By Illinois Review
Illinois Gov. JB Pritzker has now signed Senate Bill 1950 into law, making Illinois the first state in the Midwest to legalize physician-assisted suicide.
The measure, formally titled the End-of-Life Options for Terminally Ill Patients Act and commonly known as “Deb’s Law,” allows terminally ill adults to obtain lethal medication prescribed by a physician in order to end their own lives.
The law is scheduled to take effect in mid-2026, following a lengthy implementation period overseen by the Illinois Department of Public Health.
The bill passed the Illinois House in May by a 63-42 vote and narrowly cleared the Senate in October, 30-27, after years of intense lobbying and emotional testimony. Pritzker, who delayed action for weeks, said he reflected deeply on end-of-life suffering before signing the bill, even citing a conversation with Pope Leo XIV during a November meeting.
But critics say no list of safeguards can fix the core problem: the state has now sanctioned suicide as a medical outcome.
Disability advocates have warned for years that such laws place enormous pressure on vulnerable patients. One of the most powerful warnings comes from Melissa Ortiz, a disability policy expert and cancer survivor whose personal story was published recently in Illinois Review.
Ortiz, who lives with spina bifida, was diagnosed with aggressive breast cancer in 2021. While undergoing chemotherapy, she says she was repeatedly steered toward discussions about assisted suicide – despite never requesting them.
At her weakest moment, after doctors told her she might not survive the weekend, a nurse entered her hospital room late at night and unsolicitedly spoke to her about an organization that helps terminal patients die.
“I was offered death when I needed care,” Ortiz wrote. “Pressure was brought to bear, albeit subtly, to choose the drugs so that I would not suffer unduly or be a burden.”
Ortiz survived. Today, she is cancer-free. But she warns that others – especially those without strong advocates – may not be so fortunate.

Her experience directly contradicts claims that assisted suicide discussions only occur at a patient’s request. It also exposes the dangerous reality of a healthcare system where death can be presented as a solution during moments of fear, weakness, and exhaustion.
Illinois already allows hospice care, palliative care, and aggressive pain management. What SB 1950 adds is not dignity – it adds despair. It tells the sick, the disabled, and the elderly that their lives may no longer be worth the cost of care.
Gov. Pritzker calls this compassion. Families, faith leaders, and disability advocates see it for what it is: a culture of death dressed up as choice.
Once the state decides some lives are no longer worth protecting, the line does not hold. And Illinois has now crossed it.






