All Roll Calls
Yes: 427 • No: 0
IllinoisHB3645104th General Assembly (2025–2026)HouseWALLET
EMS-OPIOID OVERDOSE REPORTS
Sponsored By: Matt Hanson (Democratic)
Became Law
public healthassignmentsbehavioral and mental health
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 3 benefits, 0 costs, 0 mixed.
EMS must report opioid overdoses
EMS staff in cities with 1,000,000+ residents must report every suspected or actual opioid overdose they treat and then release or transport. They must finish the patient care report within 24 hours. The report must list the date and time, the location in latitude and longitude to no more than four decimals, whether a reversal drug was given, and whether the case was fatal or nonfatal at first contact and during transport. The provider must send this data to the HIDTA Overdose Mapping Application or another secure, Department‑approved government platform. These reports help officials track and respond to overdose spikes.
Privacy and immunity for overdose reports
Mapping data cannot include any information that could identify the person who overdosed. The data cannot be used for opioid criminal investigations, prosecutions, welfare checks, or warrant checks of that person. Reporting through the approved platform is allowed under HIPAA exceptions and can only support public health and safety. The Department can flag and set rules for any misuse. EMS providers and staff who report in good faith are immune from civil and criminal liability for making the report.
State uses data to prevent overdoses
The Department shares overdose information to find areas that need help and to direct harm‑reduction resources. It may work through Regional Care Coordination Advisory Councils or create a risk‑reduction group. Partners can include public health agencies, health care, harm‑reduction providers, first responders, and law enforcement. The focus is harm reduction, not criminal prosecution. The Department sets performance measures, tracks impact, and uses the data to build evidence‑based strategies to prevent overdoses.
Sponsors & Cosponsors
Sponsor
Matt Hanson
Democratic • House
Cosponsors
Dave Vella
Democratic • House
Kelly M. Cassidy
Democratic • House
Laura Fine
Democratic • Senate
Martin J. Moylan
Democratic • House
Michael J. Kelly
Democratic • House
Nicolle Grasse
Democratic • House
Roll Call Votes
Senate vote • 5/22/2025
Third Reading - Passed;
Yes: 58 • No: 0
Senate vote • 5/7/2025
Do Pass Behavioral and Mental Health;
Yes: 5 • No: 0
House vote • 4/10/2025
House Floor Amendment No. 2 Recommends Be Adopted Rules Committee;
Yes: 5 • No: 0
House vote • 4/10/2025
Motion to Reconsider Vote - Prevails
Yes: 115 • No: 0
House vote • 4/10/2025
Third Reading - Short Debate - Passed
Yes: 114 • No: 0
House vote • 4/8/2025
House Floor Amendment No. 1 Recommends Be Adopted Public Health Committee;
Yes: 8 • No: 0
House vote • 4/8/2025
Third Reading - Short Debate - Passed
Yes: 113 • No: 0
House vote • 3/20/2025
Do Pass / Short Debate Public Health Committee;
Yes: 9 • No: 0
Actions Timeline
Public Act . . . . . . . . . 104-0321
8/15/2025HouseEffective Date January 1, 2026
8/15/2025HouseGovernor Approved
8/15/2025HouseSent to the Governor
6/20/2025HousePassed Both Houses
5/22/2025HouseThird Reading - Passed; 058-000-000
5/22/2025SenatePlaced on Calendar Order of 3rd Reading **
5/20/2025SenatePlaced on Calendar Order of 3rd Reading May 13, 2025
5/8/2025SenateSecond Reading
5/8/2025SenatePlaced on Calendar Order of 2nd Reading May 8, 2025
5/7/2025SenateDo Pass Behavioral and Mental Health; 005-000-000
5/7/2025SenateAssigned to Behavioral and Mental Health
4/29/2025SenateReferred to Assignments
4/23/2025SenateFirst Reading
4/23/2025SenateChief Senate Sponsor Sen. Laura Fine
4/23/2025SenatePlaced on Calendar Order of First Reading
4/23/2025SenateArrive in Senate
4/23/2025SenateThird Reading - Short Debate - Passed 114-000-000
4/10/2025HousePlaced on Calendar Order of 3rd Reading - Short Debate
4/10/2025HouseHouse Floor Amendment No. 2 Adopted
4/10/2025HouseRecalled to Second Reading - Short Debate
4/10/2025HouseHouse Floor Amendment No. 2 Recommends Be Adopted Rules Committee; 005-000-000
4/10/2025HouseHouse Floor Amendment No. 2 Referred to Rules Committee
4/10/2025HouseHouse Floor Amendment No. 2 Filed with Clerk by Rep. Matt Hanson
4/10/2025HousePlaced on Calendar Order of 3rd Reading - Short Debate
4/10/2025House
Bill Text
Engrossed
Enrolled
House Amendment 1
House Amendment 2
Introduced