 2nd Reading - Short Debate
- **2004-03-03** Added Co-Sponsor Rep. John E. Bradley
- **2004-03-12** Fiscal Note Filed
- **2004-03-23** Added Co-Sponsor Rep. Dan Reitz
- **2004-03-23** Added Co-Sponsor Rep. Lisa M. Dugan
- **2004-03-23** Added Co-Sponsor Rep. William J. Grunloh
- **2004-03-23** Second Reading - Short Debate `reading-2`
- **2004-03-23** Placed on Calendar Order of 3rd Reading - Short Debate
- **2004-03-23** Added Co-Sponsor Rep. Patricia R. Bellock
- **2004-03-24** Added Co-Sponsor Rep. Mike Boland
- **2004-03-24** Added Co-Sponsor Rep. David E. Miller
- **2004-03-24** Added Co-Sponsor Rep. Deborah L. Graham
- **2004-03-24** Added Co-Sponsor Rep. Sandra M. Pihos
- **2004-03-24** Third Reading - Short Debate - Passed 115-000-000 `reading-3, passage`
- **2004-03-25** Arrive in Senate `introduction`
- **2004-03-25** Placed on Calendar Order of First Reading March 26, 2004 `reading-1`
- **2004-03-25** Chief Senate Sponsor Sen. Susan Garrett
- **2004-03-25** First Reading `reading-1`
- **2004-03-25** Referred to Rules `referral-committee`
- **2004-04-15** Assigned to Insurance & Pensions `referral-committee`
- **2004-04-21** Do Pass Insurance & Pensions; 010-000-000 `committee-passage`
- **2004-04-21** Placed on Calendar Order of 2nd Reading April 22, 2004
- **2004-04-22** Second Reading `reading-2`
- **2004-04-22** Placed on Calendar Order of 3rd Reading April 27, 2004
- **2004-05-05** Added as Alternate Chief Co-Sponsor Sen. John M. Sullivan
- **2004-05-05** Added as Alternate Chief Co-Sponsor Sen. Gary Forby
- **2004-05-05** Third Reading - Passed; 055-000-000 `reading-3, passage`
- **2004-05-05** Passed Both Houses
- **2004-06-03** Sent to the Governor `executive-receipt`
- **2004-07-28** Governor Approved `executive-signature`
- **2004-07-28** Effective Date July 28, 2004
- **2004-07-28** Public Act . . . . . . . . . 93-0824 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/547305d8-ad5d-4214-ac74-f2a88f31f820`. Confidence: reported (aggregated from official Illinois legislature records).