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---
type: "Bill"
title: "DOWNSTATE HEALTH ACT-FUND"
description: "Amends the Illinois Rural/Downstate Health Act. Provides that moneys from fees shall be deposited into the Rural/Downstate Health Access Fund. Provides that moneys in the Rural/Downstate Health Access Fund may be used for programs for the medically underserved. Provides that fees may be collected by the Center for Rural Health and deposited into the Fund for the purpose of administering the J-1 Visa Waiver Program for international medical graduates and that the fees shall be dedicated to funding the J-1 Visa Waiver Program and may not be subject to the Fund's distribution formula. Makes other changes."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "98th"
identifier: "SB 3440"
citation: "Illinois SB 3440 (98th)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: []
version_count: 3
action_count: 30
vote_count: 2
first_action: "2014-02-14"
last_action: "2014-08-18"
source: "openstates"
source_identifier: "ocd-bill/c313451f-34fd-4c3c-936c-9c35efb11dd1"
source_url: "http://ilga.gov/legislation/BillStatus.asp?DocNum=3440&GAID=12&DocTypeID=SB&LegId=80792&SessionID=85&GA=98"
source_hash: "4a908c5cbd7ae9f0ea39b0a3a8469379cd61ca665ce72f56c0f7c6bedcb1dddf"
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 SB 3440 (98th) — DOWNSTATE HEALTH ACT-FUND
Amends the Illinois Rural/Downstate Health Act. Provides that moneys from fees shall be deposited into the Rural/Downstate Health Access Fund. Provides that moneys in the Rural/Downstate Health Access Fund may be used for programs for the medically underserved. Provides that fees may be collected by the Center for Rural Health and deposited into the Fund for the purpose of administering the J-1 Visa Waiver Program for international medical graduates and that the fees shall be dedicated to funding the J-1 Visa Waiver Program and may not be subject to the Fund's distribution formula. Makes other changes.
## 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=09800SB3440&GA=98&SessionId=85&DocTypeId=SB&LegID=80792&DocNum=3440&GAID=12&Session=&print=true)
2. **Engrossed** (committee substitute) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09800SB3440eng&GA=98&SessionId=85&DocTypeId=SB&LegID=80792&DocNum=3440&GAID=12&Session=&print=true)
3. **Enrolled** (enrolled) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09800SB3440enr&GA=98&SessionId=85&DocTypeId=SB&LegID=80792&DocNum=3440&GAID=12&Session=&print=true)
## Votes
- Third Reading — **4313** (pass) · upper
- Third Reading — **6940** (pass) · lower
## Sponsors
- John G. Mulroe — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2014-02-14** Filed with Secretary by Sen. John G. Mulroe `filing`
- **2014-02-14** First Reading `reading-1`
- **2014-02-14** Referred to Assignments `referral-committee`
- **2014-03-05** Assigned to Public Health `referral-committee`
- **2014-03-20** Postponed - Public Health
- **2014-03-20** Senate Committee Amendment No. 1 Filed with Secretary by Sen. John G. Mulroe `amendment-introduction`
- **2014-03-20** Senate Committee Amendment No. 1 Referred to Assignments `referral-committee`
- **2014-03-25** Senate Committee Amendment No. 1 Assignments Refers to Public Health
- **2014-03-25** Senate Committee Amendment No. 1 Adopted `amendment-passage`
- **2014-03-26** Do Pass as Amended Public Health; 007-002-000 `committee-passage`
- **2014-03-26** Placed on Calendar Order of 2nd Reading March 27, 2014
- **2014-03-27** Second Reading `reading-2`
- **2014-03-27** Placed on Calendar Order of 3rd Reading April 1, 2014
- **2014-04-02** Third Reading - Passed; 043-013-000 `reading-3, passage`
- **2014-04-03** Arrived in House `introduction`
- **2014-04-03** Chief House Sponsor Rep. La Shawn K. Ford
- **2014-04-03** First Reading `reading-1`
- **2014-04-03** Referred to Rules Committee `referral-committee`
- **2014-04-23** Assigned to Health Care Availability and Accessibility Committee `referral-committee`
- **2014-05-15** Do Pass / Short Debate Health Care Availability and Accessibility Committee; 007-000-000 `committee-passage`
- **2014-05-16** Placed on Calendar 2nd Reading - Short Debate
- **2014-05-21** Second Reading - Short Debate `reading-2`
- **2014-05-21** Placed on Calendar Order of 3rd Reading - Short Debate
- **2014-05-22** Added Alternate Chief Co-Sponsor Rep. Mary E. Flowers
- **2014-05-23** Third Reading - Short Debate - Passed 069-040-001 `reading-3, passage`
- **2014-05-23** Passed Both Houses
- **2014-06-20** Sent to the Governor `executive-receipt`
- **2014-08-18** Governor Approved `executive-signature`
- **2014-08-18** Effective Date January 1, 2015
- **2014-08-18** Public Act . . . . . . . . . 98-1006 `became-law`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/c313451f-34fd-4c3c-936c-9c35efb11dd1`. Confidence: reported (aggregated from official Illinois legislature records).