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Fabio 5941153bb7 Legislation: batch B — IL IN KS KY LA MA MD ME MI MN 
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
2026-07-06 17:27:20 -04:00

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---
type: "Bill"
title: "HOSPITAL FAIR BILLING ACT"
description: "Creates the Hospital Fair Billing and Collection Practices Act. Requires a hospital's governing body to adopt policies: (i) prohibiting abusive, harassing, oppressive, false, deceptive, or misleading language or collection conduct by any collection agency or attorney retained by the hospital for the collection of medical debt, any agent or employee of a collection agency or attorney, or any hospital employee who participates in the collection of medical debt from patients; (ii) establishing the procedures to be utilized by every collection agency retained by the hospital for the collection of medical debt; (iii) establishing the procedures to be utilized by the hospital's employees who participate in the collection of debt; and (iv) establishing procedures for ensuring the timely and accurate submission of claims to third party payors. Prohibits a hospital from selling any debt owed to it by a patient for medical or hospital services, except to a collection agency. Establishes required billing practices for a hospital. Requires a hospital to enter into a written contract with any collection agency or attorney that it retains to collect medical debts from patients and outlines the contract requirements. Provides for civil penalties and injunctive relief. Preempts home rule. Creates the Hospital Fair Billing and Collection Practices Act Enforcement Fund. Provides that the monies in the Fund shall be used by the Attorney General for the enforcement of the Act. Amends the State Finance Act to create the Hospital Fair Billing and Collection Practices Act Enforcement Fund. Amends the University of Illinois Hospital Act to make the collection of hospital service charges by the University subject to the Hospital Fair Billing and Collection Practices Act. Amends the Hospital Licensing Act. Provides that the Director may deny, suspend, or revoke a hospital's license for failure to comply with the provisions of the Hospital Fair Billing and Collection Practices Act. Effective January 1, 2007."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "94th"
identifier: "HB 4999"
citation: "Illinois HB 4999 (94th)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: []
version_count: 3
action_count: 104
vote_count: 2
first_action: "2006-01-23"
last_action: "2006-06-20"
source: "openstates"
source_identifier: "ocd-bill/5b1aa27b-095d-4fc4-a3b8-a075821ab781"
source_url: "http://ilga.gov/legislation/BillStatus.asp?DocNum=4999&GAID=8&DocTypeID=HB&LegId=24241&SessionID=50&GA=94"
source_hash: "19b96f8f4f72b096eae1bf07e03f374650614fd59cc62ea33369327c60f92435"
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 4999 (94th) — HOSPITAL FAIR BILLING ACT
Creates the Hospital Fair Billing and Collection Practices Act. Requires a hospital's governing body to adopt policies: (i) prohibiting abusive, harassing, oppressive, false, deceptive, or misleading language or collection conduct by any collection agency or attorney retained by the hospital for the collection of medical debt, any agent or employee of a collection agency or attorney, or any hospital employee who participates in the collection of medical debt from patients; (ii) establishing the procedures to be utilized by every collection agency retained by the hospital for the collection of medical debt; (iii) establishing the procedures to be utilized by the hospital's employees who participate in the collection of debt; and (iv) establishing procedures for ensuring the timely and accurate submission of claims to third party payors. Prohibits a hospital from selling any debt owed to it by a patient for medical or hospital services, except to a collection agency. Establishes required billing practices for a hospital. Requires a hospital to enter into a written contract with any collection agency or attorney that it retains to collect medical debts from patients and outlines the contract requirements. Provides for civil penalties and injunctive relief. Preempts home rule. Creates the Hospital Fair Billing and Collection Practices Act Enforcement Fund. Provides that the monies in the Fund shall be used by the Attorney General for the enforcement of the Act. Amends the State Finance Act to create the Hospital Fair Billing and Collection Practices Act Enforcement Fund. Amends the University of Illinois Hospital Act to make the collection of hospital service charges by the University subject to the Hospital Fair Billing and Collection Practices Act. Amends the Hospital Licensing Act. Provides that the Director may deny, suspend, or revoke a hospital's license for failure to comply with the provisions of the Hospital Fair Billing and Collection Practices Act. Effective January 1, 2007.
## 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=09400HB4999&GA=94&SessionId=50&DocTypeId=HB&LegID=24241&DocNum=4999&GAID=8&Session=&print=true)
2. **Engrossed** (committee substitute) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09400HB4999eng&GA=94&SessionId=50&DocTypeId=HB&LegID=24241&DocNum=4999&GAID=8&Session=&print=true)
3. **Enrolled** (enrolled) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09400HB4999enr&GA=94&SessionId=50&DocTypeId=HB&LegID=24241&DocNum=4999&GAID=8&Session=&print=true)
## Votes
- Third Reading — **113–0** (pass) · lower
- Third Reading — **50–0** (pass) · upper
## Sponsors
- Donne E. Trotter — cosponsor (person)
- Karen May — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2006-01-23** Filed with the Clerk by Rep. Karen May `filing`
- **2006-01-23** First Reading `reading-1`
- **2006-01-23** Referred to Rules Committee `referral-committee`
- **2006-01-24** Added Chief Co-Sponsor Rep. Mary E. Flowers
- **2006-01-24** Added Chief Co-Sponsor Rep. George Scully, Jr.
- **2006-01-24** Added Chief Co-Sponsor Rep. Cynthia Soto
- **2006-01-25** Added Co-Sponsor Rep. Kathleen A. Ryg
- **2006-01-25** Added Co-Sponsor Rep. Karen A. Yarbrough
- **2006-01-25** Added Co-Sponsor Rep. Arthur L. Turner
- **2006-01-25** Added Co-Sponsor Rep. Harry Osterman
- **2006-01-25** Added Co-Sponsor Rep. Barbara Flynn Currie
- **2006-01-25** Added Co-Sponsor Rep. Elaine Nekritz
- **2006-01-25** Added Co-Sponsor Rep. Sara Feigenholtz
- **2006-01-25** Added Co-Sponsor Rep. William Davis
- **2006-01-26** Added Co-Sponsor Rep. Marlow H. Colvin
- **2006-01-26** Added Co-Sponsor Rep. Deborah L. Graham
- **2006-01-26** Added Co-Sponsor Rep. Daniel J. Burke
- **2006-01-26** Added Co-Sponsor Rep. Constance A. Howard
- **2006-01-26** Added Co-Sponsor Rep. Jack McGuire
- **2006-01-26** Added Co-Sponsor Rep. Kenneth Dunkin
- **2006-01-26** Added Co-Sponsor Rep. Patrick J Verschoore
- **2006-01-26** Added Co-Sponsor Rep. Esther Golar
- **2006-01-26** Added Co-Sponsor Rep. Julie Hamos
- **2006-01-26** Added Co-Sponsor Rep. Larry McKeon
- **2006-01-26** Added Co-Sponsor Rep. Joseph M. Lyons
- **2006-01-26** Added Co-Sponsor Rep. Maria Antonia Berrios
- **2006-01-26** Added Co-Sponsor Rep. Michelle Chavez
- **2006-01-26** Added Co-Sponsor Rep. Robert Rita
- **2006-01-26** Added Co-Sponsor Rep. Robin Kelly
- **2006-01-26** Added Co-Sponsor Rep. Annazette Collins
- **2006-01-26** Added Co-Sponsor Rep. John D'Amico
- **2006-01-26** Added Co-Sponsor Rep. Susana A Mendoza
- **2006-01-26** Added Co-Sponsor Rep. Eddie Washington
- **2006-01-26** Added Co-Sponsor Rep. Calvin L. Giles
- **2006-01-31** Added Co-Sponsor Rep. Wyvetter H. Younge
- **2006-01-31** Assigned to Health Care Availability and Access Committee `referral-committee`
- **2006-02-07** Added Co-Sponsor Rep. Milton Patterson
- **2006-02-07** Added Co-Sponsor Rep. David E. Miller
- **2006-02-07** Added Co-Sponsor Rep. Charles E. Jefferson
- **2006-02-07** Added Co-Sponsor Rep. Lovana Jones
- **2006-02-07** Added Co-Sponsor Rep. Monique D. Davis
- **2006-02-07** Added Co-Sponsor Rep. William Delgado
- **2006-02-14** Removed Co-Sponsor Rep. Sara Feigenholtz
- **2006-02-14** Removed Co-Sponsor Rep. Robert Rita
- **2006-02-14** Do Pass / Standard Debate Health Care Availability and Access Committee; 006-005-000 `committee-passage`
- **2006-02-14** Placed on Calendar 2nd Reading - Standard Debate
- **2006-02-15** Fiscal Note Requested by Rep. JoAnn D. Osmond
- **2006-02-15** State Mandates Fiscal Note Requested by Rep. JoAnn D. Osmond
- **2006-02-15** Home Rule Note Requested by Rep. JoAnn D. Osmond
- **2006-02-15** Judicial Note Requested by Rep. JoAnn D. Osmond
- **2006-02-15** Pension Note Requested by Rep. JoAnn D. Osmond
- **2006-02-16** Judicial Note Filed
- **2006-02-21** Pension Note Filed
- **2006-02-22** State Mandates Fiscal Note Filed
- **2006-02-22** Home Rule Note Filed
- **2006-02-23** Fiscal Note Filed
- **2006-02-24** Added Co-Sponsor Rep. Kurt M. Granberg
- **2006-02-28** Added Co-Sponsor Rep. Gary Hannig
- **2006-02-28** Second Reading - Standard Debate `reading-2`
- **2006-02-28** Held on Calendar Order of Second Reading - Standard Debate `reading-2`
- **2006-03-01** House Floor Amendment No. 1 Filed with Clerk by Rep. Karen May `amendment-introduction`
- **2006-03-01** House Floor Amendment No. 1 Referred to Rules Committee `referral-committee`
- **2006-03-01** House Floor Amendment No. 2 Filed with Clerk by Rep. Karen May `amendment-introduction`
- **2006-03-01** House Floor Amendment No. 2 Referred to Rules Committee `referral-committee`
- **2006-03-01** House Floor Amendment No. 3 Filed with Clerk by Rep. Karen May `amendment-introduction`
- **2006-03-01** House Floor Amendment No. 3 Referred to Rules Committee `referral-committee`
- **2006-03-02** House Floor Amendment No. 3 Rules Refers to Health Care Availability and Access Committee
- **2006-03-02** Home Rule Note Filed As Amended by HA 3
- **2006-03-02** State Mandates Fiscal Note Filed As Amended by HA 3
- **2006-03-02** Judicial Note Filed As Amended by HA 3
- **2006-03-02** Fiscal Note Filed As Amended by HA 3
- **2006-03-02** House Floor Amendment No. 3 Recommends Be Adopted Health Care Availability and Access Committee; 010-000-000 `committee-passage-favorable`
- **2006-03-03** House Floor Amendment No. 3 Adopted by Voice Vote `amendment-passage`
- **2006-03-03** Placed on Calendar Order of 3rd Reading - Short Debate
- **2006-03-03** Added Co-Sponsor Rep. Kevin A. McCarthy
- **2006-03-03** Added Co-Sponsor Rep. Richard T. Bradley
- **2006-03-03** Added Co-Sponsor Rep. Jack D. Franks
- **2006-03-03** Added Co-Sponsor Rep. Robert Rita
- **2006-03-03** Added Co-Sponsor Rep. Michael P. McAuliffe
- **2006-03-03** Third Reading - Short Debate - Passed 113-000-001 `reading-3, passage`
- **2006-03-03** House Floor Amendment No. 1 Tabled Pursuant to Rule 40(a) `amendment-failure`
- **2006-03-03** House Floor Amendment No. 2 Tabled Pursuant to Rule 40(a) `amendment-failure`
- **2006-03-07** Arrive in Senate `introduction`
- **2006-03-07** Placed on Calendar Order of First Reading `reading-1`
- **2006-03-07** Pension Note Filed as amended by House Amendment No. 3, from the Commission on Government Forecasting and Accountability.
- **2006-03-07** Chief Senate Sponsor Sen. Kwame Raoul
- **2006-03-07** Added as Alternate Chief Co-Sponsor Sen. Jacqueline Y. Collins
- **2006-03-07** First Reading `reading-1`
- **2006-03-07** Referred to Rules `referral-committee`
- **2006-03-08** Assigned to Health & Human Services `referral-committee`
- **2006-03-14** Added as Alternate Chief Co-Sponsor Sen. Iris Y. Martinez
- **2006-03-15** Added as Alternate Chief Co-Sponsor Sen. M. Maggie Crotty
- **2006-03-15** Do Pass Health & Human Services; 011-000-000 `committee-passage`
- **2006-03-15** Placed on Calendar Order of 2nd Reading March 16, 2006
- **2006-03-16** Second Reading `reading-2`
- **2006-03-16** Placed on Calendar Order of 3rd Reading March 22, 2006
- **2006-03-27** Added as Alternate Chief Co-Sponsor Sen. Mattie Hunter
- **2006-03-27** Added as Alternate Co-Sponsor Sen. Donne E. Trotter
- **2006-03-27** Third Reading - Passed; 050-000-000 `reading-3, passage`
- **2006-03-27** Passed Both Houses
- **2006-04-25** Sent to the Governor `executive-receipt`
- **2006-06-20** Governor Approved `executive-signature`
- **2006-06-20** Effective Date January 1, 2007
- **2006-06-20** Public Act . . . . . . . . . 94-0885 `became-law`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/5b1aa27b-095d-4fc4-a3b8-a075821ab781`. Confidence: reported (aggregated from official Illinois legislature records).
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