Illinois legislation · 104th General Assembly
Illinois HB5390: PATIENT BILL & OUTSOURCED CARE
Status: Signed into law, June 26, 2026
Amends the Fair Patient Billing Act. Makes changes to findings and defined terms provisions. Provides that a hospital shall not deny any protection or benefit of the Act on the basis of a patient's citizenship or immigration status or assets or prospective assets. Provides that a patient who inquires about a denial of financial assistance in whole or in part must be permitted to appeal the decision within at least 90 days. Requires a hospital to use only a uniform financial assistance form developed and provided by the Attorney General no later than December 31, 2026. Provides that every hospital bill and every collection notice must notify the patient, in the patient's preferred language, of the availability of hospital financial assistance and charity care. Establishes further provisions concerning hospitals pursuing collection actions; outsourced health care services; patient responsibilities; and applicability of the Act. Amends the Hospital Uninsured Patient Discount Act. Sets forth provisions concerning uninsured patient discounts for specified income levels. Prohibits hospitals from making the availability of a discount under the Act contingent upon the uninsured patient first applying for coverage under public health insurance programs. Provides that patients may not be denied a discount under the Act on the basis of citizenship or immigration status or assets or prospective assets. Makes other changes concerning uninsured patient discounts, outsourcing health care services, and patient responsibilities. Effective immediately.
What the bill says
A bill for 104th general assembly state of illinois 2025 and 2026hb5390introduced 2/10/2026, by rep. dagmara avelarsynopsis as introduced: ilcs 88/5210 ilcs 88/10210 ilcs 88/16210 ilcs 88/25210 ilcs 88/27210 ilcs 88/30210 ilcs 88/35210 ilcs 88/40210 ilcs 88/45210 ilcs 88/70210 ilcs 89/5210 ilcs 89/10210 ilcs 89/15 210 ilcs 88/5 210 ilcs 88/10 210 ilcs 88/16 210 ilcs 88/25 210 ilcs 88/27 210 ilcs 88/30 210 ilcs 88/35 210 ilcs 88/40 210 ilcs 88/45 210 ilcs 88/70 210 ilcs 89/5 210 ilcs 89/10 210 ilcs 89/15 ilcs 88/5 ilcs 88/10 ilcs 88/16 ilcs 88/25 ilcs 88/27 ilcs 88/30 ilcs 88/35 ilcs 88/40 ilcs…
From the introduced text, February 6, 2026:
A BILL FOR 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026HB5390Introduced 2/10/2026, by Rep. Dagmara AvelarSYNOPSIS AS INTRODUCED: ILCS 88/5210 ILCS 88/10210 ILCS 88/16210 ILCS 88/25210 ILCS 88/27210 ILCS 88/30210 ILCS 88/35210 ILCS 88/40210 ILCS 88/45210 ILCS 88/70210 ILCS 89/5210 ILCS 89/10210 ILCS 89/15 210 ILCS 88/5 210 ILCS 88/10 210 ILCS 88/16 210 ILCS 88/25 210 ILCS 88/27 210 ILCS 88/30 210 ILCS 88/35 210 ILCS 88/40 210 ILCS 88/45 210 ILCS 88/70 210 ILCS 89/5 210 ILCS 89/10 210 ILCS 89/15 ILCS 88/5 ILCS 88/10 ILCS 88/16 ILCS 88/25 ILCS 88/27 ILCS 88/30 ILCS 88/35 ILCS 88/40 ILCS 88/45 ILCS 88/70 ILCS 89/5 ILCS 89/10 ILCS 89/15 Amends the Fair Patient Billing Act. Makes changes to findings anddefined terms provisions. Provides that a hospital shall not deny anyprotection or benefit of the Act on the basis of a patient's citizenship orimmigration status or assets or prospective assets. Provides that apatient who inquires about a denial of financial assistance in whole or inpart must be permitted to appeal the decision within at least 90 days.Requires a hospital to use only a uniform financial assistance formdeveloped and provided by the Attorney General no later than December 31,2026. Provides that every hospital bill and every collection notice mustnotify the patient, in the patient's preferred language, of theavailability of hospital financial …