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

HB5494      — STROKE CARE MODERNIZATION

Last action — Public Act . . . . . . . . . 104-0706

  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

Moderate chance

Based on the sponsor, cosponsors, and committee posture, this bill has a moderate 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.

  • 10 sponsors

    1 primary, 9 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (5 D).

  • 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

The bill updates regulations for Stroke Centers and reporting requirements in emergency medical services.

This bill amends the Emergency Medical Services Systems Act to revise definitions, certification requirements, and reporting for Stroke Centers. It ensures that hospitals maintain standards and report their designation levels to relevant authorities.

What this means for you
  • Families: Families of stroke patients may benefit from improved data collection and care standards in emergency services.
  • Healthcare: This means healthcare providers need to comply with updated certification and reporting standards for Stroke Centers.

Summary

Amends the Emergency Medical Services (EMS) Systems Act. Makes changes to defined terms. Replaces references to Primary Stroke Centers with Stroke Centers. Provides that a hospital that no longer meets nationally recognized, evidence-based standards for Stroke Centers, loses its Stroke Center certification, or has any change to its designation level shall notify the Department of Public Health and the Regional EMS Advisory Committee within 5 business days. Requires the Department to consult with the State Stroke Advisory Subcommittee for the adoption or deletion of approved stroke designation levels. Provides that the approved stroke designation levels shall coincide with the stroke designation levels recognized by Department-approved certifying bodies. Requires the Department to establish reporting requirements for designated Stroke Centers to capture information using new or existing electronic reporting tools for statewide data collection and certification purposes. Removes provisions concerning previous Stroke Center designations. Makes other changes.

Bill Text

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

Read HB5494 on the official Illinois source →

Action History

  1. Public Act . . . . . . . . . 104-0706

  2. Effective Date January 1, 2027

  3. Governor Approved

  4. Sent to the Governor

  5. Added as Alternate Co-Sponsor Sen. Lakesia Collins

  6. Added as Alternate Chief Co-Sponsor Sen. Michael E. Hastings

  7. Added as Alternate Co-Sponsor Sen. Adriane L. Johnson

  8. Added as Alternate Co-Sponsor Sen. Mike Porfirio

  9. Passed Both Houses

  10. Third Reading - Passed; 056-000-000

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

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

  13. Second Reading

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

  15. Do Pass Public Health; 009-000-000

  16. Alternate Chief Sponsor Changed to Sen. Chris Balkema

  17. Assigned to Public Health

  18. Referred to Assignments

  19. First Reading

  20. Chief Senate Sponsor Sen. John F. Curran

  21. Placed on Calendar Order of First Reading April 28, 2026

  22. Arrive in Senate

  23. Added Co-Sponsor Rep. Debbie Meyers-Martin

  24. Added Co-Sponsor Rep. Nicolle Grasse

  25. Added Co-Sponsor Rep. Michael Crawford

  26. Third Reading - Short Debate - Passed 112-000-000

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

  28. House Floor Amendment No. 1 Adopted

  29. House Floor Amendment No. 1 Recommends Be Adopted Health Care Licenses Committee; 012-000-000

  30. House Floor Amendment No. 1 Rules Refers to Health Care Licenses Committee

  31. House Floor Amendment No. 1 Referred to Rules Committee

  32. House Floor Amendment No. 1 Filed with Clerk by Rep. Barbara Hernandez

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

  34. Second Reading - Short Debate

  35. Placed on Calendar 2nd Reading - Short Debate

  36. Do Pass / Short Debate Health Care Licenses Committee; 015-000-000

  37. Assigned to Health Care Licenses Committee

  38. Referred to Rules Committee

  39. First Reading

  40. Filed with the Clerk by Rep. Barbara Hernandez

Sponsors

Sponsorship breakdown

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1 sponsors · 9 co-sponsors · 173 not signed on

Sponsors (1)

Co-sponsors (9)

Not signed on (173)

173 members have not signed on to this bill.

Show all 173 →

"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 56 Yea · 0 Nay
Party YeaNayPresentNot Voting
Republican 19000
Democrat 35003
Unaffiliated 1000
Total 55003
% of votes cast 95%0%0%5%
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 Yea
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 →

Public Health

Passed 9 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Republican 2001
Democrat 7000
Total 9001
% of votes cast 90%0%0%10%
How each member voted (10)
Member Party Vote
David Koehler Democrat Yea
Graciela Guzmán Democrat Yea
Laura Fine Democrat Yea
Mattie Hunter Democrat Yea
Mike Simmons Democrat Yea
Rachel Ventura Democrat Yea
Sara Feigenholtz Democrat Yea
Andrew S. Chesney Republican Yea
Dave Syverson Republican Not Voting
Li Arellano, Jr. Republican Yea

Official roll call →

Third Reading

Passed 112 Yea · 0 Nay
Party YeaNayPresentNot Voting
Democrat 72003
Republican 36003
Unaffiliated 3000
Total 111006
% of votes cast 95%0%0%5%
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 Yea
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 Not Voting
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 Yea
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 Not Voting
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 Yea
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 Licenses

Passed 12 Yea · 0 Nay · 3 Other
Party YeaNayPresentNot Voting
Democrat 8002
Republican 4001
Total 12003
% of votes cast 80%0%0%20%
How each member voted (15)
Member Party Vote
Aarón M. Ortíz Democrat Yea
Anna Moeller Democrat Yea
Bob Morgan Democrat Yea
Jawaharial Williams Democrat Not Voting
Lindsey LaPointe Democrat Yea
Margaret A. DeLaRosa Democrat Yea
Natalie A. Manley Democrat Not Voting
Rick Ryan Democrat Yea
Sharon Chung Democrat Yea
Theresa Mah Democrat Yea
Dennis Tipsword Republican Not Voting
Kevin Schmidt Republican Yea
Kyle Moore Republican Yea
Paul Jacobs Republican Yea
William E Hauter Republican Yea

Official roll call →

Health Care Licenses

Passed 15 Yea · 0 Nay
Party YeaNayPresentNot Voting
Democrat 10000
Republican 5000
Total 15000
% of votes cast 100%0%0%0%
How each member voted (15)
Member Party Vote
Aarón M. Ortíz Democrat Yea
Anna Moeller Democrat Yea
Bob Morgan Democrat Yea
Jawaharial Williams Democrat Yea
Lindsey LaPointe Democrat Yea
Margaret A. DeLaRosa Democrat Yea
Natalie A. Manley Democrat Yea
Rick Ryan Democrat Yea
Sharon Chung Democrat Yea
Theresa Mah Democrat Yea
Dennis Tipsword Republican Yea
Kevin Schmidt Republican Yea
Kyle Moore Republican Yea
Paul Jacobs Republican Yea
William E Hauter Republican Yea

Official roll call →

Subjects

public-safety healthcare health-insurance
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 HB5494      do?
Amends the Emergency Medical Services (EMS) Systems Act. Makes changes to defined terms. Replaces references to Primary Stroke Centers with Stroke Centers. Provides that a hospital that no longer meets nationally recognized, evidence-based standards for Stroke Centers, loses its Stroke Center certification, or has any change to its designation level shall notify the Department of Public Health and the Regional EMS Advisory Committee within 5 business days. Requires the Department to consult with the State Stroke Advisory Subcommittee for the adoption or deletion of approved stroke designation levels. Provides that the approved stroke designation levels shall coincide with the stroke designation levels recognized by Department-approved certifying bodies. Requires the Department to establish reporting requirements for designated Stroke Centers to capture information using new or existing electronic reporting tools for statewide data collection and certification purposes. Removes provisions concerning previous Stroke Center designations. Makes other changes.
Who sponsors HB5494     ?
HB5494      is sponsored by Chris Balkema, Jason Plummer, Michael E. Hastings, Barbara Hernandez (Democrat), Mike Porfirio, Lakesia Collins, Michael Crawford (Democrat), Nicolle Grasse (Democrat), Debbie Meyers-Martin (Democrat), and Gregg Johnson (Democrat).
What is the current status of HB5494     ?
This bill has been sent to the executive. Introduced February 06, 2026. It awaits signature.
Where can I track HB5494     ?
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