HEALTH & WELLNESS IMPACT NOTE

Illinois General Assembly - Full Text of HB2691

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104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
HB2691

Introduced 2/6/2025, by Rep. Camille Y. Lilly

SYNOPSIS AS INTRODUCED:

New Act

Creates the Health and Wellness Impact Note Act. Requires the
Department of Public Health to prepare health and wellness impact notes on
bills introduced in the General Assembly.
LRB104 09246 BDA 19304 b

A BILL FOR

HB2691
LRB104 09246 BDA 19304 b
1

AN ACT concerning State government.

2

Be it enacted by the People of the State of Illinois,
3
represented in the General Assembly:

4

Section 1.
Short title.
This Act may be cited as the
Health
5
and Wellness Impact Note Act.

6

Section 5.
Applicability.
7

(a) Every bill the purpose or effect of which is to advance
8
mental, physical, or social well-being, except those making a
9
direct appropriation, shall have prepared for it, before
10
second reading in the chamber of introduction, a brief
11
explanatory statement or note that shall include a reliable
12
estimate of the anticipated impact.
13

(b) Every proposed rule of an agency, the purpose or
14
effect of which is to advance mental, physical, or social
15
well-being shall have prepared for it, before approval by the
16
Joint Committee on Administrative Rules pursuant to the
17
Illinois Administrative Procedure Act, a brief explanatory
18
statement or note that shall include a reliable estimate of
19
the anticipated impact. As used in this Act, "rule" and
20
"agency" have the same meanings as in the Illinois
21
Administrative Procedure Act.
22

(c) These statements or notes shall be known as Health and
23
Wellness Impact Notes.

HB2691
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LRB104 09246 BDA 19304 b
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Section 10.
Preparation.
2

(a) The sponsor of each bill to which Section 5 applies
3
shall present a copy of the bill, with the request for a Health
4
and Wellness Impact Note, to the Department of Public Health.
5
The Health and Wellness Impact Note shall be prepared by the
6
Department of Public Health and submitted to the sponsor of
7
the bill within 5 calendar days, except that whenever, because
8
of the complexity of the measure, additional time is required
9
for the preparation of the Health and Wellness Impact Note,
10
the Department of Public Health may inform the sponsor of the
11
bill, and the sponsor may approve an extension of the time
12
within which the note is to be submitted, not to extend,
13
however, beyond May 15, following the date of the request.
14

(b) The agency proposing a rule to which Section 5 applies
15
shall present a copy of the proposed rule, with the request for
16
a Health and Wellness Impact Note, to the Department of Public
17
Health. The Health and Wellness Impact Note shall be prepared
18
by the Department of Public Health and submitted to the agency
19
within 5 calendar days, except that whenever, because of the
20
complexity of the measure, additional time is required for the
21
preparation of the Health and Wellness Impact Note, the
22
Department of Public Health may inform the agency and the
23
agency may approve an extension of the time within which the
24
note is to be submitted.
25

(c) If, in the opinion of the Department of Public Health,

HB2691
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LRB104 09246 BDA 19304 b
1
there is insufficient information to prepare a reliable
2
estimate of the anticipated impact, a statement to that effect
3
can be filed and shall meet the requirements of this Act.

4

Section 15.
Vote on the necessity of Health and Wellness
5
Impact Notes.
Whenever the sponsor of any bill is of the
6
opinion that no Health and Wellness Impact Note is required,
7
any member of either chamber may request that a note be
8
obtained, and in that case, the applicability of this Act
9
shall be decided by the majority of those present and voting in
10
the chamber of which the sponsor is a member.

11

Section 20.
Requisites and contents.
The note shall be
12
factual in nature, as brief and concise as may be, and shall
13
provide a reliable estimate in dollars or other relevant
14
units, if possible, and shall include both the immediate
15
effect and, if determinable or reasonably foreseeable, the
16
long-range effect of the measure. If, after careful
17
investigation, it is determined that no dollar or other
18
relevant unit estimate is possible, the note shall contain a
19
statement to that effect setting forth the reasons why no such
20
estimate can be given.

21

Section 25.
Comment or opinion; technical or mechanical
22
defects.
No comment or opinion shall be included in the Health
23
and Wellness Impact Note with regard to the merits of the

HB2691
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LRB104 09246 BDA 19304 b
1
measure for which the Health and Wellness Impact Note is
2
prepared; however, technical or mechanical defects may be
3
noted.

4

Section 30.
Appearance of State officials and employees in
5
support of or in opposition to measure.
The fact that a Health
6
and Wellness Impact Note is prepared for any bill or proposed
7
rule shall not preclude or restrict the appearance before any
8
committee of the General Assembly, or before the Joint
9
Committee on Administrative Rules, of any official or
10
authorized employee of the Department of Public Health who
11
desires to be heard in support of or in opposition to the
12
measure.

13

Section 35.
Amendment of bill necessitating statement of
14
effect of proposed amendment.
Whenever any committee of either
15
chamber reports any bill with an amendment that will
16
substantially affect the information or conclusion stated in
17
the Health and Wellness Impact Note attached to the measure at
18
the time of its referral to the committee, there shall be
19
included with the report of the committee a statement of the
20
effect of the change proposed by the amendment reported if
21
desired by a majority of the committee. Whenever any bill is
22
amended on the floor of either chamber to substantially affect
23
the information or conclusion as stated in the Health and
24
Wellness Impact Note attached to the bill before the

HB2691
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LRB104 09246 BDA 19304 b
1
amendment, a majority of the members of that chamber may
2
propose that no action shall be taken on the amendment until
3
the sponsor of the amendment presents to the members a
4
statement of the impact on the advancement of mental,
5
physical, or social well-being of the proposed amendment.

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