104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
HB5133
 
Introduced 2/10/2026, by Rep. Kevin Schmidt
 
SYNOPSIS AS INTRODUCED:
 
New Act
    Creates the Local Government Essential Services Act. Defines "emergency medical services". Provides that emergency medical services shall be deemed an essential service in the State. Provides that the governing body of each municipality and county in the State shall ensure the availability of emergency medical services to provide for the needs of its population. Provides that the governing body of each municipality and county may provide emergency medical services by (1) providing a license or franchise to a private company; (2) contracting with a public, private, or nonprofit entity for emergency medical services; (3) entering into agreements with other units of local government; or (4) entering into agreements with hospitals, clinics, or any medical facility.


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A BILL FOR
 
HB5133LRB104 20093 RTM 33544 b

1    AN ACT concerning local government.
 
2    Be it enacted by the People of the State of Illinois, 
3represented in the General Assembly:
 
4    Section 1. Short title. This Act may be cited as the Local 
5Government Essential Services Act.
 
6    Section 5. Definitions. As used in this Act, "emergency 
7medical services" has the meaning given to the term "Emergency 
8Medical Services EMS Systems" under Section 3.20 of the 
9Emergency Medical Services (EMS) Systems Act.
 
10    Section 10. Essential service. Emergency medical services 
11shall be deemed an essential service in the State.
 
12    Section 15. Local government obligations. The governing 
13body of each municipality and county in the State shall ensure 
14the availability of emergency medical services to provide for 
15the needs of its population. The governing body of each 
16municipality and county may provide emergency medical services 
17by:
18        (1) providing a license or franchise to a private 
19    company;
20        (2) contracting with a public, private, or nonprofit 
21    entity for emergency medical services;
 
 
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1        (3) entering into agreements with other units of local 
2    government; or
3        (4) entering into agreements with hospitals, clinics, 
4    or any medical facility.