republic-os/legislation/us/states/il/103rd/sb-2442.md

---
type: "Bill"
title: "FAIR PATIENT BILLING-INCOME"
description: "Amends the Fair Patient Billing Act. Provides that, notwithstanding any other provision of law, a hospital shall not charge or bill a patient whose household income is not greater than 138% of the federal poverty level."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "103rd"
identifier: "SB 2442"
citation: "Illinois SB 2442 (103rd)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Bob Morgan", "Mike Simmons"]
version_count: 4
action_count: 45
vote_count: 5
first_action: "2023-02-10"
last_action: "2024-08-09"
source: "openstates"
source_identifier: "ocd-bill/8c2f758f-25b2-4a1e-a46f-4244575e11d6"
source_url: "https://beta.ilga.gov/Legislation/BillStatus?DocNum=2442&GAID=17&DocTypeID=SB&LegId=147357&SessionID=112"
source_hash: "0bcfb08aa6d3728bbc6157c8b1bb5c707753fa7cef906bace02ff0a5c82e8df8"
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 2442 (103rd) — FAIR PATIENT BILLING-INCOME

Amends the Fair Patient Billing Act. Provides that, notwithstanding any other provision of law, a hospital shall not charge or bill a patient whose household income is not greater than 138% of the federal poverty level.

## 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/SB/PDF/10300SB2442.pdf)
2. **Engrossed** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/SB/PDF/10300SB2442eng.pdf)
3. **Senate Amendment 001** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/SB/PDF/10300SB2442sam001.pdf)
4. **Enrolled** (enrolled) — [source](https://beta.ilga.gov/documents/legislation/103/SB/PDF/10300SB2442enr.pdf)

## Votes

- Third Reading — **54–0** (pass) · lower
- Insurance — **14–0** (pass) · lower
- Third Reading — **111–0** (pass) · lower
- Insurance — **10–0** (pass) · lower
- Insurance — **10–0** (pass) · lower

## Sponsors

- Bob Morgan — primary (person)
- Mike Simmons — primary (person)
- Adriane Johnson — cosponsor (person)
- Carol Ammons — cosponsor (person)
- Debbie Meyers-Martin — cosponsor (person)
- Doris Turner — cosponsor (person)
- Emil Jones, III — cosponsor (person)
- Joyce Mason — cosponsor (person)
- Karina Villa — cosponsor (person)
- Laura M. Murphy — cosponsor (person)
- Rachel Ventura — cosponsor (person)

## Timeline

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

- **2023-02-10** Filed with Secretary by Sen. Mike Simmons `filing`
- **2023-02-10** First Reading `reading-1`
- **2023-02-10** Referred to Assignments
- **2024-01-24** Assigned to Insurance `referral-committee`
- **2024-03-06** Postponed - Insurance
- **2024-03-15** Rule 2-10 Committee Deadline Established As April 5, 2024
- **2024-04-05** Rule 2-10 Committee Deadline Established As April 19, 2024
- **2024-04-12** Rule 2-10 Third Reading Deadline Established As May 3, 2024
- **2024-04-19** Rule 2-10 Committee Deadline Established As May 3, 2024
- **2024-04-29** Senate Committee Amendment No. 1 Filed with Secretary by Sen. Mike Simmons `amendment-introduction`
- **2024-04-29** Senate Committee Amendment No. 1 Referred to Assignments
- **2024-04-30** Senate Committee Amendment No. 1 Assignments Refers to Insurance
- **2024-05-03** Rule 2-10 Committee/3rd Reading Deadline Established As May 17, 2024
- **2024-05-07** Senate Committee Amendment No. 1 Adopted `amendment-passage`
- **2024-05-08** Do Pass as Amended Insurance; 010-000-000
- **2024-05-08** Placed on Calendar Order of 2nd Reading May 8, 2024 `reading-2`
- **2024-05-08** Second Reading `reading-2`
- **2024-05-08** Placed on Calendar Order of 3rd Reading
- **2024-05-09** Third Reading - Passed; 054-000-000 `passage, reading-3`
- **2024-05-09** Arrived in House `introduction`
- **2024-05-09** Chief House Sponsor Rep. Bob Morgan
- **2024-05-13** First Reading `reading-1`
- **2024-05-13** Referred to Rules Committee
- **2024-05-13** Assigned to Insurance Committee `referral-committee`
- **2024-05-13** Committee/Final Action Deadline Extended-9(b) May 24, 2024
- **2024-05-14** Added as Co-Sponsor Sen. Emil Jones, III
- **2024-05-15** Added as Co-Sponsor Sen. Karina Villa
- **2024-05-20** Do Pass / Short Debate Insurance Committee; 014-000-000
- **2024-05-21** Placed on Calendar 2nd Reading - Short Debate `reading-2`
- **2024-05-21** Added Alternate Co-Sponsor Rep. Joyce Mason
- **2024-05-21** Second Reading - Short Debate `reading-2`
- **2024-05-21** Held on Calendar Order of Second Reading - Short Debate `reading-2`
- **2024-05-23** Placed on Calendar Order of 3rd Reading - Short Debate
- **2024-05-23** Third Reading - Short Debate - Passed 111-000-000 `passage, reading-3`
- **2024-05-23** Passed Both Houses
- **2024-05-23** Added Alternate Chief Co-Sponsor Rep. Carol Ammons
- **2024-05-23** Added Alternate Chief Co-Sponsor Rep. Debbie Meyers-Martin
- **2024-05-26** Added as Co-Sponsor Sen. Laura M. Murphy
- **2024-05-26** Added as Co-Sponsor Sen. Rachel Ventura
- **2024-05-26** Added as Co-Sponsor Sen. Doris Turner
- **2024-05-26** Added as Co-Sponsor Sen. Adriane Johnson
- **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 . . . . . . . . . 103-0901 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/8c2f758f-25b2-4a1e-a46f-4244575e11d6`. Confidence: reported (aggregated from official Illinois legislature records).