HB4477Introduced in the House
EMS SYSTEMS-VARIOUS
Introduced by Michael Kelly, District 15
What does this bill do?
Plain-English breakdown
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Official description
Reinserts the provisions of the introduced bill with the following changes. Makes changes to defined terms. Provides that the Department of Public Health shall require each EMS System to have a Department-approved Just Culture policy for evaluating and responding to human error, at-risk, reckless behavior, or failures to perform emergency and nonemergency medical services (instead of requiring the Department to publish a Just Culture Matrix) in accordance with the defined scope of practice of the EMS personnel, EMS System Program Plan, and rules established by the Department. Provides that the Just Culture policy shall be used when applying EMS System discipline or EMS System participation suspensions. Makes changes to the authority of the local System review board. Provides that the Department shall issue to EMS personnel a physical license or digital license (instead of requiring all EMS personnel to have access to a digital license), and provides that a licensee shall not be required to possess a copy of a physical license or a digital license on the licensee's person while on duty (instead of a licensee shall possess a copy of a physical license or a digital license). Makes other changes.
Where it stands
Public Act . . . . . . . . . 104-0610
July 24, 2026
How did lawmakers vote?
House votes
3 recorded votes · each counted separately
Senate votes
2 recorded votes · each counted separately
SenateStage: Senate Third Reading · May 19, 2026
59
Yes
0
No
0
Absent or Not Voting
59 senators recorded in this Senate vote. Colors show vote categories only, not whether a vote was good or bad.
See how each senator voted
| Senator | District | Vote |
|---|---|---|
| Javier Cervantes | 1 | Yes |
| Omar Aquino | 2 | Yes |
| Mattie Hunter | 3 | Yes |
| Kimberly Lightford | 4 | Yes |
| Lakesia Collins | 5 | Yes |
| Sara Feigenholtz | 6 | Yes |
| Mike Simmons | 7 | Yes |
| Ram Villivalam | 8 | Yes |
| Laura Fine | 9 | Yes |
| Robert Martwick | 10 | Yes |
Bill history
Filed with the Clerk by Rep. Michael J. Kelly
First Reading
Referred to Rules Committee
Assigned to Public Health Committee
Added Chief Co-Sponsor Rep. Nicolle Grasse
Do Pass / Short Debate Public Health Committee; 006-002-000
Placed on Calendar 2nd Reading - Short Debate
Second Reading - Short Debate
Held on Calendar Order of Second Reading - Short Debate
House Floor Amendment No. 1 Filed with Clerk by Rep. Michael J. Kelly
House Floor Amendment No. 1 Referred to Rules Committee
House Floor Amendment No. 1 Rules Refers to Public Health Committee
House Floor Amendment No. 1 Recommends Be Adopted Public Health Committee; 006-002-000
House Floor Amendment No. 1 Adopted
Placed on Calendar Order of 3rd Reading - Short Debate
Third Reading - Short Debate - Passed 083-020-000
Arrive in Senate
Placed on Calendar Order of First Reading
Chief Senate Sponsor Sen. Michael W. Halpin
First Reading
Referred to Assignments
Assigned to Public Health
Added as Alternate Co-Sponsor Sen. Rachel Ventura
Do Pass Public Health; 009-000-000
Placed on Calendar Order of 2nd Reading May 7, 2026
Added as Alternate Co-Sponsor Sen. David Koehler
Added as Alternate Co-Sponsor Sen. Emil Jones, III
Second Reading
Placed on Calendar Order of 3rd Reading May 18, 2026
Third Reading - Passed; 059-000-000
Passed Both Houses
Sent to the Governor
Governor Approved
Effective Date January 1, 2027
Public Act . . . . . . . . . 104-0610
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