Illinois House Bill 4664

Illinois House Bill 4664
Illinois General Assembly
Citation
Territorial extent	Illinois
Enacted by	Illinois House of Representatives
Enacted by	Illinois Senate
Signed by	JB Pritzker
Signed	January 13, 2023
Effective	January 13, 2023
Legislative history
First chamber: Illinois House of Representatives
Introduced	January 20, 2022
First reading	January 21, 2022
Second reading	March 2, 2022
Third reading	March 3, 2022
Voting summary	69 voted for 42 voted against 5 absent
Second chamber: Illinois Senate
Received from the Illinois House of Representatives	March 4, 2022
First reading	March 16, 2022
Second reading	April 7, 2022
Third reading	January 10, 2023
Voting summary	41 voted for 16 voted against 2 absent
Final stages
Finally passed both chambers	January 11, 2023
Summary
Protects providers of and recipients of abortion and gender-affirming care in Illinois from out-of-state law enforcement and requires insurance coverage of such care.
Status: In force

Illinois House Bill 4664 (HB 4664), also known as the Patient and Provider Protection Act, is a 2023 law in the state of Illinois that protects access to abortion and gender-affirming medical care and prevents the enforcement of out-of-state laws regarding such care. ^{[1] [2]} It was signed by Governor JB Pritzker on January 13, 2023 and became law immediately. ^[3] It is sometimes referred to as a "shield" law due to its protections from out-of-state law enforcement, making Illinois a reproductive and trans refuge state. ^{[4] [5] [6] [7] [8]}

Provisions

House Bill 4664 prohibits the enforcement of out-of-state laws regarding gender-affirming medical care and reproductive care in the state of Illinois. It includes privacy protections for both patients and providers of such care. ^{[9] [10]} It protects those who seek reproductive care in Illinois even if they themselves live in a different state. ^[11] Insurance companies are required to cover abortion, gender-affirming care and HIV treatment. ^[12]

Reactions

Support

The Human Rights Campaign congratulated Pritzker on the signing of House Bill 4664. ^[13]

Opposition

The Catholic Conference of Illinois opposed House Bill 4664, supporting a "sanctuary of life" instead of a destination for abortions. ^[14]

See also

• Abortion in Illinois
• LGBTQ rights in Illinois

References

1. "HB 4664: Patient and Provider Protection Act". ACLU of Illinois. 2023-01-12. Retrieved 2025-06-30.
2. O'Connor, John (2023-05-17). "Illinois Democrats say abortion-access protections are a promise: 'You're safe here'". Associated Press. Retrieved 2025-06-30.
3. Hancock, Peter (2023-01-13). "Pritzker signs reproductive rights expansion". IPM News. Retrieved 2025-06-30.
4. Ferguson, Dana; Maucione, Scott; Birkeland, Bente; Pluta, Rick; Jackson, Colin; Squires, Acacia (2023-04-21). "These states are protecting health care for transgender people". NPR. Retrieved 2025-06-30.
5. Riedel, Samantha (2023-04-12). "Washington State Passed a "Shield Law" to Protect Trans People and Abortion Seekers". Them. Retrieved 2025-06-30.
6. McNeill, Zane (2023-04-17). "Washington Becomes Sixth State to Pass Shield Law Protecting Trans Residents". Truthout. Retrieved 2025-06-30.
7. Migdon, Brooke (2023-02-16). "Amid tidal wave of anti-trans legislation, Democratic states race to become refuges for gender-affirming care". The Hill. Retrieved 2025-06-30.
8. Calzada, Lu (2024-04-02). "How safe are we really? A look into Illinois' LGBTQ+ protections as hate rises nationwide". Windy City Times. Retrieved 2025-06-30.
9. "Senator Villanueva increases abortion access and gender-affirming care for residents in Illinois". Illinois Senate Democratic Caucus. 2023-01-10. Retrieved 2025-06-30.
10. Gist, Carly (2025-02-10). "'The care that you provided saved my child's life': Illinois continues to protect youth transgender care". The Daily Egyptian. Retrieved 2025-06-30.
11. Armentrout, Mitchell (2023-01-13). "Pritzker signs bill expanding abortion access in Illinois". Chicago Sun-Times. Retrieved 2025-06-30.
12. Vinicky, Amanda (2023-01-13). "Pritzker Signs Law Expanding Access to Abortion, Protecting Out-of-State Patients". WTTW. Retrieved 2025-06-30.
13. "HRC | IL Governor J. B. Pritzker Signs Protections for Gender-Affirming Care, Reproductive Healthcare, and Healthcare Providers Into Law". Human Rights Campaign. Springfield, Illinois. 2023-01-13. Retrieved 2025-06-30.
14. "Catholic Conference of Illinois Opposition to HB 4664". Catholic Conference of Illinois. 2023-01-10. Retrieved 2025-06-30.