republic-os/legislation/us/states/il/103rd/hb-5218.md

---
type: "Bill"
title: "CNA EXAM IN SPANISH"
description: "Amends the Nursing Home Care Act. Provides that the Department of Public Health shall adopt rules requiring the nursing assistant certification exam to be offered in both English and Spanish. Effective immediately."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "103rd"
identifier: "HB 5218"
citation: "Illinois HB 5218 (103rd)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Barbara Hernández", "Karina Villa"]
version_count: 4
action_count: 42
vote_count: 4
first_action: "2024-02-08"
last_action: "2024-07-19"
source: "openstates"
source_identifier: "ocd-bill/5125f242-cb88-4454-9390-84c0126f6efe"
source_url: "https://beta.ilga.gov/Legislation/BillStatus?DocNum=5218&GAID=17&DocTypeID=HB&LegId=153424&SessionID=112"
source_hash: "2d77dad202d2997955dceb3348f7df192790de511721313ff015752ec3507dc1"
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 5218 (103rd) — CNA EXAM IN SPANISH

Amends the Nursing Home Care Act. Provides that the Department of Public Health shall adopt rules requiring the nursing assistant certification exam to be offered in both English and Spanish. Effective immediately.

## Version chain

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

1. **Introduced** (filed) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB5218.pdf)
2. **Engrossed** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB5218eng.pdf)
3. **House Amendment 001** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB5218ham001.pdf)
4. **Enrolled** (enrolled) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB5218enr.pdf)

## Votes

- Health Care Licenses — **11–0** (pass) · lower
- Licensed Activities — **7–0** (pass) · lower
- Third Reading — **51–6** (pass) · lower
- Third Reading — **106–8** (pass) · lower

## Sponsors

- Barbara Hernández — primary (person)
- Karina Villa — primary (person)
- Anne Stava-Murray — cosponsor (person)
- Dagmara Avelar — cosponsor (person)
- Edgar González, Jr. — cosponsor (person)
- Elizabeth "Lisa" Hernandez — cosponsor (person)
- Eva-Dina Delgado — cosponsor (person)
- Javier L. Cervantes — cosponsor (person)
- Lakesia Collins — cosponsor (person)
- Mary Edly-Allen — cosponsor (person)
- Maura Hirschauer — cosponsor (person)
- Norine K. Hammond — cosponsor (person)
- Ryan Spain — cosponsor (person)
- Tony M. McCombie — cosponsor (person)

## Timeline

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

- **2024-02-08** Filed with the Clerk by Rep. Barbara Hernández `filing`
- **2024-02-09** First Reading `reading-1`
- **2024-02-09** Referred to Rules Committee
- **2024-02-28** Assigned to Health Care Licenses Committee `referral-committee`
- **2024-02-28** House Committee Amendment No. 1 Filed with Clerk by Rep. Barbara Hernández `amendment-introduction`
- **2024-02-28** House Committee Amendment No. 1 Referred to Rules Committee
- **2024-03-05** House Committee Amendment No. 1 Rules Refers to Health Care Licenses Committee
- **2024-03-06** Added Co-Sponsor Rep. Dagmara Avelar
- **2024-03-06** House Committee Amendment No. 1 Adopted in Health Care Licenses Committee; by Voice Vote `amendment-passage`
- **2024-03-06** Do Pass as Amended / Short Debate Health Care Licenses Committee; 011-000-000
- **2024-03-06** Placed on Calendar 2nd Reading - Short Debate `reading-2`
- **2024-03-26** Added Co-Sponsor Rep. Elizabeth "Lisa" Hernandez
- **2024-04-11** Second Reading - Short Debate `reading-2`
- **2024-04-11** Placed on Calendar Order of 3rd Reading - Short Debate
- **2024-04-17** Added Co-Sponsor Rep. Maura Hirschauer
- **2024-04-17** Added Co-Sponsor Rep. Anne Stava-Murray
- **2024-04-17** Third Reading - Short Debate - Passed 106-008-000 `passage, reading-3`
- **2024-04-17** Added Chief Co-Sponsor Rep. Eva-Dina Delgado
- **2024-04-17** Added Chief Co-Sponsor Rep. Edgar González, Jr.
- **2024-04-17** Added Co-Sponsor Rep. Tony M. McCombie
- **2024-04-17** Added Co-Sponsor Rep. Norine K. Hammond
- **2024-04-17** Added Co-Sponsor Rep. Ryan Spain
- **2024-04-18** Arrive in Senate `introduction`
- **2024-04-18** Placed on Calendar Order of First Reading `reading-1`
- **2024-04-18** Chief Senate Sponsor Sen. Karina Villa
- **2024-04-18** First Reading `reading-1`
- **2024-04-18** Referred to Assignments
- **2024-04-24** Assigned to Licensed Activities `referral-committee`
- **2024-04-30** Rule 2-10 Committee Deadline Established As May 10, 2024
- **2024-05-01** Do Pass Licensed Activities; 007-000-000
- **2024-05-02** Placed on Calendar Order of 2nd Reading May 7, 2024 `reading-2`
- **2024-05-02** Added as Alternate Chief Co-Sponsor Sen. Javier L. Cervantes
- **2024-05-08** Second Reading `reading-2`
- **2024-05-08** Placed on Calendar Order of 3rd Reading May 8, 2024
- **2024-05-16** Third Reading - Passed; 051-006-000 `passage, reading-3`
- **2024-05-16** Passed Both Houses
- **2024-05-16** Added as Alternate Chief Co-Sponsor Sen. Mary Edly-Allen
- **2024-05-17** Added as Alternate Co-Sponsor Sen. Kimberly A. Lightford
- **2024-06-13** Sent to the Governor `executive-receipt`
- **2024-07-19** Governor Approved `executive-signature`
- **2024-07-19** Effective Date July 19, 2024
- **2024-07-19** Public Act . . . . . . . . . 103-0695 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/5125f242-cb88-4454-9390-84c0126f6efe`. Confidence: reported (aggregated from official Illinois legislature records).