All Roll Calls
Yes: 163 • No: 24
IllinoisHB4477104th General Assembly (2025–2026)House
EMS SYSTEMS-VARIOUS
Sponsored By: Michael J. Kelly (Democratic)
Passed
Summary
Amends the Emergency Medical Services (EMS) Systems Act. Defines "digital license", "Just Culture Matrix", and "physical license". Provides that the Department of Public Health, by rule, shall publish a Just Culture Matrix, and it shall recommend that each EMS System include the Just Culture Matrix in its Program Plan for evaluating and responding to errors or failures to perform emergency and nonemergency medical services in accordance with the defined scope of practice of the EMS personnel. Provides that the Just Culture Matrix shall be a framework for fairly and consistently applying EMS System participation suspensions. Sets forth provisions concerning membership of the local System review board. Provides that the local System review board shall only have the authority to affirm, reduce, or rescind the EMS Medical Director's suspension order. Provides that the function of the State Emergency Medical Services Disciplinary Review Board is to review and affirm, reduce, or rescind disciplinary orders (instead of review and affirm, reverse, or modify). Makes conforming changes. Provides that the Department shall issue to EMS personnel a physical license, and all EMS personnel shall have access to a digital license. Requires a licensee to possess a copy of a physical license or a digital license.
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Bill Overview
No Economic Impacts Identified for this Bill
Sponsors & Cosponsors
Sponsor
Michael J. Kelly
Democratic • House
Cosponsors
David Koehler
Democratic • Senate
Emil Jones, III
Democratic • Senate
Michael W. Halpin
Democratic • Senate
Nicolle Grasse
Democratic • House
Rachel Ventura
Democratic • Senate
Roll Call Votes
Senate vote • 5/19/2026
Third Reading - Passed;
Yes: 59 • No: 0
Senate vote • 5/6/2026
Do Pass Public Health;
Yes: 9 • No: 0
House vote • 4/17/2026
Third Reading - Short Debate - Passed
Yes: 83 • No: 20
House vote • 4/16/2026
House Floor Amendment No. 1 Recommends Be Adopted Public Health Committee;
Yes: 6 • No: 2
House vote • 2/26/2026
Do Pass / Short Debate Public Health Committee;
Yes: 6 • No: 2
Actions Timeline
Passed Both Houses
5/19/2026HouseThird Reading - Passed; 059-000-000
5/19/2026SenatePlaced on Calendar Order of 3rd Reading May 18, 2026
5/14/2026SenateSecond Reading
5/14/2026SenateAdded as Alternate Co-Sponsor Sen. Emil Jones, III
5/6/2026SenateAdded as Alternate Co-Sponsor Sen. David Koehler
5/6/2026SenatePlaced on Calendar Order of 2nd Reading May 7, 2026
5/6/2026SenateDo Pass Public Health; 009-000-000
5/6/2026SenateAdded as Alternate Co-Sponsor Sen. Rachel Ventura
5/4/2026SenateAssigned to Public Health
4/29/2026SenateReferred to Assignments
4/21/2026SenateFirst Reading
4/21/2026SenateChief Senate Sponsor Sen. Michael W. Halpin
4/21/2026SenatePlaced on Calendar Order of First Reading
4/21/2026SenateArrive in Senate
4/21/2026SenateThird Reading - Short Debate - Passed 083-020-000
4/17/2026HousePlaced on Calendar Order of 3rd Reading - Short Debate
4/17/2026HouseHouse Floor Amendment No. 1 Adopted
4/17/2026HouseHouse Floor Amendment No. 1 Recommends Be Adopted Public Health Committee; 006-002-000
4/16/2026HouseHouse Floor Amendment No. 1 Rules Refers to Public Health Committee
4/14/2026HouseHouse Floor Amendment No. 1 Referred to Rules Committee
4/14/2026HouseHouse Floor Amendment No. 1 Filed with Clerk by Rep. Michael J. Kelly
4/14/2026HouseHeld on Calendar Order of Second Reading - Short Debate
4/10/2026HouseSecond Reading - Short Debate
4/10/2026HousePlaced on Calendar 2nd Reading - Short Debate
2/26/2026House
Bill Text
Engrossed
Enrolled
House Amendment 1
Introduced
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