Illinois 104th General Assembly Status: To Executive 5 R cosponsors

HB5446      — EMS-RURAL STAFFING-PART-TIME

Last action — Public Act . . . . . . . . . 104-0704

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed House
  4. ✓
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill has been sent to the executive. Introduced February 06, 2026. It awaits signature.

Next likely step: the executive signs it into law or issues a veto.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 74% · moderate confidence

  • To Executive

    Current position in the legislative process.

  • 11 sponsors

    1 primary, 10 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (5 R).

  • Cleared a recorded vote

    Passed 5 recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

In plain language

Allows rural EMS providers to use part-time staff for emergency services.

This bill amends the EMS Systems Act to permit rural emergency medical service providers to employ part-time staff. Previously, only volunteers and paid-on-call workers were allowed in these areas with smaller populations.

What this means for you
  • Workers: This means potential job opportunities for part-time workers in rural emergency medical services.

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.

Bill Text

We don't have the full text on file for this bill yet.

Read HB5446 on the official Illinois source →

Action History

  1. Public Act . . . . . . . . . 104-0704

  2. Effective Date July 31, 2026

  3. Governor Approved

  4. Sent to the Governor

  5. Added as Alternate Co-Sponsor Sen. Erica Harriss

  6. Passed Both Houses

  7. Third Reading - Passed; 054-000-000

  8. Added as Alternate Co-Sponsor Sen. Chapin Rose

  9. Added as Alternate Chief Co-Sponsor Sen. Jason Plummer

  10. Added as Alternate Chief Co-Sponsor Sen. Sally J. Turner

  11. Placed on Calendar Order of 3rd Reading May 18, 2026

  12. Second Reading

  13. Placed on Calendar Order of 2nd Reading May 7, 2026

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

  15. Assigned to Health and Human Services

  16. Added as Alternate Chief Co-Sponsor Sen. Jil Tracy

  17. Added Co-Sponsor Rep. Tony M. McCombie

  18. Referred to Assignments

  19. First Reading

  20. Chief Senate Sponsor Sen. Steve McClure

  21. Placed on Calendar Order of First Reading

  22. Arrive in Senate

  23. Added Co-Sponsor Rep. Brandun Schweizer

  24. Added Co-Sponsor Rep. Jason R. Bunting

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

  26. Placed on Calendar Order of 3rd Reading - Short Debate

  27. House Floor Amendment No. 2 Adopted

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

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

  30. House Floor Amendment No. 2 Referred to Rules Committee

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

  32. Held on Calendar Order of Second Reading - Short Debate

  33. Second Reading - Short Debate

  34. Added Co-Sponsor Rep. Kevin Schmidt

  35. Placed on Calendar 2nd Reading - Short Debate

  36. House Committee Amendment No. 1 Tabled

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

  38. House Committee Amendment No. 1 Referred to Rules Committee

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

  40. Assigned to Health Care Availability & Accessibility Committee

  41. Referred to Rules Committee

  42. First Reading

  43. Filed with the Clerk by Rep. Christopher "C.D." Davidsmeyer

Sponsors

Sponsorship breakdown

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1 sponsors · 10 co-sponsors · 172 not signed on

Sponsors (1)

Co-sponsors (10)

Not signed on (172)

172 members have not signed on to this bill.

Show all 172 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Third Reading

Passed 54 Yea · 0 Nay
Party YeaNayPresentNot Voting
Republican 19000
Democrat 34004
Unaffiliated 1000
Total 54004
% of votes cast 93%0%0%7%
How each member voted (58)
Member Party Vote
Johnson — Yea
Bill Cunningham Democrat Yea
Celina Villanueva Democrat Yea
Christopher Belt Democrat Yea
Cristina Castro Democrat Not Voting
David Koehler Democrat Yea
Doris Turner Democrat Yea
Elgie R. Sims, Jr. Democrat Yea
Graciela Guzmán Democrat Yea
Javier L. Cervantes Democrat Yea
Julie A. Morrison Democrat Yea
Karina Villa Democrat Yea
Kimberly A. Lightford Democrat Not Voting
Lakesia Collins Democrat Yea
Laura Ellman Democrat Yea
Laura Fine Democrat Yea
Laura M. Murphy Democrat Yea
Linda Holmes Democrat Not Voting
Mark L. Walker Democrat Yea
Mary Edly-Allen Democrat Yea
Mattie Hunter Democrat Yea
Meg Loughran Cappel Democrat Yea
Michael E. Hastings Democrat Yea
Michael W. Halpin Democrat Yea
Mike Porfirio Democrat Yea
Mike Simmons Democrat Yea
Napoleon Harris III Democrat Not Voting
Omar Aquino Democrat Yea
Patrick J. Joyce Democrat Yea
Paul Faraci Democrat Yea
Rachel Ventura Democrat Yea
Ram Villivalam Democrat Yea
Robert F. Martwick Democrat Yea
Robert Peters Democrat Yea
Sara Feigenholtz Democrat Yea
Steve Stadelman Democrat Yea
Suzy Glowiak Hilton Democrat Yea
Thaddeus Jones Democrat Yea
Willie Preston Democrat Yea
Andrew S. Chesney Republican Yea
Chapin Rose Republican Yea
Chris Balkema Republican Yea
Craig Wilcox Republican Yea
Dale Fowler Republican Yea
Darby A. Hills Republican Yea
Dave Syverson Republican Yea
Donald P. DeWitte Republican Yea
Erica Harriss Republican Yea
Jason Plummer Republican Yea
Jil Tracy Republican Yea
John F. Curran Republican Yea
Li Arellano, Jr. Republican Yea
Neil Anderson Republican Yea
Sally J. Turner Republican Yea
Seth Lewis Republican Yea
Steve McClure Republican Yea
Sue Rezin Republican Yea
Terri Bryant Republican Yea

Official roll call →

Health and Human Services

Passed 9 Yea · 0 Nay · 3 Other
Party YeaNayPresentNot Voting
Republican 3001
Democrat 6002
Total 9003
% of votes cast 75%0%0%25%
How each member voted (12)
Member Party Vote
David Koehler Democrat Yea
Doris Turner Democrat Yea
Elgie R. Sims, Jr. Democrat Not Voting
Julie A. Morrison Democrat Yea
Karina Villa Democrat Yea
Kimberly A. Lightford Democrat Yea
Laura Fine Democrat Not Voting
Mary Edly-Allen Democrat Yea
Dave Syverson Republican Not Voting
Jason Plummer Republican Yea
Li Arellano, Jr. Republican Yea
Neil Anderson Republican Yea

Official roll call →

Third Reading

Passed 111 Yea · 0 Nay
Party YeaNayPresentNot Voting
Democrat 71004
Republican 36003
Unaffiliated 3000
Total 110007
% of votes cast 94%0%0%6%
How each member voted (117)
Member Party Vote
Jacobs — Yea
Johnson — Yea
Hernandez, Lisa — Yea
Aarón M. Ortíz Democrat Yea
Abdelnasser Rashid Democrat Yea
Amy Briel Democrat Yea
Angelica Guerrero-Cuellar Democrat Yea
Ann M. Williams Democrat Yea
Anna Moeller Democrat Yea
Anne Stava Democrat Yea
Anthony DeLuca Democrat Yea
Barbara Hernandez Democrat Yea
Bob Morgan Democrat Yea
Camille Y. Lilly Democrat Yea
Carol Ammons Democrat Not Voting
Curtis J. Tarver, II Democrat Yea
Dagmara Avelar Democrat Yea
Daniel Didech Democrat Yea
Dave Vella Democrat Yea
Debbie Meyers-Martin Democrat Yea
Diane Blair-Sherlock Democrat Yea
Edgar González, Jr. Democrat Yea
Eva-Dina Delgado Democrat Yea
Fred Crespo Democrat Yea
Harry Benton Democrat Yea
Hoan Huynh Democrat Not Voting
Jaime M. Andrade, Jr. Democrat Yea
Janet Yang Rohr Democrat Yea
Jawaharial Williams Democrat Yea
Jay Hoffman Democrat Yea
Jehan Gordon-Booth Democrat Yea
Jennifer Gong-Gershowitz Democrat Yea
Joyce Mason Democrat Yea
Justin Cochran Democrat Yea
Justin Slaughter Democrat Yea
Kam Buckner Democrat Yea
Katie Stuart Democrat Yea
Kelly M. Cassidy Democrat Yea
Kevin John Olickal Democrat Yea
Kimberly Du Buclet Democrat Yea
La Shawn K. Ford Democrat Not Voting
Laura Faver Dias Democrat Yea
Lawrence "Larry" Walsh, Jr. Democrat Yea
Lilian Jiménez Democrat Yea
Lindsey LaPointe Democrat Yea
Lisa Davis Democrat Yea
Marcus C. Evans, Jr. Democrat Yea
Margaret A. DeLaRosa Democrat Yea
Margaret Croke Democrat Yea
Martha Deuter Democrat Yea
Mary Beth Canty Democrat Yea
Mary Gill Democrat Yea
Matt Hanson Democrat Yea
Maura Hirschauer Democrat Yea
Maurice A. West, II Democrat Yea
Michael Crawford Democrat Yea
Michael J. Kelly Democrat Yea
Michelle Mussman Democrat Yea
Nabeela Syed Democrat Yea
Natalie A. Manley Democrat Yea
Nicholas K. Smith Democrat Yea
Nicolle Grasse Democrat Yea
Norma Hernandez Democrat Yea
Rick Ryan Democrat Yea
Rita Mayfield Democrat Yea
Robert "Bob" Rita Democrat Yea
Robyn Gabel Democrat Yea
Sharon Chung Democrat Yea
Sonya M. Harper Democrat Yea
Stephanie A. Kifowit Democrat Yea
Sue Scherer Democrat Yea
Suzanne M. Ness Democrat Yea
Thaddeus Jones Democrat Yea
Theresa Mah Democrat Yea
Tracy Katz Muhl Democrat Not Voting
Will Guzzardi Democrat Yea
William "Will" Davis Democrat Yea
Yolonda Morris Democrat Yea
Adam M. Niemerg Republican Yea
Amy Elik Republican Yea
Amy L. Grant Republican Not Voting
Blaine Wilhour Republican Yea
Brad Halbrook Republican Yea
Brad Stephens Republican Yea
Bradley Fritts Republican Yea
Brandun Schweizer Republican Yea
Charles Meier Republican Yea
Chris Miller Republican Yea
Christopher "C.D." Davidsmeyer Republican Yea
Dan Swanson Republican Yea
Daniel J. Ugaste Republican Yea
Dave Severin Republican Yea
David Friess Republican Yea
Dennis Tipsword Republican Not Voting
Jackie Haas Republican Yea
Jason R. Bunting Republican Yea
Jed Davis Republican Yea
Jeff Keicher Republican Yea
Jennifer Sanalitro Republican Yea
Joe C. Sosnowski Republican Yea
John M. Cabello Republican Yea
Kevin Schmidt Republican Yea
Kyle Moore Republican Yea
Martin McLaughlin Republican Yea
Michael J. Coffey, Jr. Republican Yea
Nicole La Ha Republican Yea
Norine K. Hammond Republican Yea
Patrick Sheehan Republican Yea
Patrick Windhorst Republican Yea
Regan Deering Republican Yea
Ryan Spain Republican Yea
Steven Reick Republican Yea
Tom Weber Republican Yea
Tony M. McCombie Republican Yea
Travis Weaver Republican Yea
Wayne A. Rosenthal Republican Not Voting
William E Hauter Republican Yea

Official roll call →

Health Care Availability & Access

Passed 14 Yea · 0 Nay
Party YeaNayPresentNot Voting
Democrat 9000
Republican 5000
Total 14000
% of votes cast 100%0%0%0%
How each member voted (14)
Member Party Vote
Dagmara Avelar Democrat Yea
Justin Cochran Democrat Yea
Michael Crawford Democrat Yea
Nabeela Syed Democrat Yea
Natalie A. Manley Democrat Yea
Nicolle Grasse Democrat Yea
Theresa Mah Democrat Yea
Tracy Katz Muhl Democrat Yea
Yolonda Morris Democrat Yea
Jackie Haas Republican Yea
Jennifer Sanalitro Republican Yea
Kevin Schmidt Republican Yea
Nicole La Ha Republican Yea
William E Hauter Republican Yea

Official roll call →

Health Care Availability & Access

Passed 13 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Democrat 8001
Republican 5000
Total 13001
% of votes cast 93%0%0%7%
How each member voted (14)
Member Party Vote
Camille Y. Lilly Democrat Not Voting
Dagmara Avelar Democrat Yea
Michael Crawford Democrat Yea
Michelle Mussman Democrat Yea
Nabeela Syed Democrat Yea
Natalie A. Manley Democrat Yea
Nicolle Grasse Democrat Yea
Theresa Mah Democrat Yea
Yolonda Morris Democrat Yea
Christopher "C.D." Davidsmeyer Republican Yea
Jackie Haas Republican Yea
Jennifer Sanalitro Republican Yea
Nicole La Ha Republican Yea
William E Hauter Republican Yea

Official roll call →

Subjects

public-safety healthcare labor
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does HB5446      do?
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.
Who sponsors HB5446     ?
HB5446      is sponsored by Steve McClure, Jil Tracy, Sally J. Turner, Jason Plummer, Chapin Rose, Erica Harriss, Christopher "C.D." Davidsmeyer (Republican), Kevin Schmidt (Republican), Jason R. Bunting (Republican), Brandun Schweizer (Republican), and Tony M. McCombie (Republican).
What is the current status of HB5446     ?
This bill has been sent to the executive. Introduced February 06, 2026. It awaits signature.
Where can I track HB5446     ?
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Last checked for changes 2 months ago · updated continuously

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