republic-os/legislation/us/states/il/96th/hb-3649.md

---
type: "Bill"
title: "IDPH-HOSPITALS-ABUSE-NEGLECT"
description: "Amends the Hospital Licensing Act. Provides that the Department of Public Health shall investigate every allegation of abuse or neglect of a patient received by the Department. Provides that no administrator, agent, or employee of a hospital or a member of its medical staff may abuse or neglect a patient in the hospital, and provides that any hospital administrator, agent, employee, or medical staff member who has reasonable cause to believe that any patient with whom he or she has direct contact has been subjected to abuse or neglect in the hospital shall promptly report or cause a report to be made to a designated hospital administrator responsible for providing such reports to the Department of Public Health. Sets forth other provisions concerning protection of hospital patients from abuse and neglect. Provides that if no health care surrogate is available for a patient who lacks decision-making capacity, then the hospital may contact the Guardianship and Advocacy Commission to determine the need for a temporary guardian of the person."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "96th"
identifier: "HB 3649"
citation: "Illinois HB 3649 (96th)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: []
version_count: 3
action_count: 46
vote_count: 3
first_action: "2009-02-24"
last_action: "2009-08-25"
source: "openstates"
source_identifier: "ocd-bill/228d3b97-2ee4-401b-939e-1033c4af448e"
source_url: "http://ilga.gov/legislation/BillStatus.asp?DocNum=3649&GAID=10&DocTypeID=HB&LegId=46425&SessionID=76&GA=96"
source_hash: "cf144086abe440086953d997e62f6e9a3c2c10ee5b2e55fd8510a920a371386d"
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 3649 (96th) — IDPH-HOSPITALS-ABUSE-NEGLECT

Amends the Hospital Licensing Act. Provides that the Department of Public Health shall investigate every allegation of abuse or neglect of a patient received by the Department. Provides that no administrator, agent, or employee of a hospital or a member of its medical staff may abuse or neglect a patient in the hospital, and provides that any hospital administrator, agent, employee, or medical staff member who has reasonable cause to believe that any patient with whom he or she has direct contact has been subjected to abuse or neglect in the hospital shall promptly report or cause a report to be made to a designated hospital administrator responsible for providing such reports to the Department of Public Health. Sets forth other provisions concerning protection of hospital patients from abuse and neglect. Provides that if no health care surrogate is available for a patient who lacks decision-making capacity, then the hospital may contact the Guardianship and Advocacy Commission to determine the need for a temporary guardian of the person.

## 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=09600HB3649&GA=96&SessionId=76&DocTypeId=HB&LegID=46425&DocNum=3649&GAID=10&Session=&print=true)
2. **Engrossed** (committee substitute) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09600HB3649eng&GA=96&SessionId=76&DocTypeId=HB&LegID=46425&DocNum=3649&GAID=10&Session=&print=true)
3. **Enrolled** (enrolled) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09600HB3649enr&GA=96&SessionId=76&DocTypeId=HB&LegID=46425&DocNum=3649&GAID=10&Session=&print=true)

## Votes

- Concurrence, Amendment 1 — **117–0** (pass) · lower
- Third Reading — **116–0** (pass) · lower
- Third Reading — **59–0** (pass) · upper

## Sponsors

- Kathleen A. Ryg — primary (person)

## Timeline

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

- **2009-02-24** Filed with the Clerk by Rep. Kathleen A. Ryg `filing`
- **2009-02-24** First Reading `reading-1`
- **2009-02-24** Referred to Rules Committee `referral-committee`
- **2009-03-03** Assigned to Health Care Licenses Committee `referral-committee`
- **2009-03-11** House Committee Amendment No. 1 Filed with Clerk by Health Care Licenses Committee `amendment-introduction`
- **2009-03-11** House Committee Amendment No. 1 Adopted in Health Care Licenses Committee; by Voice Vote `amendment-passage`
- **2009-03-11** Do Pass as Amended / Short Debate Health Care Licenses Committee; 009-000-000 `committee-passage`
- **2009-03-11** Placed on Calendar 2nd Reading - Short Debate
- **2009-03-17** House Floor Amendment No. 2 Filed with Clerk by Rep. Kathleen A. Ryg `amendment-introduction`
- **2009-03-17** House Floor Amendment No. 2 Referred to Rules Committee `referral-committee`
- **2009-03-24** House Floor Amendment No. 2 Recommends Be Adopted Rules Committee; 004-000-000 `committee-passage-favorable`
- **2009-03-30** Second Reading - Short Debate `reading-2`
- **2009-03-30** Held on Calendar Order of Second Reading - Short Debate `reading-2`
- **2009-03-31** House Floor Amendment No. 2 Adopted by Voice Vote `amendment-passage`
- **2009-03-31** Placed on Calendar Order of 3rd Reading - Short Debate
- **2009-04-01** Added Chief Co-Sponsor Rep. Elizabeth Coulson
- **2009-04-01** Third Reading - Short Debate - Passed 116-000-000 `reading-3, passage`
- **2009-04-02** Arrive in Senate `introduction`
- **2009-04-02** Placed on Calendar Order of First Reading `reading-1`
- **2009-04-02** Chief Senate Sponsor Sen. Ira I. Silverstein
- **2009-04-02** First Reading `reading-1`
- **2009-04-02** Referred to Assignments `referral-committee`
- **2009-04-22** Assigned to Public Health `referral-committee`
- **2009-05-06** Do Pass Public Health; 008-000-000 `committee-passage`
- **2009-05-06** Placed on Calendar Order of 2nd Reading May 7, 2009
- **2009-05-12** Second Reading `reading-2`
- **2009-05-12** Placed on Calendar Order of 3rd Reading May 13, 2009
- **2009-05-12** Senate Floor Amendment No. 1 Filed with Secretary by Sen. Ira I. Silverstein `amendment-introduction`
- **2009-05-12** Senate Floor Amendment No. 1 Referred to Assignments `referral-committee`
- **2009-05-13** Senate Floor Amendment No. 1 Assignments Refers to Public Health
- **2009-05-13** Senate Floor Amendment No. 1 Recommend Do Adopt Public Health; 006-000-000
- **2009-05-14** Recalled to Second Reading `reading-2`
- **2009-05-14** Senate Floor Amendment No. 1 Adopted; Silverstein `amendment-passage`
- **2009-05-14** Placed on Calendar Order of 3rd Reading May 15, 2009
- **2009-05-21** Third Reading - Passed; 059-000-000 `reading-3, passage`
- **2009-05-21** Arrived in House `introduction`
- **2009-05-21** Placed on Calendar Order of Concurrence Senate Amendment(s) 1
- **2009-05-21** Senate Floor Amendment No. 1 Motion Filed Concur Rep. Kathleen A. Ryg
- **2009-05-21** Senate Floor Amendment No. 1 Motion to Concur Referred to Rules Committee `referral-committee`
- **2009-05-26** Senate Floor Amendment No. 1 Motion to Concur Recommends Be Adopted Rules Committee; 004-000-000
- **2009-05-30** Senate Floor Amendment No. 1 House Concurs 117-000-000
- **2009-05-30** Passed Both Houses
- **2009-06-26** Sent to the Governor `executive-receipt`
- **2009-08-25** Governor Approved `executive-signature`
- **2009-08-25** Effective Date January 1, 2010
- **2009-08-25** Public Act . . . . . . . . . 96-0692 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/228d3b97-2ee4-401b-939e-1033c4af448e`. Confidence: reported (aggregated from official Illinois legislature records).