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IL HB 4804: Registered Nurse Use of AI

In Committee Illinois

Last verified Oct 24, 2026 · official bill text

HB 4804 · where it stands

1 of 5 steps complete
  1. Introduced In committee
  2. Passed first chamber
  3. Passed both chambers
  4. Enacted
  5. Effective
What do these statuses mean?
Introduced
Filed in the legislature; may be waiting for a committee hearing.
Passed a chamber
Approved by one or both chambers; awaiting further action.
Enacted
Signed into law, or became law without a signature or over a veto.
Effective date
The date the law says it takes effect. Once it has passed, the page shows "Effective" and the date. A court order can still block a law; if we know of one, the summary says so.
Dead / vetoed
Vetoed, failed, or the session ended without action.

In one paragraph

Illinois's HB 4804 (104th General Assembly) would amend the Nurse Practice Act to set rules for registered nurses' use of AI, including a bar on substituting AI for nursing services, patient notice and confidentiality protections, and discipline for violations. Health care entities deploying AI in direct patient care would have to keep validation and bias monitoring records. Re-referred to Rules Committee on March 27, 2026.

Plain-English summary, written with AI assistance. The official text controls.

What it means for business

Not law. Health care entities that employ registered nurses and use AI in patient care would have to keep records, train nurses and avoid AI-only staffing and triage decisions, if enacted.

Key provisions

  1. Would add Nurse Practice Act provisions on AI in recorded or transcribed encounters, patient notice and transparency, and confidentiality
  2. AI could not be substituted for nursing services and could be used as clinical decision support only under a registered nurse's control
  3. Violations of the AI provisions would be grounds for discipline of a registered nurse
  4. Health care entities employing nurses and using AI in direct patient care would have to keep validation and bias monitoring records, train nurses, and give nurses access to the data inputs and key factors behind recommendations
  5. Staffing, triage, admission, discharge or transfer decisions could not rely solely on AI; the Department of Financial and Professional Regulation could investigate entities
  6. Would take effect immediately; last action 3/27/2026: Rule 19(a) / Re-referred to Rules Committee

Latest legislative action

Mar 27, 2026. Rule 19(a) / Re-referred to Rules Committee

Sponsors

NameRole
Primary
Cosponsor

Related and companion bills

Topics and industries

Related topics

AI HealthcareAI Transparency

Affected industries

HealthcareEmployment

This page is general information, not legal advice. Summaries are AI-assisted and may contain errors; read the statute for the controlling text and talk to a lawyer about your situation. Full disclaimer · Report an error

Related AI laws in Illinois

All Illinois bills →
SB 3702 REGISTERED NURSE USE OF AI HB0035 AI USE IN HEALTH INSURANCE ACT HB5649 DFPR-AI-MENTAL HEALTH SERVICE HB5115 IDPH-DIAGNOSTIC ALGORITHM SB3114 TRANSPARENCY IN DOWNCODING ACT HB5395 NETWORK ADEQUACY-STANDARDS

Same topic in other states

Rhode Island H7538 Requires healthcare providers and healthcare facilities to inform patients of th Nebraska LB77 Adopt the Ensuring Transparency in Prior Authorization Act and provide for insur Colorado SB189 Automated Decision-Making Technology Texas HB149 Relating to regulation of the use of artificial intelligence systems in this sta California SB503 Health care services: artificial intelligence. South Carolina S0920 Health insurance