# Illinois HB4477: EMS SYSTEMS-VARIOUS Illinois HB4477, EMS SYSTEMS-VARIOUS, is a 104th General Assembly (2025–2026) House bill sponsored by no sponsor on record; status signed, last action 2026-07-24 (Public Act . . . . . . . . . 104-0610); PRIA reads it as touching household money (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/IL-HB4477-2025-2026 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Illinois HB4477 - State: Illinois - Session: 104th General Assembly (2025–2026) - Title: EMS SYSTEMS-VARIOUS - Status: signed - Chamber: House - Introduced: 2026-01-16 - Last action: 2026-07-24, Public Act . . . . . . . . . 104-0610 - Sponsors: no sponsor on record - Cosponsors: 6 - Subjects: public health, assignments - Touches household money: yes - Roll calls: 5 (163 yes, 24 no in all) - Economic provisions PRIA read: 2 ## 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. ## Bill overview: provisions PRIA read - Fairer discipline rules for emergency responders: benefit, low. Each EMS System must adopt a state-approved policy for handling mistakes, risky or reckless behavior, and failures to provide required services. Medical Directors must use the policy when disciplining or suspending participants. Local review boards have three members, including an emergency physici… - Flexible licenses for emergency medical workers: benefit, low. The Department must issue EMS personnel a physical or digital license. Licensees do not have to carry a copy of either type while on duty. ## Sponsors and cosponsors - Cosponsor: David Koehler (Democratic), Senate - Cosponsor: Emil Jones, III (Democratic), Senate - Cosponsor: Michael J. Kelly (Democratic), House - Cosponsor: Michael W. Halpin (Democratic), Senate - Cosponsor: Nicolle Grasse (Democratic), House - Cosponsor: Rachel Ventura (Democratic), Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-05-19 | Senate | Third Reading - Passed; | pass | 59 | 0 | | | 2026-05-06 | Senate | Do Pass Public Health; | pass | 9 | 0 | | | 2026-04-17 | House | Third Reading - Short Debate - Passed | pass | 83 | 20 | | | 2026-04-16 | House | House Floor Amendment No. 1 Recommends Be Adopted Public Health Committee; | pass | 6 | 2 | | | 2026-02-26 | House | Do Pass / Short Debate Public Health Committee; | pass | 6 | 2 | | ## Actions (35) - 2026-07-24: Public Act . . . . . . . . . 104-0610 (House) - 2026-07-24: Effective Date January 1, 2027 (House) - 2026-07-24: Governor Approved (House) - 2026-06-18: Sent to the Governor (House) - 2026-05-19: Passed Both Houses (House) - 2026-05-19: Third Reading - Passed; 059-000-000 (Senate) - 2026-05-14: Placed on Calendar Order of 3rd Reading May 18, 2026 (Senate) - 2026-05-14: Second Reading (Senate) - 2026-05-06: Added as Alternate Co-Sponsor Sen. Emil Jones, III (Senate) - 2026-05-06: Added as Alternate Co-Sponsor Sen. David Koehler (Senate) - 2026-05-06: Placed on Calendar Order of 2nd Reading May 7, 2026 (Senate) - 2026-05-06: Do Pass Public Health; 009-000-000 (Senate) - 2026-05-04: Added as Alternate Co-Sponsor Sen. Rachel Ventura (Senate) - 2026-04-29: Assigned to Public Health (Senate) - 2026-04-21: Referred to Assignments (Senate) - 2026-04-21: First Reading (Senate) - 2026-04-21: Chief Senate Sponsor Sen. Michael W. Halpin (Senate) - 2026-04-21: Placed on Calendar Order of First Reading (Senate) - 2026-04-21: Arrive in Senate (Senate) - 2026-04-17: Third Reading - Short Debate - Passed 083-020-000 (House) - 2026-04-17: Placed on Calendar Order of 3rd Reading - Short Debate (House) - 2026-04-17: House Floor Amendment No. 1 Adopted (House) - 2026-04-16: House Floor Amendment No. 1 Recommends Be Adopted Public Health Committee; 006-002-000 (House) - 2026-04-14: House Floor Amendment No. 1 Rules Refers to Public Health Committee (House) - 2026-04-14: House Floor Amendment No. 1 Referred to Rules Committee (House) - 2026-04-14: House Floor Amendment No. 1 Filed with Clerk by Rep. Michael J. Kelly (House) - 2026-04-10: Held on Calendar Order of Second Reading - Short Debate (House) - 2026-04-10: Second Reading - Short Debate (House) - 2026-02-26: Placed on Calendar 2nd Reading - Short Debate (House) - 2026-02-26: Do Pass / Short Debate Public Health Committee; 006-002-000 (House) - 2026-02-26: Added Chief Co-Sponsor Rep. Nicolle Grasse (House) - 2026-02-17: Assigned to Public Health Committee (House) - 2026-01-20: Referred to Rules Committee (House) - 2026-01-20: First Reading (House) - 2026-01-16: Filed with the Clerk by Rep. Michael J. Kelly (House) ## Bill text - Engrossed: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4477eng.pdf) - Enrolled: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4477enr.pdf) - House Amendment 1: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4477ham001.pdf) - Introduced: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4477.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/10400HB4477eng.pdf) - [Enrolled (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4477enr.pdf) - [House Amendment 1 (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4477ham001.pdf) - [Introduced (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB4477.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-HB4477-2025-2026 (as of 2026-11-01).