---
type: "Bill"
title: "FAIR PATIENT-COLLECTION ACTION"
description: "Amends the Fair Patient Billing Act. Requires a hospital to proactively offer information on charity care options available to patients, regardless of their immigration status, health insurance, or residency, and to obtain the signature of a patient declining charity care if the patient does not intend to access financial assistance. Effective July 1, 2021."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "102nd"
identifier: "HB 3803"
citation: "Illinois HB 3803 (102nd)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Celina Villanueva", "Dagmara Avelar"]
version_count: 4
action_count: 53
vote_count: 2
first_action: "2021-02-19"
last_action: "2021-08-20"
source: "openstates"
source_identifier: "ocd-bill/c2a292a7-4f53-449d-84e0-a1c918439511"
source_url: "https://ilga.gov/legislation/BillStatus.asp?DocNum=3803&GAID=16&DocTypeID=HB&LegId=132870&SessionID=110&GA=102"
source_hash: "a600aba0a420b571b49cc1a74af4055169833a03b8dda2a592bed488e0e3ca3e"
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 3803 (102nd) — FAIR PATIENT-COLLECTION ACTION

Amends the Fair Patient Billing Act. Requires a hospital to proactively offer information on charity care options available to patients, regardless of their immigration status, health insurance, or residency, and to obtain the signature of a patient declining charity care if the patient does not intend to access financial assistance. Effective July 1, 2021.

## Version chain

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

1. **Introduced** (filed) — [source](https://ilga.gov/legislation/102/HB/PDF/10200HB3803.pdf)
2. **Engrossed** (committee substitute) — [source](https://ilga.gov/legislation/102/HB/PDF/10200HB3803eng.pdf)
3. **House Amendment 001** (committee substitute) — [source](https://ilga.gov/legislation/102/HB/PDF/10200HB3803ham001.pdf)
4. **Enrolled** (enrolled) — [source](https://ilga.gov/legislation/102/HB/PDF/10200HB3803enr.pdf)

## Votes

- Third Reading — **104–8** (pass) · lower
- Third Reading — **57–2** (pass) · upper

## Sponsors

- Celina Villanueva — primary (person)
- Dagmara Avelar — primary (person)
- Aaron M. Ortiz — cosponsor (person)
- Angelica Guerrero-Cuellar — cosponsor (person)
- Barbara Hernandez — cosponsor (person)
- Camille Y. Lilly — cosponsor (person)
- Delia C. Ramirez — cosponsor (person)
- Edgar Gonzalez, Jr. — cosponsor (person)
- Elizabeth Hernandez — cosponsor (person)
- Emanuel Chris Welch — cosponsor (person)
- Eva-Dina Delgado — cosponsor (person)
- Jacqueline Y. Collins — cosponsor (person)
- Jaime M. Andrade, Jr. — cosponsor (person)
- Justin Slaughter — cosponsor (person)
- Kathleen Willis — cosponsor (person)
- Lakesia Collins — cosponsor (person)
- Laura M. Murphy — cosponsor (person)
- Marcus C. Evans, Jr. — cosponsor (person)
- Mary E. Flowers — cosponsor (person)
- Theresa Mah — cosponsor (person)

## Timeline

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

- **2021-02-19** Filed with the Clerk by Rep. Dagmara Avelar `filing`
- **2021-02-22** First Reading `reading-1`
- **2021-02-22** Referred to Rules Committee `referral-committee`
- **2021-03-16** Assigned to Health Care Availability & Accessibility Committee `referral-committee`
- **2021-03-23** Do Pass / Short Debate Health Care Availability & Accessibility Committee; 008-005-000 `committee-passage`
- **2021-04-08** Placed on Calendar 2nd Reading - Short Debate
- **2021-04-15** Second Reading - Short Debate `reading-2`
- **2021-04-15** Placed on Calendar Order of 3rd Reading - Short Debate
- **2021-04-16** House Floor Amendment No. 1 Filed with Clerk by Rep. Dagmara Avelar `amendment-introduction`
- **2021-04-16** House Floor Amendment No. 1 Referred to Rules Committee `referral-committee`
- **2021-04-20** House Floor Amendment No. 1 Rules Refers to Health Care Availability & Accessibility Committee
- **2021-04-20** Added Chief Co-Sponsor Rep. Marcus C. Evans, Jr.
- **2021-04-20** Added Chief Co-Sponsor Rep. Aaron M. Ortiz
- **2021-04-20** Added Co-Sponsor Rep. Lakesia Collins
- **2021-04-20** Added Co-Sponsor Rep. Mary E. Flowers
- **2021-04-20** Added Co-Sponsor Rep. Angelica Guerrero-Cuellar
- **2021-04-20** Added Co-Sponsor Rep. Jaime M. Andrade, Jr.
- **2021-04-20** Added Co-Sponsor Rep. Eva-Dina Delgado
- **2021-04-20** Added Co-Sponsor Rep. Edgar Gonzalez, Jr.
- **2021-04-20** Added Co-Sponsor Rep. Barbara Hernandez
- **2021-04-20** Added Co-Sponsor Rep. Delia C. Ramirez
- **2021-04-21** Added Co-Sponsor Rep. Justin Slaughter
- **2021-04-21** Added Co-Sponsor Rep. Kathleen Willis
- **2021-04-22** House Floor Amendment No. 1 Recommends Be Adopted Health Care Availability & Accessibility Committee; 010-003-000 `committee-passage-favorable`
- **2021-04-22** Added Co-Sponsor Rep. Emanuel Chris Welch
- **2021-04-22** Recalled to Second Reading - Short Debate `reading-2`
- **2021-04-22** House Floor Amendment No. 1 Adopted `amendment-passage`
- **2021-04-22** Placed on Calendar Order of 3rd Reading - Short Debate
- **2021-04-22** Removed from Short Debate Status
- **2021-04-22** Placed on Calendar Order of 3rd Reading - Standard Debate
- **2021-04-22** Third Reading - Standard Debate - Passed 104-008-000 `passage, reading-3`
- **2021-04-22** Added Co-Sponsor Rep. Camille Y. Lilly
- **2021-04-22** Added Co-Sponsor Rep. Theresa Mah
- **2021-04-22** Added Co-Sponsor Rep. Elizabeth Hernandez
- **2021-04-23** Arrive in Senate `introduction`
- **2021-04-23** Placed on Calendar Order of First Reading `reading-1`
- **2021-04-23** Chief Senate Sponsor Sen. Celina Villanueva
- **2021-04-23** First Reading `reading-1`
- **2021-04-23** Referred to Assignments `referral-committee`
- **2021-05-11** Assigned to Healthcare Access and Availability `referral-committee`
- **2021-05-14** Added as Alternate Chief Co-Sponsor Sen. Jacqueline Y. Collins
- **2021-05-19** Do Pass Healthcare Access and Availability; 007-000-000 `committee-passage`
- **2021-05-19** Placed on Calendar Order of 2nd Reading May 20, 2021
- **2021-05-20** Second Reading `reading-2`
- **2021-05-20** Placed on Calendar Order of 3rd Reading May 21, 2021
- **2021-05-27** Added as Alternate Co-Sponsor Sen. Laura M. Murphy
- **2021-05-27** Placed on Calendar Order of 3rd Reading ** May 28, 2021
- **2021-05-29** Third Reading - Passed; 057-002-000 `passage, reading-3`
- **2021-05-29** Passed Both Houses
- **2021-06-25** Sent to the Governor `executive-receipt`
- **2021-08-20** Governor Approved `executive-signature`
- **2021-08-20** Effective Date December 1, 2021
- **2021-08-20** Public Act . . . . . . . . . 102-0504 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/c2a292a7-4f53-449d-84e0-a1c918439511`. Confidence: reported (aggregated from official Illinois legislature records).