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HB4957 • 2026

HOSPITAL EMPLOYEE PREMIUMS

HOSPITAL EMPLOYEE PREMIUMS

Healthcare Labor
Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
Kelly M. Cassidy
Last action
2026-03-27
Official status
Rule 19(a) / Re-referred to Rules Committee
Effective date
Not listed

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

HOSPITAL EMPLOYEE PREMIUMS

HOSPITAL EMPLOYEE PREMIUMS

What This Bill Does

  • HOSPITAL EMPLOYEE PREMIUMS

Limits and Unknowns

  • This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Bill History

  1. 2026-05-20 Illinois General Assembly

    Added Co-Sponsor Rep. Camille Y. Lilly

  2. 2026-04-15 Illinois General Assembly

    Added Co-Sponsor Rep. Joyce Mason

  3. 2026-04-15 Illinois General Assembly

    Added Co-Sponsor Rep. Kam Buckner

  4. 2026-03-27 Illinois General Assembly

    Rule 19(a) / Re-referred to Rules Committee

  5. 2026-03-26 Illinois General Assembly

    Added Co-Sponsor Rep. Yolonda Morris

  6. 2026-03-26 Illinois General Assembly

    Added Co-Sponsor Rep. Mary Beth Canty

  7. 2026-03-26 Illinois General Assembly

    Added Co-Sponsor Rep. Dagmara Avelar

  8. 2026-03-26 Illinois General Assembly

    Added Co-Sponsor Rep. Michael Crawford

  9. 2026-03-26 Illinois General Assembly

    Added Co-Sponsor Rep. Theresa Mah

  10. 2026-03-26 Illinois General Assembly

    Added Co-Sponsor Rep. Maurice A. West, II

  11. 2026-03-18 Illinois General Assembly

    Assigned to Insurance Committee

  12. 2026-02-06 Illinois General Assembly

    First Reading

  13. 2026-02-06 Illinois General Assembly

    Referred to Rules Committee

  14. 2026-02-04 Illinois General Assembly

    Filed with the Clerk by Rep. Kelly M. Cassidy

Official Summary Text

HOSPITAL EMPLOYEE PREMIUMS

Current Bill Text

Read the full stored bill text
Illinois General Assembly - Full Text of HB4957

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Full Text of HB4957

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HB4957 - 104th General Assembly

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Introduced

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Introduced

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104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
HB4957

Introduced , by Rep. Kelly M. Cassidy

SYNOPSIS AS INTRODUCED:

210 ILCS 85/11.11 new

Amends the Hospital Licensing Act. Provides that a hospital licensed
under the Act shall not charge a covered hospital employee more than 10% of
the total health insurance premium cost. Provides that any agreement
permitting a charge to a covered hospital employee in excess of 10% of the
total health insurance premium cost shall be deemed invalid, void, and
unenforceable. Provides that a hospital in violation of those provisions
shall pay a civil penalty of $500 to the Department of Public Health for
each impacted covered hospital employee.
LRB104 18000 BAB 31437 b

A BILL FOR

HB4957
LRB104 18000 BAB 31437 b
1

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 Hospital Licensing Act is amended by adding
5
Section 11.11 as follows:

6

(210 ILCS 85/11.11 new)
7

Sec. 11.11.
Health insurance premiums for hospital
8
employees.
9

(a) In this Section:
10

"Covered hospital employee" means any of the following:
11

(1) An employee of a large hospital who provides
12

patient care, health care services, or services supporting
13

the provision of health care, which includes, but is not
14

limited to, employees performing work in the occupation of
15

a nurse, physician, caregiver, medical resident, intern or
16

fellow, patient care technician, janitor, housekeeping
17

staff person, groundskeeper, guard, clerical worker,
18

nonmanagerial administrative worker, food service worker,
19

gift shop worker, technical and ancillary services worker,
20

medical coding and medical billing personnel, scheduler,
21

call center and warehouse worker, and laundry worker,
22

regardless of formal job title.
23

(2) A contracted or subcontracted employee, if all of

HB4957
- 2 -
LRB104 18000 BAB 31437 b
1

the following apply:
2

(A) The employee's employer contracts with the
3

hospital employer, or with a contractor or
4

subcontractor to the hospital employer, to provide
5

health care services or services supporting the
6

provision of health care.
7

(B) The hospital directly or indirectly, or
8

through an agent or any other person, exercises
9

control over the employee's wages, hours, or working
10

conditions. However, "covered hospital employee"
11

includes all employees performing contracted or
12

subcontracted work primarily on the premises of a
13

hospital to provide health care services or services
14

supporting the provision of health care.
15

"Health insurance premium" means any money charged to a
16
hospital, plan sponsor, or other entity to provide for the
17
medical, dental, or vision insurance coverage for a covered
18
hospital employee.
19

"Health system" means any entity that:
20

(1) owns or operates at least one hospital; or
21

(2) sponsors, supports, or administers graduate
22

medical education programs across a consortium of
23

independent or affiliated hospitals or medical or
24

osteopathic colleges or schools.
25

"Large hospital" means a hospital licensed under this Act
26
that has net patient revenue of at least $1,000,000,000 per

HB4957
- 3 -
LRB104 18000 BAB 31437 b
1
year or is part of a health system that has net patient revenue
2
of at least $1,000,000,000 per year.
3

(b) A hospital licensed under this Act shall not charge a
4
covered hospital employee more than 10% of the total health
5
insurance premium cost. The requirements of this Section may
6
not be waived. Any agreement permitting a charge to a covered
7
hospital employee in excess of 10% of the total health
8
insurance premium cost shall be deemed invalid, void, and
9
unenforceable under this Section.
10

(c) A hospital in violation of this Section shall pay a
11
civil penalty of $500 to the Department for each impacted
12
covered hospital employee.

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