HB 4477 Illinois House · 104th Regular Session

EMS SYSTEMS-VARIOUS

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 status signed all 5 stages cleared
Introduction
Apr 2026
Committee Review
May 2026
House Passage
May 2026
Senate Passage
May 2026
Signed into Law
Jul 2026
Introduced Apr 21, 2026 Signed Jul 24, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed Enrolled · 1 edit · Jul 24, 2026
MINOR
The bill transitioned from its 'Engrossed' version to the final 'Enrolled' version ready for signing. The primary changes are the removal of page headers and footers containing the 'Engrossed' label and the insertion of the 'Enrolled' label, along with minor spacing adjustments in the text. No substantive policy, legal, or operational changes were made to the bill's content.
TECHNICAL

Removed page headers and footers that identified the document as 'Engrossed' and replaced them with headers and footers identifying the document as 'Enrolled', indicating the final version passed by the legislature.

Floor votes · Senate May 19, 2026 · House Apr 17, 2026

How they voted

580
Passed
Total votes 58
May 19, 2026
D Democratic39
39 Yea
100% Yea
R Republican19
19 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
35
Key actions
9
Committee
9
Amendments
2
Jul 24, 2026
Signed into law
Governor Approved
lower
May 19, 2026
Lower · Passed
Passed Both Houses
lower
May 19, 2026
Upper · Passed
Third Reading - Passed; 059-000-000
upper
May 6, 2026
Upper · Passed
Do Pass Public Health; 009-000-000
upper
Apr 29, 2026
Committee
Assigned to Public Health
upper
Apr 21, 2026
Committee
Referred to Assignments
upper
Apr 21, 2026
Introduced
Arrive in Senate
upper
Apr 17, 2026
Lower · Passed
Third Reading - Short Debate - Passed 083-020-000
lower
Apr 17, 2026
Lower · Passed
House Floor Amendment No. 1 Adopted
lower
Apr 16, 2026
Lower · Passed
House Floor Amendment No. 1 Recommends Be Adopted Public Health Committee; 006-002-000
lower
Apr 14, 2026
Lower · Passed
House Floor Amendment No. 1 Rules Refers to Public Health Committee
lower
Apr 14, 2026
Committee
House Floor Amendment No. 1 Referred to Rules Committee
lower
Apr 14, 2026
Introduced
House Floor Amendment No. 1 Filed with Clerk by Rep. Michael J. Kelly
lower
Feb 26, 2026
Lower · Passed
Do Pass / Short Debate Public Health Committee; 006-002-000
lower
Feb 17, 2026
Committee
Assigned to Public Health Committee
lower
Jan 20, 2026
Committee
Referred to Rules Committee
lower
2 primary · 4 co-sponsors

Sponsors