HB4477 - 104th General Assembly (2025-2026)

EMS SYSTEMS-VARIOUS
Last Action
4/21/2026 - Senate: Referred to Assignments
Statutes Amended In Order of Appearance
210 ILCS 50/3.5  
210 ILCS 50/3.35  
210 ILCS 50/3.40  
210 ILCS 50/3.45  
210 ILCS 50/3.50  
Synopsis As Introduced
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.

House Floor Amendment No. 1
Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill with the following changes. Makes changes to defined terms. Provides that the Department of Public Health shall require each EMS System to have a Department-approved Just Culture policy for evaluating and responding to human error, at-risk, reckless behavior, or failures to perform emergency and nonemergency medical services (instead of requiring the Department to publish a Just Culture Matrix) in accordance with the defined scope of practice of the EMS personnel, EMS System Program Plan, and rules established by the Department. Provides that the Just Culture policy shall be used when applying EMS System discipline or EMS System participation suspensions. Makes changes to the authority of the local System review board. Provides that the Department shall issue to EMS personnel a physical license or digital license (instead of requiring all EMS personnel to have access to a digital license), and provides that a licensee shall not be required to possess a copy of a physical license or a digital license on the licensee's person while on duty (instead of a licensee shall possess a copy of a physical license or a digital license). Makes other changes.
Actions
DateChamberAction
1/16/2026HouseFiled with the Clerk by Rep. Michael J. Kelly
1/20/2026HouseFirst Reading
1/20/2026HouseReferred to Rules Committee
2/17/2026HouseAssigned to Public Health Committee
2/26/2026HouseAdded Chief Co-Sponsor Rep. Nicolle Grasse
2/26/2026HouseDo Pass / Short Debate Public Health Committee; 006-002-000
2/26/2026HousePlaced on Calendar 2nd Reading - Short Debate
4/10/2026HouseSecond Reading - Short Debate
4/10/2026HouseHeld on Calendar Order of Second Reading - Short Debate
4/14/2026HouseHouse Floor Amendment No. 1 Filed with Clerk by Rep. Michael J. Kelly
4/14/2026HouseHouse Floor Amendment No. 1 Referred to Rules Committee
4/14/2026HouseHouse Floor Amendment No. 1 Rules Refers to Public Health Committee
4/16/2026HouseHouse Floor Amendment No. 1 Recommends Be Adopted Public Health Committee; 006-002-000
4/17/2026HouseHouse Floor Amendment No. 1 Adopted
4/17/2026HousePlaced on Calendar Order of 3rd Reading - Short Debate
4/17/2026HouseThird Reading - Short Debate - Passed 083-020-000
4/21/2026SenateArrive in Senate
4/21/2026SenatePlaced on Calendar Order of First Reading
4/21/2026SenateChief Senate Sponsor Sen. Michael W. Halpin
4/21/2026SenateFirst Reading
4/21/2026SenateReferred to Assignments