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---
type: "Bill"
title: "HEALTH CARE WORKER REGISTRY"
description: "Amends the Nursing Home Care Act. Requires the Department of Public Health to make the Health Care Worker Registry that includes background check and training information accessible by health care employers. Allows the Department to maintain a publicly accessible registry. Makes changes regarding information that must be contained in the registry accessible to health care employers. Requires the Department to limit specific offense information on an applicant or employee. Requires that after June 30, 2016, the public registry report that an individual is ineligible for employment if he or she has a disqualifying offense under the Health Care Worker Background Check Act and has not received a waiver under that Act. Requires that the public registry report than an individual is eligible for employment if he or she has received a waiver but not the waiver information. Amends the Health Care Worker Background Check Act. Allows a health care employer to hire an individual with a disqualifying offense if the individual has received a waiver under the Act (rather than in the discretion of the Department of Public Health, no health care employer shall knowingly hire, employ, or retain any individual in a position with duties involving direct care for clients, patients, or residents, and no long-term care facility shall knowingly hire, employ, or retain any individual in a position with duties that involve or may involve contact with residents or access to the living quarters or the financial, medical, or personal records of residents, who has been convicted of committing or attempting to commit certain offenses). Creates a Health Care Worker Registry working group in the Office of the Governor. Makes other changes. Effective immediately."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "99th"
identifier: "HB 4515"
citation: "Illinois HB 4515 (99th)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: []
version_count: 3
action_count: 100
vote_count: 4
first_action: "2016-01-26"
last_action: "2016-08-22"
source: "openstates"
source_identifier: "ocd-bill/255ea311-fb3e-45ee-8a1d-a1a13ce0a395"
source_url: "http://ilga.gov/legislation/BillStatus.asp?DocNum=4515&GAID=13&DocTypeID=HB&LegId=93576&SessionID=88&GA=99"
source_hash: "1ad3000cb51e73270cefbf045bf3a3c689a7f6d524a54aefb5f4e509863472b6"
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 4515 (99th) — HEALTH CARE WORKER REGISTRY
Amends the Nursing Home Care Act. Requires the Department of Public Health to make the Health Care Worker Registry that includes background check and training information accessible by health care employers. Allows the Department to maintain a publicly accessible registry. Makes changes regarding information that must be contained in the registry accessible to health care employers. Requires the Department to limit specific offense information on an applicant or employee. Requires that after June 30, 2016, the public registry report that an individual is ineligible for employment if he or she has a disqualifying offense under the Health Care Worker Background Check Act and has not received a waiver under that Act. Requires that the public registry report than an individual is eligible for employment if he or she has received a waiver but not the waiver information. Amends the Health Care Worker Background Check Act. Allows a health care employer to hire an individual with a disqualifying offense if the individual has received a waiver under the Act (rather than in the discretion of the Department of Public Health, no health care employer shall knowingly hire, employ, or retain any individual in a position with duties involving direct care for clients, patients, or residents, and no long-term care facility shall knowingly hire, employ, or retain any individual in a position with duties that involve or may involve contact with residents or access to the living quarters or the financial, medical, or personal records of residents, who has been convicted of committing or attempting to commit certain offenses). Creates a Health Care Worker Registry working group in the Office of the Governor. Makes other changes. Effective immediately.
## 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=09900HB4515&GA=99&SessionId=88&DocTypeId=HB&LegID=93576&DocNum=4515&GAID=13&Session=&print=true)
2. **Engrossed** (committee substitute) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09900HB4515eng&GA=99&SessionId=88&DocTypeId=HB&LegID=93576&DocNum=4515&GAID=13&Session=&print=true)
3. **Enrolled** (enrolled) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09900HB4515enr&GA=99&SessionId=88&DocTypeId=HB&LegID=93576&DocNum=4515&GAID=13&Session=&print=true)
## Votes
- Third Reading — **438** (pass) · upper
- Concurrence — **7138** (pass) · lower
- Concurrence — **5655** (fail) · lower
- Third Reading — **6244** (pass) · lower
## Sponsors
- Camille Y. Lilly — primary (person)
- Kimberly A. Lightford — cosponsor (person)
- Michael Noland — cosponsor (person)
- William Delgado — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2016-01-26** Filed with the Clerk by Rep. Camille Y. Lilly `filing`
- **2016-01-26** First Reading `reading-1`
- **2016-01-26** Referred to Rules Committee `referral-committee`
- **2016-03-02** Added Chief Co-Sponsor Rep. Arthur Turner
- **2016-03-02** Added Co-Sponsor Rep. Pamela Reaves-Harris
- **2016-03-03** Added Co-Sponsor Rep. Rita Mayfield
- **2016-03-03** Added Co-Sponsor Rep. Gregory Harris
- **2016-03-04** Added Co-Sponsor Rep. Emanuel Chris Welch
- **2016-03-04** Added Co-Sponsor Rep. Lou Lang
- **2016-03-04** Added Co-Sponsor Rep. Will Guzzardi
- **2016-03-04** Added Chief Co-Sponsor Rep. Elizabeth Hernandez
- **2016-03-08** Added Co-Sponsor Rep. Michael J. Zalewski
- **2016-03-14** Added Co-Sponsor Rep. Kelly M. Cassidy
- **2016-03-23** Assigned to Health Care Licenses Committee `referral-committee`
- **2016-03-31** Added Co-Sponsor Rep. Robyn Gabel
- **2016-03-31** House Committee Amendment No. 1 Filed with Clerk by Rep. Camille Y. Lilly `amendment-introduction`
- **2016-03-31** House Committee Amendment No. 1 Referred to Rules Committee `referral-committee`
- **2016-04-04** House Committee Amendment No. 1 Rules Refers to Health Care Licenses Committee
- **2016-04-05** House Committee Amendment No. 1 Adopted in Health Care Licenses Committee; by Voice Vote `amendment-passage`
- **2016-04-05** Motion Do Pass as Amended - Lost Health Care Licenses Committee; 005-005-000 `committee-failure`
- **2016-04-05** Remains in Health Care Licenses Committee
- **2016-04-06** House Committee Amendment No. 2 Filed with Clerk by Rep. Camille Y. Lilly `amendment-introduction`
- **2016-04-06** House Committee Amendment No. 2 Referred to Rules Committee `referral-committee`
- **2016-04-06** Added Co-Sponsor Rep. Marcus C. Evans, Jr.
- **2016-04-06** Added Co-Sponsor Rep. Thaddeus Jones
- **2016-04-06** Added Co-Sponsor Rep. Al Riley
- **2016-04-06** Added Co-Sponsor Rep. Sonya M. Harper
- **2016-04-06** Added Co-Sponsor Rep. La Shawn K. Ford
- **2016-04-06** Added Co-Sponsor Rep. Jehan Gordon-Booth
- **2016-04-06** Added Co-Sponsor Rep. Litesa E. Wallace
- **2016-04-06** Added Co-Sponsor Rep. Kenneth Dunkin
- **2016-04-06** Added Co-Sponsor Rep. William Davis
- **2016-04-06** Added Co-Sponsor Rep. Monique D. Davis
- **2016-04-06** Added Co-Sponsor Rep. André Thapedi
- **2016-04-06** Added Co-Sponsor Rep. Cynthia Soto
- **2016-04-06** Added Co-Sponsor Rep. Eddie Lee Jackson, Sr.
- **2016-04-06** Added Co-Sponsor Rep. Elgie R. Sims, Jr.
- **2016-04-06** Do Pass as Amended / Short Debate Health Care Licenses Committee; 008-002-000 `committee-passage`
- **2016-04-06** House Committee Amendment No. 2 Tabled Pursuant to Rule 40 `amendment-failure`
- **2016-04-07** Placed on Calendar 2nd Reading - Short Debate
- **2016-04-07** Added Co-Sponsor Rep. Christian L. Mitchell
- **2016-04-08** Added Co-Sponsor Rep. Margo McDermed
- **2016-04-08** House Floor Amendment No. 3 Filed with Clerk by Rep. Camille Y. Lilly `amendment-introduction`
- **2016-04-08** House Floor Amendment No. 3 Referred to Rules Committee `referral-committee`
- **2016-04-12** House Floor Amendment No. 3 Recommends Be Adopted Rules Committee; 003-000-000 `committee-passage-favorable`
- **2016-04-12** Added Co-Sponsor Rep. Laura Fine
- **2016-04-12** Added Co-Sponsor Rep. Barbara Flynn Currie
- **2016-04-14** Added Co-Sponsor Rep. Mike Smiddy
- **2016-04-14** Added Co-Sponsor Rep. Carol Ammons
- **2016-04-14** Added Co-Sponsor Rep. Mary E. Flowers
- **2016-04-14** Added Co-Sponsor Rep. Ed Sullivan
- **2016-04-15** Second Reading - Short Debate `reading-2`
- **2016-04-15** Held on Calendar Order of Second Reading - Short Debate `reading-2`
- **2016-04-20** Added Co-Sponsor Rep. Keith R. Wheeler
- **2016-04-21** House Floor Amendment No. 3 Adopted `amendment-passage`
- **2016-04-21** Placed on Calendar Order of 3rd Reading - Short Debate
- **2016-04-22** Third Reading - Short Debate - Passed 062-044-000 `reading-3, passage`
- **2016-04-25** Arrive in Senate `introduction`
- **2016-04-25** Placed on Calendar Order of First Reading `reading-1`
- **2016-04-25** Chief Senate Sponsor Sen. Don Harmon
- **2016-04-25** First Reading `reading-1`
- **2016-04-25** Referred to Assignments `referral-committee`
- **2016-05-03** Assigned to Criminal Law `referral-committee`
- **2016-05-05** Senate Committee Amendment No. 1 Filed with Secretary by Sen. Don Harmon `amendment-introduction`
- **2016-05-05** Senate Committee Amendment No. 1 Referred to Assignments `referral-committee`
- **2016-05-05** Added as Alternate Chief Co-Sponsor Sen. Jacqueline Y. Collins
- **2016-05-10** Senate Committee Amendment No. 1 Assignments Refers to Criminal Law
- **2016-05-10** Added as Alternate Chief Co-Sponsor Sen. Patricia Van Pelt
- **2016-05-11** Senate Committee Amendment No. 1 Adopted `amendment-passage`
- **2016-05-11** Do Pass as Amended Criminal Law; 007-004-000 `committee-passage`
- **2016-05-11** Placed on Calendar Order of 2nd Reading May 12, 2016
- **2016-05-11** Added as Alternate Chief Co-Sponsor Sen. Iris Y. Martinez
- **2016-05-12** Added as Alternate Co-Sponsor Sen. Michael Noland
- **2016-05-17** Second Reading `reading-2`
- **2016-05-17** Placed on Calendar Order of 3rd Reading May 18, 2016
- **2016-05-19** Added as Alternate Co-Sponsor Sen. Kimberly A. Lightford
- **2016-05-19** Third Reading - Passed; 043-008-000 `reading-3, passage`
- **2016-05-20** Arrived in House `introduction`
- **2016-05-20** Placed on Calendar Order of Concurrence Senate Amendment(s) 1
- **2016-05-23** Senate Committee Amendment No. 1 Motion Filed Concur Rep. Camille Y. Lilly
- **2016-05-23** Senate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee `referral-committee`
- **2016-05-23** Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Rules Committee; 003-001-000
- **2016-05-25** Added as Alternate Co-Sponsor Sen. William Delgado
- **2016-05-29** Senate Committee Amendment No. 1 Motion to Concur Lost 056-055-001
- **2016-05-29** Senate Committee Amendment No. 1 Motion Filed Concur Rep. Camille Y. Lilly
- **2016-05-29** Senate Committee Amendment No. 1 Motion to Concur Referred to Rules Committee `referral-committee`
- **2016-05-31** Final Action Deadline Extended-9(b) June 30, 2016
- **2016-06-29** Senate Committee Amendment No. 1 Motion to Concur Recommends Be Adopted Rules Committee; 004-000-000
- **2016-06-29** 3/5 Vote Required
- **2016-06-29** Senate Committee Amendment No. 1 House Concurs 071-038-000
- **2016-06-29** House Concurs
- **2016-06-29** Passed Both Houses
- **2016-06-29** Added Chief Co-Sponsor Rep. Jehan Gordon-Booth
- **2016-06-29** Removed Co-Sponsor Rep. La Shawn K. Ford
- **2016-06-29** Removed Co-Sponsor Rep. Jehan Gordon-Booth
- **2016-06-29** Added Chief Co-Sponsor Rep. La Shawn K. Ford
- **2016-07-28** Sent to the Governor `executive-receipt`
- **2016-08-22** Governor Approved `executive-signature`
- **2016-08-22** Effective Date January 1, 2017
- **2016-08-22** Public Act . . . . . . . . . 99-0872 `became-law`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/255ea311-fb3e-45ee-8a1d-a1a13ce0a395`. Confidence: reported (aggregated from official Illinois legislature records).