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---
type: "Bill"
title: "NURSING HOME-ADVANCE DIRECTIVE"
description: "Amends the Nursing Home Care Act and the Health Care Surrogate Act. Provides that within 30 days after admission to a facility in the case of a new resident, and within one year after the effective date of the amendatory Act for all residents who were admitted before that date, residents, agents, and surrogates shall be given written information describing the facility's policies concerning DNR orders and shall be given the opportunity to execute a Living Will or Power of Attorney for Health Care, decline consent to life-sustaining treatment, and provide the facility with the name of a preferred surrogate. Provides that any such decision made by a resident, agent, or surrogate must be recorded in the resident's medical record and that any subsequent changes or modifications must also be recorded in the medical record. Provides that advance directives that a health care facility must maintain include a designation of a preferred surrogate should the person making the designation become incapacitated or impaired. Effective January 1, 2010."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "96th"
identifier: "HB 748"
citation: "Illinois HB 748 (96th)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: []
version_count: 3
action_count: 40
vote_count: 2
first_action: "2009-02-06"
last_action: "2009-08-14"
source: "openstates"
source_identifier: "ocd-bill/5104e56c-6811-4b5e-aec5-db4c50584439"
source_url: "http://ilga.gov/legislation/BillStatus.asp?DocNum=748&GAID=10&DocTypeID=HB&LegId=42155&SessionID=76&GA=96"
source_hash: "bc99fe41a1699e9755c61db6b9e00ad2744fa01d06e6bafc186445509f45ac0b"
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 748 (96th) — NURSING HOME-ADVANCE DIRECTIVE
Amends the Nursing Home Care Act and the Health Care Surrogate Act. Provides that within 30 days after admission to a facility in the case of a new resident, and within one year after the effective date of the amendatory Act for all residents who were admitted before that date, residents, agents, and surrogates shall be given written information describing the facility's policies concerning DNR orders and shall be given the opportunity to execute a Living Will or Power of Attorney for Health Care, decline consent to life-sustaining treatment, and provide the facility with the name of a preferred surrogate. Provides that any such decision made by a resident, agent, or surrogate must be recorded in the resident's medical record and that any subsequent changes or modifications must also be recorded in the medical record. Provides that advance directives that a health care facility must maintain include a designation of a preferred surrogate should the person making the designation become incapacitated or impaired. Effective January 1, 2010.
## 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=09600HB0748&GA=96&SessionId=76&DocTypeId=HB&LegID=42155&DocNum=748&GAID=10&Session=&print=true)
2. **Engrossed** (committee substitute) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09600HB0748eng&GA=96&SessionId=76&DocTypeId=HB&LegID=42155&DocNum=748&GAID=10&Session=&print=true)
3. **Enrolled** (enrolled) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09600HB0748enr&GA=96&SessionId=76&DocTypeId=HB&LegID=42155&DocNum=748&GAID=10&Session=&print=true)
## Votes
- Third Reading — **1140** (pass) · lower
- Third Reading — **580** (pass) · upper
## Sponsors
- Kathleen A. Ryg — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2009-02-06** Filed with the Clerk by Rep. Kathleen A. Ryg `filing`
- **2009-02-06** First Reading `reading-1`
- **2009-02-06** Referred to Rules Committee `referral-committee`
- **2009-02-11** Assigned to Human Services Committee `referral-committee`
- **2009-03-11** House Committee Amendment No. 1 Filed with Clerk by Human Services Committee `amendment-introduction`
- **2009-03-11** House Committee Amendment No. 1 Adopted in Human Services Committee; by Voice Vote `amendment-passage`
- **2009-03-11** Do Pass as Amended / Short Debate Human Services Committee; 007-000-000 `committee-passage`
- **2009-03-11** Placed on Calendar 2nd Reading - Short Debate
- **2009-03-23** Second Reading - Short Debate `reading-2`
- **2009-03-23** Held on Calendar Order of Second Reading - Short Debate `reading-2`
- **2009-03-24** Placed on Calendar Order of 3rd Reading - Short Debate
- **2009-03-24** Added Chief Co-Sponsor Rep. Elizabeth Coulson
- **2009-03-24** Added Chief Co-Sponsor Rep. Sandra M. Pihos
- **2009-03-24** Added Co-Sponsor Rep. Franco Coladipietro
- **2009-03-24** Added Co-Sponsor Rep. Darlene J. Senger
- **2009-03-24** Added Co-Sponsor Rep. John D. Cavaletto
- **2009-03-24** Added Co-Sponsor Rep. Michael G. Connelly
- **2009-03-24** Added Co-Sponsor Rep. Ronald A. Wait
- **2009-03-24** Added Co-Sponsor Rep. Ron Stephens
- **2009-03-24** Added Co-Sponsor Rep. Kay Hatcher
- **2009-03-24** Added Co-Sponsor Rep. Rosemary Mulligan
- **2009-03-24** Added Co-Sponsor Rep. Dennis M. Reboletti
- **2009-03-24** Third Reading - Short Debate - Passed 114-000-000 `reading-3, passage`
- **2009-03-25** Arrive in Senate `introduction`
- **2009-03-25** Placed on Calendar Order of First Reading March 26, 2009 `reading-1`
- **2009-03-26** Fiscal Note Filed as amended by House Amendment No. 1, from the Illinois Department of Public Health-Office of Health Care Regulation.
- **2009-03-26** Chief Senate Sponsor Sen. Susan Garrett
- **2009-03-30** First Reading `reading-1`
- **2009-03-30** Referred to Assignments `referral-committee`
- **2009-04-15** Assigned to Public Health `referral-committee`
- **2009-04-22** Do Pass Public Health; 007-000-000 `committee-passage`
- **2009-04-22** Placed on Calendar Order of 2nd Reading April 23, 2009
- **2009-05-07** Second Reading `reading-2`
- **2009-05-07** Placed on Calendar Order of 3rd Reading ** May 18, 2009
- **2009-05-19** Third Reading - Passed; 058-000-000 `reading-3, passage`
- **2009-05-19** Passed Both Houses
- **2009-06-17** Sent to the Governor `executive-receipt`
- **2009-08-14** Governor Approved `executive-signature`
- **2009-08-14** Effective Date January 1, 2010
- **2009-08-14** Public Act . . . . . . . . . 96-0448 `became-law`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/5104e56c-6811-4b5e-aec5-db4c50584439`. Confidence: reported (aggregated from official Illinois legislature records).