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---
type: "Bill"
title: "MEDICAL-LASER HAIR REMOVAL"
description: "Amends the Medical Practice Act of 1987. Provides that rules adopted by the Department of Financial and Professional Regulation concerning light emitting devices for patient care or treatment shall not require a delegating physician to be present in person to supervise a laser hair removal consultation, examination, or procedure if the laser hair removal consultation, examination, or procedure is performed in an office or practice setting by a physician assistant, advanced practice registered nurse, registered nurse, or licensed practical nurse and the delegating physician is available by two-way, real-time interactive communication."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "103rd"
identifier: "HB 4357"
citation: "Illinois HB 4357 (103rd)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Karina Villa", "Margaret Croke"]
version_count: 5
action_count: 51
vote_count: 8
first_action: "2024-01-04"
last_action: "2024-08-09"
source: "openstates"
source_identifier: "ocd-bill/b7eaf3ac-dd40-496e-b031-367c5d6f4b75"
source_url: "https://beta.ilga.gov/Legislation/BillStatus?DocNum=4357&GAID=17&DocTypeID=HB&LegId=151263&SessionID=112"
source_hash: "d87c9bb992ecd30db5b8a35cc3595af0a3c11126c6f633e3f2394f3718fec826"
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 4357 (103rd) — MEDICAL-LASER HAIR REMOVAL
Amends the Medical Practice Act of 1987. Provides that rules adopted by the Department of Financial and Professional Regulation concerning light emitting devices for patient care or treatment shall not require a delegating physician to be present in person to supervise a laser hair removal consultation, examination, or procedure if the laser hair removal consultation, examination, or procedure is performed in an office or practice setting by a physician assistant, advanced practice registered nurse, registered nurse, or licensed practical nurse and the delegating physician is available by two-way, real-time interactive communication.
## 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/10300HB4357.pdf)
2. **Engrossed** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB4357eng.pdf)
3. **House Amendment 001** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB4357ham001.pdf)
4. **Senate Amendment 001** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB4357sam001.pdf)
5. **Enrolled** (enrolled) — [source](https://beta.ilga.gov/documents/legislation/103/HB/PDF/10300HB4357enr.pdf)
## Votes
- Health Care Licenses, Amendment 1 — **120** (pass) · lower
- Third Reading — **1090** (pass) · lower
- Health Care Licenses — **110** (pass) · lower
- Third Reading — **570** (pass) · lower
- Licensed Activities — **50** (pass) · lower
- Licensed Activities — **50** (pass) · lower
- Health Care Licenses — **84** (pass) · lower
- Concurrence — **1061** (pass) · lower
## Sponsors
- Karina Villa — primary (person)
- Margaret Croke — primary (person)
- Adriane Johnson — cosponsor (person)
- Emil Jones, III — cosponsor (person)
- Laura M. Murphy — cosponsor (person)
- Mary Edly-Allen — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2024-01-04** Filed with the Clerk by Rep. Margaret Croke `filing`
- **2024-01-16** First Reading `reading-1`
- **2024-01-16** Referred to Rules Committee
- **2024-01-31** Assigned to Health Care Licenses Committee `referral-committee`
- **2024-04-03** Do Pass / Short Debate Health Care Licenses Committee; 011-000-000
- **2024-04-03** Placed on Calendar 2nd Reading - Short Debate `reading-2`
- **2024-04-15** House Floor Amendment No. 1 Filed with Clerk by Rep. Margaret Croke `amendment-introduction`
- **2024-04-15** House Floor Amendment No. 1 Referred to Rules Committee
- **2024-04-16** House Floor Amendment No. 1 Rules Refers to Health Care Licenses Committee
- **2024-04-17** House Floor Amendment No. 1 Recommends Be Adopted Health Care Licenses Committee; 012-000-000 `committee-passage-favorable`
- **2024-04-17** Second Reading - Short Debate `reading-2`
- **2024-04-17** Held on Calendar Order of Second Reading - Short Debate `reading-2`
- **2024-04-18** House Floor Amendment No. 1 Adopted `amendment-passage`
- **2024-04-18** Placed on Calendar Order of 3rd Reading - Short Debate
- **2024-04-18** Third Reading - Short Debate - Passed 109-000-000 `passage, reading-3`
- **2024-04-19** Arrive in Senate `introduction`
- **2024-04-19** Placed on Calendar Order of First Reading `reading-1`
- **2024-04-19** Chief Senate Sponsor Sen. Karina Villa
- **2024-04-19** First Reading `reading-1`
- **2024-04-19** Referred to Assignments
- **2024-04-30** Assigned to Licensed Activities `referral-committee`
- **2024-04-30** Rule 2-10 Committee Deadline Established As May 10, 2024
- **2024-05-10** Rule 2-10 Committee Deadline Established As May 17, 2024
- **2024-05-14** Senate Committee Amendment No. 1 Filed with Secretary by Sen. Karina Villa `amendment-introduction`
- **2024-05-14** Senate Committee Amendment No. 1 Referred to Assignments
- **2024-05-15** Senate Committee Amendment No. 1 Assignments Refers to Licensed Activities
- **2024-05-17** Rule 2-10 Committee Deadline Established As May 24, 2024
- **2024-05-22** Senate Committee Amendment No. 1 Adopted `amendment-passage`
- **2024-05-22** Do Pass as Amended Licensed Activities; 005-000-000
- **2024-05-22** Placed on Calendar Order of 2nd Reading May 22, 2024 `reading-2`
- **2024-05-22** Rule 2-10 Third Reading/Passage Deadline Established As May 24, 2024
- **2024-05-22** Second Reading `reading-2`
- **2024-05-22** Placed on Calendar Order of 3rd Reading May 23, 2024
- **2024-05-23** Third Reading - Passed; 057-000-000 `passage, reading-3`
- **2024-05-23** Arrived in House `introduction`
- **2024-05-23** Placed on Calendar Order of Concurrence Senate Amendment(s) 1
- **2024-05-23** Senate Committee Amendment No. 1 Motion Filed Concur Rep. Margaret Croke
- **2024-05-23** Senate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee
- **2024-05-24** Senate Committee Amendment No. 1 Motion to Concur Rules Referred to Health Care Licenses Committee
- **2024-05-24** Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Health Care Licenses Committee; 008-004-000
- **2024-05-24** Added as Alternate Co-Sponsor Sen. Adriane Johnson
- **2024-05-24** Added as Alternate Co-Sponsor Sen. Mary Edly-Allen
- **2024-05-25** Added as Alternate Co-Sponsor Sen. Emil Jones, III
- **2024-05-25** Senate Committee Amendment No. 1 House Concurs 106-001-000
- **2024-05-25** House Concurs
- **2024-05-25** Passed Both Houses
- **2024-05-26** Added as Alternate Co-Sponsor Sen. Laura M. Murphy
- **2024-06-21** Sent to the Governor `executive-receipt`
- **2024-08-09** Governor Approved `executive-signature`
- **2024-08-09** Effective Date January 1, 2025
- **2024-08-09** Public Act . . . . . . . . . 103-0814 `became-law`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/b7eaf3ac-dd40-496e-b031-367c5d6f4b75`. Confidence: reported (aggregated from official Illinois legislature records).