HB 4804
REGISTERED NURSE USE OF AI
TL;DR
Illinois HB 4804 sets rules for how registered nurses can use AI tools in patient care. The bill ensures AI assists but does not replace nursing judgment, requiring human oversight when AI is used for clinical decisions. It is currently stalled in the Rules Committee.
How This Might Impact Your Business
Hospitals, clinics, and long-term care facilities operating in Illinois would need to ensure AI tools used by nurses do not override clinical judgment
Healthcare AI vendors selling clinical decision support, patient monitoring, or staffing tools to Illinois nursing operations would face new documentation and transparency expectations
Nurse staffing agencies and telehealth providers using AI-driven triage or workflow tools would need policies confirming human oversight of AI recommendations
Health systems would likely need to update nursing protocols, training materials, and informed consent processes to reflect AI use disclosures
Bill is currently re-referred to the Rules Committee, meaning it is stalled and not advancing to a floor vote in its current form
No sponsors are currently listed and no penalties or effective date are specified in the available text, signaling early-stage legislation
Electronic health record (EHR) vendors and predictive analytics providers should expect customer questions about Illinois-specific compliance if the bill moves
What Should You Do
Ask your clinical informatics or nursing leadership to inventory every AI tool currently used by RNs, including sepsis prediction, fall risk, and staffing optimization
Have your compliance team draft a one-page policy confirming RNs retain final clinical judgment over AI recommendations, useful regardless of whether this bill passes
If you sell AI tools to Illinois hospitals, prepare a customer-facing FAQ on human-in-the-loop design and clinical validation
Monitor the Illinois Rules Committee for movement; the bill is currently stalled but could be revived in the next session
Review nurse training programs to ensure documentation of AI competency, which is becoming a common requirement across states
Who It Affects
Status Timeline
committee
Rule 19(a) / Re-referred to Rules Committee
March 27, 2026