HB 5446 Illinois House · 104th Regular Session

EMS-RURAL STAFFING-PART-TIME

Summary

Amends the Emergency Medical Services (EMS) Systems Act. Provides that the Department of Public Health shall allow for an alternative rural staffing model for vehicle service providers that serve a rural or semi-rural population of 10,000 or fewer inhabitants and exclusively use volunteers, paid-on-call, or part-time employees, or a combination thereof (now, the use of part-time employees is not an option). Effective immediately.

Issues: ✓ Healthcare

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 16, 2026 Signed Jul 31, 2026

Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed → Enrolled · 1 edit · Jul 31, 2026

MINOR

The bill was finalized from its 'Engrossed' version to the 'Enrolled' version, which is the official text sent to the Governor for signature. The changes consist entirely of formatting updates, such as adjusting page headers and fixing indentation, with no substantive policy, legal, or operational modifications to the bill's content.

TECHNICAL

Page headers were updated to reflect the 'Enrolled' status instead of 'Engrossed', and text indentation was corrected for consistency.

Floor votes · Senate May 21, 2026 · House Apr 15, 2026

How they voted

54–0

Passed · 4 other

Total votes 58

May 21, 2026

D Democratic39

35 Yea 4

89% Yea

R Republican19

19 Yea

100% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Jul 31, 2026

Signed into law

Governor Approved

lower

May 21, 2026

Lower · Passed

Passed Both Houses

lower

May 21, 2026

Upper · Passed

Third Reading - Passed; 054-000-000

upper

May 6, 2026

Upper · Passed

Do Pass Health and Human Services; 009-000-000

upper

Apr 28, 2026

Committee

Assigned to Health and Human Services

upper

Apr 16, 2026

Committee

Referred to Assignments

upper

Apr 16, 2026

Introduced

Arrive in Senate

upper

Apr 15, 2026

Lower · Passed

Third Reading - Short Debate - Passed 111-000-000

lower

Apr 15, 2026

Lower · Passed

House Floor Amendment No. 2 Adopted

lower

Apr 14, 2026

Lower · Passed

House Floor Amendment No. 2 Recommends Be Adopted Health Care Availability & Accessibility Committee; 014-000-000

lower

Apr 14, 2026

Lower · Passed

House Floor Amendment No. 2 Rules Refers to Health Care Availability & Accessibility Committee

lower

Apr 13, 2026

Committee

House Floor Amendment No. 2 Referred to Rules Committee

lower

Apr 13, 2026

Introduced

House Floor Amendment No. 2 Filed with Clerk by Rep. Christopher "C.D." Davidsmeyer

lower

Mar 24, 2026

Amended

House Committee Amendment No. 1 Tabled

lower

Mar 24, 2026

Lower · Passed

Do Pass / Short Debate Health Care Availability & Accessibility Committee; 013-000-000

lower

Mar 24, 2026

Committee

House Committee Amendment No. 1 Referred to Rules Committee

lower

Mar 24, 2026

Introduced

House Committee Amendment No. 1 Filed with Clerk by Rep. Christopher "C.D." Davidsmeyer

lower

Mar 18, 2026

Committee

Assigned to Health Care Availability & Accessibility Committee

lower

Feb 13, 2026

Committee

Referred to Rules Committee

lower

2 primary · 9 co-sponsors