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HB4461Introduced in the House

HOSPITAL COLLECTION LIENS

Passed

Introduced by Amy Briel, District 76

What does this bill do?

Plain-English breakdown

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Official description

Reinserts the provisions of the introduced bill with the following changes. In provisions amending the Fair Patient Billing Act, provides that, for any legal action initiated against a patient for unpaid medical debt, a hospital may not file for or be granted a lien upon that patient's primary residence (rather than that patient's primary residence or any other real property owned by the patient). Amends the Code of Civil Procedure. Provides that no judgment relating to unpaid medical debt may create a lien on real property owned by the patient against whom the judgment is entered that is the primary residence of the patient. Effective January 1, 2027.

Where it stands

Public Act . . . . . . . . . 104-0490

June 26, 2026

How did lawmakers vote?

House votes

3 recorded votes · each counted separately

Senate votes

2 recorded votes · each counted separately

SenateStage: Senate Third Reading · May 19, 2026

46

Yes

12

No

1

Absent or Not Voting

59 senators recorded in this Senate vote. Colors show vote categories only, not whether a vote was good or bad.

See how each senator voted

SenatorDistrictVote
Javier Cervantes1Yes
Omar Aquino2Yes
Mattie Hunter3Yes
Kimberly Lightford4Yes
Lakesia Collins5Yes
Sara Feigenholtz6Yes
Mike Simmons7Yes
Ram Villivalam8Yes
Laura Fine9Yes
Robert Martwick10Yes

Bill history

  1. Filed with the Clerk by Rep. Amy Briel

  2. First Reading

  3. Referred to Rules Committee

  4. Assigned to Judiciary - Civil Committee

  5. Do Pass / Short Debate Judiciary - Civil Committee; 013-007-000

  6. Added Co-Sponsor Rep. Mary Beth Canty

  7. Added Co-Sponsor Rep. Daniel Didech

  8. Added Co-Sponsor Rep. Dave Vella

  9. Added Co-Sponsor Rep. Dagmara Avelar

  10. Added Co-Sponsor Rep. Jay Hoffman

  11. Added Co-Sponsor Rep. Kelly M. Cassidy

  12. Added Co-Sponsor Rep. Joyce Mason

  13. Placed on Calendar 2nd Reading - Short Debate

  14. House Floor Amendment No. 1 Filed with Clerk by Rep. Amy Briel

  15. House Floor Amendment No. 1 Referred to Rules Committee

  16. House Floor Amendment No. 1 Rules Refers to Judiciary - Civil Committee

  17. House Floor Amendment No. 2 Filed with Clerk by Rep. Amy Briel

  18. House Floor Amendment No. 2 Referred to Rules Committee

  19. House Floor Amendment No. 2 Rules Refers to Judiciary - Civil Committee

  20. Second Reading - Short Debate

  21. Held on Calendar Order of Second Reading - Short Debate

  22. House Floor Amendment No. 3 Filed with Clerk by Rep. Amy Briel

  23. House Floor Amendment No. 3 Referred to Rules Committee

  24. House Floor Amendment No. 3 Rules Refers to Judiciary - Civil Committee

  25. House Floor Amendment No. 3 Recommends Be Adopted Judiciary - Civil Committee; 011-007-000

  26. House Floor Amendment No. 3 Adopted

  27. Placed on Calendar Order of 3rd Reading - Short Debate

  28. Third Reading - Short Debate - Passed 074-037-000

  29. House Floor Amendment No. 1 Tabled

  30. House Floor Amendment No. 2 Tabled

  31. Added Co-Sponsor Rep. Diane Blair-Sherlock

  32. Added Co-Sponsor Rep. Nicolle Grasse

  33. Added Co-Sponsor Rep. Martha Deuter

  34. Added Co-Sponsor Rep. Edgar González, Jr.

  35. Added Co-Sponsor Rep. Aarón M. Ortíz

  36. Added Co-Sponsor Rep. Janet Yang Rohr

  37. Added Co-Sponsor Rep. Lawrence "Larry" Walsh, Jr.

  38. Added Co-Sponsor Rep. Michael Crawford

  39. Added Co-Sponsor Rep. Nabeela Syed

  40. Added Co-Sponsor Rep. Sharon Chung

  41. Added Co-Sponsor Rep. Yolonda Morris

  42. Added Co-Sponsor Rep. Camille Y. Lilly

  43. Added Co-Sponsor Rep. Tracy Katz Muhl

  44. Added Co-Sponsor Rep. Margaret A. DeLaRosa

  45. Added Co-Sponsor Rep. Justin Cochran

  46. Added Co-Sponsor Rep. Sue Scherer

  47. Added Co-Sponsor Rep. Robert "Bob" Rita

  48. Added Co-Sponsor Rep. Curtis J. Tarver, II

  49. Added Co-Sponsor Rep. Abdelnasser Rashid

  50. Added Co-Sponsor Rep. Sonya M. Harper

  51. Added Co-Sponsor Rep. Justin Slaughter

  52. Added Co-Sponsor Rep. Lisa Davis

  53. Added Co-Sponsor Rep. William "Will" Davis

  54. Added Co-Sponsor Rep. Laura Faver Dias

  55. Added Co-Sponsor Rep. Suzanne M. Ness

  56. Added Co-Sponsor Rep. Theresa Mah

  57. Added Co-Sponsor Rep. Eva-Dina Delgado

  58. Arrive in Senate

  59. Placed on Calendar Order of First Reading

  60. Chief Senate Sponsor Sen. Graciela Guzmán

  61. First Reading

  62. Referred to Assignments

  63. Assigned to Executive

  64. Do Pass Executive; 009-002-000

  65. Placed on Calendar Order of 2nd Reading May 7, 2026

  66. Added as Alternate Co-Sponsor Sen. Mary Edly-Allen

  67. Second Reading

  68. Placed on Calendar Order of 3rd Reading May 18, 2026

  69. Added Co-Sponsor Rep. Robyn Gabel

  70. Third Reading - Passed; 046-012-000

  71. Passed Both Houses

  72. Sent to the Governor

  73. Governor Approved

  74. Effective Date January 1, 2027

  75. Public Act . . . . . . . . . 104-0490

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