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HB 1431

FACILITY FEE TRANSPARENCY

104th Regular Session Introduced by Steve Stadelman and 1 co-sponsor

Illinois law requires healthcare facilities to disclose facility fees before treatment and provide itemized billing statements, effective January 1, 2026, increasing pricing transparency for patients.

Public Act . . . . . . . . . 104-0181
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Bill Summary · HB 1431

Legislative bill overview

HB 1431 requires healthcare facilities in Illinois to disclose facility fees to patients before treatment and provide itemized billing statements. The bill mandates transparency in how these ancillary charges are calculated and applied, aiming to prevent surprise billing related to facility-based fees separate from provider charges.

Why is this important

Facility fees—charges imposed by hospitals and surgical centers beyond provider costs—often surprise patients and contribute significantly to unexpected medical bills. This transparency requirement helps patients make informed financial decisions about where to seek care and understand their full financial obligations upfront, addressing a major consumer complaint about healthcare billing practices.

Potential points of contention

  • Implementation burden: Healthcare facilities may face administrative costs and operational challenges in implementing new disclosure and billing systems by the January 1, 2026 deadline
  • Competitive concerns: Facilities worry transparent pricing may disadvantage them competitively if their fees appear higher than competitors, potentially affecting their patient volume
  • Definition ambiguity: The bill's success depends on clear regulatory guidance defining what constitutes a "facility fee" versus other legitimate charges, which could be subject to interpretation disputes

Compiled from official sources — confirm details with the bill’s official record.

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