HB3645 - 104th General Assembly (2025-2026)

EMS-OPIOID OVERDOSE REPORTS
Last Action
08/15/2025 - House: Public Act . . . . . . . . . 104-0321
Statutes Amended In Order of Appearance
210 ILCS 50/3.233  
Synopsis As Introduced
Amends the Emergency Medical Services (EMS) Systems Act. In provisions concerning opioid overdose reporting, provides that overdose information reported by a covered vehicle service provider shall not be used in an opioid use-related criminal investigation, prosecution, welfare checks, or warrant checks of the individual who was treated by the covered vehicle service provider personnel for experiencing the suspected or actual overdose. Provides that any misuse of the information reported by a covered vehicle service provider shall result in, but is not limited to, the Department of Transportation reporting misuse to the Washington/Baltimore High Intensity Drug Trafficking Area Overdose Detection Mapping Application or similar technology platform. Permits the Department of Health to adopt rules to set forth standards under which misuse of access may be reported to the Washington/Baltimore High Intensity Drug Trafficking Area Overdose Detection Map or similar platform based on misuse or misconduct by a covered vehicle service provider or other individual or entity at the discretion of the Department. Provides that no data that allows for or creates a risk of identification of an individual or individuals experiencing a suspected or actual overdose treated by the covered vehicle service provider personnel shall be submitted to the Washington/Baltimore High Intensity Drug Trafficking Area Overdose Detection Mapping Application or Similar technology platform. Provides that covered vehicle service provider personnel may report overdose surveillance through an identified technology platform for the use of overdose surveillance under exceptions to HIPAA and the reported data shall only be used to support public safety and public health efforts. Sets forth additional provisions concerning requirements for the Department concerning opioid overdose reporting.

House Floor Amendment No. 1
Makes changes to defined terms. Provides that, upon receipt of a patient care report that documents an overdose, the Department of Public Health (rather than a covered vehicle service provider) shall report the information from a patient care report to the specified organizations. Makes other changes.

House Floor Amendment No. 2
Replaces everything after the enacting clause. Amends the Emergency Medical Services (EMS) Systems Act. Makes changes to defined terms. Provides that, upon receipt of a patient care report that documents an overdose, the Department of Public Health (rather than a covered vehicle service provider) shall report the information from a patient care report to the specified organizations. In provisions concerning opioid overdose reporting, provides that overdose information reported by a covered vehicle service provider shall not be used in an opioid use-related criminal investigation, prosecution, welfare checks, or warrant checks of the individual who was treated by the covered vehicle service provider personnel for experiencing the suspected or actual overdose. Provides that any misuse of the information reported by a covered vehicle service provider shall result in, but is not limited to, the Department of Transportation reporting misuse to the Washington/Baltimore High Intensity Drug Trafficking Area Overdose Detection Mapping Application or a similar technology platform. Establishes rulemaking authority for the Department concerning standards under which misuse of access may be reported. Prohibits the submission of data that allows for or creates a risk of identification of an individual or individuals experiencing a suspected or actual overdose treated by the covered vehicle service provider personnel. Permits covered vehicle service provider personnel to report overdose surveillance through an identified technology platform for the use of overdose surveillance, as provided. Sets forth additional provisions concerning opioid overdose reporting requirements for the Department.
Actions
DateChamberAction
02/07/2025HouseFiled with the Clerk by Rep. Michael J. Kelly
02/18/2025HouseFirst Reading
02/18/2025HouseReferred to Rules Committee
03/06/2025HouseAdded Co-Sponsor Rep. Martin J. Moylan
03/06/2025HouseAdded Co-Sponsor Rep. Dave Vella
03/11/2025HouseAssigned to Public Health Committee
03/19/2025HouseAdded Chief Co-Sponsor Rep. Nicolle Grasse
03/20/2025HouseDo Pass / Short Debate Public Health Committee; 009-000-000
03/20/2025HousePlaced on Calendar 2nd Reading - Short Debate
03/26/2025HouseSecond Reading - Short Debate
03/26/2025HouseHeld on Calendar Order of Second Reading - Short Debate
04/04/2025HouseHouse Floor Amendment No. 1 Filed with Clerk by Rep. Michael J. Kelly
04/04/2025HouseHouse Floor Amendment No. 1 Referred to Rules Committee
04/04/2025HouseChief Sponsor Changed to Rep. Matt Hanson
04/04/2025HouseAdded Chief Co-Sponsor Rep. Michael J. Kelly
04/07/2025HouseHouse Floor Amendment No. 1 Rules Refers to Public Health Committee
04/08/2025HouseHouse Floor Amendment No. 1 Recommends Be Adopted Public Health Committee; 008-000-000
04/08/2025HouseHouse Floor Amendment No. 1 Adopted
04/08/2025HousePlaced on Calendar Order of 3rd Reading - Short Debate
04/08/2025HouseThird Reading - Short Debate - Passed 113-000-000
04/08/2025HouseAdded Co-Sponsor Rep. Kelly M. Cassidy
04/09/2025HouseMotion Filed to Reconsider Vote Rep. Matt Hanson
04/10/2025HouseMotion to Reconsider Vote - Prevails 115-000-000
04/10/2025HousePlaced on Calendar Order of 3rd Reading - Short Debate
04/10/2025HouseHouse Floor Amendment No. 2 Filed with Clerk by Rep. Matt Hanson
04/10/2025HouseHouse Floor Amendment No. 2 Referred to Rules Committee
04/10/2025HouseHouse Floor Amendment No. 2 Recommends Be Adopted Rules Committee; 005-000-000
04/10/2025HouseRecalled to Second Reading - Short Debate
04/10/2025HouseHouse Floor Amendment No. 2 Adopted
04/10/2025HousePlaced on Calendar Order of 3rd Reading - Short Debate
04/10/2025HouseThird Reading - Short Debate - Passed 114-000-000
04/23/2025SenateArrive in Senate
04/23/2025SenatePlaced on Calendar Order of First Reading
04/23/2025SenateChief Senate Sponsor Sen. Laura Fine
04/23/2025SenateFirst Reading
04/23/2025SenateReferred to Assignments
04/29/2025SenateAssigned to Behavioral and Mental Health
05/07/2025SenateDo Pass Behavioral and Mental Health; 005-000-000
05/07/2025SenatePlaced on Calendar Order of 2nd Reading May 8, 2025
05/08/2025SenateSecond Reading
05/08/2025SenatePlaced on Calendar Order of 3rd Reading May 13, 2025
05/20/2025SenatePlaced on Calendar Order of 3rd Reading **
05/22/2025SenateThird Reading - Passed; 058-000-000
05/22/2025HousePassed Both Houses
06/20/2025HouseSent to the Governor
08/15/2025HouseGovernor Approved
08/15/2025HouseEffective Date January 1, 2026
08/15/2025HousePublic Act . . . . . . . . . 104-0321