# Illinois HB3645: EMS-OPIOID OVERDOSE REPORTS Illinois HB3645, EMS-OPIOID OVERDOSE REPORTS, is a 104th General Assembly (2025–2026) House bill sponsored by no sponsor on record; status signed, last action 2025-08-15 (Public Act . . . . . . . . . 104-0321) (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/IL-HB3645-2025-2026 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Illinois HB3645 - State: Illinois - Session: 104th General Assembly (2025–2026) - Title: EMS-OPIOID OVERDOSE REPORTS - Status: signed - Chamber: House - Introduced: 2025-02-07 - Last action: 2025-08-15, Public Act . . . . . . . . . 104-0321 - Sponsors: no sponsor on record - Cosponsors: 7 - Subjects: public health, assignments, behavioral and mental health - Touches household money: no - Roll calls: 8 (427 yes, 0 no in all) - Economic provisions PRIA read: 0 ## Summary Amends the Emergency Medical Services (EMS) Systems Act. In provisions concerning opioid overdose reporting, provides that overdose information reported by a covered vehicle service provider shall not be used in an opioid use-related criminal investigation, prosecution, welfare checks, or warrant checks of the individual who was treated by the covered vehicle service provider personnel for experiencing the suspected or actual overdose. Provides that any misuse of the information reported by a covered vehicle service provider shall result in, but is not limited to, the Department of Transportation reporting misuse to the Washington/Baltimore High Intensity Drug Trafficking Area Overdose Detection Mapping Application or similar technology platform. Permits the Department of Health to adopt rules to set forth standards under which misuse of access may be reported to the Washington/Baltimore High Intensity Drug Trafficking Area Overdose Detection Map or similar platform based on misuse or misconduct by a covered vehicle service provider or other individual or entity at the discretion of the Department. Provides that no data that allows for or creates a risk of identification of an individual or individuals experiencing a suspected or actual overdose treated by the covered vehicle service provider personnel shall be submitted to the Washington/Baltimore High Intensity Drug Trafficking Area Overdose Detection Mapping Application or Similar technology platform. Provides that covered vehicle service provider personnel may report overdose surveillance through an identified technology platform for the use of overdose surveillance under exceptions to HIPAA and the reported data shall only be used to support public safety and public health efforts. Sets forth additional provisions concerning requirements for the Department concerning opioid overdose reporting. ## Bill overview No economic impacts identified for this bill. ## Sponsors and cosponsors - Cosponsor: Dave Vella (Democratic), House - Cosponsor: Kelly M. Cassidy (Democratic), House - Cosponsor: Laura Fine (Democratic), Senate - Cosponsor: Martin J. Moylan (Democratic), House - Cosponsor: Matt Hanson (Democratic), House - Cosponsor: Michael J. Kelly (Democratic), House - Cosponsor: Nicolle Grasse (Democratic), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-05-22 | Senate | Third Reading - Passed; | pass | 58 | 0 | | | 2025-05-07 | Senate | Do Pass Behavioral and Mental Health; | pass | 5 | 0 | | | 2025-04-10 | House | House Floor Amendment No. 2 Recommends Be Adopted Rules Committee; | pass | 5 | 0 | | | 2025-04-10 | House | Third Reading - Short Debate - Passed | pass | 114 | 0 | | | 2025-04-10 | House | Motion to Reconsider Vote - Prevails | pass | 115 | 0 | | | 2025-04-08 | House | House Floor Amendment No. 1 Recommends Be Adopted Public Health Committee; | pass | 8 | 0 | | | 2025-04-08 | House | Third Reading - Short Debate - Passed | pass | 113 | 0 | | | 2025-03-20 | House | Do Pass / Short Debate Public Health Committee; | pass | 9 | 0 | | ## Actions (48) - 2025-08-15: Public Act . . . . . . . . . 104-0321 (House) - 2025-08-15: Effective Date January 1, 2026 (House) - 2025-08-15: Governor Approved (House) - 2025-06-20: Sent to the Governor (House) - 2025-05-22: Passed Both Houses (House) - 2025-05-22: Third Reading - Passed; 058-000-000 (Senate) - 2025-05-20: Placed on Calendar Order of 3rd Reading ** (Senate) - 2025-05-08: Placed on Calendar Order of 3rd Reading May 13, 2025 (Senate) - 2025-05-08: Second Reading (Senate) - 2025-05-07: Placed on Calendar Order of 2nd Reading May 8, 2025 (Senate) - 2025-05-07: Do Pass Behavioral and Mental Health; 005-000-000 (Senate) - 2025-04-29: Assigned to Behavioral and Mental Health (Senate) - 2025-04-23: Referred to Assignments (Senate) - 2025-04-23: First Reading (Senate) - 2025-04-23: Chief Senate Sponsor Sen. Laura Fine (Senate) - 2025-04-23: Placed on Calendar Order of First Reading (Senate) - 2025-04-23: Arrive in Senate (Senate) - 2025-04-10: Third Reading - Short Debate - Passed 114-000-000 (House) - 2025-04-10: Placed on Calendar Order of 3rd Reading - Short Debate (House) - 2025-04-10: House Floor Amendment No. 2 Adopted (House) - 2025-04-10: Recalled to Second Reading - Short Debate (House) - 2025-04-10: House Floor Amendment No. 2 Recommends Be Adopted Rules Committee; 005-000-000 (House) - 2025-04-10: House Floor Amendment No. 2 Referred to Rules Committee (House) - 2025-04-10: House Floor Amendment No. 2 Filed with Clerk by Rep. Matt Hanson (House) - 2025-04-10: Placed on Calendar Order of 3rd Reading - Short Debate (House) - 2025-04-10: Motion to Reconsider Vote - Prevails 115-000-000 (House) - 2025-04-09: Motion Filed to Reconsider Vote Rep. Matt Hanson (House) - 2025-04-08: Added Co-Sponsor Rep. Kelly M. Cassidy (House) - 2025-04-08: Third Reading - Short Debate - Passed 113-000-000 (House) - 2025-04-08: Placed on Calendar Order of 3rd Reading - Short Debate (House) - 2025-04-08: House Floor Amendment No. 1 Adopted (House) - 2025-04-08: House Floor Amendment No. 1 Recommends Be Adopted Public Health Committee; 008-000-000 (House) - 2025-04-07: House Floor Amendment No. 1 Rules Refers to Public Health Committee (House) - 2025-04-04: Added Chief Co-Sponsor Rep. Michael J. Kelly (House) - 2025-04-04: Chief Sponsor Changed to Rep. Matt Hanson (House) - 2025-04-04: House Floor Amendment No. 1 Referred to Rules Committee (House) - 2025-04-04: House Floor Amendment No. 1 Filed with Clerk by Rep. Michael J. Kelly (House) - 2025-03-26: Held on Calendar Order of Second Reading - Short Debate (House) - 2025-03-26: Second Reading - Short Debate (House) - 2025-03-20: Placed on Calendar 2nd Reading - Short Debate (House) - 2025-03-20: Do Pass / Short Debate Public Health Committee; 009-000-000 (House) - 2025-03-19: Added Chief Co-Sponsor Rep. Nicolle Grasse (House) - 2025-03-11: Assigned to Public Health Committee (House) - 2025-03-06: Added Co-Sponsor Rep. Dave Vella (House) - 2025-03-06: Added Co-Sponsor Rep. Martin J. Moylan (House) - 2025-02-18: Referred to Rules Committee (House) - 2025-02-18: First Reading (House) - 2025-02-07: Filed with the Clerk by Rep. Michael J. Kelly (House) ## Bill text - Engrossed: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB3645eng.pdf) - Enrolled: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB3645enr.pdf) - House Amendment 1: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB3645ham001.pdf) - House Amendment 2: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB3645ham002.pdf) - Introduced: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB3645.pdf) ## Related bills - HB5198: AFFORDABLE HOUSING-CILAS (passed house) - SB1937: PENSION CODE-VARIOUS (passed senate) - HB2563: CONDO-RESERVE STUDY (in committee) - HB4701: LIMITATIONS FACILITY FEES ACT (in committee) - SB3008: DHS-ABLE PROGRAM INFO MATERIAL (passed senate) - SB3484: VEH CD-PLATES-REGISTRATION (signed) ## Sources - [Engrossed (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB3645eng.pdf) - [Enrolled (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB3645enr.pdf) - [House Amendment 1 (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB3645ham001.pdf) - [House Amendment 2 (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB3645ham002.pdf) - [Introduced (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB3645.pdf) ## Related - [HB5198: AFFORDABLE HOUSING-CILAS](https://policyrisk.com/state-bill/IL-HB5198-2025-2026) - [SB1937: PENSION CODE-VARIOUS](https://policyrisk.com/state-bill/IL-SB1937-2025-2026) - [HB2563: CONDO-RESERVE STUDY](https://policyrisk.com/state-bill/IL-HB2563-2025-2026) - [HB4701: LIMITATIONS FACILITY FEES ACT](https://policyrisk.com/state-bill/IL-HB4701-2025-2026) - [SB3008: DHS-ABLE PROGRAM INFO MATERIAL](https://policyrisk.com/state-bill/IL-SB3008-2025-2026) - [SB3484: VEH CD-PLATES-REGISTRATION](https://policyrisk.com/state-bill/IL-SB3484-2025-2026) - [Illinois bills](https://policyrisk.com/states/illinois/bills) - [Illinois state hub](https://policyrisk.com/states/illinois) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/IL-HB3645-2025-2026 (as of 2026-11-01).