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HB 5390
Illinois House•Passed
Summary
HB 5390, “PATIENT BILL & OUTSOURCED CARE”, was introduced in the House on Feb 6, 2026 by Rep. Dagmara Avelar (D) with 5 co-sponsors. It last saw action on Jun 26, 2026: Public Act . . . . . . . . . 104-0521.
Record
Text
HB 5390 has 5 co-sponsors and 5 roll calls.
hb5390/enrolled.txtSelect Language×The Illinois General Assembly offers the Google Translate™ service for visitor convenience. In no way should it be considered accurate as to the translation of any content herein.Visitors of the Illinois General Assembly website are encouraged to use other translation services available on the internet.The English language version is always the official and authoritative version of this website.NOTE: To return to the original English language version, select the "Show Original" button on the Google Translate™ menu bar at the top of the window.Choose LanguageEnglishAfrikaansAlbanianArabicArmenianAzerbaijaniBasqueBengaliBosnianCatalanCroatianCzechDanishDutchEsperantoEstonianFilipinoFinnishFrenchGalicianGeorgianGermanGreekGujaratiHaitian CreoleHausaHawaiianHebrewHindiHungarianIcelandicIndonesianInterlinguaInterlingueInuktitutIrishItalianJapaneseJavaneseKannadaKhmerKoreanLatinLatvianLithuanianLuxembourgishMacedonianMalagasyMalayalamMalteseMaoriMarathiMyanmarNepaliNorwegianOdiaPashtoPunjabiRomanianRussianSamoanSangoSanskritSardinianSindhiSinhalaSlovakSlovenianSomaliSouthern SothoSpanishSundaneseSwahiliSwedishTamilTeluguThaiTigrinyaTongaTurkishUkrainianUrduVietnameseWelshXhosaYiddishYorubaZuluPowered by TranslateCloseIllinois General AssemblyTop Navigation BarTranslateLearnSelect General AssemblySearch the 104th General AssemblyEnter search terms for legislation, members, committees, or schedules.ILGA.GOVMobile Top BarSearch the 104th General AssemblyEnter keywords to search the Illinois General Assembly website.Full Text of HB5390HomeLegislationFull TextHB5390 - 104th General AssemblyBill StatusFull TextVotesWitness SlipsSelect MenuBill StatusFull TextVotesWitness SlipsPrinter Friendly VersionIntroducedEngrossedEnrolledHouse Amendment 001Public ActPrinter Friendly VersionIntroducedEngrossedEnrolledHouse Amendment 001Public ActOpen PDFHB5390 Enrolled LRB104 18752 BAB 32195 b1 AN ACT concerning regulation.2 Be it enacted by the People of the State of Illinois,3 represented in the General Assembly:4 Section 5. The Fair Patient Billing Act is amended by5 changing Section 27 as follows:6 (210 ILCS 88/27)7 Sec. 27. Application procedures for financial assistance8 [Procedures for Financial Assistance].9 (a) Applications. The Attorney General shall, by rule,10 adopt [standard] provisions for a uniform financial assistance11 form to be included in all applications for financial12 assistance [no later than June 30, 2013]. On or before December13 31, 2026, interested stakeholders [January 1, 2013, a statewide ]14 [association representing a majority of hospitals] may submit to15 the Attorney General recommendations concerning a uniform16 [standard provisions to be used in an] application for financial17 assistance, and the Attorney General shall take reasonably18 relevant [those] recommendations into account when adopting19 rules under this subsection.20 Approval of eligibility for financial assistance is valid21 for at least 12 months after the first service date for which22 the patient submitted a financial assistance application,23 pursuant to the hospital's financial assistance policy andHB5390 Enrolled - 2 - LRB104 18752 BAB 32195 b1 subject to subsection (b) of Section 45. A hospital must use2 only a uniform financial assistance form developed and3 provided by the Attorney General.4 (b) Presumptive eligibility [Eligibility]. The Attorney5 General shall, by rule, adopt appropriate methodologies for6 the determination of presumptive eligibility no later than7 June 30, 2013. On or before January 1, 2013, a statewide8 association representing a majority of hospitals may submit to9 the Attorney General recommendations concerning those10 methodologies, and the Attorney General shall take those11 recommendations into account when adopting rules under this12 subsection.13 (Source: P.A. 97-690, eff. 6-14-12.)14 Section 99. Effective date. This Act takes effect upon15 becoming law.
Amends the Fair Patient Billing Act. Provides that the Attorney General shall, by rule, adopt provisions for a uniform financial assistance form (rather than adopt standard provisions) to be included in all applications for financial assistance. Provides that, on or before December 31, 2026, interested stakeholders (rather than a statewide association representing a majority of hospitals) may submit to the Attorney General recommendations concerning a uniform application (rather than standard provisions to be used in an application) for financial assistance, and the Attorney General shall take reasonably relevant recommendations (rather than those recommendations) into account when adopting specified rules. Provides that approval of eligibility for financial assistance is valid for at least 12 months after the first service date for which the patient submitted a financial assistance application. Requires a hospital to use only a uniform financial assistance form developed and provided by the Attorney General. Effective immediately.
Sponsors
Rep. Dagmara Avelar (D) sponsors HB 5390, and 5 members have co-sponsored it.
Committees
HB 5390 went before 4 committees: Rules, Health Care Availability & Accessibility, Assignments and Executive.

History
HB 5390 has taken 35 actions since Feb 6, 2026, the latest on Jun 26, 2026.
| Chamber | Action | |||
|---|---|---|---|---|
Jun 26, 2026 | House | Governor Approved | ||
Jun 26, 2026 | House | Effective Date June 26, 2026 | ||
Jun 26, 2026 | House | Public Act . . . . . . . . . 104-0521 | ||
Jun 18, 2026 | House | Sent to the Governor | ||
May 28, 2026 | Senate | Added as Alternate Co-Sponsor Sen. Karina Villa |
Votes
HB 5390 went to 5 roll calls across both chambers, the latest on May 20, 2026 at 39–19.
| Chamber | Question | Yea | Nay | |||
|---|---|---|---|---|---|---|
May 20, 2026 | Senate | Senate Third Reading | 39 | 19 | ||
May 6, 2026 | Senate | Senate Executive Committee | 9 | 4 | ||
Apr 16, 2026 | House | House Health Care Availability & Access Committee | 14 | 0 | ||
Apr 16, 2026 | House | House Third Reading | 73 | 34 | ||
Mar 18, 2026 | House | House Health Care Availability & Access Committee | 8 | 4 |
Source: ilga.gov · legiscan.com