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During the Spring 2026 legislative session, the Illinois General Assembly passed several bills which affect HFSRB, including:
HB 5000 – Amends Section 8.5(a) of the Planning Act and repeals the January 1, 2027, inoperative date affecting a change of ownership among related persons. Bill also amends the Illinois Antitrust Act and requires health care entities to notify the Illinois Attorney General within 30 days before a merger or affiliation to include a covered transaction even if the parties to the transaction are not themselves a health care facility or provider organization but own or control, directly or indirectly, one or more of the two or more health care facilities or provider organizations that will be under common ownership or affiliation if the transaction is consummated. Bill was sent to the Governor on 6/26/26. Governor has until 8/25/26 to act.
House Bill 4728 – Amends the Planning Act by creating a new Section 5.7.
This Section requires the Board to regulate ownership changes and disclosures from:
a. Adult developmental training services;
b. Community Living Facilities;
c. Facilities licensed under the Medically Complex / Developmentally Disabled Facilities Act;
d. Facilities licensed under the Intellectual Disabilities / Developmentally Disabilities Act;
e. Community Developmental Service Agencies; and
f. Institutions and Group Homes for children.
Bill was sent to Governor on 6/26/26. Governor has until 8/25/26 to act. If signed by the Governor, bill will take effect on 7/1/27.
House Bill 4757 – Amends Sections 5, 6.2, 8.5, 8.7, and 13 of the Planning Act.
a. Section 5 – Language is revised to state: “A permit shall be valid only for the defined construction or modifications, site determined by legal street address or corresponding legal description, project amount, and person or persons names in the application for such permit.
b. Section 6.2(c) – Notice of a public hearing shall be made no less than 10 business days before the hearing, by certified mail to the applicant, and not less than 10 business days before the hearing, by publication on the State Board’s website, in the principal office and website (if available) of the local government in the area or community to be affected, and at the location where the hearing will be held. A publication in a newspaper is no longer required.
c. Section 8.5 – When an application for an exemption for a change of ownership of a health care facility or discontinuation of a category of service is deemed complete, State Board staff will post a notice on the State Board’s website and in the principal office and website (if available) of the local government in the area or community to be affected and afford the public an opportunity for a public hearing. A publication in a newspaper is no longer required.
d. Section 8.7(e) – An application for permit is required for the discontinuation of a hospital regardless of whether the hospital is licensed independently or licensed under a dual campus license.
Governor signed bill on 7/10/26. Bill is now Public Act 104-0557. Public Act takes effect on 1/1/27.
Public Act 104-0470
a. Section 13(b)(1) of the Planning Act is amended and requires hospitals to report the following financial and utilization data annually to the State Board:
i) Most recent audited financial statements;
ii) Most recent month-end balance sheet detailing assets, liabilities, and net worth at the end of the month immediately preceding the annual reporting cycle;
iii) Most recent income statement for the month immediately preceding the annual reporting cycle summarizing the revenues, expenses, and net income;
iv) Total number of inpatient days, outpatient visits, and discharges by payer, including but not limited to, Medicare, Medicaid fee-for-service, Medicaid managed care, commercial coverage, and other payers;
v) Total inpatient gross revenues by payer, including, but not limited to, Medicare, Medicaid fee-for-service, Medicaid managed care, commercial coverage, and other payers; and
vi) Total outpatient gross revenues by payer, including, but not limited to, Medicare, Medicaid fee-for-service, Medicaid managed care, commercial coverage, and other payers.
vii) Submission of financial and utilization data is due to the State Board 90 days after the effective date of this Public Act and thereafter, the data shall be due annually on the regular schedule set by the State Board for questionnaires.
viii) If a hospital does not file the required data within 90 days after the close of the annual reporting period, the State Board shall fine the hospital not more than $5,000 per week for failure to comply.
b. Section 13(b)(2)(A) of the Planning Act is amended to state that the State Board shall keep confidential all data submitted under this Section.
Public Act takes effect on 1/1/27.
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