CORONER INVESTIGATIONS

Illinois General Assembly - Full Text of HB4746

Select 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 Language

English

Afrikaans

Albanian

Arabic

Armenian

Azerbaijani

Basque

Bengali

Bosnian

Catalan

Croatian

Czech

Danish

Dutch

Esperanto

Estonian

Filipino

Finnish

French

Galician

Georgian

German

Greek

Gujarati

Haitian Creole

Hausa

Hawaiian

Hebrew

Hindi

Hungarian

Icelandic

Indonesian

Interlingua

Interlingue

Inuktitut

Irish

Italian

Japanese

Javanese

Kannada

Khmer

Korean

Latin

Latvian

Lithuanian

Luxembourgish

Macedonian

Malagasy

Malayalam

Maltese

Maori

Marathi

Myanmar

Nepali

Norwegian

Odia

Pashto

Punjabi

Romanian

Russian

Samoan

Sango

Sanskrit

Sardinian

Sindhi

Sinhala

Slovak

Slovenian

Somali

Southern Sotho

Spanish

Sundanese

Swahili

Swedish

Tamil

Telugu

Thai

Tigrinya

Tonga

Turkish

Ukrainian

Urdu

Vietnamese

Welsh

Xhosa

Yiddish

Yoruba

Zulu

Powered by
Translate

Close

Illinois General Assembly

Top Navigation Bar

Translate

Learn

Select General Assembly

Search the 104th General Assembly

Enter search terms for legislation, members, committees, or schedules.

ILGA.GOV

LEGISLATION & LAWS

Bills & Resolutions

Public Acts

Illinois Compiled Statutes

Illinois Constitution

Search Legislation

Glossary

Guide

Reports & Inquiry

Legislative Reports

Special Reports

FTP Site

Legislator Lookup

Capitol Complex Phone Numbers

Rules & Regulations

Illinois Register

Administrative Rules

Senate

Members

Schedules

Committees

Request for Remote Testimony

Journals

Transcripts

Rules

Audio/Video

FOIA Information

Senate Employment Opportunities

Media Guidelines

House

Members

Schedules

Committees

Submit testimony for House Committees

Journals

Transcripts

Rules

Audio/Video

FOIA Information

House Employment Opportunities

Log In

Mobile Top Bar

Search the 104th General Assembly

Enter keywords to search the Illinois General Assembly website.

Full Text of HB4746

Home

Legislation

Full Text

HB4746 - 104th General Assembly

Bill Status

Full Text

Votes

Witness Slips

Select Menu

Bill Status

Full Text

Votes

Witness Slips

Printer Friendly Version

Introduced

Printer Friendly Version

Introduced

Open PDF

104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
HB4746

Introduced , by Rep. Kelly M. Cassidy

SYNOPSIS AS INTRODUCED:

410 ILCS 535/18

from Ch. 111 1/2, par. 73-18

Amends the Vital Records Act. Provides that, as part of an
investigation by a coroner or medical examiner, the coroner or medical
examiner shall collect social information about the decedent to limit
instances of misidentification, including, but not limited to, the
decedent's manner of dress, relevant information about the area where the
decedent was found, and any inconsistency in official records.
LRB104 19431 BDA 32879 b

A BILL FOR

HB4746
LRB104 19431 BDA 32879 b
1

AN ACT concerning health.

2

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

4

Section 5.
The Vital Records Act is amended by changing
5
Section 18 as follows:

6

(410 ILCS 535/18)

(from Ch. 111 1/2, par. 73-18)
7

Sec. 18.
(1) Each death which occurs in this State shall be
8
registered by filing a death certificate with the local
9
registrar of the district in which the death occurred or the
10
body was found, within 7 days after such death (within 5 days
11
if the death occurs prior to January 1, 1989) and prior to
12
cremation or removal of the body from the State, except when
13
death is subject to investigation by the coroner or medical
14
examiner.
As part of the investigation, the coroner or medical
15
examiner shall collect social information about the decedent
16
to limit instances of misidentification, including, but not
17
limited to, the decedent's manner of dress, relevant
18
information about the area where the decedent was found, and
19
any inconsistency in official records.
If a death occurs in
20
this State in a county outside the deceased's county of
21
residence, the local registrar of the district in which the
22
death certificate was filed shall, within 7 days of its
23
filing, send a copy of the death certificate to the local

HB4746
- 2 -
LRB104 19431 BDA 32879 b
1
registrar in the district where the deceased's county of
2
residence is located.
3

(a) For the purposes of this Section, if the place of
4

death is unknown, a death certificate shall be filed in
5

the registration district in which a dead body is found,
6

which shall be considered the place of death.
7

(b) When a death occurs on a moving conveyance, the
8

place where the body is first removed from the conveyance
9

shall be considered the place of death and a death
10

certificate shall be filed in the registration district in
11

which such place is located.
12

(c) The funeral director who first assumes custody of
13

a dead body shall be responsible for filing a completed
14

death certificate. He or she shall obtain the personal
15

data from the next of kin or the best qualified person or
16

source available; he or she shall enter on the certificate
17

the name, relationship, and address of the informant; he
18

or she shall enter the date, place, and method of final
19

disposition; he or she shall affix his or her own
20

signature and enter his or her address; and shall present
21

the certificate to the person responsible for completing
22

the medical certification of cause of death. The person
23

responsible for completing the medical certification of
24

cause of death must note the presence of
25

methicillin-resistant staphylococcus aureus, clostridium
26

difficile, or vancomycin-resistant enterococci if it is a

HB4746
- 3 -
LRB104 19431 BDA 32879 b
1

contributing factor to or the cause of death. Additional
2

multi-drug resistant organisms (MDROs) may be added to
3

this list by the Department by rule.
4

(2) The medical certification shall be completed and
5
signed within 48 hours after death by the certifying health
6
care professional who, within 12 months prior to the date of
7
the patient's death, was treating or managing treatment of the
8
patient's illness or condition which resulted in death, except
9
when death is subject to the coroner's or medical examiner's
10
investigation. In the absence of the certifying health care
11
professional or with his or her approval, the medical
12
certificate may be completed and signed by his or her
13
associate physician, advanced practice registered nurse, or
14
physician assistant, the chief medical officer of the
15
institution in which death occurred, or the physician who
16
performed an autopsy upon the decedent.
17

(3) When a death occurs without medical attendance, or
18
when it is otherwise subject to the coroner's or medical
19
examiner's investigation, the coroner or medical examiner
20
shall be responsible for the completion of a coroner's or
21
medical examiner's certificate of death and shall sign the
22
medical certification within 48 hours after death, except as
23
provided by regulation in special problem cases. If the
24
decedent was under the age of 18 years at the time of his or
25
her death, and the death was due to injuries suffered as a
26
result of a motor vehicle backing over a child, or if the death

HB4746
- 4 -
LRB104 19431 BDA 32879 b
1
occurred due to the power window of a motor vehicle, the
2
coroner or medical examiner must send a copy of the medical
3
certification, with information documenting that the death was
4
due to a vehicle backing over the child or that the death was
5
caused by a power window of a vehicle, to the Department of
6
Children and Family Services. The Department of Children and
7
Family Services shall (i) collect this information for use by
8
Child Death Review Teams and (ii) compile and maintain this
9
information as part of its Annual Child Death Review Team
10
Report to the General Assembly.
11

(3.5) The medical certification of cause of death shall
12
expressly provide an opportunity for the person completing the
13
certification to indicate that the death was caused in whole
14
or in part by a dementia-related disease, Parkinson's Disease,
15
or Parkinson-Dementia Complex.
16

(4) When the deceased was a veteran of any war of the
17
United States, the funeral director shall prepare a
18
"Certificate of Burial of U. S. War Veteran", as prescribed
19
and furnished by the Illinois Department of Veterans Affairs,
20
and submit such certificate to the Illinois Department of
21
Veterans Affairs monthly.
22

(5) When a death is presumed to have occurred in this State
23
but the body cannot be located, a death certificate may be
24
prepared by the State Registrar upon receipt of an order of a
25
court of competent jurisdiction which includes the finding of
26
facts required to complete the death certificate. Such death

HB4746
- 5 -
LRB104 19431 BDA 32879 b
1
certificate shall be marked "Presumptive" and shall show on
2
its face the date of the registration and shall identify the
3
court and the date of the judgment.
4
(Source: P.A. 103-154, eff. 6-30-23; 103-741, eff. 8-2-24;
5
104-234, eff. 8-15-25.)

Footer

Disclaimer

This site is maintained for the Illinois General Assembly by the
Legislative Information System, 705 Stratton Building, Springfield, Illinois 62706.

Contact ILGA Webmaster

ILGA.gov uses cookies to ensure you get the best experience on our website. By continuing to browse ILGA.gov you consent to our use of cookies.
Read About Cookies

ILGA.GOV

2026 ILGA.gov | All Rights Reserved |
ADA

|
Disclaimers
|
Learn

This site is maintained for the Illinois General Assembly by the
Legislative Information System, 705 Stratton Building, Springfield, Illinois 62706.
Contact ILGA Webmaster

ILGA.gov uses cookies to ensure you get the best experience on our website. By continuing to browse ILGA.gov you consent to our use of cookies.
Read About Cookies

ILGA.GOV

2026 ILGA.gov | All Rights Reserved |
ADA

|
Disclaimers
|
Learn