Illinois · House Bill · 103rd General Assembly
HB1002
Illinois HB 1002 — AN ACT concerning health (Diagnostic Algorithm)

Status ● Failed Effective N/A Passage Likelihood M

WHAT THIS BILL REGULATES · 2 REQUIREMENT TYPES

How Is This Bill Enforced

Enforcement Authority
No enforcement mechanism is specified in the bill. The Department of Public Health and the Department of Innovation and Technology are referenced as certification bodies but no penalty, private right of action, or enforcement procedure is established.
Private Right of Action
No private right of action. Enforcement is exclusive to the designated authority.
Penalties
The bill does not specify any penalties, damages, or remedies.

What This Bill Requires

Verbatim statutory text on the left; plain-language analysis and a per-section checklist on the right. Numbered markers cross-link to the matching checklist row.

Statutory Text
Analysis & Obligations
110 ILCS 330/8h
Diagnostic algorithm — University of Illinois Hospital
Deployer

(1)–(3) 1 Sec. 8h. Diagnostic algorithm. Before using any diagnostic algorithm to diagnose a patient, the University of Illinois Hospital must first confirm all of the following: (1) The diagnostic algorithm has been certified by the Department of Public Health and the Department of Innovation and Technology. (2) The diagnostic algorithm has been shown to achieve as or more accurate diagnostic results than other diagnostic means. (3) The diagnostic algorithm is not the only method of diagnosis available to a patient.

This new section imposes three pre-use conditions on the University of Illinois Hospital before it may use any diagnostic algorithm on a patient. The hospital must confirm that the algorithm has been jointly certified by the Department of Public Health and the Department of Innovation and Technology, that it achieves diagnostic accuracy at least equal to other available diagnostic means, and that it is not the sole diagnostic method available to the patient. The bill does not define "diagnostic algorithm," leaving the term's scope uncertain — it could encompass anything from a simple clinical decision-support checklist to an advanced AI-based imaging analysis tool.

The certification requirement effectively creates a pre-market authorization gate, but the bill does not establish the certification process, the standards to be applied, or how accuracy is to be demonstrated. The requirement that the algorithm not be the only diagnostic method available introduces an alternative-availability condition that could preclude algorithmic diagnosis in clinical scenarios where no conventional alternative exists.

Compliance actions 1 item
1
The University of Illinois Hospital must, before using any diagnostic algorithm to diagnose a patient, confirm that the algorithm (1) has been certified by the Department of Public Health and the Department of Innovation and Technology, (2) has been shown to achieve diagnostic results at least as accurate as other diagnostic means, and (3) is not the only method of diagnosis available to the patient.
R-02.3
210 ILCS 85/6.34
Diagnostic algorithm — Licensed hospitals
Deployer

(1)–(3) 2 Sec. 6.34. Diagnostic algorithm. Before using any diagnostic algorithm to diagnose a patient, a hospital licensed under this Act must first confirm all of the following: (1) The diagnostic algorithm has been certified by the Department of Public Health and the Department of Innovation and Technology. (2) The diagnostic algorithm has been shown to achieve as or more accurate diagnostic results than other diagnostic means. (3) The diagnostic algorithm is not the only method of diagnosis available to a patient.

This section mirrors the obligations imposed on the University of Illinois Hospital in 110 ILCS 330/8h, extending identical pre-use conditions to all hospitals licensed under the Hospital Licensing Act. The three conditions — regulatory certification, demonstrated accuracy parity, and availability of alternative diagnostic methods — apply before any hospital may use a diagnostic algorithm on a patient.

Because this section is substantively identical to the University of Illinois Hospital provision, its practical effect is to ensure that both the single state-university hospital and the broader universe of privately and publicly licensed hospitals are subject to the same algorithmic diagnostic gating requirements.

Compliance actions 1 item
2
All hospitals licensed under the Hospital Licensing Act must, before using any diagnostic algorithm to diagnose a patient, confirm that the algorithm (1) has been certified by the Department of Public Health and the Department of Innovation and Technology, (2) has been shown to achieve diagnostic results at least as accurate as other diagnostic means, and (3) is not the only method of diagnosis available to the patient.
R-02.3
410 ILCS 50/3.5
Diagnostic algorithm — Patient rights
Deployer

3 Sec. 3.5. Diagnostic algorithm. A patient has the right to be told when a diagnostic algorithm will be used to diagnose him or her.

(1)–(2) 4 Before a diagnostic algorithm is used to diagnose a patient, the patient must first: (1) be presented with the option of being diagnosed without the diagnostic algorithm; and (2) consent to the diagnostic algorithm's use.

This section amends the Medical Patient Rights Act to establish three patient-facing rights when a diagnostic algorithm is used. First, the patient has the right to be told that a diagnostic algorithm will be used — a pre-decision notification requirement. Second, the patient must be presented with the option of being diagnosed without the algorithm, ensuring an alternative pathway is not merely available (as required by the hospital-side provisions) but is affirmatively offered to the patient. Third, the patient must consent to the algorithm's use before it is deployed.

Together with the hospital-obligation sections, this section creates a two-sided framework: hospitals must verify certification and accuracy before offering algorithmic diagnosis, and patients must be informed, offered an alternative, and must affirmatively consent before the algorithm is used. The consent and notification requirements have no specified form (written vs. oral) and no exception for emergency circumstances.

Compliance actions 2 items
3
Hospitals must inform patients when a diagnostic algorithm will be used to diagnose them, before the algorithm is applied.
H-01.3
4
Hospitals must present the patient with the option of being diagnosed without the diagnostic algorithm and must obtain the patient's consent before using the algorithm.
H-01.4

Passage Likelihood

Failed
Status Failed
Final action Rule 19(a) / Re-referred to Rules Committee

Legislative History

2022-12-19 Prefiled with Clerk by Rep. Mary E. Flowers
2023-01-12 First Reading
2023-01-12 Referred to Rules Committee
2023-02-21 Assigned to Appropriations-Health & Human Services Committee
2023-03-10 Committee/3rd Reading Deadline Extended-Rule May 19, 2023
2023-05-19 Rule 19(a) / Re-referred to Rules Committee

Entry Last Reviewed

2026-05-20
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