Status: Enacted — Signed into law as Public Act 104-0306 on August 15, 2025, after passing the House April 9, 2025 and the Senate May 30, 2025 (104th General Assembly). The amendments to the Illinois Health Care Violence Prevention Act (210 ILCS 160) are being implemented across Illinois health systems during the 2026 compliance window.

Bill Number: IL HB 3435 (104th General Assembly, 2025-2026)

Jurisdiction: Illinois

Category: Healthcare Workplace Violence, Security Assessment, Reporting

Industries: Healthcare, Hospital Systems, Outpatient and Behavioral Health Facilities

Enacted Date: August 15, 2025 (Public Act 104-0306)

Effective Date: Per bill text (see Illinois General Assembly for codified effective date)

Summary: Illinois HB 3435 substantially amends the Illinois Health Care Violence Prevention Act and tightens both the prevention-program and reporting obligations that licensed Illinois health care providers must meet. The amendment introduces explicit anti-retaliation protections for health care workers who contact law enforcement or the Department of Public Health about workplace violence, prohibits health care providers from maintaining internal policies that discourage such contact, and significantly expands the substantive content required in each provider's workplace violence prevention program. The bill adds prescriptive recordkeeping, investigation, and reporting duties, and amends the Illinois Freedom of Information Act to exempt covered workplace violence records from public disclosure. HB 3435 is part of the broader 2025-2026 wave (Massachusetts H.4767, Virginia HB 1489, New York S5294-B) shifting state-level healthcare workplace violence regulation from baseline planning to prescriptive engineering controls, incident-level recordkeeping, and structured executive oversight.

Key Provisions:

Anti-Retaliation Protections: Health care workers may not be discouraged from contacting law enforcement or the Illinois Department of Public Health about workplace violence; providers may not maintain policies limiting such contact.
Expanded Prevention Program Requirements: Each covered provider's written workplace violence prevention program must identify needs for additional security, alarms, exit routes, monitoring systems, barrier protections, lighting, and entry procedures.
Threat-Actor Flagging Systems: Programs must include procedures for identifying and flagging persons who have previously committed violent acts in the health care provider space.
Violent Incident Investigations: Providers must conduct documented investigations of workplace violence incidents.
Recordkeeping and Reporting: Detailed incident records must be maintained and reported under the timelines and formats set by the Act.
Civil Penalties: The amendment establishes penalties for failure to comply with the Act's provisions.
FOIA Exemption: Workplace violence records maintained by health care providers under specified provisions of the Act are exempt from public disclosure under the Illinois Freedom of Information Act.

Affected Entities: All Illinois licensed health care providers covered by the Health Care Violence Prevention Act — including hospitals, federally qualified health centers, hospital-affiliated outpatient facilities, and certain behavioral health and dialysis providers. Hospital security, compliance, risk, and HR teams will share the implementation lift.

Compliance Outlook: Providers that previously satisfied the original Health Care Violence Prevention Act with a baseline written plan will need to expand their program documentation to address the new prescriptive elements — monitoring systems, threat-actor flagging, barrier and lighting analyses, and structured investigation protocols. The amendment's anti-retaliation and FOIA carve-out provisions create real exposure: providers should review existing incident-reporting policies and any contractual language that could be construed as discouraging contact with law enforcement.

IntelliSee Relevance: High. HB 3435 explicitly requires Illinois covered providers to assess needs for “monitoring systems” and to operate procedures for identifying and flagging persons who have previously committed violent acts in the provider's space. IntelliSee's AI weapon detection on existing hospital and clinic camera infrastructure functions as exactly the type of monitoring system the statute contemplates: it continuously scans entrances, lobbies, behavioral health units, and emergency departments for visibly brandished firearms and alerts in seconds, providing both the engineering control and the auditable incident-data record the amendment expects. IntelliSee's fall detection supports parallel patient-and-staff safety objectives that often surface in the same workplace violence incident chain. The platform uses no facial recognition, which keeps Illinois deployments clean under the state's Biometric Information Privacy Act (BIPA) while still generating the incident metadata HB 3435's recordkeeping requirements call for.

Illinois Health Care Violence Prevention Act Amendments (HB 3435, 2025-2026)

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