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---
type: "Bill"
title: "HEALTH CARE SURROGATE-POLST"
description: "Amends the Health Care Surrogate Act. Provides that if an individual without decisional capacity has an operative and unrevoked living will and the attending physician, in accordance with Section 4 of the Illinois Living Will Act, determines that the individual has a terminal condition and records the condition in the individual's medical record, then the individual's surrogate decision maker, in the order of priority under subsection (a) of Section 25, is authorized to consent to a POLST on behalf of the individual to ensure that the individual's wishes are respected."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "104th"
identifier: "SB 1411"
citation: "Illinois SB 1411 (104th)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Jennifer Gong-Gershowitz", "Laura Fine"]
version_count: 5
action_count: 41
vote_count: 6
first_action: "2025-01-31"
last_action: "2025-08-15"
source: "openstates"
source_identifier: "ocd-bill/5af02eb2-65ae-41bd-955d-6e5872da4941"
source_url: "https://ilga.gov/Legislation/BillStatus?DocNum=1411&GAID=18&DocTypeID=SB&LegId=159525&SessionID=114"
source_hash: "6cdd06e9b4262d9e3d2a7ec645dc6a551be24b167546d80de6b83e2afdc4e21d"
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 1411 (104th) — HEALTH CARE SURROGATE-POLST
Amends the Health Care Surrogate Act. Provides that if an individual without decisional capacity has an operative and unrevoked living will and the attending physician, in accordance with Section 4 of the Illinois Living Will Act, determines that the individual has a terminal condition and records the condition in the individual's medical record, then the individual's surrogate decision maker, in the order of priority under subsection (a) of Section 25, is authorized to consent to a POLST on behalf of the individual to ensure that the individual's wishes are respected.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Introduced** (filed) — [source](https://ilga.gov/documents/legislation/104/SB/PDF/10400SB1411.pdf)
2. **Engrossed** (committee substitute) — [source](https://ilga.gov/documents/legislation/104/SB/PDF/10400SB1411eng.pdf)
3. **Senate Amendment 001** (committee substitute) — [source](https://ilga.gov/documents/legislation/104/SB/PDF/10400SB1411sam001.pdf)
4. **Senate Amendment 002** (committee substitute) — [source](https://ilga.gov/documents/legislation/104/SB/PDF/10400SB1411sam002.pdf)
5. **Enrolled** (enrolled) — [source](https://ilga.gov/documents/legislation/104/SB/PDF/10400SB1411enr.pdf)
## Votes
- Third Reading — **1120** (pass) · lower
- Judiciary, Amendment 2 — **80** (pass) · upper
- Judiciary — **90** (pass) · upper
- Third Reading — **190** (pass) · lower
- Third Reading — **550** (pass) · upper
- Judiciary — **90** (pass) · upper
## Sponsors
- Jennifer Gong-Gershowitz — primary (person)
- Laura Fine — primary (person)
- Bob Morgan — cosponsor (person)
- Daniel Didech — cosponsor (person)
- Margaret Croke — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2025-01-31** Filed with Secretary by Sen. Laura Fine `filing`
- **2025-01-31** First Reading `reading-1`
- **2025-01-31** Referred to Assignments
- **2025-02-11** Assigned to Judiciary `referral-committee`
- **2025-02-20** Postponed - Judiciary
- **2025-03-06** Postponed - Judiciary
- **2025-03-11** Senate Committee Amendment No. 1 Filed with Secretary by Sen. Laura Fine `amendment-introduction`
- **2025-03-11** Senate Committee Amendment No. 1 Referred to Assignments
- **2025-03-18** Senate Committee Amendment No. 1 Assignments Refers to Judiciary
- **2025-03-19** Senate Committee Amendment No. 1 Adopted `amendment-passage`
- **2025-03-19** Do Pass as Amended Judiciary; 009-000-000
- **2025-03-19** Placed on Calendar Order of 2nd Reading March 20, 2025 `reading-2`
- **2025-03-20** Second Reading `reading-2`
- **2025-03-20** Placed on Calendar Order of 3rd Reading April 1, 2025
- **2025-04-03** Senate Floor Amendment No. 2 Filed with Secretary by Sen. Laura Fine `amendment-introduction`
- **2025-04-03** Senate Floor Amendment No. 2 Referred to Assignments
- **2025-04-08** Senate Floor Amendment No. 2 Assignments Refers to Judiciary
- **2025-04-09** Senate Floor Amendment No. 2 Recommend Do Adopt Judiciary; 008-000-000
- **2025-04-10** Recalled to Second Reading `reading-2`
- **2025-04-10** Senate Floor Amendment No. 2 Adopted; Fine `amendment-passage`
- **2025-04-10** Placed on Calendar Order of 3rd Reading
- **2025-04-10** Third Reading - Passed; 055-000-000 `passage, reading-3`
- **2025-04-10** Arrived in House `introduction`
- **2025-04-10** Chief House Sponsor Rep. Jennifer Gong-Gershowitz
- **2025-04-11** First Reading `reading-1`
- **2025-04-11** Referred to Rules Committee
- **2025-04-17** Assigned to Judiciary - Civil Committee `referral-committee`
- **2025-04-23** Do Pass / Short Debate Judiciary - Civil Committee; 019-000-000
- **2025-04-23** Placed on Calendar 2nd Reading - Short Debate `reading-2`
- **2025-05-16** Second Reading - Short Debate `reading-2`
- **2025-05-16** Held on Calendar Order of Second Reading - Short Debate `reading-2`
- **2025-05-20** Added Alternate Chief Co-Sponsor Rep. Bob Morgan
- **2025-05-20** Added Alternate Chief Co-Sponsor Rep. Daniel Didech
- **2025-05-20** Added Alternate Chief Co-Sponsor Rep. Margaret Croke
- **2025-05-22** Placed on Calendar Order of 3rd Reading - Short Debate
- **2025-05-22** Third Reading - Short Debate - Passed 112-000-000 `passage, reading-3`
- **2025-05-22** Passed Both Houses
- **2025-06-20** Sent to the Governor `executive-receipt`
- **2025-08-15** Governor Approved `executive-signature`
- **2025-08-15** Effective Date January 1, 2026
- **2025-08-15** Public Act . . . . . . . . . 104-0378 `became-law`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/5af02eb2-65ae-41bd-955d-6e5872da4941`. Confidence: reported (aggregated from official Illinois legislature records).