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Bill

HB 2691

HEALTH & WELLNESS IMPACT NOTE

104th Regular Session Introduced by Camille Lilly

Requires Health and Wellness Impact Notes (HWINs) for bills or agency rules aimed at well-being, giving lawmakers nonpartisan health impact estimates (dollars if possible).

Rule 19(a) / Re-referred to Rules Committee
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Bill Summary · HB 2691

Summary — HB 2691 (Health and Wellness Impact Note Act) — Illinois, 2025

Status and key dates
- Bill number/title: HB 2691 — Health and Wellness Impact Note Act
- Sponsor: Representative Camille Y. Lilly
- Introduced/filed: February 4–6, 2025 (filed with Clerk 2/4/25; introduced 2/6/25)
- Legislative progress: Referred to Rules Committee; committee actions and readings in February–March 2025; passed both chambers (passed 4/30/25).
- Enacted: Transmitted to Governor 5/1/25; signed by Governor 5/7/2025.

Purpose / intent
- To require preparation and attachment of concise, factual “Health and Wellness Impact Notes” (HWINs) for legislation and agency rules whose purpose or effect is to advance mental, physical, or social well‑being. The notes are intended to supply lawmakers, agencies, and the public with a reliable, non‑partisan estimate of anticipated health/wellness impacts (including dollar estimates where feasible) without taking a position on policy merits.

Scope and applicability
- Applies to:
- Bills in the General Assembly whose purpose or effect is to advance mental, physical, or social well‑being (excludes bills making direct appropriations).
- Proposed agency rules with similar purpose/effect, before approval under the Administrative Procedure Act.
- The statements or notes produced under this Act are designated “Health and Wellness Impact Notes.”

Key provisions
- Request and preparation:
- Sponsors (for applicable bills) or proposing agencies (for applicable rules) must present the measure and request an HWIN to the Illinois Department of Public Health (IDPH).
- IDPH must prepare and submit the HWIN within 5 calendar days of the request. For complex measures, IDPH may request an extension; for bills the sponsor may approve an extension but not beyond May 15 following the request date.
- For agency rules, the agency may approve an extension when additional time is needed.
- If IDPH determines insufficient information exists to prepare a reliable estimate, it may file a statement to that effect.

  • Content requirements:

    • Notes must be factual, brief, and concise.
    • Provide a reliable estimate of anticipated impacts, in dollars or other relevant units if possible.
    • Include immediate effects and, if determinable or reasonably foreseeable, long‑range effects.
    • If no quantitative estimate is possible after careful investigation, the note must explain why.
  • Limitations:

    • Notes must not include comments or opinions about the merits of the measure; only technical or mechanical defects may be noted.
    • Preparation of an HWIN does not limit IDPH employees or officials from testifying for or against a measure before committees.
  • Procedural rules for necessity and amendments:

    • If a sponsor believes no HWIN is required, any legislator may request one; the chamber of the sponsor decides applicability by majority vote of those present and voting.
    • If a committee amendment or floor amendment substantially changes the facts or conclusions in an attached HWIN, the committee report or chamber may require a statement describing the effect of the change (if a majority desires).

Who is affected
- Primary: IDPH (responsible for preparing HWINs), legislators and sponsors of qualifying bills, state agencies proposing qualifying rules.
- Secondary: policymakers, legislative committees, public‑health stakeholders, community groups, health care providers—who will receive additional factual analysis informing deliberations.

Potential impacts and considerations
- Transparency: Likely to improve policymakers’ access to structured health and wellness impact information for qualifying measures.
- Administrative burden: Adds workload to IDPH (tight default 5‑day turnaround) and could require staff/time/funding; complexity of measures may necessitate frequent extensions.
- Legislative timing: Could introduce processing delays for complex bills unless extensions are used; the May 15 cap for bill notes imposes an outer deadline in session.
- Scope/ambiguity: Terms like “advance mental, physical, or social well‑being” may require interpretation or implementing guidance to determine which measures trigger HWINs.
- Fiscal effects: The Act requires estimates “in dollars or other units if possible,” but does not appropriate funds to IDPH; budgetary implications depend on implementation.

Notes
- The bill text in the provided materials included unrelated content for an Arizona groundwater dues statute (likely a separate HB 2691 in Arizona). This summary focuses on the Illinois Health and Wellness Impact Note Act introduced by Rep. Camille Y. Lilly and enacted in 2025.

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

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