HB4477
View on ILGAEMS SYSTEMS-VARIOUS
What this bill does
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.
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Pipeline Progress
Current stage: In Committee · Last action 235 days ago · STAGNANT
How does a bill become law in Illinois?
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Introduction of Bill
A member of the Senate or the House introduces a bill, which is assigned a unique identifying number (e.g., "H.B. ___" for House bills and "S.B. ___" for Senate bills). If not enacted, it must be reintroduced in the next General Assembly with a new number.
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Committee Work — Hearings
The bill goes to the appropriate committee, which holds hearings to gather expert opinions and determine the need for the legislation.
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Committee Work — Markup, Amendments, Report
The committee may make amendments to the bill. If approved, a committee report endorsing the bill is issued.
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Floor Debate
The bill is debated and can be further amended. The debate transcripts are accessible online for public viewing.
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Passage and Consideration in Second Chamber
If the bill passes in the first chamber, it moves to the second chamber for a similar review process. If both chambers approve, it goes to the governor.
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Gubernatorial Action
The governor can sign the bill into law, veto it, or take no action (resulting in an automatic law after 60 days). The type of veto can be total or amendatory. Once signed, the bill becomes a Public Act and is assigned a Public Act number.
Sponsor Context
Campaign finance
This is SBE campaign receipts to the people on this bill, not Moneyball and not earmarked to the bill.
Money is campaign receipts to matched candidate committees, not earmarked to this bill. Window 2025-01-01 – 2026-09-13.
Sponsor and voter funding
| Member | Role | Receipts | Total received | Top donors |
|---|---|---|---|---|
| Michael J. Kelly | Chief sponsor | 176 | $286,801.63 | Local 2 Chicago Firefighters Union Local 2 ($29,000.00); International Association of Fire Fighters ($27,500.00); Associated Fire Fighters of Illinois ($20,000.00) |
Top donors across these members
| Donor | Occupation | Employer | Receipts | Total |
|---|---|---|---|---|
| Local 2 Chicago Firefighters Union Local 2 | — | — | 2 | $29,000.00 |
| International Association of Fire Fighters | — | — | 2 | $27,500.00 |
| Associated Fire Fighters of Illinois | — | — | 3 | $20,000.00 |
| J & J Gaming, LLC | — | — | 3 | $11,000.00 |
| Save Our Local Businesses Illinois PAC | — | — | 1 | $10,000.00 |
| Chicago Land Operators Joint Labor-Management | — | — | 3 | $8,500.00 |
| Fraternal Order of Police Chicago Lodge No. 7 | — | — | 2 | $7,500.00 |
| Accel Entertainment Gaming, LLC | — | — | 2 | $7,000.00 |
| LiUNA! | — | — | 3 | $6,000.00 |
| Ironworkers Local Union #1 | — | — | 1 | $5,000.00 |
| Illinois Pipe Trade Association | — | — | 1 | $5,000.00 |
| Illinois Manufactured Housing Association | — | — | 2 | $5,000.00 |
| Car of Illinois | — | — | 4 | $4,500.00 |
| Illinois Trial Lawyers Association | — | — | 2 | $4,000.00 |
| Associated Beer Distributors of Illinois PAC | — | — | 2 | $4,000.00 |
| Comcast Business | — | — | 2 | $4,000.00 |
| Ironworkers District Council of Chicago & Vicinity - P.A.C. | — | — | 2 | $3,500.00 |
| Illinois Broadband and Cable Association | — | — | 2 | $3,000.00 |
| Reynolds American | — | — | 2 | $3,000.00 |
| LiUNA Chicago Laborers' District Council | — | — | 1 | $3,000.00 |
| IUOE Local 399 | — | — | 3 | $2,500.00 |
| SEIU HealthCare IL | — | — | 2 | $2,500.00 |
| Midwest Gaming & Entertainment, LLC | — | — | 1 | $2,500.00 |
| Phillips 66 | — | — | 1 | $2,500.00 |
| Chicago John Dineen Lodge #7 | — | — | 1 | $2,500.00 |
Hearings
This bill has not been scheduled for a committee hearing.
Action History
4 actions recorded. Last action: 2026-02-17 — Assigned toPublic Health Committee. Each action's meaning and outcome signal are classified automatically.
All actions (table)
| Date | Chamber | Action | Category | Signal |
|---|---|---|---|---|
| 2026-01-16 | House | Filed with the Clerk byRep. Michael J. Kelly House Rule 6(b) | Introduction & Filing | — |
| 2026-01-20 | House | First Reading Senate Rule 5-1(d)/5-2; House Rule 37(d)/38 | Introduction & Filing | — |
| 2026-01-20 | House | Referred toRules Committee Senate Rule 3-8(a); House Rule 18(a) | Committee Assignment | — |
| 2026-02-17 | House | Assigned toPublic Health Committee Senate Rule 3-8(a); House Rule 18(b) | Committee Assignment | — |