Illinois legislation · 104th General Assembly
Illinois HB4477: EMS SYSTEMS-VARIOUS
Status: Signed into law, July 24, 2026
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.
What the bill says
A bill FOR 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026HB4477Introduced 1/20/2026, by Rep. Michael J. KellySYNOPSIS AS INTRODUCED: ILCS 50/3.5210 ILCS 50/3.35210 ILCS 50/3.40210 ILCS 50/3.45210 ILCS 50/3.50 210 ILCS 50/3.5 210 ILCS 50/3.35 210 ILCS 50/3.40 210 ILCS 50/3.45 210 ILCS 50/3.50 ILCS 50/3.5 ILCS 50/3.35 ILCS 50/3.40 ILCS 50/3.45 ILCS 50/3.50 Amends the Emergency Medical Services (EMS) Systems Act. Defines"digital license", "Just Culture Matrix", and "physical license"…
From the introduced text, January 16, 2026:
A BILL FOR 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026HB4477Introduced 1/20/2026, by Rep. Michael J. KellySYNOPSIS AS INTRODUCED: ILCS 50/3.5210 ILCS 50/3.35210 ILCS 50/3.40210 ILCS 50/3.45210 ILCS 50/3.50 210 ILCS 50/3.5 210 ILCS 50/3.35 210 ILCS 50/3.40 210 ILCS 50/3.45 210 ILCS 50/3.50 ILCS 50/3.5 ILCS 50/3.35 ILCS 50/3.40 ILCS 50/3.45 ILCS 50/3.50 Amends the Emergency Medical Services (EMS) Systems Act. Defines"digital license", "Just Culture Matrix", and "physical license". Providesthat the Department of Public Health, by rule, shall publish a Just CultureMatrix, and it shall recommend that each EMS System include the JustCulture Matrix in its Program Plan for evaluating and responding to errorsor failures to perform emergency and nonemergency medical services inaccordance with the defined scope of practice of the EMS personnel.Provides that the Just Culture Matrix shall be a framework for fairly andconsistently applying EMS System participation suspensions. Sets forthprovisions concerning membership of the local System review board.Provides that the local System review board shall only have the authorityto affirm, reduce, or rescind the EMS Medical Director's suspension order.Provides that the function of the State Emergency Medical ServicesDisciplinary Review Board is to review and affirm, reduce, or rescinddisciplinary orders (instead of review and affirm, reverse, or modify).Makes conforming changes. Provides that the Department shall issue to EMSpersonnel a physical license, and all EMS personnel shall have …