98TH GENERAL ASSEMBLY
State of Illinois
2013 and 2014
SB3414

Introduced 2/14/2014, by Sen. Heather A. Steans

SYNOPSIS AS INTRODUCED:
See Index

Amends the Emergency Medical Services (EMS) Systems Act. Changes the terms "Emergency Medical Technician-Paramedic (EMT-P)" to "Paramedic", "Emergency Medical Technician-Basic (EMT-B)" to "EMT", and "Pre-hospital RN" to "Pre-Hospital Registered Nurse". Adds a new category of license for Advanced Emergency Medical Technicians (AEMT). Provides for the licensure (instead of certification) of Pre-Hospital Registered Nurses and Emergency Communications Registered Nurses. Repeals a provision that defined the term "First Responder" and provided for the licensure of First Responders. Creates a category of license for Emergency Medical Responders. Provides educational requirements for Emergency Medical Responders. Provides that the definitions of basic life support services, intermediate life support services, and advanced life support services shall include the services outlined in the National EMS Education Standards (instead of in the national curriculum of the United States Department of Transportation). Authorizes the Department to suspend, revoke, or refuse to issue or renew the license of an Emergency Medical Dispatcher, Lead Instructor, Pre-Hospital Registered Nurse, or Emergency Communications Registered Nurse. Adds the category of AEMT to provisions concerning EMTs in the Firemen's Disciplinary Act, the Volunteer Emergency Worker Job Protection Act, the Illinois Municipal Code, the Fire Protection District Act, the AIDS Confidentiality Act, the Good Samaritan Act, the Workers' Compensation Act, and the Workers' Occupational Diseases Act. Makes corresponding changes in the Boxing and Full-contact Martial Arts Act, the Abandoned Newborn Infant Protection Act, the Coal Mine Medical Emergencies Act, the Burn Injury Reporting Act, the Illinois Vehicle Code, and the Good Samaritan Act. Makes other changes. Effective immediately.
LRB098 16189 RPS 55673 b
FISCAL NOTE ACT MAY APPLY

A BILL FOR

SB3414LRB098 16189 RPS 55673 b
1 AN ACT concerning regulation.
2 Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
4 Section 5. The Firemen's Disciplinary Act is amended by
5changing Section 2 as follows:
6 (50 ILCS 745/2) (from Ch. 85, par. 2502)
7 Sec. 2. Definitions. For the purposes of this Act, unless
8clearly required otherwise, the terms defined in this Section
9have the meaning ascribed herein:
10 (a) "Fireman" means a person who is a "firefighter" or
11"fireman" as defined in Sections 4-106 or 6-106 of the Illinois
12Pension Code, a paramedic employed by a unit of local
13government, or an EMT, emergency medical
14technician-intermediate (EMT-I), or advanced emergency medical
15technician (AEMT) employed by a unit of local government, and
16includes a person who is an "employee" as defined in Section
1715-107 of the Illinois Pension Code and whose primary duties
18relate to firefighting.
19 (b) "Informal inquiry" means a meeting by supervisory or
20command personnel with a fireman upon whom an allegation of
21misconduct has come to the attention of such supervisory or
22command personnel, the purpose of which meeting is to mediate a
23citizen complaint or discuss the facts to determine whether a

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1formal investigation should be commenced.
2 (c) "Formal investigation" means the process of
3investigation ordered by a commanding officer during which the
4questioning of a fireman is intended to gather evidence of
5misconduct which may be the basis for filing charges seeking
6his or her removal, discharge, or suspension from duty in
7excess of 24 duty hours.
8 (d) "Interrogation" means the questioning of a fireman
9pursuant to an investigation initiated by the respective State
10or local governmental unit in connection with an alleged
11violation of such unit's rules which may be the basis for
12filing charges seeking his or her suspension, removal, or
13discharge. The term does not include questioning as part of an
14informal inquiry as to allegations of misconduct relating to
15minor infractions of agency rules which may be noted on the
16fireman's record but which may not in themselves result in
17removal, discharge, or suspension from duty in excess of 24
18duty hours.
19 (e) "Administrative proceeding" means any non-judicial
20hearing which is authorized to recommend, approve or order the
21suspension, removal, or discharge of a fireman.
22(Source: P.A. 96-922, eff. 6-10-10.)
23 Section 10. The Volunteer Emergency Worker Job Protection
24Act is amended by changing Section 3 as follows:

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1 (50 ILCS 748/3)
2 Sec. 3. Definitions. As used in this Act:
3 "Volunteer emergency worker" means a firefighter who does
4not receive monetary compensation for his or her services to a
5fire department or fire protection district and who does not
6work for any other fire department or fire protection district
7for monetary compensation. "Volunteer emergency worker" also
8means a person who does not receive monetary compensation for
9his or her services as a volunteer Emergency Medical Technician
10(licensed as an EMT EMT-B, EMT-I, AEMT, or Paramedic EMT-P
11under the Emergency Medical Services (EMS) Systems Act), a
12volunteer ambulance driver or attendant, or a volunteer
13"Emergency Medical First Responder", as defined in Sec. 3.50
143.60 of the Emergency Medical Services (EMT) Systems Act, to a
15fire department, fire protection district, or other
16governmental entity and who does not work in one of these
17capacities for any other fire department, fire protection
18district, or governmental entity for monetary compensation.
19"Volunteer emergency worker" also means a person who is a
20volunteer member of a county or municipal emergency services
21and disaster agency pursuant to the Illinois Emergency
22Management Agency Act, an auxiliary policeman appointed
23pursuant to the Municipal Code, or an auxiliary deputy
24appointed by a county sheriff pursuant to the Counties Code.
25 "Monetary compensation" does not include a monetary
26incentive awarded to a firefighter by the board of trustees of

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1a fire protection district under Section 6 of the Fire
2Protection District Act.
3(Source: P.A. 94-599, eff. 1-1-06; 95-332, eff. 8-21-07.)
4 Section 15. The Illinois Municipal Code is amended by
5changing Sections 10-1-7, 10-1-7.1, 10-2.1-4, 10-2.1-6.3,
610-2.1-14, and 10-2.1-31 as follows:
7 (65 ILCS 5/10-1-7) (from Ch. 24, par. 10-1-7)
8 Sec. 10-1-7. Examination of applicants; disqualifications.
9 (a) All applicants for offices or places in the classified
10service, except those mentioned in Section 10-1-17, are subject
11to examination. The examination shall be public, competitive,
12and open to all citizens of the United States, with specified
13limitations as to residence, age, health, habits and moral
14character.
15 (b) Residency requirements in effect at the time an
16individual enters the fire or police service of a municipality
17(other than a municipality that has more than 1,000,000
18inhabitants) cannot be made more restrictive for that
19individual during his or her period of service for that
20municipality, or be made a condition of promotion, except for
21the rank or position of Fire or Police Chief.
22 (c) No person with a record of misdemeanor convictions
23except those under Sections 11-1.50, 11-6, 11-7, 11-9, 11-14,
2411-15, 11-17, 11-18, 11-19, 11-30, 11-35, 12-2, 12-6, 12-15,

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114-4, 16-1, 21.1-3, 24-3.1, 24-5, 25-1, 28-3, 31-1, 31-4, 31-6,
231-7, 32-1, 32-2, 32-3, 32-4, and 32-8, subdivisions (a)(1) and
3(a)(2)(C) of Section 11-14.3, and subsections (1), (6) and (8)
4of Section 24-1 of the Criminal Code of 1961 or the Criminal
5Code of 2012 or arrested for any cause but not convicted on
6that cause shall be disqualified from taking the examination on
7grounds of habits or moral character, unless the person is
8attempting to qualify for a position on the police department,
9in which case the conviction or arrest may be considered as a
10factor in determining the person's habits or moral character.
11 (d) Persons entitled to military preference under Section
1210-1-16 shall not be subject to limitations specifying age
13unless they are applicants for a position as a fireman or a
14policeman having no previous employment status as a fireman or
15policeman in the regularly constituted fire or police
16department of the municipality, in which case they must not
17have attained their 35th birthday, except any person who has
18served as an auxiliary police officer under Section 3.1-30-20
19for at least 5 years and is under 40 years of age.
20 (e) All employees of a municipality of less than 500,000
21population (except those who would be excluded from the
22classified service as provided in this Division 1) who are
23holding that employment as of the date a municipality adopts
24this Division 1, or as of July 17, 1959, whichever date is the
25later, and who have held that employment for at least 2 years
26immediately before that later date, and all firemen and

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1policemen regardless of length of service who were either
2appointed to their respective positions by the board of fire
3and police commissioners under the provisions of Division 2 of
4this Article or who are serving in a position (except as a
5temporary employee) in the fire or police department in the
6municipality on the date a municipality adopts this Division 1,
7or as of July 17, 1959, whichever date is the later, shall
8become members of the classified civil service of the
9municipality without examination.
10 (f) The examinations shall be practical in their character,
11and shall relate to those matters that will fairly test the
12relative capacity of the persons examined to discharge the
13duties of the positions to which they seek to be appointed. The
14examinations shall include tests of physical qualifications,
15health, and (when appropriate) manual skill. If an applicant is
16unable to pass the physical examination solely as the result of
17an injury received by the applicant as the result of the
18performance of an act of duty while working as a temporary
19employee in the position for which he or she is being examined,
20however, the physical examination shall be waived and the
21applicant shall be considered to have passed the examination.
22No questions in any examination shall relate to political or
23religious opinions or affiliations. Results of examinations
24and the eligible registers prepared from the results shall be
25published by the commission within 60 days after any
26examinations are held.

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1 (g) The commission shall control all examinations, and may,
2whenever an examination is to take place, designate a suitable
3number of persons, either in or not in the official service of
4the municipality, to be examiners. The examiners shall conduct
5the examinations as directed by the commission and shall make a
6return or report of the examinations to the commission. If the
7appointed examiners are in the official service of the
8municipality, the examiners shall not receive extra
9compensation for conducting the examinations unless the
10examiners are subject to a collective bargaining agreement with
11the municipality. The commission may at any time substitute any
12other person, whether or not in the service of the
13municipality, in the place of any one selected as an examiner.
14The commission members may themselves at any time act as
15examiners without appointing examiners. The examiners at any
16examination shall not all be members of the same political
17party.
18 (h) In municipalities of 500,000 or more population, no
19person who has attained his or her 35th birthday shall be
20eligible to take an examination for a position as a fireman or
21a policeman unless the person has had previous employment
22status as a policeman or fireman in the regularly constituted
23police or fire department of the municipality, except as
24provided in this Section.
25 (i) In municipalities of more than 5,000 but not more than
26200,000 inhabitants, no person who has attained his or her 35th

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1birthday shall be eligible to take an examination for a
2position as a fireman or a policeman unless the person has had
3previous employment status as a policeman or fireman in the
4regularly constituted police or fire department of the
5municipality, except as provided in this Section.
6 (j) In all municipalities, applicants who are 20 years of
7age and who have successfully completed 2 years of law
8enforcement studies at an accredited college or university may
9be considered for appointment to active duty with the police
10department. An applicant described in this subsection (j) who
11is appointed to active duty shall not have power of arrest, nor
12shall the applicant be permitted to carry firearms, until he or
13she reaches 21 years of age.
14 (k) In municipalities of more than 500,000 population,
15applications for examination for and appointment to positions
16as firefighters or police shall be made available at various
17branches of the public library of the municipality.
18 (l) No municipality having a population less than 1,000,000
19shall require that any fireman appointed to the lowest rank
20serve a probationary employment period of longer than one year.
21The limitation on periods of probationary employment provided
22in this amendatory Act of 1989 is an exclusive power and
23function of the State. Pursuant to subsection (h) of Section 6
24of Article VII of the Illinois Constitution, a home rule
25municipality having a population less than 1,000,000 must
26comply with this limitation on periods of probationary

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1employment, which is a denial and limitation of home rule
2powers. Notwithstanding anything to the contrary in this
3Section, the probationary employment period limitation may be
4extended for a firefighter who is required, as a condition of
5employment, to be a licensed certified paramedic, during which
6time the sole reason that a firefighter may be discharged
7without a hearing is for failing to meet the requirements for
8paramedic licensure certification.
9 (m) To the extent that this Section or any other Section in
10this Division conflicts with Section 10-1-7.1 or 10-1-7.2, then
11Section 10-1-7.1 or 10-1-7.2 shall control.
12(Source: P.A. 96-1551, eff. 7-1-11; 97-251, eff. 8-4-11;
1397-898, eff. 8-6-12; 97-1109, eff. 1-1-13; 97-1150, eff.
141-25-13.)
15 (65 ILCS 5/10-1-7.1)
16 Sec. 10-1-7.1. Original appointments; full-time fire
17department.
18 (a) Applicability. Unless a commission elects to follow the
19provisions of Section 10-1-7.2, this Section shall apply to all
20original appointments to an affected full-time fire
21department. Existing registers of eligibles shall continue to
22be valid until their expiration dates, or up to a maximum of 2
23years after the effective date of this amendatory Act of the
2497th General Assembly.
25 Notwithstanding any statute, ordinance, rule, or other law

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1to the contrary, all original appointments to an affected
2department to which this Section applies shall be administered
3in the manner provided for in this Section. Provisions of the
4Illinois Municipal Code, municipal ordinances, and rules
5adopted pursuant to such authority and other laws relating to
6initial hiring of firefighters in affected departments shall
7continue to apply to the extent they are compatible with this
8Section, but in the event of a conflict between this Section
9and any other law, this Section shall control.
10 A home rule or non-home rule municipality may not
11administer its fire department process for original
12appointments in a manner that is less stringent than this
13Section. This Section is a limitation under subsection (i) of
14Section 6 of Article VII of the Illinois Constitution on the
15concurrent exercise by home rule units of the powers and
16functions exercised by the State.
17 A municipality that is operating under a court order or
18consent decree regarding original appointments to a full-time
19fire department before the effective date of this amendatory
20Act of the 97th General Assembly is exempt from the
21requirements of this Section for the duration of the court
22order or consent decree.
23 Notwithstanding any other provision of this subsection
24(a), this Section does not apply to a municipality with more
25than 1,000,000 inhabitants.
26 (b) Original appointments. All original appointments made

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1to an affected fire department shall be made from a register of
2eligibles established in accordance with the processes
3established by this Section. Only persons who meet or exceed
4the performance standards required by this Section shall be
5placed on a register of eligibles for original appointment to
6an affected fire department.
7 Whenever an appointing authority authorizes action to hire
8a person to perform the duties of a firefighter or to hire a
9firefighter-paramedic to fill a position that is a new position
10or vacancy due to resignation, discharge, promotion, death, the
11granting of a disability or retirement pension, or any other
12cause, the appointing authority shall appoint to that position
13the person with the highest ranking on the final eligibility
14list. If the appointing authority has reason to conclude that
15the highest ranked person fails to meet the minimum standards
16for the position or if the appointing authority believes an
17alternate candidate would better serve the needs of the
18department, then the appointing authority has the right to pass
19over the highest ranked person and appoint either: (i) any
20person who has a ranking in the top 5% of the register of
21eligibles or (ii) any person who is among the top 5 highest
22ranked persons on the list of eligibles if the number of people
23who have a ranking in the top 5% of the register of eligibles
24is less than 5 people.
25 Any candidate may pass on an appointment once without
26losing his or her position on the register of eligibles. Any

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1candidate who passes a second time may be removed from the list
2by the appointing authority provided that such action shall not
3prejudice a person's opportunities to participate in future
4examinations, including an examination held during the time a
5candidate is already on the municipality's register of
6eligibles.
7 The sole authority to issue certificates of appointment
8shall be vested in the Civil Service Commission. All
9certificates of appointment issued to any officer or member of
10an affected department shall be signed by the chairperson and
11secretary, respectively, of the commission upon appointment of
12such officer or member to the affected department by the
13commission. Each person who accepts a certificate of
14appointment and successfully completes his or her probationary
15period shall be enrolled as a firefighter and as a regular
16member of the fire department.
17 For the purposes of this Section, "firefighter" means any
18person who has been prior to, on, or after the effective date
19of this amendatory Act of the 97th General Assembly appointed
20to a fire department or fire protection district or employed by
21a State university and sworn or commissioned to perform
22firefighter duties or paramedic duties, or both, except that
23the following persons are not included: part-time
24firefighters; auxiliary, reserve, or voluntary firefighters,
25including paid-on-call firefighters; clerks and dispatchers or
26other civilian employees of a fire department or fire

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1protection district who are not routinely expected to perform
2firefighter duties; and elected officials.
3 (c) Qualification for placement on register of eligibles.
4The purpose of establishing a register of eligibles is to
5identify applicants who possess and demonstrate the mental
6aptitude and physical ability to perform the duties required of
7members of the fire department in order to provide the highest
8quality of service to the public. To this end, all applicants
9for original appointment to an affected fire department shall
10be subject to examination and testing which shall be public,
11competitive, and open to all applicants unless the municipality
12shall by ordinance limit applicants to residents of the
13municipality, county or counties in which the municipality is
14located, State, or nation. Municipalities may establish
15educational, emergency medical service licensure, and other
16pre-requisites for participation in an examination or for hire
17as a firefighter. Any municipality may charge a fee to cover
18the costs of the application process.
19 Residency requirements in effect at the time an individual
20enters the fire service of a municipality cannot be made more
21restrictive for that individual during his or her period of
22service for that municipality, or be made a condition of
23promotion, except for the rank or position of fire chief and
24for no more than 2 positions that rank immediately below that
25of the chief rank which are appointed positions pursuant to the
26Fire Department Promotion Act.

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1 No person who is 35 years of age or older shall be eligible
2to take an examination for a position as a firefighter unless
3the person has had previous employment status as a firefighter
4in the regularly constituted fire department of the
5municipality, except as provided in this Section. The age
6limitation does not apply to:
7 (1) any person previously employed as a full-time
8 firefighter in a regularly constituted fire department of
9 (i) any municipality or fire protection district located in
10 Illinois, (ii) a fire protection district whose
11 obligations were assumed by a municipality under Section 21
12 of the Fire Protection District Act, or (iii) a
13 municipality whose obligations were taken over by a fire
14 protection district, or
15 (2) any person who has served a municipality as a
16 regularly enrolled volunteer, paid-on-call, or part-time
17 firefighter for the 5 years immediately preceding the time
18 that the municipality begins to use full-time firefighters
19 to provide all or part of its fire protection service.
20 No person who is under 21 years of age shall be eligible
21for employment as a firefighter.
22 No applicant shall be examined concerning his or her
23political or religious opinions or affiliations. The
24examinations shall be conducted by the commissioners of the
25municipality or their designees and agents.
26 No municipality shall require that any firefighter

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1appointed to the lowest rank serve a probationary employment
2period of longer than one year of actual active employment,
3which may exclude periods of training, or injury or illness
4leaves, including duty related leave, in excess of 30 calendar
5days. Notwithstanding anything to the contrary in this Section,
6the probationary employment period limitation may be extended
7for a firefighter who is required, as a condition of
8employment, to be a licensed certified paramedic, during which
9time the sole reason that a firefighter may be discharged
10without a hearing is for failing to meet the requirements for
11paramedic licensure certification.
12 In the event that any applicant who has been found eligible
13for appointment and whose name has been placed upon the final
14eligibility register provided for in this Division 1 has not
15been appointed to a firefighter position within one year after
16the date of his or her physical ability examination, the
17commission may cause a second examination to be made of that
18applicant's physical ability prior to his or her appointment.
19If, after the second examination, the physical ability of the
20applicant shall be found to be less than the minimum standard
21fixed by the rules of the commission, the applicant shall not
22be appointed. The applicant's name may be retained upon the
23register of candidates eligible for appointment and when next
24reached for certification and appointment that applicant may be
25again examined as provided in this Section, and if the physical
26ability of that applicant is found to be less than the minimum

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1standard fixed by the rules of the commission, the applicant
2shall not be appointed, and the name of the applicant shall be
3removed from the register.
4 (d) Notice, examination, and testing components. Notice of
5the time, place, general scope, merit criteria for any
6subjective component, and fee of every examination shall be
7given by the commission, by a publication at least 2 weeks
8preceding the examination: (i) in one or more newspapers
9published in the municipality, or if no newspaper is published
10therein, then in one or more newspapers with a general
11circulation within the municipality, or (ii) on the
12municipality's Internet website. Additional notice of the
13examination may be given as the commission shall prescribe.
14 The examination and qualifying standards for employment of
15firefighters shall be based on: mental aptitude, physical
16ability, preferences, moral character, and health. The mental
17aptitude, physical ability, and preference components shall
18determine an applicant's qualification for and placement on the
19final register of eligibles. The examination may also include a
20subjective component based on merit criteria as determined by
21the commission. Scores from the examination must be made
22available to the public.
23 (e) Mental aptitude. No person who does not possess at
24least a high school diploma or an equivalent high school
25education shall be placed on a register of eligibles.
26Examination of an applicant's mental aptitude shall be based

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1upon a written examination. The examination shall be practical
2in character and relate to those matters that fairly test the
3capacity of the persons examined to discharge the duties
4performed by members of a fire department. Written examinations
5shall be administered in a manner that ensures the security and
6accuracy of the scores achieved.
7 (f) Physical ability. All candidates shall be required to
8undergo an examination of their physical ability to perform the
9essential functions included in the duties they may be called
10upon to perform as a member of a fire department. For the
11purposes of this Section, essential functions of the job are
12functions associated with duties that a firefighter may be
13called upon to perform in response to emergency calls. The
14frequency of the occurrence of those duties as part of the fire
15department's regular routine shall not be a controlling factor
16in the design of examination criteria or evolutions selected
17for testing. These physical examinations shall be open,
18competitive, and based on industry standards designed to test
19each applicant's physical abilities in the following
20dimensions:
21 (1) Muscular strength to perform tasks and evolutions
22 that may be required in the performance of duties including
23 grip strength, leg strength, and arm strength. Tests shall
24 be conducted under anaerobic as well as aerobic conditions
25 to test both the candidate's speed and endurance in
26 performing tasks and evolutions. Tasks tested may be based

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1 on standards developed, or approved, by the local
2 appointing authority.
3 (2) The ability to climb ladders, operate from heights,
4 walk or crawl in the dark along narrow and uneven surfaces,
5 and operate in proximity to hazardous environments.
6 (3) The ability to carry out critical, time-sensitive,
7 and complex problem solving during physical exertion in
8 stressful and hazardous environments. The testing
9 environment may be hot and dark with tightly enclosed
10 spaces, flashing lights, sirens, and other distractions.
11 The tests utilized to measure each applicant's
12capabilities in each of these dimensions may be tests based on
13industry standards currently in use or equivalent tests
14approved by the Joint Labor-Management Committee of the Office
15of the State Fire Marshal.
16 Physical ability examinations administered under this
17Section shall be conducted with a reasonable number of proctors
18and monitors, open to the public, and subject to reasonable
19regulations of the commission.
20 (g) Scoring of examination components. Appointing
21authorities may create a preliminary eligibility register. A
22person shall be placed on the list based upon his or her
23passage of the written examination or the passage of the
24written examination and the physical ability component.
25Passage of the written examination means a score that is at or
26above the median score for all applicants participating in the

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1written test. The appointing authority may conduct the physical
2ability component and any subjective components subsequent to
3the posting of the preliminary eligibility register.
4 The examination components for an initial eligibility
5register shall be graded on a 100-point scale. A person's
6position on the list shall be determined by the following: (i)
7the person's score on the written examination, (ii) the person
8successfully passing the physical ability component, and (iii)
9the person's results on any subjective component as described
10in subsection (d).
11 In order to qualify for placement on the final eligibility
12register, an applicant's score on the written examination,
13before any applicable preference points or subjective points
14are applied, shall be at or above the median score. The local
15appointing authority may prescribe the score to qualify for
16placement on the final eligibility register, but the score
17shall not be less than the median score.
18 The commission shall prepare and keep a register of persons
19whose total score is not less than the minimum fixed by this
20Section and who have passed the physical ability examination.
21These persons shall take rank upon the register as candidates
22in the order of their relative excellence based on the highest
23to the lowest total points scored on the mental aptitude,
24subjective component, and preference components of the test
25administered in accordance with this Section. No more than 60
26days after each examination, an initial eligibility list shall

SB3414- 20 -LRB098 16189 RPS 55673 b
1be posted by the commission. The list shall include the final
2grades of the candidates without reference to priority of the
3time of examination and subject to claim for preference credit.
4 Commissions may conduct additional examinations, including
5without limitation a polygraph test, after a final eligibility
6register is established and before it expires with the
7candidates ranked by total score without regard to date of
8examination. No more than 60 days after each examination, an
9initial eligibility list shall be posted by the commission
10showing the final grades of the candidates without reference to
11priority of time of examination and subject to claim for
12preference credit.
13 (h) Preferences. The following are preferences:
14 (1) Veteran preference. Persons who were engaged in the
15 military service of the United States for a period of at
16 least one year of active duty and who were honorably
17 discharged therefrom, or who are now or have been members
18 on inactive or reserve duty in such military or naval
19 service, shall be preferred for appointment to and
20 employment with the fire department of an affected
21 department.
22 (2) Fire cadet preference. Persons who have
23 successfully completed 2 years of study in fire techniques
24 or cadet training within a cadet program established under
25 the rules of the Joint Labor and Management Committee
26 (JLMC), as defined in Section 50 of the Fire Department

SB3414- 21 -LRB098 16189 RPS 55673 b
1 Promotion Act, may be preferred for appointment to and
2 employment with the fire department.
3 (3) Educational preference. Persons who have
4 successfully obtained an associate's degree in the field of
5 fire service or emergency medical services, or a bachelor's
6 degree from an accredited college or university may be
7 preferred for appointment to and employment with the fire
8 department.
9 (4) Paramedic preference. Persons who have obtained a
10 license certification as a paramedic an Emergency Medical
11 Technician-Paramedic (EMT-P) may be preferred for
12 appointment to and employment with the fire department of
13 an affected department providing emergency medical
14 services.
15 (5) Experience preference. All persons employed by a
16 municipality who have been paid-on-call or part-time
17 certified Firefighter II, certified Firefighter III, State
18 of Illinois or nationally licensed EMT, EMT-B or EMT-I,
19 AEMT, or licensed paramedic, or any combination of those
20 capacities may be awarded up to a maximum of 5 points.
21 However, the applicant may not be awarded more than 0.5
22 points for each complete year of paid-on-call or part-time
23 service. Applicants from outside the municipality who were
24 employed as full-time firefighters or
25 firefighter-paramedics by a fire protection district or
26 another municipality may be awarded up to 5 experience

SB3414- 22 -LRB098 16189 RPS 55673 b
1 preference points. However, the applicant may not be
2 awarded more than one point for each complete year of
3 full-time service.
4 Upon request by the commission, the governing body of
5 the municipality or in the case of applicants from outside
6 the municipality the governing body of any fire protection
7 district or any other municipality shall certify to the
8 commission, within 10 days after the request, the number of
9 years of successful paid-on-call, part-time, or full-time
10 service of any person. A candidate may not receive the full
11 amount of preference points under this subsection if the
12 amount of points awarded would place the candidate before a
13 veteran on the eligibility list. If more than one candidate
14 receiving experience preference points is prevented from
15 receiving all of their points due to not being allowed to
16 pass a veteran, the candidates shall be placed on the list
17 below the veteran in rank order based on the totals
18 received if all points under this subsection were to be
19 awarded. Any remaining ties on the list shall be determined
20 by lot.
21 (6) Residency preference. Applicants whose principal
22 residence is located within the fire department's
23 jurisdiction may be preferred for appointment to and
24 employment with the fire department.
25 (7) Additional preferences. Up to 5 additional
26 preference points may be awarded for unique categories

SB3414- 23 -LRB098 16189 RPS 55673 b
1 based on an applicant's experience or background as
2 identified by the commission.
3 (8) Scoring of preferences. The commission shall give
4 preference for original appointment to persons designated
5 in item (1) by adding to the final grade that they receive
6 5 points for the recognized preference achieved. The
7 commission shall determine the number of preference points
8 for each category except (1). The number of preference
9 points for each category shall range from 0 to 5. In
10 determining the number of preference points, the
11 commission shall prescribe that if a candidate earns the
12 maximum number of preference points in all categories, that
13 number may not be less than 10 nor more than 30. The
14 commission shall give preference for original appointment
15 to persons designated in items (2) through (7) by adding
16 the requisite number of points to the final grade for each
17 recognized preference achieved. The numerical result thus
18 attained shall be applied by the commission in determining
19 the final eligibility list and appointment from the
20 eligibility list. The local appointing authority may
21 prescribe the total number of preference points awarded
22 under this Section, but the total number of preference
23 points shall not be less than 10 points or more than 30
24 points.
25 No person entitled to any preference shall be required to
26claim the credit before any examination held under the

SB3414- 24 -LRB098 16189 RPS 55673 b
1provisions of this Section, but the preference shall be given
2after the posting or publication of the initial eligibility
3list or register at the request of a person entitled to a
4credit before any certification or appointments are made from
5the eligibility register, upon the furnishing of verifiable
6evidence and proof of qualifying preference credit. Candidates
7who are eligible for preference credit shall make a claim in
8writing within 10 days after the posting of the initial
9eligibility list, or the claim shall be deemed waived. Final
10eligibility registers shall be established after the awarding
11of verified preference points. All employment shall be subject
12to the commission's initial hire background review including,
13but not limited to, criminal history, employment history, moral
14character, oral examination, and medical and psychological
15examinations, all on a pass-fail basis. The medical and
16psychological examinations must be conducted last, and may only
17be performed after a conditional offer of employment has been
18extended.
19 Any person placed on an eligibility list who exceeds the
20age requirement before being appointed to a fire department
21shall remain eligible for appointment until the list is
22abolished, or his or her name has been on the list for a period
23of 2 years. No person who has attained the age of 35 years
24shall be inducted into a fire department, except as otherwise
25provided in this Section.
26 The commission shall strike off the names of candidates for

SB3414- 25 -LRB098 16189 RPS 55673 b
1original appointment after the names have been on the list for
2more than 2 years.
3 (i) Moral character. No person shall be appointed to a fire
4department unless he or she is a person of good character; not
5a habitual drunkard, a gambler, or a person who has been
6convicted of a felony or a crime involving moral turpitude.
7However, no person shall be disqualified from appointment to
8the fire department because of the person's record of
9misdemeanor convictions except those under Sections 11-6,
1011-7, 11-9, 11-14, 11-15, 11-17, 11-18, 11-19, 12-2, 12-6,
1112-15, 14-4, 16-1, 21.1-3, 24-3.1, 24-5, 25-1, 28-3, 31-1,
1231-4, 31-6, 31-7, 32-1, 32-2, 32-3, 32-4, 32-8, and subsections
131, 6, and 8 of Section 24-1 of the Criminal Code of 1961 or the
14Criminal Code of 2012, or arrest for any cause without
15conviction thereon. Any such person who is in the department
16may be removed on charges brought for violating this subsection
17and after a trial as hereinafter provided.
18 A classifiable set of the fingerprints of every person who
19is offered employment as a certificated member of an affected
20fire department whether with or without compensation, shall be
21furnished to the Illinois Department of State Police and to the
22Federal Bureau of Investigation by the commission.
23 Whenever a commission is authorized or required by law to
24consider some aspect of criminal history record information for
25the purpose of carrying out its statutory powers and
26responsibilities, then, upon request and payment of fees in

SB3414- 26 -LRB098 16189 RPS 55673 b
1conformance with the requirements of Section 2605-400 of the
2State Police Law of the Civil Administrative Code of Illinois,
3the Department of State Police is authorized to furnish,
4pursuant to positive identification, the information contained
5in State files as is necessary to fulfill the request.
6 (j) Temporary appointments. In order to prevent a stoppage
7of public business, to meet extraordinary exigencies, or to
8prevent material impairment of the fire department, the
9commission may make temporary appointments, to remain in force
10only until regular appointments are made under the provisions
11of this Division, but never to exceed 60 days. No temporary
12appointment of any one person shall be made more than twice in
13any calendar year.
14 (k) A person who knowingly divulges or receives test
15questions or answers before a written examination, or otherwise
16knowingly violates or subverts any requirement of this Section,
17commits a violation of this Section and may be subject to
18charges for official misconduct.
19 A person who is the knowing recipient of test information
20in advance of the examination shall be disqualified from the
21examination or discharged from the position to which he or she
22was appointed, as applicable, and otherwise subjected to
23disciplinary actions.
24(Source: P.A. 97-251, eff. 8-4-11; 97-898, eff. 8-6-12;
2597-1150, eff. 1-25-13.)

SB3414- 27 -LRB098 16189 RPS 55673 b
1 (65 ILCS 5/10-2.1-4) (from Ch. 24, par. 10-2.1-4)
2 Sec. 10-2.1-4. Fire and police departments; Appointment of
3members; Certificates of appointments.
4 The board of fire and police commissioners shall appoint
5all officers and members of the fire and police departments of
6the municipality, including the chief of police and the chief
7of the fire department, unless the council or board of trustees
8shall by ordinance as to them otherwise provide; except as
9otherwise provided in this Section, and except that in any
10municipality which adopts or has adopted this Division 2.1 and
11also adopts or has adopted Article 5 of this Code, the chief of
12police and the chief of the fire department shall be appointed
13by the municipal manager, if it is provided by ordinance in
14such municipality that such chiefs, or either of them, shall
15not be appointed by the board of fire and police commissioners.
16 If the chief of the fire department or the chief of the
17police department or both of them are appointed in the manner
18provided by ordinance, they may be removed or discharged by the
19appointing authority. In such case the appointing authority
20shall file with the corporate authorities the reasons for such
21removal or discharge, which removal or discharge shall not
22become effective unless confirmed by a majority vote of the
23corporate authorities.
24 If a member of the department is appointed chief of police
25or chief of the fire department prior to being eligible to
26retire on pension, he shall be considered as on furlough from

SB3414- 28 -LRB098 16189 RPS 55673 b
1the rank he held immediately prior to his appointment as chief.
2If he resigns as chief or is discharged as chief prior to
3attaining eligibility to retire on pension, he shall revert to
4and be established in whatever rank he currently holds, except
5for previously appointed positions, and thereafter be entitled
6to all the benefits and emoluments of that rank, without regard
7as to whether a vacancy then exists in that rank.
8 All appointments to each department other than that of the
9lowest rank, however, shall be from the rank next below that to
10which the appointment is made except as otherwise provided in
11this Section, and except that the chief of police and the chief
12of the fire department may be appointed from among members of
13the police and fire departments, respectively, regardless of
14rank, unless the council or board of trustees shall have by
15ordinance as to them otherwise provided. A chief of police or
16the chief of the fire department, having been appointed from
17among members of the police or fire department, respectively,
18shall be permitted, regardless of rank, to take promotional
19exams and be promoted to a higher classified rank than he
20currently holds, without having to resign as chief of police or
21chief of the fire department.
22 The sole authority to issue certificates of appointment
23shall be vested in the Board of Fire and Police Commissioners
24and all certificates of appointments issued to any officer or
25member of the fire or police department of a municipality shall
26be signed by the chairman and secretary respectively of the

SB3414- 29 -LRB098 16189 RPS 55673 b
1board of fire and police commissioners of such municipality,
2upon appointment of such officer or member of the fire and
3police department of such municipality by action of the board
4of fire and police commissioners. In any municipal fire
5department that employs full-time firefighters and is subject
6to a collective bargaining agreement, a person who has not
7qualified for regular appointment under the provisions of this
8Division 2.1 shall not be used as a temporary or permanent
9substitute for classified members of a municipality's fire
10department or for regular appointment as a classified member of
11a municipality's fire department unless mutually agreed to by
12the employee's certified bargaining agent. Such agreement
13shall be considered a permissive subject of bargaining.
14Municipal fire departments covered by the changes made by this
15amendatory Act of the 95th General Assembly that are using
16non-certificated employees as substitutes immediately prior to
17the effective date of this amendatory Act of the 95th General
18Assembly may, by mutual agreement with the certified bargaining
19agent, continue the existing practice or a modified practice
20and that agreement shall be considered a permissive subject of
21bargaining. A home rule unit may not regulate the hiring of
22temporary or substitute members of the municipality's fire
23department in a manner that is inconsistent with this Section.
24This Section is a limitation under subsection (i) of Section 6
25of Article VII of the Illinois Constitution on the concurrent
26exercise by home rule units of powers and functions exercised

SB3414- 30 -LRB098 16189 RPS 55673 b
1by the State.
2 The term "policemen" as used in this Division does not
3include auxiliary police officers except as provided for in
4Section 10-2.1-6.
5 Any full time member of a regular fire or police department
6of any municipality which comes under the provisions of this
7Division or adopts this Division 2.1 or which has adopted any
8of the prior Acts pertaining to fire and police commissioners,
9is a city officer.
10 Notwithstanding any other provision of this Section, the
11Chief of Police of a department in a non-home rule municipality
12of more than 130,000 inhabitants may, without the advice or
13consent of the Board of Fire and Police Commissioners, appoint
14up to 6 officers who shall be known as deputy chiefs or
15assistant deputy chiefs, and whose rank shall be immediately
16below that of Chief. The deputy or assistant deputy chiefs may
17be appointed from any rank of sworn officers of that
18municipality, but no person who is not such a sworn officer may
19be so appointed. Such deputy chief or assistant deputy chief
20shall have the authority to direct and issue orders to all
21employees of the Department holding the rank of captain or any
22lower rank. A deputy chief of police or assistant deputy chief
23of police, having been appointed from any rank of sworn
24officers of that municipality, shall be permitted, regardless
25of rank, to take promotional exams and be promoted to a higher
26classified rank than he currently holds, without having to

SB3414- 31 -LRB098 16189 RPS 55673 b
1resign as deputy chief of police or assistant deputy chief of
2police.
3 Notwithstanding any other provision of this Section, a
4non-home rule municipality of 130,000 or fewer inhabitants,
5through its council or board of trustees, may, by ordinance,
6provide for a position of deputy chief to be appointed by the
7chief of the police department. The ordinance shall provide for
8no more than one deputy chief position if the police department
9has fewer than 25 full-time police officers and for no more
10than 2 deputy chief positions if the police department has 25
11or more full-time police officers. The deputy chief position
12shall be an exempt rank immediately below that of Chief. The
13deputy chief may be appointed from any rank of sworn, full-time
14officers of the municipality's police department, but must have
15at least 5 years of full-time service as a police officer in
16that department. A deputy chief shall serve at the discretion
17of the Chief and, if removed from the position, shall revert to
18the rank currently held, without regard as to whether a vacancy
19exists in that rank. A deputy chief of police, having been
20appointed from any rank of sworn full-time officers of that
21municipality's police department, shall be permitted,
22regardless of rank, to take promotional exams and be promoted
23to a higher classified rank than he currently holds, without
24having to resign as deputy chief of police.
25 No municipality having a population less than 1,000,000
26shall require that any firefighter appointed to the lowest rank

SB3414- 32 -LRB098 16189 RPS 55673 b
1serve a probationary employment period of longer than one year.
2The limitation on periods of probationary employment provided
3in this amendatory Act of 1989 is an exclusive power and
4function of the State. Pursuant to subsection (h) of Section 6
5of Article VII of the Illinois Constitution, a home rule
6municipality having a population less than 1,000,000 must
7comply with this limitation on periods of probationary
8employment, which is a denial and limitation of home rule
9powers. Notwithstanding anything to the contrary in this
10Section, the probationary employment period limitation may be
11extended for a firefighter who is required, as a condition of
12employment, to be a licensed certified paramedic, during which
13time the sole reason that a firefighter may be discharged
14without a hearing is for failing to meet the requirements for
15paramedic licensure certification.
16 To the extent that this Section or any other Section in
17this Division conflicts with Section 10-2.1-6.3 or 10-2.1-6.4,
18then Section 10-2.1-6.3 or 10-2.1-6.4 shall control.
19(Source: P.A. 97-251, eff. 8-4-11; 97-813, eff. 7-13-12.)
20 (65 ILCS 5/10-2.1-6.3)
21 Sec. 10-2.1-6.3. Original appointments; full-time fire
22department.
23 (a) Applicability. Unless a commission elects to follow the
24provisions of Section 10-2.1-6.4, this Section shall apply to
25all original appointments to an affected full-time fire

SB3414- 33 -LRB098 16189 RPS 55673 b
1department. Existing registers of eligibles shall continue to
2be valid until their expiration dates, or up to a maximum of 2
3years after the effective date of this amendatory Act of the
497th General Assembly.
5 Notwithstanding any statute, ordinance, rule, or other law
6to the contrary, all original appointments to an affected
7department to which this Section applies shall be administered
8in the manner provided for in this Section. Provisions of the
9Illinois Municipal Code, municipal ordinances, and rules
10adopted pursuant to such authority and other laws relating to
11initial hiring of firefighters in affected departments shall
12continue to apply to the extent they are compatible with this
13Section, but in the event of a conflict between this Section
14and any other law, this Section shall control.
15 A home rule or non-home rule municipality may not
16administer its fire department process for original
17appointments in a manner that is less stringent than this
18Section. This Section is a limitation under subsection (i) of
19Section 6 of Article VII of the Illinois Constitution on the
20concurrent exercise by home rule units of the powers and
21functions exercised by the State.
22 A municipality that is operating under a court order or
23consent decree regarding original appointments to a full-time
24fire department before the effective date of this amendatory
25Act of the 97th General Assembly is exempt from the
26requirements of this Section for the duration of the court

SB3414- 34 -LRB098 16189 RPS 55673 b
1order or consent decree.
2 Notwithstanding any other provision of this subsection
3(a), this Section does not apply to a municipality with more
4than 1,000,000 inhabitants.
5 (b) Original appointments. All original appointments made
6to an affected fire department shall be made from a register of
7eligibles established in accordance with the processes
8established by this Section. Only persons who meet or exceed
9the performance standards required by this Section shall be
10placed on a register of eligibles for original appointment to
11an affected fire department.
12 Whenever an appointing authority authorizes action to hire
13a person to perform the duties of a firefighter or to hire a
14firefighter-paramedic to fill a position that is a new position
15or vacancy due to resignation, discharge, promotion, death, the
16granting of a disability or retirement pension, or any other
17cause, the appointing authority shall appoint to that position
18the person with the highest ranking on the final eligibility
19list. If the appointing authority has reason to conclude that
20the highest ranked person fails to meet the minimum standards
21for the position or if the appointing authority believes an
22alternate candidate would better serve the needs of the
23department, then the appointing authority has the right to pass
24over the highest ranked person and appoint either: (i) any
25person who has a ranking in the top 5% of the register of
26eligibles or (ii) any person who is among the top 5 highest

SB3414- 35 -LRB098 16189 RPS 55673 b
1ranked persons on the list of eligibles if the number of people
2who have a ranking in the top 5% of the register of eligibles
3is less than 5 people.
4 Any candidate may pass on an appointment once without
5losing his or her position on the register of eligibles. Any
6candidate who passes a second time may be removed from the list
7by the appointing authority provided that such action shall not
8prejudice a person's opportunities to participate in future
9examinations, including an examination held during the time a
10candidate is already on the municipality's register of
11eligibles.
12 The sole authority to issue certificates of appointment
13shall be vested in the board of fire and police commissioners.
14All certificates of appointment issued to any officer or member
15of an affected department shall be signed by the chairperson
16and secretary, respectively, of the board upon appointment of
17such officer or member to the affected department by action of
18the board. Each person who accepts a certificate of appointment
19and successfully completes his or her probationary period shall
20be enrolled as a firefighter and as a regular member of the
21fire department.
22 For the purposes of this Section, "firefighter" means any
23person who has been prior to, on, or after the effective date
24of this amendatory Act of the 97th General Assembly appointed
25to a fire department or fire protection district or employed by
26a State university and sworn or commissioned to perform

SB3414- 36 -LRB098 16189 RPS 55673 b
1firefighter duties or paramedic duties, or both, except that
2the following persons are not included: part-time
3firefighters; auxiliary, reserve, or voluntary firefighters,
4including paid-on-call firefighters; clerks and dispatchers or
5other civilian employees of a fire department or fire
6protection district who are not routinely expected to perform
7firefighter duties; and elected officials.
8 (c) Qualification for placement on register of eligibles.
9The purpose of establishing a register of eligibles is to
10identify applicants who possess and demonstrate the mental
11aptitude and physical ability to perform the duties required of
12members of the fire department in order to provide the highest
13quality of service to the public. To this end, all applicants
14for original appointment to an affected fire department shall
15be subject to examination and testing which shall be public,
16competitive, and open to all applicants unless the municipality
17shall by ordinance limit applicants to residents of the
18municipality, county or counties in which the municipality is
19located, State, or nation. Municipalities may establish
20educational, emergency medical service licensure, and other
21pre-requisites for participation in an examination or for hire
22as a firefighter. Any municipality may charge a fee to cover
23the costs of the application process.
24 Residency requirements in effect at the time an individual
25enters the fire service of a municipality cannot be made more
26restrictive for that individual during his or her period of

SB3414- 37 -LRB098 16189 RPS 55673 b
1service for that municipality, or be made a condition of
2promotion, except for the rank or position of fire chief and
3for no more than 2 positions that rank immediately below that
4of the chief rank which are appointed positions pursuant to the
5Fire Department Promotion Act.
6 No person who is 35 years of age or older shall be eligible
7to take an examination for a position as a firefighter unless
8the person has had previous employment status as a firefighter
9in the regularly constituted fire department of the
10municipality, except as provided in this Section. The age
11limitation does not apply to:
12 (1) any person previously employed as a full-time
13 firefighter in a regularly constituted fire department of
14 (i) any municipality or fire protection district located in
15 Illinois, (ii) a fire protection district whose
16 obligations were assumed by a municipality under Section 21
17 of the Fire Protection District Act, or (iii) a
18 municipality whose obligations were taken over by a fire
19 protection district, or
20 (2) any person who has served a municipality as a
21 regularly enrolled volunteer, paid-on-call, or part-time
22 firefighter for the 5 years immediately preceding the time
23 that the municipality begins to use full-time firefighters
24 to provide all or part of its fire protection service.
25 No person who is under 21 years of age shall be eligible
26for employment as a firefighter.

SB3414- 38 -LRB098 16189 RPS 55673 b
1 No applicant shall be examined concerning his or her
2political or religious opinions or affiliations. The
3examinations shall be conducted by the commissioners of the
4municipality or their designees and agents.
5 No municipality shall require that any firefighter
6appointed to the lowest rank serve a probationary employment
7period of longer than one year of actual active employment,
8which may exclude periods of training, or injury or illness
9leaves, including duty related leave, in excess of 30 calendar
10days. Notwithstanding anything to the contrary in this Section,
11the probationary employment period limitation may be extended
12for a firefighter who is required, as a condition of
13employment, to be a licensed certified paramedic, during which
14time the sole reason that a firefighter may be discharged
15without a hearing is for failing to meet the requirements for
16paramedic licensure certification.
17 In the event that any applicant who has been found eligible
18for appointment and whose name has been placed upon the final
19eligibility register provided for in this Section has not been
20appointed to a firefighter position within one year after the
21date of his or her physical ability examination, the commission
22may cause a second examination to be made of that applicant's
23physical ability prior to his or her appointment. If, after the
24second examination, the physical ability of the applicant shall
25be found to be less than the minimum standard fixed by the
26rules of the commission, the applicant shall not be appointed.

SB3414- 39 -LRB098 16189 RPS 55673 b
1The applicant's name may be retained upon the register of
2candidates eligible for appointment and when next reached for
3certification and appointment that applicant may be again
4examined as provided in this Section, and if the physical
5ability of that applicant is found to be less than the minimum
6standard fixed by the rules of the commission, the applicant
7shall not be appointed, and the name of the applicant shall be
8removed from the register.
9 (d) Notice, examination, and testing components. Notice of
10the time, place, general scope, merit criteria for any
11subjective component, and fee of every examination shall be
12given by the commission, by a publication at least 2 weeks
13preceding the examination: (i) in one or more newspapers
14published in the municipality, or if no newspaper is published
15therein, then in one or more newspapers with a general
16circulation within the municipality, or (ii) on the
17municipality's Internet website. Additional notice of the
18examination may be given as the commission shall prescribe.
19 The examination and qualifying standards for employment of
20firefighters shall be based on: mental aptitude, physical
21ability, preferences, moral character, and health. The mental
22aptitude, physical ability, and preference components shall
23determine an applicant's qualification for and placement on the
24final register of eligibles. The examination may also include a
25subjective component based on merit criteria as determined by
26the commission. Scores from the examination must be made

SB3414- 40 -LRB098 16189 RPS 55673 b
1available to the public.
2 (e) Mental aptitude. No person who does not possess at
3least a high school diploma or an equivalent high school
4education shall be placed on a register of eligibles.
5Examination of an applicant's mental aptitude shall be based
6upon a written examination. The examination shall be practical
7in character and relate to those matters that fairly test the
8capacity of the persons examined to discharge the duties
9performed by members of a fire department. Written examinations
10shall be administered in a manner that ensures the security and
11accuracy of the scores achieved.
12 (f) Physical ability. All candidates shall be required to
13undergo an examination of their physical ability to perform the
14essential functions included in the duties they may be called
15upon to perform as a member of a fire department. For the
16purposes of this Section, essential functions of the job are
17functions associated with duties that a firefighter may be
18called upon to perform in response to emergency calls. The
19frequency of the occurrence of those duties as part of the fire
20department's regular routine shall not be a controlling factor
21in the design of examination criteria or evolutions selected
22for testing. These physical examinations shall be open,
23competitive, and based on industry standards designed to test
24each applicant's physical abilities in the following
25dimensions:
26 (1) Muscular strength to perform tasks and evolutions

SB3414- 41 -LRB098 16189 RPS 55673 b
1 that may be required in the performance of duties including
2 grip strength, leg strength, and arm strength. Tests shall
3 be conducted under anaerobic as well as aerobic conditions
4 to test both the candidate's speed and endurance in
5 performing tasks and evolutions. Tasks tested may be based
6 on standards developed, or approved, by the local
7 appointing authority.
8 (2) The ability to climb ladders, operate from heights,
9 walk or crawl in the dark along narrow and uneven surfaces,
10 and operate in proximity to hazardous environments.
11 (3) The ability to carry out critical, time-sensitive,
12 and complex problem solving during physical exertion in
13 stressful and hazardous environments. The testing
14 environment may be hot and dark with tightly enclosed
15 spaces, flashing lights, sirens, and other distractions.
16 The tests utilized to measure each applicant's
17capabilities in each of these dimensions may be tests based on
18industry standards currently in use or equivalent tests
19approved by the Joint Labor-Management Committee of the Office
20of the State Fire Marshal.
21 Physical ability examinations administered under this
22Section shall be conducted with a reasonable number of proctors
23and monitors, open to the public, and subject to reasonable
24regulations of the commission.
25 (g) Scoring of examination components. Appointing
26authorities may create a preliminary eligibility register. A

SB3414- 42 -LRB098 16189 RPS 55673 b
1person shall be placed on the list based upon his or her
2passage of the written examination or the passage of the
3written examination and the physical ability component.
4Passage of the written examination means a score that is at or
5above the median score for all applicants participating in the
6written test. The appointing authority may conduct the physical
7ability component and any subjective components subsequent to
8the posting of the preliminary eligibility register.
9 The examination components for an initial eligibility
10register shall be graded on a 100-point scale. A person's
11position on the list shall be determined by the following: (i)
12the person's score on the written examination, (ii) the person
13successfully passing the physical ability component, and (iii)
14the person's results on any subjective component as described
15in subsection (d).
16 In order to qualify for placement on the final eligibility
17register, an applicant's score on the written examination,
18before any applicable preference points or subjective points
19are applied, shall be at or above the median score. The local
20appointing authority may prescribe the score to qualify for
21placement on the final eligibility register, but the score
22shall not be less than the median score.
23 The commission shall prepare and keep a register of persons
24whose total score is not less than the minimum fixed by this
25Section and who have passed the physical ability examination.
26These persons shall take rank upon the register as candidates

SB3414- 43 -LRB098 16189 RPS 55673 b
1in the order of their relative excellence based on the highest
2to the lowest total points scored on the mental aptitude,
3subjective component, and preference components of the test
4administered in accordance with this Section. No more than 60
5days after each examination, an initial eligibility list shall
6be posted by the commission. The list shall include the final
7grades of the candidates without reference to priority of the
8time of examination and subject to claim for preference credit.
9 Commissions may conduct additional examinations, including
10without limitation a polygraph test, after a final eligibility
11register is established and before it expires with the
12candidates ranked by total score without regard to date of
13examination. No more than 60 days after each examination, an
14initial eligibility list shall be posted by the commission
15showing the final grades of the candidates without reference to
16priority of time of examination and subject to claim for
17preference credit.
18 (h) Preferences. The following are preferences:
19 (1) Veteran preference. Persons who were engaged in the
20 military service of the United States for a period of at
21 least one year of active duty and who were honorably
22 discharged therefrom, or who are now or have been members
23 on inactive or reserve duty in such military or naval
24 service, shall be preferred for appointment to and
25 employment with the fire department of an affected
26 department.

SB3414- 44 -LRB098 16189 RPS 55673 b
1 (2) Fire cadet preference. Persons who have
2 successfully completed 2 years of study in fire techniques
3 or cadet training within a cadet program established under
4 the rules of the Joint Labor and Management Committee
5 (JLMC), as defined in Section 50 of the Fire Department
6 Promotion Act, may be preferred for appointment to and
7 employment with the fire department.
8 (3) Educational preference. Persons who have
9 successfully obtained an associate's degree in the field of
10 fire service or emergency medical services, or a bachelor's
11 degree from an accredited college or university may be
12 preferred for appointment to and employment with the fire
13 department.
14 (4) Paramedic preference. Persons who have obtained a
15 license certification as a paramedic an Emergency Medical
16 Technician-Paramedic (EMT-P) shall be preferred for
17 appointment to and employment with the fire department of
18 an affected department providing emergency medical
19 services.
20 (5) Experience preference. All persons employed by a
21 municipality who have been paid-on-call or part-time
22 certified Firefighter II, State of Illinois or nationally
23 licensed EMT, EMT-B or EMT-I, AEMT, or any combination of
24 those capacities shall be awarded 0.5 point for each year
25 of successful service in one or more of those capacities,
26 up to a maximum of 5 points. Certified Firefighter III and

SB3414- 45 -LRB098 16189 RPS 55673 b
1 State of Illinois or nationally licensed paramedics shall
2 be awarded one point per year up to a maximum of 5 points.
3 Applicants from outside the municipality who were employed
4 as full-time firefighters or firefighter-paramedics by a
5 fire protection district or another municipality for at
6 least 2 years shall be awarded 5 experience preference
7 points. These additional points presuppose a rating scale
8 totaling 100 points available for the eligibility list. If
9 more or fewer points are used in the rating scale for the
10 eligibility list, the points awarded under this subsection
11 shall be increased or decreased by a factor equal to the
12 total possible points available for the examination
13 divided by 100.
14 Upon request by the commission, the governing body of
15 the municipality or in the case of applicants from outside
16 the municipality the governing body of any fire protection
17 district or any other municipality shall certify to the
18 commission, within 10 days after the request, the number of
19 years of successful paid-on-call, part-time, or full-time
20 service of any person. A candidate may not receive the full
21 amount of preference points under this subsection if the
22 amount of points awarded would place the candidate before a
23 veteran on the eligibility list. If more than one candidate
24 receiving experience preference points is prevented from
25 receiving all of their points due to not being allowed to
26 pass a veteran, the candidates shall be placed on the list

SB3414- 46 -LRB098 16189 RPS 55673 b
1 below the veteran in rank order based on the totals
2 received if all points under this subsection were to be
3 awarded. Any remaining ties on the list shall be determined
4 by lot.
5 (6) Residency preference. Applicants whose principal
6 residence is located within the fire department's
7 jurisdiction shall be preferred for appointment to and
8 employment with the fire department.
9 (7) Additional preferences. Up to 5 additional
10 preference points may be awarded for unique categories
11 based on an applicant's experience or background as
12 identified by the commission.
13 (8) Scoring of preferences. The commission shall give
14 preference for original appointment to persons designated
15 in item (1) by adding to the final grade that they receive
16 5 points for the recognized preference achieved. The
17 commission shall determine the number of preference points
18 for each category except (1). The number of preference
19 points for each category shall range from 0 to 5. In
20 determining the number of preference points, the
21 commission shall prescribe that if a candidate earns the
22 maximum number of preference points in all categories, that
23 number may not be less than 10 nor more than 30. The
24 commission shall give preference for original appointment
25 to persons designated in items (2) through (7) by adding
26 the requisite number of points to the final grade for each

SB3414- 47 -LRB098 16189 RPS 55673 b
1 recognized preference achieved. The numerical result thus
2 attained shall be applied by the commission in determining
3 the final eligibility list and appointment from the
4 eligibility list. The local appointing authority may
5 prescribe the total number of preference points awarded
6 under this Section, but the total number of preference
7 points shall not be less than 10 points or more than 30
8 points.
9 No person entitled to any preference shall be required to
10claim the credit before any examination held under the
11provisions of this Section, but the preference shall be given
12after the posting or publication of the initial eligibility
13list or register at the request of a person entitled to a
14credit before any certification or appointments are made from
15the eligibility register, upon the furnishing of verifiable
16evidence and proof of qualifying preference credit. Candidates
17who are eligible for preference credit shall make a claim in
18writing within 10 days after the posting of the initial
19eligibility list, or the claim shall be deemed waived. Final
20eligibility registers shall be established after the awarding
21of verified preference points. All employment shall be subject
22to the commission's initial hire background review including,
23but not limited to, criminal history, employment history, moral
24character, oral examination, and medical and psychological
25examinations, all on a pass-fail basis. The medical and
26psychological examinations must be conducted last, and may only

SB3414- 48 -LRB098 16189 RPS 55673 b
1be performed after a conditional offer of employment has been
2extended.
3 Any person placed on an eligibility list who exceeds the
4age requirement before being appointed to a fire department
5shall remain eligible for appointment until the list is
6abolished, or his or her name has been on the list for a period
7of 2 years. No person who has attained the age of 35 years
8shall be inducted into a fire department, except as otherwise
9provided in this Section.
10 The commission shall strike off the names of candidates for
11original appointment after the names have been on the list for
12more than 2 years.
13 (i) Moral character. No person shall be appointed to a fire
14department unless he or she is a person of good character; not
15a habitual drunkard, a gambler, or a person who has been
16convicted of a felony or a crime involving moral turpitude.
17However, no person shall be disqualified from appointment to
18the fire department because of the person's record of
19misdemeanor convictions except those under Sections 11-6,
2011-7, 11-9, 11-14, 11-15, 11-17, 11-18, 11-19, 12-2, 12-6,
2112-15, 14-4, 16-1, 21.1-3, 24-3.1, 24-5, 25-1, 28-3, 31-1,
2231-4, 31-6, 31-7, 32-1, 32-2, 32-3, 32-4, 32-8, and subsections
231, 6, and 8 of Section 24-1 of the Criminal Code of 1961 or the
24Criminal Code of 2012, or arrest for any cause without
25conviction thereon. Any such person who is in the department
26may be removed on charges brought for violating this subsection

SB3414- 49 -LRB098 16189 RPS 55673 b
1and after a trial as hereinafter provided.
2 A classifiable set of the fingerprints of every person who
3is offered employment as a certificated member of an affected
4fire department whether with or without compensation, shall be
5furnished to the Illinois Department of State Police and to the
6Federal Bureau of Investigation by the commission.
7 Whenever a commission is authorized or required by law to
8consider some aspect of criminal history record information for
9the purpose of carrying out its statutory powers and
10responsibilities, then, upon request and payment of fees in
11conformance with the requirements of Section 2605-400 of the
12State Police Law of the Civil Administrative Code of Illinois,
13the Department of State Police is authorized to furnish,
14pursuant to positive identification, the information contained
15in State files as is necessary to fulfill the request.
16 (j) Temporary appointments. In order to prevent a stoppage
17of public business, to meet extraordinary exigencies, or to
18prevent material impairment of the fire department, the
19commission may make temporary appointments, to remain in force
20only until regular appointments are made under the provisions
21of this Division, but never to exceed 60 days. No temporary
22appointment of any one person shall be made more than twice in
23any calendar year.
24 (k) A person who knowingly divulges or receives test
25questions or answers before a written examination, or otherwise
26knowingly violates or subverts any requirement of this Section,

SB3414- 50 -LRB098 16189 RPS 55673 b
1commits a violation of this Section and may be subject to
2charges for official misconduct.
3 A person who is the knowing recipient of test information
4in advance of the examination shall be disqualified from the
5examination or discharged from the position to which he or she
6was appointed, as applicable, and otherwise subjected to
7disciplinary actions.
8(Source: P.A. 97-251, eff. 8-4-11; 97-898, eff. 8-6-12;
997-1150, eff. 1-25-13.)
10 (65 ILCS 5/10-2.1-14) (from Ch. 24, par. 10-2.1-14)
11 Sec. 10-2.1-14. Register of eligibles. The board of fire
12and police commissioners shall prepare and keep a register of
13persons whose general average standing, upon examination, is
14not less than the minimum fixed by the rules of the board, and
15who are otherwise eligible. These persons shall take rank upon
16the register as candidates in the order of their relative
17excellence as determined by examination, without reference to
18priority of time of examination. The board of fire and police
19commissioners may prepare and keep a second register of persons
20who have previously been full-time sworn officers of a regular
21police department in any municipal, county, university, or
22State law enforcement agency, provided they are certified by
23the Illinois Law Enforcement Training Standards Board and have
24been with their respective law enforcement agency within the
25State for at least 2 years. The persons on this list shall take

SB3414- 51 -LRB098 16189 RPS 55673 b
1rank upon the register as candidates in the order of their
2relative excellence as determined by members of the board of
3fire and police commissioners. Applicants who have been awarded
4a certificate attesting to their successful completion of the
5Minimum Standards Basic Law Enforcement Training Course, as
6provided in the Illinois Police Training Act, may be given
7preference in appointment over noncertified applicants.
8Applicants for appointment to fire departments who are licensed
9as an EMT, EMT-B, EMT-I, AEMT, or paramedic EMT-P under the
10Emergency Medical Services (EMS) Systems Act, may be given
11preference in appointment over non-licensed applicants.
12 Within 60 days after each examination, an eligibility list
13shall be posted by the board, which shall show the final grades
14of the candidates without reference to priority of time of
15examination and subject to claim for military credit.
16Candidates who are eligible for military credit shall make a
17claim in writing within 10 days after the posting of the
18eligibility list or such claim shall be deemed waived.
19Appointment shall be subject to a final physical examination.
20 If a person is placed on an eligibility list and becomes
21overage before he or she is appointed to a police or fire
22department, the person remains eligible for appointment until
23the list is abolished pursuant to authorized procedures.
24Otherwise no person who has attained the age of 36 years shall
25be inducted as a member of a police department and no person
26who has attained the age of 35 years shall be inducted as a

SB3414- 52 -LRB098 16189 RPS 55673 b
1member of a fire department, except as otherwise provided in
2this division. With respect to a police department, a veteran
3shall be allowed to exceed the maximum age provision of this
4Section by the number of years served on active military duty,
5but by no more than 10 years of active military duty.
6(Source: P.A. 95-931, eff. 1-1-09; 96-472, eff. 8-14-09.)
7 (65 ILCS 5/10-2.1-31)
8 Sec. 10-2.1-31. Emergency medical technician licensure.
9The corporate authorities of any municipality may require that
10all firefighters hired by the municipality on or after January
111, 2009 (the effective date of Public Act 95-935) this
12amendatory Act of the 95th General Assembly be licensed as an
13EMT, EMT-B, EMT-I, AEMT, or paramedic EMT-P under the Emergency
14Medical Services (EMS) Systems Act.
15(Source: P.A. 95-935, eff. 1-1-09.)
16 Section 20. The Fire Protection District Act is amended by
17changing Sections 16.06b, 16.08b, and 16.13b as follows:
18 (70 ILCS 705/16.06b)
19 Sec. 16.06b. Original appointments; full-time fire
20department.
21 (a) Applicability. Unless a commission elects to follow the
22provisions of Section 16.06c, this Section shall apply to all
23original appointments to an affected full-time fire

SB3414- 53 -LRB098 16189 RPS 55673 b
1department. Existing registers of eligibles shall continue to
2be valid until their expiration dates, or up to a maximum of 2
3years after the effective date of this amendatory Act of the
497th General Assembly.
5 Notwithstanding any statute, ordinance, rule, or other law
6to the contrary, all original appointments to an affected
7department to which this Section applies shall be administered
8in a no less stringent manner than the manner provided for in
9this Section. Provisions of the Illinois Municipal Code, Fire
10Protection District Act, fire district ordinances, and rules
11adopted pursuant to such authority and other laws relating to
12initial hiring of firefighters in affected departments shall
13continue to apply to the extent they are compatible with this
14Section, but in the event of a conflict between this Section
15and any other law, this Section shall control.
16 A fire protection district that is operating under a court
17order or consent decree regarding original appointments to a
18full-time fire department before the effective date of this
19amendatory Act of the 97th General Assembly is exempt from the
20requirements of this Section for the duration of the court
21order or consent decree.
22 (b) Original appointments. All original appointments made
23to an affected fire department shall be made from a register of
24eligibles established in accordance with the processes
25required by this Section. Only persons who meet or exceed the
26performance standards required by the Section shall be placed

SB3414- 54 -LRB098 16189 RPS 55673 b
1on a register of eligibles for original appointment to an
2affected fire department.
3 Whenever an appointing authority authorizes action to hire
4a person to perform the duties of a firefighter or to hire a
5firefighter-paramedic to fill a position that is a new position
6or vacancy due to resignation, discharge, promotion, death, the
7granting of a disability or retirement pension, or any other
8cause, the appointing authority shall appoint to that position
9the person with the highest ranking on the final eligibility
10list. If the appointing authority has reason to conclude that
11the highest ranked person fails to meet the minimum standards
12for the position or if the appointing authority believes an
13alternate candidate would better serve the needs of the
14department, then the appointing authority has the right to pass
15over the highest ranked person and appoint either: (i) any
16person who has a ranking in the top 5% of the register of
17eligibles or (ii) any person who is among the top 5 highest
18ranked persons on the list of eligibles if the number of people
19who have a ranking in the top 5% of the register of eligibles
20is less than 5 people.
21 Any candidate may pass on an appointment once without
22losing his or her position on the register of eligibles. Any
23candidate who passes a second time may be removed from the list
24by the appointing authority provided that such action shall not
25prejudice a person's opportunities to participate in future
26examinations, including an examination held during the time a

SB3414- 55 -LRB098 16189 RPS 55673 b
1candidate is already on the fire district's register of
2eligibles.
3 The sole authority to issue certificates of appointment
4shall be vested in the board of fire commissioners, or board of
5trustees serving in the capacity of a board of fire
6commissioners. All certificates of appointment issued to any
7officer or member of an affected department shall be signed by
8the chairperson and secretary, respectively, of the commission
9upon appointment of such officer or member to the affected
10department by action of the commission. Each person who accepts
11a certificate of appointment and successfully completes his or
12her probationary period shall be enrolled as a firefighter and
13as a regular member of the fire department.
14 For the purposes of this Section, "firefighter" means any
15person who has been prior to, on, or after the effective date
16of this amendatory Act of the 97th General Assembly appointed
17to a fire department or fire protection district or employed by
18a State university and sworn or commissioned to perform
19firefighter duties or paramedic duties, or both, except that
20the following persons are not included: part-time
21firefighters; auxiliary, reserve, or voluntary firefighters,
22including paid-on-call firefighters; clerks and dispatchers or
23other civilian employees of a fire department or fire
24protection district who are not routinely expected to perform
25firefighter duties; and elected officials.
26 (c) Qualification for placement on register of eligibles.

SB3414- 56 -LRB098 16189 RPS 55673 b
1The purpose of establishing a register of eligibles is to
2identify applicants who possess and demonstrate the mental
3aptitude and physical ability to perform the duties required of
4members of the fire department in order to provide the highest
5quality of service to the public. To this end, all applicants
6for original appointment to an affected fire department shall
7be subject to examination and testing which shall be public,
8competitive, and open to all applicants unless the district
9shall by ordinance limit applicants to residents of the
10district, county or counties in which the district is located,
11State, or nation. Districts may establish educational,
12emergency medical service licensure, and other pre-requisites
13for participation in an examination or for hire as a
14firefighter. Any fire protection district may charge a fee to
15cover the costs of the application process.
16 Residency requirements in effect at the time an individual
17enters the fire service of a district cannot be made more
18restrictive for that individual during his or her period of
19service for that district, or be made a condition of promotion,
20except for the rank or position of fire chief and for no more
21than 2 positions that rank immediately below that of the chief
22rank which are appointed positions pursuant to the Fire
23Department Promotion Act.
24 No person who is 35 years of age or older shall be eligible
25to take an examination for a position as a firefighter unless
26the person has had previous employment status as a firefighter

SB3414- 57 -LRB098 16189 RPS 55673 b
1in the regularly constituted fire department of the district,
2except as provided in this Section. The age limitation does not
3apply to:
4 (1) any person previously employed as a full-time
5 firefighter in a regularly constituted fire department of
6 (i) any municipality or fire protection district located in
7 Illinois, (ii) a fire protection district whose
8 obligations were assumed by a municipality under Section 21
9 of the Fire Protection District Act, or (iii) a
10 municipality whose obligations were taken over by a fire
11 protection district, or
12 (2) any person who has served a fire district as a
13 regularly enrolled volunteer, paid-on-call, or part-time
14 firefighter for the 5 years immediately preceding the time
15 that the district begins to use full-time firefighters to
16 provide all or part of its fire protection service.
17 No person who is under 21 years of age shall be eligible
18for employment as a firefighter.
19 No applicant shall be examined concerning his or her
20political or religious opinions or affiliations. The
21examinations shall be conducted by the commissioners of the
22district or their designees and agents.
23 No district shall require that any firefighter appointed to
24the lowest rank serve a probationary employment period of
25longer than one year of actual active employment, which may
26exclude periods of training, or injury or illness leaves,

SB3414- 58 -LRB098 16189 RPS 55673 b
1including duty related leave, in excess of 30 calendar days.
2Notwithstanding anything to the contrary in this Section, the
3probationary employment period limitation may be extended for a
4firefighter who is required, as a condition of employment, to
5be a licensed certified paramedic, during which time the sole
6reason that a firefighter may be discharged without a hearing
7is for failing to meet the requirements for paramedic licensure
8certification.
9 In the event that any applicant who has been found eligible
10for appointment and whose name has been placed upon the final
11eligibility register provided for in this Section has not been
12appointed to a firefighter position within one year after the
13date of his or her physical ability examination, the commission
14may cause a second examination to be made of that applicant's
15physical ability prior to his or her appointment. If, after the
16second examination, the physical ability of the applicant shall
17be found to be less than the minimum standard fixed by the
18rules of the commission, the applicant shall not be appointed.
19The applicant's name may be retained upon the register of
20candidates eligible for appointment and when next reached for
21certification and appointment that applicant may be again
22examined as provided in this Section, and if the physical
23ability of that applicant is found to be less than the minimum
24standard fixed by the rules of the commission, the applicant
25shall not be appointed, and the name of the applicant shall be
26removed from the register.

SB3414- 59 -LRB098 16189 RPS 55673 b
1 (d) Notice, examination, and testing components. Notice of
2the time, place, general scope, merit criteria for any
3subjective component, and fee of every examination shall be
4given by the commission, by a publication at least 2 weeks
5preceding the examination: (i) in one or more newspapers
6published in the district, or if no newspaper is published
7therein, then in one or more newspapers with a general
8circulation within the district, or (ii) on the fire protection
9district's Internet website. Additional notice of the
10examination may be given as the commission shall prescribe.
11 The examination and qualifying standards for employment of
12firefighters shall be based on: mental aptitude, physical
13ability, preferences, moral character, and health. The mental
14aptitude, physical ability, and preference components shall
15determine an applicant's qualification for and placement on the
16final register of eligibles. The examination may also include a
17subjective component based on merit criteria as determined by
18the commission. Scores from the examination must be made
19available to the public.
20 (e) Mental aptitude. No person who does not possess at
21least a high school diploma or an equivalent high school
22education shall be placed on a register of eligibles.
23Examination of an applicant's mental aptitude shall be based
24upon a written examination. The examination shall be practical
25in character and relate to those matters that fairly test the
26capacity of the persons examined to discharge the duties

SB3414- 60 -LRB098 16189 RPS 55673 b
1performed by members of a fire department. Written examinations
2shall be administered in a manner that ensures the security and
3accuracy of the scores achieved.
4 (f) Physical ability. All candidates shall be required to
5undergo an examination of their physical ability to perform the
6essential functions included in the duties they may be called
7upon to perform as a member of a fire department. For the
8purposes of this Section, essential functions of the job are
9functions associated with duties that a firefighter may be
10called upon to perform in response to emergency calls. The
11frequency of the occurrence of those duties as part of the fire
12department's regular routine shall not be a controlling factor
13in the design of examination criteria or evolutions selected
14for testing. These physical examinations shall be open,
15competitive, and based on industry standards designed to test
16each applicant's physical abilities in the following
17dimensions:
18 (1) Muscular strength to perform tasks and evolutions
19 that may be required in the performance of duties including
20 grip strength, leg strength, and arm strength. Tests shall
21 be conducted under anaerobic as well as aerobic conditions
22 to test both the candidate's speed and endurance in
23 performing tasks and evolutions. Tasks tested may be based
24 on standards developed, or approved, by the local
25 appointing authority.
26 (2) The ability to climb ladders, operate from heights,

SB3414- 61 -LRB098 16189 RPS 55673 b
1 walk or crawl in the dark along narrow and uneven surfaces,
2 and operate in proximity to hazardous environments.
3 (3) The ability to carry out critical, time-sensitive,
4 and complex problem solving during physical exertion in
5 stressful and hazardous environments. The testing
6 environment may be hot and dark with tightly enclosed
7 spaces, flashing lights, sirens, and other distractions.
8 The tests utilized to measure each applicant's
9capabilities in each of these dimensions may be tests based on
10industry standards currently in use or equivalent tests
11approved by the Joint Labor-Management Committee of the Office
12of the State Fire Marshal.
13 Physical ability examinations administered under this
14Section shall be conducted with a reasonable number of proctors
15and monitors, open to the public, and subject to reasonable
16regulations of the commission.
17 (g) Scoring of examination components. Appointing
18authorities may create a preliminary eligibility register. A
19person shall be placed on the list based upon his or her
20passage of the written examination or the passage of the
21written examination and the physical ability component.
22Passage of the written examination means a score that is at or
23above the median score for all applicants participating in the
24written test. The appointing authority may conduct the physical
25ability component and any subjective components subsequent to
26the posting of the preliminary eligibility register.

SB3414- 62 -LRB098 16189 RPS 55673 b
1 The examination components for an initial eligibility
2register shall be graded on a 100-point scale. A person's
3position on the list shall be determined by the following: (i)
4the person's score on the written examination, (ii) the person
5successfully passing the physical ability component, and (iii)
6the person's results on any subjective component as described
7in subsection (d).
8 In order to qualify for placement on the final eligibility
9register, an applicant's score on the written examination,
10before any applicable preference points or subjective points
11are applied, shall be at or above the median score. The local
12appointing authority may prescribe the score to qualify for
13placement on the final eligibility register, but the score
14shall not be less than the median score.
15 The commission shall prepare and keep a register of persons
16whose total score is not less than the minimum fixed by this
17Section and who have passed the physical ability examination.
18These persons shall take rank upon the register as candidates
19in the order of their relative excellence based on the highest
20to the lowest total points scored on the mental aptitude,
21subjective component, and preference components of the test
22administered in accordance with this Section. No more than 60
23days after each examination, an initial eligibility list shall
24be posted by the commission. The list shall include the final
25grades of the candidates without reference to priority of the
26time of examination and subject to claim for preference credit.

SB3414- 63 -LRB098 16189 RPS 55673 b
1 Commissions may conduct additional examinations, including
2without limitation a polygraph test, after a final eligibility
3register is established and before it expires with the
4candidates ranked by total score without regard to date of
5examination. No more than 60 days after each examination, an
6initial eligibility list shall be posted by the commission
7showing the final grades of the candidates without reference to
8priority of time of examination and subject to claim for
9preference credit.
10 (h) Preferences. The following are preferences:
11 (1) Veteran preference. Persons who were engaged in the
12 military service of the United States for a period of at
13 least one year of active duty and who were honorably
14 discharged therefrom, or who are now or have been members
15 on inactive or reserve duty in such military or naval
16 service, shall be preferred for appointment to and
17 employment with the fire department of an affected
18 department.
19 (2) Fire cadet preference. Persons who have
20 successfully completed 2 years of study in fire techniques
21 or cadet training within a cadet program established under
22 the rules of the Joint Labor and Management Committee
23 (JLMC), as defined in Section 50 of the Fire Department
24 Promotion Act, may be preferred for appointment to and
25 employment with the fire department.
26 (3) Educational preference. Persons who have

SB3414- 64 -LRB098 16189 RPS 55673 b
1 successfully obtained an associate's degree in the field of
2 fire service or emergency medical services, or a bachelor's
3 degree from an accredited college or university may be
4 preferred for appointment to and employment with the fire
5 department.
6 (4) Paramedic preference. Persons who have obtained a
7 license certification as a paramedic an Emergency Medical
8 Technician-Paramedic (EMT-P) may be preferred for
9 appointment to and employment with the fire department of
10 an affected department providing emergency medical
11 services.
12 (5) Experience preference. All persons employed by a
13 district who have been paid-on-call or part-time certified
14 Firefighter II, certified Firefighter III, State of
15 Illinois or nationally licensed EMT, EMT-B or EMT-I, AEMT,
16 or licensed paramedic, or any combination of those
17 capacities may be awarded up to a maximum of 5 points.
18 However, the applicant may not be awarded more than 0.5
19 points for each complete year of paid-on-call or part-time
20 service. Applicants from outside the district who were
21 employed as full-time firefighters or
22 firefighter-paramedics by a fire protection district or
23 municipality for at least 2 years may be awarded up to 5
24 experience preference points. However, the applicant may
25 not be awarded more than one point for each complete year
26 of full-time service.

SB3414- 65 -LRB098 16189 RPS 55673 b
1 Upon request by the commission, the governing body of
2 the district or in the case of applicants from outside the
3 district the governing body of any other fire protection
4 district or any municipality shall certify to the
5 commission, within 10 days after the request, the number of
6 years of successful paid-on-call, part-time, or full-time
7 service of any person. A candidate may not receive the full
8 amount of preference points under this subsection if the
9 amount of points awarded would place the candidate before a
10 veteran on the eligibility list. If more than one candidate
11 receiving experience preference points is prevented from
12 receiving all of their points due to not being allowed to
13 pass a veteran, the candidates shall be placed on the list
14 below the veteran in rank order based on the totals
15 received if all points under this subsection were to be
16 awarded. Any remaining ties on the list shall be determined
17 by lot.
18 (6) Residency preference. Applicants whose principal
19 residence is located within the fire department's
20 jurisdiction may be preferred for appointment to and
21 employment with the fire department.
22 (7) Additional preferences. Up to 5 additional
23 preference points may be awarded for unique categories
24 based on an applicant's experience or background as
25 identified by the commission.
26 (8) Scoring of preferences. The commission shall give

SB3414- 66 -LRB098 16189 RPS 55673 b
1 preference for original appointment to persons designated
2 in item (1) by adding to the final grade that they receive
3 5 points for the recognized preference achieved. The
4 commission shall determine the number of preference points
5 for each category except (1). The number of preference
6 points for each category shall range from 0 to 5. In
7 determining the number of preference points, the
8 commission shall prescribe that if a candidate earns the
9 maximum number of preference points in all categories, that
10 number may not be less than 10 nor more than 30. The
11 commission shall give preference for original appointment
12 to persons designated in items (2) through (7) by adding
13 the requisite number of points to the final grade for each
14 recognized preference achieved. The numerical result thus
15 attained shall be applied by the commission in determining
16 the final eligibility list and appointment from the
17 eligibility list. The local appointing authority may
18 prescribe the total number of preference points awarded
19 under this Section, but the total number of preference
20 points shall not be less than 10 points or more than 30
21 points.
22 No person entitled to any preference shall be required to
23claim the credit before any examination held under the
24provisions of this Section, but the preference shall be given
25after the posting or publication of the initial eligibility
26list or register at the request of a person entitled to a

SB3414- 67 -LRB098 16189 RPS 55673 b
1credit before any certification or appointments are made from
2the eligibility register, upon the furnishing of verifiable
3evidence and proof of qualifying preference credit. Candidates
4who are eligible for preference credit shall make a claim in
5writing within 10 days after the posting of the initial
6eligibility list, or the claim shall be deemed waived. Final
7eligibility registers shall be established after the awarding
8of verified preference points. All employment shall be subject
9to the commission's initial hire background review including,
10but not limited to, criminal history, employment history, moral
11character, oral examination, and medical and psychological
12examinations, all on a pass-fail basis. The medical and
13psychological examinations must be conducted last, and may only
14be performed after a conditional offer of employment has been
15extended.
16 Any person placed on an eligibility list who exceeds the
17age requirement before being appointed to a fire department
18shall remain eligible for appointment until the list is
19abolished, or his or her name has been on the list for a period
20of 2 years. No person who has attained the age of 35 years
21shall be inducted into a fire department, except as otherwise
22provided in this Section.
23 The commission shall strike off the names of candidates for
24original appointment after the names have been on the list for
25more than 2 years.
26 (i) Moral character. No person shall be appointed to a fire

SB3414- 68 -LRB098 16189 RPS 55673 b
1department unless he or she is a person of good character; not
2a habitual drunkard, a gambler, or a person who has been
3convicted of a felony or a crime involving moral turpitude.
4However, no person shall be disqualified from appointment to
5the fire department because of the person's record of
6misdemeanor convictions except those under Sections 11-6,
711-7, 11-9, 11-14, 11-15, 11-17, 11-18, 11-19, 12-2, 12-6,
812-15, 14-4, 16-1, 21.1-3, 24-3.1, 24-5, 25-1, 28-3, 31-1,
931-4, 31-6, 31-7, 32-1, 32-2, 32-3, 32-4, 32-8, and subsections
101, 6, and 8 of Section 24-1 of the Criminal Code of 1961 or the
11Criminal Code of 2012, or arrest for any cause without
12conviction thereon. Any such person who is in the department
13may be removed on charges brought for violating this subsection
14and after a trial as hereinafter provided.
15 A classifiable set of the fingerprints of every person who
16is offered employment as a certificated member of an affected
17fire department whether with or without compensation, shall be
18furnished to the Illinois Department of State Police and to the
19Federal Bureau of Investigation by the commission.
20 Whenever a commission is authorized or required by law to
21consider some aspect of criminal history record information for
22the purpose of carrying out its statutory powers and
23responsibilities, then, upon request and payment of fees in
24conformance with the requirements of Section 2605-400 of the
25State Police Law of the Civil Administrative Code of Illinois,
26the Department of State Police is authorized to furnish,

SB3414- 69 -LRB098 16189 RPS 55673 b
1pursuant to positive identification, the information contained
2in State files as is necessary to fulfill the request.
3 (j) Temporary appointments. In order to prevent a stoppage
4of public business, to meet extraordinary exigencies, or to
5prevent material impairment of the fire department, the
6commission may make temporary appointments, to remain in force
7only until regular appointments are made under the provisions
8of this Section, but never to exceed 60 days. No temporary
9appointment of any one person shall be made more than twice in
10any calendar year.
11 (k) A person who knowingly divulges or receives test
12questions or answers before a written examination, or otherwise
13knowingly violates or subverts any requirement of this Section,
14commits a violation of this Section and may be subject to
15charges for official misconduct.
16 A person who is the knowing recipient of test information
17in advance of the examination shall be disqualified from the
18examination or discharged from the position to which he or she
19was appointed, as applicable, and otherwise subjected to
20disciplinary actions.
21(Source: P.A. 97-251, eff. 8-4-11; 97-898, eff. 8-6-12;
2297-1150, eff. 1-25-13.)
23 (70 ILCS 705/16.08b)
24 Sec. 16.08b. Emergency medical technician licensure. The
25board of trustees of a fire protection district may require

SB3414- 70 -LRB098 16189 RPS 55673 b
1that all firefighters hired on or after January 1, 2005 (the
2effective date of Public Act 93-952) this amendatory Act of the
393rd General Assembly by any fire department within the
4district must be licensed as an EMT EMT-B, EMT-I, AEMT, or
5paramedic EMT-P under the Emergency Medical Services (EMS)
6Systems Act.
7(Source: P.A. 93-952, eff. 1-1-05.)
8 (70 ILCS 705/16.13b) (from Ch. 127 1/2, par. 37.13b)
9 Sec. 16.13b. Unless the employer and a labor organization
10have agreed to a contract provision providing for final and
11binding arbitration of disputes concerning the existence of
12just cause for disciplinary action, no officer or member of the
13fire department of any protection district who has held that
14position for one year shall be removed or discharged except for
15just cause, upon written charges specifying the complainant and
16the basis for the charges, and after a hearing on those charges
17before the board of fire commissioners, affording the officer
18or member an opportunity to be heard in his own defense. In
19such case the appointing authority shall file with the board of
20trustees the reasons for such removal or discharge, which
21removal or discharge shall not become effective unless
22confirmed by a majority vote of the board of trustees. If
23written charges are brought against an officer or member, the
24board of fire commissioners shall conduct a fair and impartial
25hearing of the charges, to be commenced within 30 days of the

SB3414- 71 -LRB098 16189 RPS 55673 b
1filing thereof, which hearing may be continued from time to
2time. The Chief of the department shall bear the burden of
3proving the guilt of the officer or member by a preponderance
4of the evidence. In case an officer or member is found guilty,
5the board may discharge him, or may suspend him not exceeding
630 calendar days without pay. The board may suspend any officer
7or member pending the hearing with or without pay, but in no
8event shall the suspension pending hearing and the ultimate
9suspension imposed on the officer or member, if any, exceed 30
10calendar days without pay in the aggregate. If the board of
11fire commissioners determines that the charges are not
12sustained, the officer or member shall be reimbursed for all
13wages withheld or lost, if any. In the conduct of this hearing,
14each member of the board shall have power to secure by its
15subpoena both the attendance and testimony of witnesses and the
16production of books and papers relevant to the hearing.
17 Notwithstanding any other provision of this Section, a
18probationary employment period may be extended beyond one year
19for a firefighter who is required as a condition of employment
20to be a licensed certified paramedic, during which time the
21sole reason that a firefighter may be discharged without a
22hearing is for failing to meet the requirements for paramedic
23licensure certification.
24 The age for mandatory retirement of firemen in the service
25of any department of such district is 65 years, unless the
26board of trustees shall by ordinance provide for an earlier

SB3414- 72 -LRB098 16189 RPS 55673 b
1mandatory retirement age of not less than 60 years.
2 The provisions of the Administrative Review Law, and all
3amendments and modifications thereof, and the rules adopted
4pursuant thereto, shall apply to and govern all proceedings for
5the judicial review of final administrative decisions of the
6board of fire commissioners hereunder. The term
7"administrative decision" is defined as in Section 3-101 of the
8Code of Civil Procedure.
9 Nothing in this Section shall be construed to prevent the
10Chief of the fire department from suspending without pay a
11member of his department for a period of not more than 5
12consecutive calendar days, but he shall notify the board in
13writing of such suspension. Any fireman so suspended may appeal
14to the board of fire commissioners for a review of the
15suspension within 5 calendar days after such suspension. Upon
16such appeal, the Chief of the department shall bear the burden
17of proof in establishing the guilt of the officer or member by
18a preponderance of the evidence. The board may sustain the
19action of the Chief of the department, may reduce the
20suspension to a lesser penalty, or may reverse it with
21instructions that the officer or member receive his pay and
22other benefits withheld for the period involved, or may suspend
23the officer for an additional period of not more than 30 days,
24or discharge him, depending upon the facts presented.
25(Source: P.A. 94-135, eff. 7-7-05.)

SB3414- 73 -LRB098 16189 RPS 55673 b
1 Section 25. The Emergency Medical Services (EMS) Systems
2Act is amended by changing Sections 3.5, 3.10, 3.15, 3.20,
33.25, 3.35, 3.40, 3.45, 3.50, 3.55, 3.65, 3.70, 3.75, 3.80,
43.125, 3.130, 3.140, 3.165, 3.170, 3.180, 3.200, 3.205, and
53.210 as follows:
6 (210 ILCS 50/3.5)
7 Sec. 3.5. Definitions. As used in this Act:
8 "Department" means the Illinois Department of Public
9Health.
10 "Director" means the Director of the Illinois Department of
11Public Health.
12 "Emergency" means a medical condition of recent onset and
13severity that would lead a prudent layperson, possessing an
14average knowledge of medicine and health, to believe that
15urgent or unscheduled medical care is required.
16 "Emergency Medical Services personnel" or "EMS personnel"
17means persons licensed as an Emergency Medical Responder (EMR),
18Emergency Medical Dispatcher (EMD), Emergency Medical
19Technician (EMT), Emergency Medical Technician-Intermediate
20(EMT-I), Advanced Emergency Medical Technician (AEMT),
21Paramedic, Emergency Communications Registered Nurse (ECRN),
22or Pre-Hospital Registered Nurse (PHRN).
23 "Health Care Facility" means a hospital, nursing home,
24physician's office or other fixed location at which medical and
25health care services are performed. It does not include

SB3414- 74 -LRB098 16189 RPS 55673 b
1"pre-hospital emergency care settings" which utilize EMS
2personnel EMTs to render pre-hospital emergency care prior to
3the arrival of a transport vehicle, as defined in this Act.
4 "Hospital" has the meaning ascribed to that term in the
5Hospital Licensing Act.
6 "Trauma" means any significant injury which involves
7single or multiple organ systems.
8(Source: P.A. 89-177, eff. 7-19-95.)
9 (210 ILCS 50/3.10)
10 Sec. 3.10. Scope of Services.
11 (a) "Advanced Life Support (ALS) Services" means an
12advanced level of pre-hospital and inter-hospital emergency
13care and non-emergency medical services that includes basic
14life support care, cardiac monitoring, cardiac defibrillation,
15electrocardiography, intravenous therapy, administration of
16medications, drugs and solutions, use of adjunctive medical
17devices, trauma care, and other authorized techniques and
18procedures, as outlined in the provisions of the National EMS
19Education Standards relating to Advanced Life Support national
20curriculum of the United States Department of Transportation
21and any modifications to that curriculum specified in rules
22adopted by the Department pursuant to this Act.
23 That care shall be initiated as authorized by the EMS
24Medical Director in a Department approved advanced life support
25EMS System, under the written or verbal direction of a

SB3414- 75 -LRB098 16189 RPS 55673 b
1physician licensed to practice medicine in all of its branches
2or under the verbal direction of an Emergency Communications
3Registered Nurse.
4 (b) "Intermediate Life Support (ILS) Services" means an
5intermediate level of pre-hospital and inter-hospital
6emergency care and non-emergency medical services that
7includes basic life support care plus intravenous cannulation
8and fluid therapy, invasive airway management, trauma care, and
9other authorized techniques and procedures, as outlined in the
10provisions of the National EMS Education Standards relating to
11Intermediate Life Support national curriculum of the United
12States Department of Transportation and any modifications to
13that curriculum specified in rules adopted by the Department
14pursuant to this Act.
15 That care shall be initiated as authorized by the EMS
16Medical Director in a Department approved intermediate or
17advanced life support EMS System, under the written or verbal
18direction of a physician licensed to practice medicine in all
19of its branches or under the verbal direction of an Emergency
20Communications Registered Nurse.
21 (c) "Basic Life Support (BLS) Services" means a basic level
22of pre-hospital and inter-hospital emergency care and
23non-emergency medical services that includes airway
24management, cardiopulmonary resuscitation (CPR), control of
25shock and bleeding and splinting of fractures, as outlined in
26the provisions of the National EMS Education Standards relating

SB3414- 76 -LRB098 16189 RPS 55673 b
1to Basic Life Support national curriculum of the United States
2Department of Transportation and any modifications to that
3curriculum specified in rules adopted by the Department
4pursuant to this Act.
5 That care shall be initiated, where authorized by the EMS
6Medical Director in a Department approved EMS System, under the
7written or verbal direction of a physician licensed to practice
8medicine in all of its branches or under the verbal direction
9of an Emergency Communications Registered Nurse.
10 (d) "Emergency Medical Responder First Response Services"
11means a preliminary level of pre-hospital emergency care that
12includes cardiopulmonary resuscitation (CPR), monitoring vital
13signs and control of bleeding, as outlined in the Emergency
14Medical Responder (EMR) curriculum of the National EMS
15Education Standards First Responder curriculum of the United
16States Department of Transportation and any modifications to
17that curriculum specified in rules adopted by the Department
18pursuant to this Act.
19 (e) "Pre-hospital care" means those emergency medical
20services rendered to emergency patients for analytic,
21resuscitative, stabilizing, or preventive purposes, precedent
22to and during transportation of such patients to hospitals.
23 (f) "Inter-hospital care" means those emergency medical
24services rendered to emergency patients for analytic,
25resuscitative, stabilizing, or preventive purposes, during
26transportation of such patients from one hospital to another

SB3414- 77 -LRB098 16189 RPS 55673 b
1hospital.
2 (f-5) "Critical care transport" means the pre-hospital or
3inter-hospital transportation of a critically injured or ill
4patient by a vehicle service provider, including the provision
5of medically necessary supplies and services, at a level of
6service beyond the scope of the Paramedic EMT-paramedic. When
7medically indicated for a patient, as determined by a physician
8licensed to practice medicine in all of its branches, an
9advanced practice nurse, or a physician's assistant, in
10compliance with subsections (b) and (c) of Section 3.155 of
11this Act, critical care transport may be provided by:
12 (1) Department-approved critical care transport
13 providers, not owned or operated by a hospital, utilizing
14 Paramedics EMT-paramedics with additional training,
15 nurses, or other qualified health professionals; or
16 (2) Hospitals, when utilizing any vehicle service
17 provider or any hospital-owned or operated vehicle service
18 provider. Nothing in Public Act 96-1469 this amendatory Act
19 of the 96th General Assembly requires a hospital to use, or
20 to be, a Department-approved critical care transport
21 provider when transporting patients, including those
22 critically injured or ill. Nothing in this Act shall
23 restrict or prohibit a hospital from providing, or
24 arranging for, the medically appropriate transport of any
25 patient, as determined by a physician licensed to practice
26 in all of its branches, an advanced practice nurse, or a

SB3414- 78 -LRB098 16189 RPS 55673 b
1 physician's assistant.
2 (g) "Non-emergency medical services" means medical care or
3monitoring rendered to patients whose conditions do not meet
4this Act's definition of emergency, before or during
5transportation of such patients to or from health care
6facilities visited for the purpose of obtaining medical or
7health care services which are not emergency in nature, using a
8vehicle regulated by this Act.
9 (g-5) The Department shall have the authority to promulgate
10minimum standards for critical care transport providers
11through rules adopted pursuant to this Act. All critical care
12transport providers must function within a Department-approved
13EMS System. Nothing in Department rules shall restrict a
14hospital's ability to furnish personnel, equipment, and
15medical supplies to any vehicle service provider, including a
16critical care transport provider. Minimum critical care
17transport provider standards shall include, but are not limited
18to:
19 (1) Personnel staffing and licensure.
20 (2) Education, certification, and experience.
21 (3) Medical equipment and supplies.
22 (4) Vehicular standards.
23 (5) Treatment and transport protocols.
24 (6) Quality assurance and data collection.
25 (h) The provisions of this Act shall not apply to the use
26of an ambulance or SEMSV, unless and until emergency or

SB3414- 79 -LRB098 16189 RPS 55673 b
1non-emergency medical services are needed during the use of the
2ambulance or SEMSV.
3(Source: P.A. 96-1469, eff. 1-1-11.)
4 (210 ILCS 50/3.15)
5 Sec. 3.15. Emergency Medical Services (EMS) Regions. The
6Beginning September 1, 1995, the Department shall designate
7Emergency Medical Services (EMS) Regions within the State,
8consisting of specific geographic areas encompassing EMS
9Systems and trauma centers, in which emergency medical
10services, trauma services, and non-emergency medical services
11are coordinated under an EMS Region Plan.
12 In designating EMS Regions, the Department shall take into
13consideration, but not be limited to, the location of existing
14EMS Systems, Trauma Regions and trauma centers, existing
15patterns of inter-System transports, population locations and
16density, transportation modalities, and geographical distance
17from available trauma and emergency department care.
18 Use of the term Trauma Region to identify a specific
19geographic area shall be discontinued upon designation of areas
20as EMS Regions.
21(Source: P.A. 89-177, eff. 7-19-95.)
22 (210 ILCS 50/3.20)
23 Sec. 3.20. Emergency Medical Services (EMS) Systems.
24 (a) "Emergency Medical Services (EMS) System" means an

SB3414- 80 -LRB098 16189 RPS 55673 b
1organization of hospitals, vehicle service providers and
2personnel approved by the Department in a specific geographic
3area, which coordinates and provides pre-hospital and
4inter-hospital emergency care and non-emergency medical
5transports at a BLS, ILS and/or ALS level pursuant to a System
6program plan submitted to and approved by the Department, and
7pursuant to the EMS Region Plan adopted for the EMS Region in
8which the System is located.
9 (b) One hospital in each System program plan must be
10designated as the Resource Hospital. All other hospitals which
11are located within the geographic boundaries of a System and
12which have standby, basic or comprehensive level emergency
13departments must function in that EMS System as either an
14Associate Hospital or Participating Hospital and follow all
15System policies specified in the System Program Plan, including
16but not limited to the replacement of drugs and equipment used
17by providers who have delivered patients to their emergency
18departments. All hospitals and vehicle service providers
19participating in an EMS System must specify their level of
20participation in the System Program Plan.
21 (c) The Department shall have the authority and
22responsibility to:
23 (1) Approve BLS, ILS and ALS level EMS Systems which
24 meet minimum standards and criteria established in rules
25 adopted by the Department pursuant to this Act, including
26 the submission of a Program Plan for Department approval.

SB3414- 81 -LRB098 16189 RPS 55673 b
1 Beginning September 1, 1997, the Department shall approve
2 the development of a new EMS System only when a local or
3 regional need for establishing such System has been
4 verified by the Department. This shall not be construed as
5 a needs assessment for health planning or other purposes
6 outside of this Act. Following Department approval, EMS
7 Systems must be fully operational within one year from the
8 date of approval.
9 (2) Monitor EMS Systems, based on minimum standards for
10 continuing operation as prescribed in rules adopted by the
11 Department pursuant to this Act, which shall include
12 requirements for submitting Program Plan amendments to the
13 Department for approval.
14 (3) Renew EMS System approvals every 4 years, after an
15 inspection, based on compliance with the standards for
16 continuing operation prescribed in rules adopted by the
17 Department pursuant to this Act.
18 (4) Suspend, revoke, or refuse to renew approval of any
19 EMS System, after providing an opportunity for a hearing,
20 when findings show that it does not meet the minimum
21 standards for continuing operation as prescribed by the
22 Department, or is found to be in violation of its
23 previously approved Program Plan.
24 (5) Require each EMS System to adopt written protocols
25 for the bypassing of or diversion to any hospital, trauma
26 center or regional trauma center, which provide that a

SB3414- 82 -LRB098 16189 RPS 55673 b
1 person shall not be transported to a facility other than
2 the nearest hospital, regional trauma center or trauma
3 center unless the medical benefits to the patient
4 reasonably expected from the provision of appropriate
5 medical treatment at a more distant facility outweigh the
6 increased risks to the patient from transport to the more
7 distant facility, or the transport is in accordance with
8 the System's protocols for patient choice or refusal.
9 (6) Require that the EMS Medical Director of an ILS or
10 ALS level EMS System be a physician licensed to practice
11 medicine in all of its branches in Illinois, and certified
12 by the American Board of Emergency Medicine or the American
13 Osteopathic Board of Osteopathic Emergency Medicine, and
14 that the EMS Medical Director of a BLS level EMS System be
15 a physician licensed to practice medicine in all of its
16 branches in Illinois, with regular and frequent
17 involvement in pre-hospital emergency medical services. In
18 addition, all EMS Medical Directors shall:
19 (A) Have experience on an EMS vehicle at the
20 highest level available within the System, or make
21 provision to gain such experience within 12 months
22 prior to the date responsibility for the System is
23 assumed or within 90 days after assuming the position;
24 (B) Be thoroughly knowledgeable of all skills
25 included in the scope of practices of all levels of EMS
26 personnel within the System;

SB3414- 83 -LRB098 16189 RPS 55673 b
1 (C) Have or make provision to gain experience
2 instructing students at a level similar to that of the
3 levels of EMS personnel within the System; and
4 (D) For ILS and ALS EMS Medical Directors,
5 successfully complete a Department-approved EMS
6 Medical Director's Course.
7 (7) Prescribe statewide EMS data elements to be
8 collected and documented by providers in all EMS Systems
9 for all emergency and non-emergency medical services, with
10 a one-year phase-in for commencing collection of such data
11 elements.
12 (8) Define, through rules adopted pursuant to this Act,
13 the terms "Resource Hospital", "Associate Hospital",
14 "Participating Hospital", "Basic Emergency Department",
15 "Standby Emergency Department", "Comprehensive Emergency
16 Department", "EMS Medical Director", "EMS Administrative
17 Director", and "EMS System Coordinator".
18 (A) (Blank). Upon the effective date of this
19 amendatory Act of 1995, all existing Project Medical
20 Directors shall be considered EMS Medical Directors,
21 and all persons serving in such capacities on the
22 effective date of this amendatory Act of 1995 shall be
23 exempt from the requirements of paragraph (7) of this
24 subsection;
25 (B) (Blank). Upon the effective date of this
26 amendatory Act of 1995, all existing EMS System Project

SB3414- 84 -LRB098 16189 RPS 55673 b
1 Directors shall be considered EMS Administrative
2 Directors.
3 (9) Investigate the circumstances that caused a
4 hospital in an EMS system to go on bypass status to
5 determine whether that hospital's decision to go on bypass
6 status was reasonable. The Department may impose
7 sanctions, as set forth in Section 3.140 of the Act, upon a
8 Department determination that the hospital unreasonably
9 went on bypass status in violation of the Act.
10 (10) Evaluate the capacity and performance of any
11 freestanding emergency center established under Section
12 32.5 of this Act in meeting emergency medical service needs
13 of the public, including compliance with applicable
14 emergency medical standards and assurance of the
15 availability of and immediate access to the highest quality
16 of medical care possible.
17 (11) Permit limited EMS System participation by
18 facilities operated by the United States Department of
19 Veterans Affairs, Veterans Health Administration. Subject
20 to patient preference, Illinois EMS providers may
21 transport patients to Veterans Health Administration
22 facilities that voluntarily participate in an EMS System.
23 Any Veterans Health Administration facility seeking
24 limited participation in an EMS System shall agree to
25 comply with all Department administrative rules
26 implementing this Section. The Department may promulgate

SB3414- 85 -LRB098 16189 RPS 55673 b
1 rules, including, but not limited to, the types of Veterans
2 Health Administration facilities that may participate in
3 an EMS System and the limitations of participation.
4(Source: P.A. 96-1009, eff. 1-1-11; 96-1469, eff. 1-1-11;
597-333, eff. 8-12-11.)
6 (210 ILCS 50/3.25)
7 Sec. 3.25. EMS Region Plan; Development.
8 (a) Within 6 months after designation of an EMS Region, an
9EMS Region Plan addressing at least the information prescribed
10in Section 3.30 shall be submitted to the Department for
11approval. The Plan shall be developed by the Region's EMS
12Medical Directors Committee with advice from the Regional EMS
13Advisory Committee; portions of the plan concerning trauma
14shall be developed jointly with the Region's Trauma Center
15Medical Directors or Trauma Center Medical Directors
16Committee, whichever is applicable, with advice from the
17Regional Trauma Advisory Committee, if such Advisory Committee
18has been established in the Region. Portions of the Plan
19concerning stroke shall be developed jointly with the Regional
20Stroke Advisory Subcommittee.
21 (1) A Region's EMS Medical Directors Committee shall be
22 comprised of the Region's EMS Medical Directors, along with
23 the medical advisor to a fire department vehicle service
24 provider. For regions which include a municipal fire
25 department serving a population of over 2,000,000 people,

SB3414- 86 -LRB098 16189 RPS 55673 b
1 that fire department's medical advisor shall serve on the
2 Committee. For other regions, the fire department vehicle
3 service providers shall select which medical advisor to
4 serve on the Committee on an annual basis.
5 (2) A Region's Trauma Center Medical Directors
6 Committee shall be comprised of the Region's Trauma Center
7 Medical Directors.
8 (b) A Region's Trauma Center Medical Directors may choose
9to participate in the development of the EMS Region Plan
10through membership on the Regional EMS Advisory Committee,
11rather than through a separate Trauma Center Medical Directors
12Committee. If that option is selected, the Region's Trauma
13Center Medical Director shall also determine whether a separate
14Regional Trauma Advisory Committee is necessary for the Region.
15 (c) In the event of disputes over content of the Plan
16between the Region's EMS Medical Directors Committee and the
17Region's Trauma Center Medical Directors or Trauma Center
18Medical Directors Committee, whichever is applicable, the
19Director of the Illinois Department of Public Health shall
20intervene through a mechanism established by the Department
21through rules adopted pursuant to this Act.
22 (d) "Regional EMS Advisory Committee" means a committee
23formed within an Emergency Medical Services (EMS) Region to
24advise the Region's EMS Medical Directors Committee and to
25select the Region's representative to the State Emergency
26Medical Services Advisory Council, consisting of at least the

SB3414- 87 -LRB098 16189 RPS 55673 b
1members of the Region's EMS Medical Directors Committee, the
2Chair of the Regional Trauma Committee, the EMS System
3Coordinators from each Resource Hospital within the Region, one
4administrative representative from an Associate Hospital
5within the Region, one administrative representative from a
6Participating Hospital within the Region, one administrative
7representative from the vehicle service provider which
8responds to the highest number of calls for emergency service
9within the Region, one administrative representative of a
10vehicle service provider from each System within the Region,
11one individual from each level of license provided in Section
123.50 of this Act, one Pre-Hospital Registered Nurse Emergency
13Medical Technician (EMT)/Pre-Hospital RN from each level of
14EMT/Pre-Hospital RN practicing within the Region, and one
15registered professional nurse currently practicing in an
16emergency department within the Region. Of the 2 administrative
17representatives of vehicle service providers, at least one
18shall be an administrative representative of a private vehicle
19service provider. The Department's Regional EMS Coordinator
20for each Region shall serve as a non-voting member of that
21Region's EMS Advisory Committee.
22 Every 2 years, the members of the Region's EMS Medical
23Directors Committee shall rotate serving as Committee Chair,
24and select the Associate Hospital, Participating Hospital and
25vehicle service providers which shall send representatives to
26the Advisory Committee, and the EMS personnel

SB3414- 88 -LRB098 16189 RPS 55673 b
1EMTs/Pre-Hospital RN and nurse who shall serve on the Advisory
2Committee.
3 (e) "Regional Trauma Advisory Committee" means a committee
4formed within an Emergency Medical Services (EMS) Region, to
5advise the Region's Trauma Center Medical Directors Committee,
6consisting of at least the Trauma Center Medical Directors and
7Trauma Coordinators from each Trauma Center within the Region,
8one EMS Medical Director from a resource hospital within the
9Region, one EMS System Coordinator from another resource
10hospital within the Region, one representative each from a
11public and private vehicle service provider which transports
12trauma patients within the Region, an administrative
13representative from each trauma center within the Region, one
14EMR, EMD, EMT, EMT-I, AEMT, Paramedic, ECRN, or PHRN EMT
15representing the highest level of EMS personnel EMT practicing
16within the Region, one emergency physician and one Trauma Nurse
17Specialist (TNS) currently practicing in a trauma center. The
18Department's Regional EMS Coordinator for each Region shall
19serve as a non-voting member of that Region's Trauma Advisory
20Committee.
21 Every 2 years, the members of the Trauma Center Medical
22Directors Committee shall rotate serving as Committee Chair,
23and select the vehicle service providers, EMS personnel EMT,
24emergency physician, EMS System Coordinator and TNS who shall
25serve on the Advisory Committee.
26(Source: P.A. 96-514, eff. 1-1-10.)

SB3414- 89 -LRB098 16189 RPS 55673 b
1 (210 ILCS 50/3.35)
2 Sec. 3.35. Emergency Medical Services (EMS) Resource
3Hospital; Functions. The Resource Hospital of an EMS System
4shall:
5 (a) Prepare a Program Plan in accordance with the
6provisions of this Act and minimum standards and criteria
7established in rules adopted by the Department pursuant to this
8Act, and submit such Program Plan to the Department for
9approval.
10 (b) Appoint an EMS Medical Director, who will continually
11monitor and supervise the System and who will have the
12responsibility and authority for total management of the System
13as delegated by the EMS Resource Hospital.
14 The Program Plan shall require the EMS Medical Director to
15appoint an alternate EMS Medical Director and establish a
16written protocol addressing the functions to be carried out in
17his or her absence.
18 (c) Appoint an EMS System Coordinator and EMS
19Administrative Director in consultation with the EMS Medical
20Director and in accordance with rules adopted by the Department
21pursuant to this Act.
22 (d) Identify potential EMS System participants and obtain
23commitments from them for the provision of services.
24 (e) Educate or coordinate the education of EMS personnel
25and all other license holders EMT personnel in accordance with

SB3414- 90 -LRB098 16189 RPS 55673 b
1the requirements of this Act, rules adopted by the Department
2pursuant to this Act, and the EMS System Program Plan.
3 (f) Notify the Department of EMS personnel EMT provider
4personnel who have successfully completed the requirements as
5provided by law for initial licensure, license renewal, and
6license reinstatement testing and relicensure by the
7Department, except that an ILS or ALS level System may require
8its EMT-B personnel to apply directly to the Department for
9determination of successful completion of relicensure
10requirements.
11 (g) Educate or coordinate the education of Emergency
12Medical Dispatcher candidates, in accordance with the
13requirements of this Act, rules adopted by the Department
14pursuant to this Act, and the EMS System Program Plan.
15 (h) Establish or approve protocols for prearrival medical
16instructions to callers by System Emergency Medical
17Dispatchers who provide such instructions.
18 (i) Educate or coordinate the education of Pre-Hospital
19Registered Nurse RN and ECRN candidates, in accordance with the
20requirements of this Act, rules adopted by the Department
21pursuant to this Act, and the EMS System Program Plan.
22 (j) Approve Pre-Hospital Registered Nurse RN and ECRN
23candidates to practice within the System, and reapprove
24Pre-Hospital Registered Nurses RNs and ECRNs every 4 years in
25accordance with the requirements of the Department and the
26System Program Plan.

SB3414- 91 -LRB098 16189 RPS 55673 b
1 (k) Establish protocols for the use of Pre-Hospital
2Registered Nurses RNs within the System.
3 (l) Establish protocols for utilizing ECRNs and physicians
4licensed to practice medicine in all of its branches to monitor
5telecommunications from, and give voice orders to, EMS
6personnel, under the authority of the EMS Medical Director.
7 (m) Monitor emergency and non-emergency medical transports
8within the System, in accordance with rules adopted by the
9Department pursuant to this Act.
10 (n) Utilize levels of personnel required by the Department
11to provide emergency care to the sick and injured at the scene
12of an emergency, during transport to a hospital or during
13inter-hospital transport and within the hospital emergency
14department until the responsibility for the care of the patient
15is assumed by the medical personnel of a hospital emergency
16department or other facility within the hospital to which the
17patient is first delivered by System personnel.
18 (o) Utilize levels of personnel required by the Department
19to provide non-emergency medical services during transport to a
20health care facility and within the health care facility until
21the responsibility for the care of the patient is assumed by
22the medical personnel of the health care facility to which the
23patient is delivered by System personnel.
24 (p) Establish and implement a program for System
25participant information and education, in accordance with
26rules adopted by the Department pursuant to this Act.

SB3414- 92 -LRB098 16189 RPS 55673 b
1 (q) Establish and implement a program for public
2information and education, in accordance with rules adopted by
3the Department pursuant to this Act.
4 (r) Operate in compliance with the EMS Region Plan.
5(Source: P.A. 89-177, eff. 7-19-95.)
6 (210 ILCS 50/3.40)
7 Sec. 3.40. EMS System Participation Suspensions and Due
8Process.
9 (a) An EMS Medical Director may suspend from participation
10within the System any EMS personnel, EMS Lead Instructor (LI),
11individual, individual provider or other participant
12considered not to be meeting the requirements of the Program
13Plan of that approved EMS System.
14 (b) Prior to suspending any individual or entity an EMT or
15other provider, an EMS Medical Director shall provide an the
16EMT or provider with the opportunity for a hearing before the
17local System review board in accordance with subsection (f) and
18the rules promulgated by the Department.
19 (1) If the local System review board affirms or
20 modifies the EMS Medical Director's suspension order, the
21 individual or entity EMT or provider shall have the
22 opportunity for a review of the local board's decision by
23 the State EMS Disciplinary Review Board, pursuant to
24 Section 3.45 of this Act.
25 (2) If the local System review board reverses or

SB3414- 93 -LRB098 16189 RPS 55673 b
1 modifies the EMS Medical Director's suspension order, the
2 EMS Medical Director shall have the opportunity for a
3 review of the local board's decision by the State EMS
4 Disciplinary Review Board, pursuant to Section 3.45 of this
5 Act.
6 (3) The suspension shall commence only upon the
7 occurrence of one of the following:
8 (A) the individual or entity EMT or provider has
9 waived the opportunity for a hearing before the local
10 System review board; or
11 (B) the suspension order has been affirmed or
12 modified by the local system review board and the
13 individual or entity EMT or provider has waived the
14 opportunity for review by the State Board; or
15 (C) the suspension order has been affirmed or
16 modified by the local system review board, and the
17 local board's decision has been affirmed or modified by
18 the State Board.
19 (c) An EMS Medical Director may immediately suspend an EMR,
20EMD, EMT, EMT-I, AEMT, Paramedic, ECRN, PHRN, LI, or other
21individual or entity EMT or other provider if he or she finds
22that the information in his or her possession indicates that
23the continuation in practice by the individual or entity an EMT
24or other provider would constitute an imminent danger to the
25public. The suspended individual or entity EMT or other
26provider shall be issued an immediate verbal notification

SB3414- 94 -LRB098 16189 RPS 55673 b
1followed by a written suspension order to the EMT or other
2provider by the EMS Medical Director which states the length,
3terms and basis for the suspension.
4 (1) Within 24 hours following the commencement of the
5 suspension, the EMS Medical Director shall deliver to the
6 Department, by messenger, or telefax, or other
7 Department-approved electronic communication, a copy of
8 the suspension order and copies of any written materials
9 which relate to the EMS Medical Director's decision to
10 suspend the individual or entity EMT or provider. All
11 medical and patient-specific information, including
12 Department findings with respect to the quality of care
13 rendered, shall be strictly confidential pursuant to the
14 Medical Studies Act.
15 (2) Within 24 hours following the commencement of the
16 suspension, the suspended individual or entity EMT or
17 provider may deliver to the Department, by messenger, or
18 telefax, or other Department-approved electronic
19 communication, a written response to the suspension order
20 and copies of any written materials which the individual or
21 entity EMT or provider feels are appropriate relate to that
22 response. All medical and patient-specific information,
23 including Department findings with respect to the quality
24 of care rendered, shall be strictly confidential pursuant
25 to the Medical Studies Act.
26 (3) Within 24 hours following receipt of the EMS

SB3414- 95 -LRB098 16189 RPS 55673 b
1 Medical Director's suspension order or the individual or
2 entity's EMT or provider's written response, whichever is
3 later, the Director or the Director's designee shall
4 determine whether the suspension should be stayed pending
5 an the EMT's or provider's opportunity for a hearing or
6 review in accordance with this Act, or whether the
7 suspension should continue during the course of that
8 hearing or review. The Director or the Director's designee
9 shall issue this determination to the EMS Medical Director,
10 who shall immediately notify the suspended individual or
11 entity EMT or provider. The suspension shall remain in
12 effect during this period of review by the Director or the
13 Director's designee.
14 (d) Upon issuance of a suspension order for reasons
15directly related to medical care, the EMS Medical Director
16shall also provide the individual or entity EMT or provider
17with the opportunity for a hearing before the local System
18review board, in accordance with subsection (f) and the rules
19promulgated by the Department.
20 (1) If the local System review board affirms or
21 modifies the EMS Medical Director's suspension order, the
22 individual or entity EMT or provider shall have the
23 opportunity for a review of the local board's decision by
24 the State EMS Disciplinary Review Board, pursuant to
25 Section 3.45 of this Act.
26 (2) If the local System review board reverses or

SB3414- 96 -LRB098 16189 RPS 55673 b
1 modifies the EMS Medical Director's suspension order, the
2 EMS Medical Director shall have the opportunity for a
3 review of the local board's decision by the State EMS
4 Disciplinary Review Board, pursuant to Section 3.45 of this
5 Act.
6 (3) The suspended individual or entity EMT or provider
7 may elect to bypass the local System review board and seek
8 direct review of the EMS Medical Director's suspension
9 order by the State EMS Disciplinary Review Board.
10 (e) The Resource Hospital shall designate a local System
11review board in accordance with the rules of the Department,
12for the purpose of providing a hearing to any individual or
13entity individual provider participating within the System who
14is suspended from participation by the EMS Medical Director.
15The EMS Medical Director shall arrange for a certified
16shorthand reporter to make a stenographic record of that
17hearing and thereafter prepare a transcript of the proceedings.
18The transcript, all documents or materials received as evidence
19during the hearing and the local System review board's written
20decision shall be retained in the custody of the EMS system.
21The System shall implement a decision of the local System
22review board unless that decision has been appealed to the
23State Emergency Medical Services Disciplinary Review Board in
24accordance with this Act and the rules of the Department.
25 (f) The Resource Hospital shall implement a decision of the
26State Emergency Medical Services Disciplinary Review Board

SB3414- 97 -LRB098 16189 RPS 55673 b
1which has been rendered in accordance with this Act and the
2rules of the Department.
3(Source: P.A. 89-177, eff. 7-19-95.)
4 (210 ILCS 50/3.45)
5 Sec. 3.45. State Emergency Medical Services Disciplinary
6Review Board.
7 (a) The Governor shall appoint a State Emergency Medical
8Services Disciplinary Review Board, composed of an EMS Medical
9Director, an EMS System Coordinator, a Paramedic an Emergency
10Medical Technician-Paramedic (EMT-P), an Emergency Medical
11Technician (EMT) Technician-Basic (EMT-B), and the following
12members, who shall only review cases in which a party is from
13the same professional category: a Pre-Hospital Registered
14Nurse RN, an ECRN, a Trauma Nurse Specialist, an Emergency
15Medical Technician-Intermediate (EMT-I), an Advanced Emergency
16Medical Technician (AEMT), a representative from a private
17vehicle service provider, a representative from a public
18vehicle service provider, and an emergency physician who
19monitors telecommunications from and gives voice orders to EMS
20personnel. The Governor shall also appoint one alternate for
21each member of the Board, from the same professional category
22as the member of the Board.
23 (b) The Of the members first appointed, 2 members shall be
24appointed for a term of one year, 2 members shall be appointed
25for a term of 2 years and the remaining members shall be

SB3414- 98 -LRB098 16189 RPS 55673 b
1appointed for a term of 3 years. The terms of subsequent
2appointments shall be 3 years. All appointees shall serve until
3their successors are appointed. The alternate members shall be
4appointed and serve in the same fashion as the members of the
5Board. If a member resigns his or her appointment, the
6corresponding alternate shall serve the remainder of that
7member's term until a subsequent member is appointed by the
8Governor.
9 (c) The function of the Board is to review and affirm,
10reverse or modify disciplinary orders to suspend an EMT or
11other individual provider from participating within an EMS
12System.
13 (d) Any An individual or entity, individual provider or
14other participant who received an immediate suspension from an
15EMS Medical Director may request the Board to reverse or modify
16the suspension order. If the suspension had been affirmed or
17modified by a local System review board, the suspended
18individual or entity participant may request the Board to
19reverse or modify the local board's decision.
20 (e) Any An individual or entity , individual provider or
21other participant who received a non-immediate suspension
22order from an EMS Medical Director which was affirmed or
23modified by a local System review board may request the Board
24to reverse or modify the local board's decision.
25 (f) An EMS Medical Director whose suspension order was
26reversed or modified by a local System review board may request

SB3414- 99 -LRB098 16189 RPS 55673 b
1the Board to reverse or modify the local board's decision.
2 (g) The Board shall regularly meet on the first Tuesday of
3every month, unless no requests for review have been submitted.
4Additional meetings of the Board shall be scheduled as
5necessary to ensure insure that a request for direct review of
6an immediate suspension order is scheduled within 14 days after
7the Department receives the request for review or as soon
8thereafter as a quorum is available. The Board shall meet in
9Springfield or Chicago, whichever location is closer to the
10majority of the members or alternates attending the meeting.
11The Department shall reimburse the members and alternates of
12the Board for reasonable travel expenses incurred in attending
13meetings of the Board.
14 (h) A request for review shall be submitted in writing to
15the Chief of the Department's Division of Emergency Medical
16Services and Highway Safety, within 10 days after receiving the
17local board's decision or the EMS Medical Director's suspension
18order, whichever is applicable, a copy of which shall be
19enclosed.
20 (i) At its regularly scheduled meetings, the Board shall
21review requests which have been received by the Department at
22least 10 working days prior to the Board's meeting date.
23Requests for review which are received less than 10 working
24days prior to a scheduled meeting shall be considered at the
25Board's next scheduled meeting, except that requests for direct
26review of an immediate suspension order may be scheduled up to

SB3414- 100 -LRB098 16189 RPS 55673 b
13 working days prior to the Board's meeting date.
2 (j) A quorum shall be required for the Board to meet, which
3shall consist of 3 members or alternates, including the EMS
4Medical Director or alternate and the member or alternate from
5the same professional category as the subject of the suspension
6order. At each meeting of the Board, the members or alternates
7present shall select a Chairperson to conduct the meeting.
8 (k) Deliberations for decisions of the State EMS
9Disciplinary Review Board shall be conducted in closed session.
10Department staff may attend for the purpose of providing
11clerical assistance, but no other persons may be in attendance
12except for the parties to the dispute being reviewed by the
13Board and their attorneys, unless by request of the Board.
14 (l) The Board shall review the transcript, evidence and
15written decision of the local review board or the written
16decision and supporting documentation of the EMS Medical
17Director, whichever is applicable, along with any additional
18written or verbal testimony or argument offered by the parties
19to the dispute.
20 (m) At the conclusion of its review, the Board shall issue
21its decision and the basis for its decision on a form provided
22by the Department, and shall submit to the Department its
23written decision together with the record of the local System
24review board. The Department shall promptly issue a copy of the
25Board's decision to all affected parties. The Board's decision
26shall be binding on all parties.

SB3414- 101 -LRB098 16189 RPS 55673 b
1(Source: P.A. 89-177, eff. 7-19-95; 90-144, eff. 7-23-97.)
2 (210 ILCS 50/3.50)
3 Sec. 3.50. Emergency Medical Services personnel licensure
4levels Technician (EMT) Licensure.
5 (a) "Emergency Medical Technician Technician-Basic" or
6"EMT EMT-B" means a person who has successfully completed a
7course of instruction in basic life support as prescribed by
8the Department, is currently licensed by the Department in
9accordance with standards prescribed by this Act and rules
10adopted by the Department pursuant to this Act, and practices
11within an EMS System.
12 (b) "Emergency Medical Technician-Intermediate" or "EMT-I"
13means a person who has successfully completed a course of
14instruction in intermediate life support as approved
15prescribed by the Department, is currently licensed by the
16Department in accordance with standards prescribed by this Act
17and rules adopted by the Department pursuant to this Act, and
18practices within an Intermediate or Advanced Life Support EMS
19System.
20 (b-5) "Advanced Emergency Medical Technician" or "AEMT"
21means a person who has successfully completed a course in basic
22and limited advanced emergency medical care as approved by the
23Department, is currently licensed by the Department in
24accordance with standards prescribed by this Act and rules
25adopted by the Department pursuant to this Act, and practices

SB3414- 102 -LRB098 16189 RPS 55673 b
1within an Intermediate or Advanced Life Support EMS System.
2 (c) "Paramedic Emergency Medical Technician-Paramedic" or
3"EMT-P" means a person who has successfully completed a course
4of instruction in advanced life support care as approved
5prescribed by the Department, is licensed by the Department in
6accordance with standards prescribed by this Act and rules
7adopted by the Department pursuant to this Act, and practices
8within an Advanced Life Support EMS System.
9 (c-5) "Emergency Medical Responder" or "EMR" means a person
10who has successfully completed a course in emergency medical
11response as approved by the Department and provides emergency
12medical response services prior to the arrival of an ambulance
13or specialized emergency medical services vehicle, in
14accordance with the level of care established by the National
15EMS Educational Standards Emergency Medical Responder course
16as modified by the Department. An Emergency Medical Responder
17who provides services as part of an EMS System response plan
18shall comply with the applicable sections of the Program Plan,
19as approved by the Department, of that EMS System. The
20Department shall have the authority to adopt rules governing
21the curriculum, practice, and necessary equipment applicable
22to Emergency Medical Responders.
23 On the effective date of this amendatory Act of the 98th
24General Assembly, a person who is licensed by the Department as
25a First Responder and has completed a Department-approved
26course in first responder defibrillator training based on, or

SB3414- 103 -LRB098 16189 RPS 55673 b
1equivalent to, the National EMS Educational Standards or other
2standards previously recognized by the Department shall be
3eligible for licensure as an Emergency Medical Responder upon
4meeting the licensure requirements and submitting an
5application to the Department.
6 (c-10) All EMS Systems and licensees shall be fully
7compliant with the National EMS Education Standards, as
8modified by the Department in administrative rules, within 24
9months after the effective date of this amendatory Act of the
1098th General Assembly.
11 (d) The Department shall have the authority and
12responsibility to:
13 (1) Prescribe education and training requirements,
14 which includes training in the use of epinephrine, for all
15 levels of EMS personnel except for EMRs EMT, based on the
16 National EMS Educational Standards respective national
17 curricula of the United States Department of
18 Transportation and any modifications to those such
19 curricula specified by the Department through rules
20 adopted pursuant to this Act.
21 (2) Prescribe licensure testing requirements for all
22 levels of EMS personnel EMT, which shall include a
23 requirement that all phases of instruction, training, and
24 field experience be completed before taking the
25 appropriate EMT licensure examination. Candidates may
26 elect to take the appropriate National Registry of

SB3414- 104 -LRB098 16189 RPS 55673 b
1 Emergency Medical Technicians examination in lieu of the
2 Department's examination, but are responsible for making
3 their own arrangements for taking the National Registry
4 examination. In prescribing licensure testing requirements
5 for honorably discharged members of the armed forces of the
6 United States under this paragraph (2), the Department
7 shall ensure that a candidate's military emergency medical
8 training, emergency medical curriculum completed, and
9 clinical experience, as described in paragraph (2.5), are
10 recognized.
11 (2.5) Review applications for EMS personnel EMT
12 licensure from honorably discharged members of the armed
13 forces of the United States with military emergency medical
14 training. Applications shall be filed with the Department
15 within one year after military discharge and shall contain:
16 (i) proof of successful completion of military emergency
17 medical training; (ii) a detailed description of the
18 emergency medical curriculum completed; and (iii) a
19 detailed description of the applicant's clinical
20 experience. The Department may request additional and
21 clarifying information. The Department shall evaluate the
22 application, including the applicant's training and
23 experience, consistent with the standards set forth under
24 subsections (a), (b), (c), and (d) of Section 3.10. If the
25 application clearly demonstrates that the training and
26 experience meets such standards, the Department shall

SB3414- 105 -LRB098 16189 RPS 55673 b
1 offer the applicant the opportunity to successfully
2 complete a Department-approved EMS personnel EMT
3 examination for the class of license for which the
4 applicant is qualified. Upon passage of an examination, the
5 Department shall issue a license, which shall be subject to
6 all provisions of this Act that are otherwise applicable to
7 the class of EMS personnel EMT license issued.
8 (3) License individuals as an EMR, EMT EMT-B, EMT-I,
9 AEMT, or Paramedic EMT-P who have met the Department's
10 education, training and examination requirements.
11 (4) Prescribe annual continuing education and
12 relicensure requirements for all EMS personnel licensure
13 levels levels of EMT.
14 (5) Relicense individuals as an EMD, EMR, EMT EMT-B,
15 EMT-I, AEMT, or Paramedic EMT-P every 4 years, based on
16 their compliance with continuing education and relicensure
17 requirements as required by the Department pursuant to this
18 Act. Every 4 years, a Paramedic an EMT-P shall have 100
19 hours of approved continuing education, an EMT-I and an
20 advanced EMT shall have 80 hours of approved continuing
21 education, and an EMT EMT-B shall have 60 hours of approved
22 continuing education. An Illinois licensed EMR, EMD, EMT,
23 EMT-I, AEMT, Paramedic, ECRN, or PHRN Emergency Medical
24 Technician whose license has been expired for less than 36
25 months may apply for reinstatement by the Department.
26 Reinstatement shall require that the applicant (i) submit

SB3414- 106 -LRB098 16189 RPS 55673 b
1 satisfactory proof of completion of continuing medical
2 education and clinical requirements to be prescribed by the
3 Department in an administrative rule; (ii) submit a
4 positive recommendation from an Illinois EMS Medical
5 Director attesting to the applicant's qualifications for
6 retesting; and (iii) pass a Department approved test for
7 the level of EMS personnel EMT license sought to be
8 reinstated.
9 (6) Grant inactive status to any EMR, EMD, EMT, EMT-I,
10 AEMT, Paramedic, ECRN, or PHRN EMT who qualifies, based on
11 standards and procedures established by the Department in
12 rules adopted pursuant to this Act.
13 (7) Charge a fee for EMS personnel EMT examination,
14 licensure, and license renewal.
15 (8) Suspend, revoke, or refuse to issue or renew the
16 license of any licensee, after an opportunity for an
17 impartial hearing before a neutral administrative law
18 judge appointed by the Director, where the preponderance of
19 the evidence shows one or more of the following:
20 (A) The licensee has not met continuing education
21 or relicensure requirements as prescribed by the
22 Department;
23 (B) The licensee has failed to maintain
24 proficiency in the level of skills for which he or she
25 is licensed;
26 (C) The licensee, during the provision of medical

SB3414- 107 -LRB098 16189 RPS 55673 b
1 services, engaged in dishonorable, unethical, or
2 unprofessional conduct of a character likely to
3 deceive, defraud, or harm the public;
4 (D) The licensee has failed to maintain or has
5 violated standards of performance and conduct as
6 prescribed by the Department in rules adopted pursuant
7 to this Act or his or her EMS System's Program Plan;
8 (E) The licensee is physically impaired to the
9 extent that he or she cannot physically perform the
10 skills and functions for which he or she is licensed,
11 as verified by a physician, unless the person is on
12 inactive status pursuant to Department regulations;
13 (F) The licensee is mentally impaired to the extent
14 that he or she cannot exercise the appropriate
15 judgment, skill and safety for performing the
16 functions for which he or she is licensed, as verified
17 by a physician, unless the person is on inactive status
18 pursuant to Department regulations;
19 (G) The licensee has violated this Act or any rule
20 adopted by the Department pursuant to this Act; or
21 (H) The licensee has been convicted (or entered a
22 plea of guilty or nolo-contendere) by a court of
23 competent jurisdiction of a Class X, Class 1, or Class
24 2 felony in this State or an out-of-state equivalent
25 offense.
26 (d-5) An EMR, EMD, EMT, EMT-I, AEMT, Paramedic, ECRN, or

SB3414- 108 -LRB098 16189 RPS 55673 b
1PHRN An EMT who is a member of the Illinois National Guard or
2an Illinois State Trooper or who exclusively serves as a
3volunteer for units of local government with a population base
4of less than 5,000 or as a volunteer for a not-for-profit
5organization that serves a service area with a population base
6of less than 5,000 may submit an application to the Department
7for a waiver of the fees described under paragraph (7) of
8subsection (d) of this Section on a form prescribed by the
9Department.
10 The education requirements prescribed by the Department
11under this Section subsection must allow for the suspension of
12those requirements in the case of a member of the armed
13services or reserve forces of the United States or a member of
14the Illinois National Guard who is on active duty pursuant to
15an executive order of the President of the United States, an
16act of the Congress of the United States, or an order of the
17Governor at the time that the member would otherwise be
18required to fulfill a particular education requirement. Such a
19person must fulfill the education requirement within 6 months
20after his or her release from active duty.
21 (e) In the event that any rule of the Department or an EMS
22Medical Director that requires testing for drug use as a
23condition of the applicable EMS personnel license for EMT
24licensure conflicts with or duplicates a provision of a
25collective bargaining agreement that requires testing for drug
26use, that rule shall not apply to any person covered by the

SB3414- 109 -LRB098 16189 RPS 55673 b
1collective bargaining agreement.
2(Source: P.A. 97-333, eff. 8-12-11; 97-509, eff. 8-23-11;
397-813, eff. 7-13-12; 97-1014, eff. 1-1-13; 98-53, eff. 1-1-14;
498-463, eff. 8-16-13.)
5 (210 ILCS 50/3.55)
6 Sec. 3.55. Scope of practice.
7 (a) Any person currently licensed as an EMR, EMT EMT-B,
8EMT-I, AEMT, or Paramedic EMT-P may perform emergency and
9non-emergency medical services as defined in this Act, in
10accordance with his or her level of education, training and
11licensure, the standards of performance and conduct prescribed
12by the Department in rules adopted pursuant to this Act, and
13the requirements of the EMS System in which he or she
14practices, as contained in the approved Program Plan for that
15System. The Director may, by written order, temporarily modify
16individual scopes of practice in response to public health
17emergencies for periods not exceeding 180 days.
18 (a-5) EMS personnel A person currently approved as a First
19Responder or licensed as an EMT-B, EMT-I, or EMT-P who have has
20successfully completed a Department approved course in
21automated defibrillator operation and who are is functioning
22within a Department approved EMS System may utilize such
23automated defibrillator according to the standards of
24performance and conduct prescribed by the Department in rules
25adopted pursuant to this Act and the requirements of the EMS

SB3414- 110 -LRB098 16189 RPS 55673 b
1System in which they practice he or she practices, as contained
2in the approved Program Plan for that System.
3 (a-7) An EMT A person currently licensed as an EMT-B,
4EMT-I, AEMT, or Paramedic EMT-P who has successfully completed
5a Department approved course in the administration of
6epinephrine, shall be required to carry epinephrine with him or
7her as part of the EMS personnel EMT medical supplies whenever
8he or she is performing official the duties as determined by
9the EMS System of an emergency medical technician.
10 (b) An EMR, EMT A person currently licensed as an EMT-B,
11EMT-I, AEMT, or Paramedic EMT-P may only practice as an EMR,
12EMT, EMT-I, AEMT, or Paramedic EMT or utilize his or her EMR,
13EMT, EMT-I, AEMT, or Paramedic EMT license in pre-hospital or
14inter-hospital emergency care settings or non-emergency
15medical transport situations, under the written or verbal
16direction of the EMS Medical Director. For purposes of this
17Section, a "pre-hospital emergency care setting" may include a
18location, that is not a health care facility, which utilizes
19EMS personnel EMTs to render pre-hospital emergency care prior
20to the arrival of a transport vehicle. The location shall
21include communication equipment and all of the portable
22equipment and drugs appropriate for the EMR, EMT, EMT-I, AEMT,
23or Paramedic's EMT's level of care, as required by this Act,
24rules adopted by the Department pursuant to this Act, and the
25protocols of the EMS Systems, and shall operate only with the
26approval and under the direction of the EMS Medical Director.

SB3414- 111 -LRB098 16189 RPS 55673 b
1 This Section shall not prohibit an EMR, EMT EMT-B, EMT-I,
2AEMT, or Paramedic EMT-P from practicing within an emergency
3department or other health care setting for the purpose of
4receiving continuing education or training approved by the EMS
5Medical Director. This Section shall also not prohibit an EMT
6EMT-B, EMT-I, AEMT, or Paramedic EMT-P from seeking credentials
7other than his or her EMT, EMT-I, AEMT, or Paramedic license
8and utilizing such credentials to work in emergency departments
9or other health care settings under the jurisdiction of that
10employer.
11 (c) An EMT A person currently licensed as an EMT-B, EMT-I,
12AEMT, or Paramedic EMT-P may honor Do Not Resuscitate (DNR)
13orders and powers of attorney for health care only in
14accordance with rules adopted by the Department pursuant to
15this Act and protocols of the EMS System in which he or she
16practices.
17 (d) A student enrolled in a Department approved EMS
18personnel emergency medical technician program, while
19fulfilling the clinical training and in-field supervised
20experience requirements mandated for licensure or approval by
21the System and the Department, may perform prescribed
22procedures under the direct supervision of a physician licensed
23to practice medicine in all of its branches, a qualified
24registered professional nurse, or a qualified EMS personnel
25EMT, only when authorized by the EMS Medical Director.
26(Source: P.A. 92-376, eff. 8-15-01.)

SB3414- 112 -LRB098 16189 RPS 55673 b
1 (210 ILCS 50/3.65)
2 Sec. 3.65. EMS Lead Instructor.
3 (a) "EMS Lead Instructor" means a person who has
4successfully completed a course of education as approved
5prescribed by the Department, and who is currently approved by
6the Department to coordinate or teach education, training and
7continuing education courses, in accordance with standards
8prescribed by this Act and rules adopted by the Department
9pursuant to this Act.
10 (b) The Department shall have the authority and
11responsibility to:
12 (1) Prescribe education requirements for EMS Lead
13 Instructor candidates through rules adopted pursuant to
14 this Act.
15 (2) Prescribe testing requirements for EMS Lead
16 Instructor candidates through rules adopted pursuant to
17 this Act.
18 (3) Charge each candidate for EMS Lead Instructor a fee
19 to be submitted with an application for an examination, an
20 application for licensure certification, and an
21 application for licensure recertification.
22 (4) Approve individuals as EMS Lead Instructors who
23 have met the Department's education and testing
24 requirements.
25 (5) Require that all education, training and

SB3414- 113 -LRB098 16189 RPS 55673 b
1 continuing education courses for EMT EMT-B, EMT-I, AEMT,
2 Paramedic, PHRN EMT-P, Pre-Hospital RN, ECRN, EMR, First
3 Responder and Emergency Medical Dispatcher be coordinated
4 by at least one approved EMS Lead Instructor. A program
5 which includes education, training or continuing education
6 for more than one type of personnel may use one EMS Lead
7 Instructor to coordinate the program, and a single EMS Lead
8 Instructor may simultaneously coordinate more than one
9 program or course.
10 (6) Provide standards and procedures for awarding EMS
11 Lead Instructor approval to persons previously approved by
12 the Department to coordinate such courses, based on
13 qualifications prescribed by the Department through rules
14 adopted pursuant to this Act.
15 (7) Suspend, or revoke, or refuse to issue or renew the
16 approval of an EMS Lead Instructor, after an opportunity
17 for a hearing, when findings show one or more of the
18 following:
19 (A) The EMS Lead Instructor has failed to conduct a
20 course in accordance with the curriculum prescribed by
21 this Act and rules adopted by the Department pursuant
22 to this Act; or
23 (B) The EMS Lead Instructor has failed to comply
24 with protocols prescribed by the Department through
25 rules adopted pursuant to this Act.
26(Source: P.A. 96-1469, eff. 1-1-11.)

SB3414- 114 -LRB098 16189 RPS 55673 b
1 (210 ILCS 50/3.70)
2 Sec. 3.70. Emergency Medical Dispatcher.
3 (a) "Emergency Medical Dispatcher" means a person who has
4successfully completed a training course in emergency medical
5dispatching meeting or exceeding the national curriculum of the
6United States Department of Transportation in accordance with
7rules adopted by the Department pursuant to this Act, who
8accepts calls from the public for emergency medical services
9and dispatches designated emergency medical services personnel
10and vehicles. The Emergency Medical Dispatcher must use the
11Department-approved emergency medical dispatch priority
12reference system (EMDPRS) protocol selected for use by its
13agency and approved by its EMS medical director. This protocol
14must be used by an emergency medical dispatcher in an emergency
15medical dispatch agency to dispatch aid to medical emergencies
16which includes systematized caller interrogation questions;
17systematized prearrival support instructions; and systematized
18coding protocols that match the dispatcher's evaluation of the
19injury or illness severity with the vehicle response mode and
20vehicle response configuration and includes an appropriate
21training curriculum and testing process consistent with the
22specific EMDPRS protocol used by the emergency medical dispatch
23agency. Prearrival support instructions shall be provided in a
24non-discriminatory manner and shall be provided in accordance
25with the EMDPRS established by the EMS medical director of the

SB3414- 115 -LRB098 16189 RPS 55673 b
1EMS system in which the EMD operates. If the dispatcher
2operates under the authority of an Emergency Telephone System
3Board established under the Emergency Telephone System Act, the
4protocols shall be established by such Board in consultation
5with the EMS Medical Director. Persons who have already
6completed a course of instruction in emergency medical dispatch
7based on, equivalent to or exceeding the national curriculum of
8the United States Department of Transportation, or as otherwise
9approved by the Department, shall be considered Emergency
10Medical Dispatchers on the effective date of this amendatory
11Act.
12 (b) The Department shall have the authority and
13responsibility to:
14 (1) Require licensure and relicensure certification
15 and recertification of a person who meets the training and
16 other requirements as an emergency medical dispatcher
17 pursuant to this Act.
18 (2) Require licensure and relicensure certification
19 and recertification of a person, organization, or
20 government agency that operates an emergency medical
21 dispatch agency that meets the minimum standards
22 prescribed by the Department for an emergency medical
23 dispatch agency pursuant to this Act.
24 (3) Prescribe minimum education and continuing
25 education requirements for the Emergency Medical
26 Dispatcher, which meet standards specified by the national

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1 curriculum of the United States Department of
2 Transportation, through rules adopted pursuant to this
3 Act.
4 (4) Require each EMS Medical Director to report to the
5 Department whenever an action has taken place that may
6 require the revocation or suspension of a license
7 certificate issued by the Department.
8 (5) Require each EMD to provide prearrival
9 instructions in compliance with protocols selected and
10 approved by the system's EMS medical director and approved
11 by the Department.
12 (6) Require the Emergency Medical Dispatcher to keep
13 the Department currently informed as to the entity or
14 agency that employs or supervises his activities as an
15 Emergency Medical Dispatcher.
16 (7) Establish an annual relicensure recertification
17 requirement that requires at least 12 hours of medical
18 dispatch-specific continuing education as prescribed by
19 the Department through rules adopted pursuant to this Act
20 each year.
21 (8) Approve all EMDPRS protocols used by emergency
22 medical dispatch agencies to assure compliance with
23 national standards.
24 (9) Require that Department-approved emergency medical
25 dispatch training programs are conducted in accordance
26 with national standards.

SB3414- 117 -LRB098 16189 RPS 55673 b
1 (10) Require that the emergency medical dispatch
2 agency be operated in accordance with national standards,
3 including, but not limited to, (i) the use on every request
4 for medical assistance of an emergency medical dispatch
5 priority reference system (EMDPRS) in accordance with
6 Department-approved policies and procedures and (ii) under
7 the approval and supervision of the EMS medical director,
8 the establishment of a continuous quality improvement
9 program.
10 (11) Require that a person may not represent himself or
11 herself, nor may an agency or business represent an agent
12 or employee of that agency or business, as an emergency
13 medical dispatcher unless licensed certified by the
14 Department as an emergency medical dispatcher.
15 (12) Require that a person, organization, or
16 government agency not represent itself as an emergency
17 medical dispatch agency unless the person, organization,
18 or government agency is certified by the Department as an
19 emergency medical dispatch agency.
20 (13) Require that a person, organization, or
21 government agency may not offer or conduct a training
22 course that is represented as a course for an emergency
23 medical dispatcher unless the person, organization, or
24 agency is approved by the Department to offer or conduct
25 that course.
26 (14) Require that Department-approved emergency

SB3414- 118 -LRB098 16189 RPS 55673 b
1 medical dispatcher training programs are conducted by
2 instructors licensed by the Department who:
3 (i) are, at a minimum, licensed certified as
4 emergency medical dispatchers;
5 (ii) have completed a Department-approved course
6 on methods of instruction;
7 (iii) have previous experience in a medical
8 dispatch agency; and
9 (iv) have demonstrated experience as an EMS
10 instructor.
11 (15) Establish criteria for modifying or waiving
12 Emergency Medical Dispatcher requirements based on (i) the
13 scope and frequency of dispatch activities and the
14 dispatcher's access to training or (ii) whether the
15 previously-attended dispatcher training program merits
16 automatic relicensure recertification for the dispatcher.
17 (16) Charge each Emergency Medical Dispatcher
18 applicant a fee for licensure and license renewal.
19 (c) The Department shall have the authority to suspend,
20revoke, or refuse to issue or renew the license of an EMD when,
21after notice and the opportunity for an impartial hearing, the
22Department demonstrates that the licensee has violated this
23Act, violated the rules adopted by the Department, or failed to
24comply with the applicable standard of care.
25(Source: P.A. 96-1469, eff. 1-1-11.)

SB3414- 119 -LRB098 16189 RPS 55673 b
1 (210 ILCS 50/3.75)
2 Sec. 3.75. Trauma Nurse Specialist (TNS) licensure
3Certification.
4 (a) "Trauma Nurse Specialist" or "TNS" means a registered
5professional nurse with an unencumbered Registered Nurse (RN)
6license in the state in which he or she practices who has
7successfully completed supplemental education and testing
8requirements as prescribed by the Department, and is licensed
9certified by the Department in accordance with rules adopted by
10the Department pursuant to this Act.
11 (b) The Department shall have the authority and
12responsibility to:
13 (1) Establish criteria for TNS training sites, through
14 rules adopted pursuant to this Act;
15 (2) Prescribe education and testing requirements for
16 TNS candidates, which shall include an opportunity for
17 licensure certification based on examination only, through
18 rules adopted pursuant to this Act;
19 (3) Charge each candidate for TNS licensure
20 certification a fee to be submitted with an application for
21 a licensure certification examination, an application for
22 licensure certification, and an application for
23 relicensure recertification;
24 (4) License Certify an individual as a TNS who has met
25 the Department's education and testing requirements;
26 (5) Prescribe relicensure recertification requirements

SB3414- 120 -LRB098 16189 RPS 55673 b
1 through rules adopted pursuant to this Act;
2 (6) Relicense Recertify an individual as a TNS every 4
3 years, based on compliance with relicensure
4 recertification requirements;
5 (7) Grant inactive status to any TNS who qualifies,
6 based on standards and procedures established by the
7 Department in rules adopted pursuant to this Act; and
8 (8) Suspend, revoke, or refuse to issue or renew deny
9 renewal of the license certification of a TNS, after an
10 opportunity for hearing by the Department, if findings show
11 that the TNS has failed to maintain proficiency in the
12 level of skills for which the TNS is licensed certified or
13 has failed to comply with relicensure recertification
14 requirements.
15(Source: P.A. 96-1469, eff. 1-1-11.)
16 (210 ILCS 50/3.80)
17 Sec. 3.80. Pre-Hospital Registered Nurse RN and Emergency
18Communications Registered Nurse.
19 (a) Emergency Communications Registered Nurse or "ECRN"
20means a registered professional nurse with an unencumbered
21Registered Nurse (RN) license in the state in which he or she
22practices licensed under the Nurse Practice Act who has
23successfully completed supplemental education in accordance
24with rules adopted by the Department, and who is approved by an
25EMS Medical Director to monitor telecommunications from and

SB3414- 121 -LRB098 16189 RPS 55673 b
1give voice orders to EMS System personnel, under the authority
2of the EMS Medical Director and in accordance with System
3protocols.
4 Upon the effective date of this amendatory Act of 1995, all
5existing Registered Professional Nurse/MICNs shall be
6considered ECRNs.
7 (b) "Pre-Hospital Registered Nurse" or "PHRN"
8"Pre-Hospital RN" means a registered professional nurse with an
9unencumbered Registered Nurse(RN) license in the state in which
10he or she practices licensed under the Nurse Practice Act who
11has successfully completed supplemental education in
12accordance with rules adopted by the Department pursuant to
13this Act, and who is approved by an EMS Medical Director to
14practice within an Illinois EMS System as emergency medical
15services personnel for pre-hospital and inter-hospital
16emergency care and non-emergency medical transports.
17 Upon the effective date of this amendatory Act of 1995, all
18existing Registered Professional Nurse/Field RNs shall be
19considered Pre-Hospital RNs.
20 (c) The Department shall have the authority and
21responsibility to:
22 (1) Prescribe education and continuing education
23 requirements for Pre-Hospital Registered Nurse RN and ECRN
24 candidates through rules adopted pursuant to this Act:
25 (A) Education for Pre-Hospital Registered Nurse RN
26 shall include extrication, telecommunications, and

SB3414- 122 -LRB098 16189 RPS 55673 b
1 pre-hospital cardiac, medical, and trauma care;
2 (B) Education for ECRN shall include
3 telecommunications, System standing medical orders and
4 the procedures and protocols established by the EMS
5 Medical Director;
6 (C) A Pre-Hospital Registered Nurse RN candidate
7 who is fulfilling clinical training and in-field
8 supervised experience requirements may perform
9 prescribed procedures under the direct supervision of
10 a physician licensed to practice medicine in all of its
11 branches, a qualified registered professional nurse or
12 a qualified EMT, only when authorized by the EMS
13 Medical Director;
14 (D) An EMS Medical Director may impose in-field
15 supervised field experience requirements on System
16 ECRNs as part of their training or continuing
17 education, in which they perform prescribed procedures
18 under the direct supervision of a physician licensed to
19 practice medicine in all of its branches, a qualified
20 registered professional nurse, or qualified EMS
21 personnel EMT, only when authorized by the EMS Medical
22 Director;
23 (2) Require EMS Medical Directors to reapprove
24 Pre-Hospital Registered Nurses RNs and ECRNs every 4 years,
25 based on compliance with continuing education requirements
26 prescribed by the Department through rules adopted

SB3414- 123 -LRB098 16189 RPS 55673 b
1 pursuant to this Act;
2 (3) Allow EMS Medical Directors to grant inactive
3 status to any Pre-Hospital Registered Nurse RN or ECRN who
4 qualifies, based on standards and procedures established
5 by the Department in rules adopted pursuant to this Act;
6 (4) Require a Pre-Hospital Registered Nurse RN to honor
7 Do Not Resuscitate (DNR) orders and powers of attorney for
8 health care only in accordance with rules adopted by the
9 Department pursuant to this Act and protocols of the EMS
10 System in which he or she practices;
11 (5) Charge each Pre-Hospital Registered Nurse RN
12 applicant and ECRN applicant a fee for licensure and
13 relicensure certification and recertification.
14 (d) The Department shall have the authority to suspend,
15revoke, or refuse to issue or renew a Department-issued PHRN or
16ECRN license when, after notice and the opportunity for a
17hearing, the Department demonstrates that the licensee has
18violated this Act, violated the rules adopted by the
19Department, or failed to comply with the applicable standards
20of care.
21(Source: P.A. 95-639, eff. 10-5-07; 96-1469, eff. 1-1-11.)
22 (210 ILCS 50/3.130)
23 Sec. 3.130. Facility, system, and equipment violations;
24Plans of Correction. Except for emergency suspension orders, or
25actions initiated pursuant to Sections 3.117(a), 3.117(b), and

SB3414- 124 -LRB098 16189 RPS 55673 b
13.90(b)(10) of this Act, prior to initiating an action in
2response to a facility, system, or equipment violation for
3suspension, revocation, denial, nonrenewal, or imposition of a
4fine pursuant to this Act, the Department shall:
5 (a) Issue a Notice of Violation which specifies the
6Department's allegations of noncompliance and requests a plan
7of correction to be submitted within 10 days after receipt of
8the Notice of Violation;
9 (b) Review and approve or reject the plan of correction. If
10the Department rejects the plan of correction, it shall send
11notice of the rejection and the reason for the rejection. The
12party shall have 10 days after receipt of the notice of
13rejection in which to submit a modified plan;
14 (c) Impose a plan of correction if a modified plan is not
15submitted in a timely manner or if the modified plan is
16rejected by the Department;
17 (d) Issue a Notice of Intent to fine, suspend, revoke,
18nonrenew or deny if the party has failed to comply with the
19imposed plan of correction, and provide the party with an
20opportunity to request an administrative hearing. The Notice of
21Intent shall be effected by certified mail or by personal
22service, shall set forth the particular reasons for the
23proposed action, and shall provide the party with 15 days in
24which to request a hearing.
25(Source: P.A. 96-514, eff. 1-1-10; 96-1469, eff. 1-1-11.)

SB3414- 125 -LRB098 16189 RPS 55673 b
1 (210 ILCS 50/3.140)
2 Sec. 3.140. Violations; Fines.
3 (a) The Department shall have the authority to impose fines
4on any licensed vehicle service provider, stretcher van
5provider, designated trauma center, resource hospital,
6associate hospital, or participating hospital.
7 (b) The Department shall adopt rules pursuant to this Act
8which establish a system of fines related to the type and level
9of violation or repeat violation, including but not limited to:
10 (1) A fine not exceeding $10,000 for a violation which
11 created a condition or occurrence presenting a substantial
12 probability that death or serious harm to an individual
13 will or did result therefrom; and
14 (2) A fine not exceeding $5,000 for a violation which
15 creates or created a condition or occurrence which
16 threatens the health, safety or welfare of an individual.
17 (c) A Notice of Intent to Impose Fine may be issued in
18conjunction with or in lieu of a Notice of Intent to Suspend,
19Revoke, Nonrenew or Deny, and shall conform to the requirements
20specified in Section 3.130(d) of this Act. All Hearings
21conducted pursuant to a Notice of Intent to Impose Fine shall
22conform to the requirements specified in Section 3.135 of this
23Act.
24 (d) All fines collected pursuant to this Section shall be
25deposited into the EMS Assistance Fund.
26(Source: P.A. 89-177, eff. 7-19-95.)

SB3414- 126 -LRB098 16189 RPS 55673 b
1 (210 ILCS 50/3.165)
2 Sec. 3.165. Misrepresentation.
3 (a) No person shall hold himself or herself out to be or
4engage in the practice of an EMS Medical Director, EMS
5Administrative Director, EMS System Coordinator, EMR, EMD,
6EMT, EMT-I, AEMT, Paramedic, ECRN, PHRN, TNS, or LI EMT, Trauma
7Nurse Specialist, Pre-Hospital RN, Emergency Communications
8Registered Nurse, EMS Lead Instructor, Emergency Medical
9Dispatcher or First Responder without being licensed,
10certified, approved or otherwise authorized pursuant to this
11Act.
12 (b) A hospital or other entity which employs or utilizes an
13EMR, EMD, EMT, EMT-I, AEMT, or Paramedic EMT in a manner which
14is outside the scope of his or her EMT license shall not use
15the words "EMR", "EMT", "EMT-I", "AEMT", or "Paramedic"
16"emergency medical technician", "EMT" or "paramedic" in that
17person's job description or title, or in any other manner hold
18that person out to be so licensed an emergency medical
19technician.
20 (c) No provider or participant within an EMS System shall
21hold itself out as providing a type or level of service that
22has not been approved by that System's EMS Medical Director.
23(Source: P.A. 89-177, eff. 7-19-95.)
24 (210 ILCS 50/3.170)

SB3414- 127 -LRB098 16189 RPS 55673 b
1 Sec. 3.170. Falsification of Documents. No person shall
2fabricate any license or knowingly enter any false information
3on any application form, run sheet, record or other document
4required to be completed or submitted pursuant to this Act or
5any rule adopted pursuant to this Act, or knowingly submit any
6application form, run sheet, record or other document which
7contains false information.
8(Source: P.A. 89-177, eff. 7-19-95.)
9 (210 ILCS 50/3.180)
10 Sec. 3.180. Injunctions. Notwithstanding the existence or
11pursuit of any other remedy, the Director may, through the
12Attorney General, seek an injunction:
13 (a) To restrain or prevent any person or entity from
14functioning, practicing or operating without a license,
15certification, classification, approval, permit, designation
16or authorization required by this Act;
17 (b) To restrain or prevent any person, institution or
18governmental unit from representing itself to be a trauma
19center after the effective date of this amendatory Act of 1995
20without designation as such pursuant to this Act;
21 (c) To restrain or prevent any hospital or other entity
22which employs or utilizes an EMR, EMT, EMT-I, AEMT, or
23Paramedic EMT in a manner which is outside the scope of his or
24her EMT license from representing that person to be an EMR,
25EMT, EMT-I, AEMT, or Paramedic EMT.

SB3414- 128 -LRB098 16189 RPS 55673 b
1(Source: P.A. 89-177, eff. 7-19-95.)
2 (210 ILCS 50/3.200)
3 Sec. 3.200. State Emergency Medical Services Advisory
4Council.
5 (a) There shall be established within the Department of
6Public Health a State Emergency Medical Services Advisory
7Council, which shall serve as an advisory body to the
8Department on matters related to this Act.
9 (b) Membership of the Council shall include one
10representative from each EMS Region, to be appointed by each
11region's EMS Regional Advisory Committee. The Governor shall
12appoint additional members to the Council as necessary to
13insure that the Council includes one representative from each
14of the following categories:
15 (1) EMS Medical Director,
16 (2) Trauma Center Medical Director,
17 (3) Licensed, practicing physician with regular and
18 frequent involvement in the provision of emergency care,
19 (4) Licensed, practicing physician with special
20 expertise in the surgical care of the trauma patient,
21 (5) EMS System Coordinator,
22 (6) TNS,
23 (7) Paramedic EMT-P,
24 (7.5) AEMT,
25 (8) EMT-I,

SB3414- 129 -LRB098 16189 RPS 55673 b
1 (9) EMT EMT-B,
2 (10) Private vehicle service provider,
3 (11) Law enforcement officer,
4 (12) Chief of a public vehicle service provider,
5 (13) Statewide firefighters' union member affiliated
6 with a vehicle service provider,
7 (14) Administrative representative from a fire
8 department vehicle service provider in a municipality with
9 a population of over 2 million people;
10 (15) Administrative representative from a Resource
11 Hospital or EMS System Administrative Director.
12 (c) Members Of the members first appointed, 5 members shall
13be appointed for a term of one year, 5 members shall be
14appointed for a term of 2 years, and the remaining members
15shall be appointed for a term of 3 years. The terms of
16subsequent appointees shall be 3 years. All appointees shall
17serve until their successors are appointed and qualified.
18 (d) The Council shall be provided a 90-day period in which
19to review and comment, in consultation with the subcommittee to
20which the rules are relevant, upon all rules proposed by the
21Department pursuant to this Act, except for rules adopted
22pursuant to Section 3.190(a) of this Act, rules submitted to
23the State Trauma Advisory Council and emergency rules adopted
24pursuant to Section 5-45 of the Illinois Administrative
25Procedure Act. The 90-day review and comment period may
26commence upon the Department's submission of the proposed rules

SB3414- 130 -LRB098 16189 RPS 55673 b
1to the individual Council members, if the Council is not
2meeting at the time the proposed rules are ready for Council
3review. Any non-emergency rules adopted prior to the Council's
490-day review and comment period shall be null and void. If the
5Council fails to advise the Department within its 90-day review
6and comment period, the rule shall be considered acted upon.
7 (e) Council members shall be reimbursed for reasonable
8travel expenses incurred during the performance of their duties
9under this Section.
10 (f) The Department shall provide administrative support to
11the Council for the preparation of the agenda and minutes for
12Council meetings and distribution of proposed rules to Council
13members.
14 (g) The Council shall act pursuant to bylaws which it
15adopts, which shall include the annual election of a Chair and
16Vice-Chair.
17 (h) The Director or his designee shall be present at all
18Council meetings.
19 (i) Nothing in this Section shall preclude the Council from
20reviewing and commenting on proposed rules which fall under the
21purview of the State Trauma Advisory Council.
22(Source: P.A. 96-514, eff. 1-1-10.)
23 (210 ILCS 50/3.205)
24 Sec. 3.205. State Trauma Advisory Council.
25 (a) There shall be established within the Department of

SB3414- 131 -LRB098 16189 RPS 55673 b
1Public Health a State Trauma Advisory Council, which shall
2serve as an advisory body to the Department on matters related
3to trauma care and trauma centers.
4 (b) Membership of the Council shall include one
5representative from each Regional Trauma Advisory Committee,
6to be appointed by each Committee. The Governor shall appoint
7the following additional members:
8 (1) An EMS Medical Director,
9 (2) A trauma center medical director,
10 (3) A trauma surgeon,
11 (4) A trauma nurse coordinator,
12 (5) A representative from a private vehicle service
13 provider,
14 (6) A representative from a public vehicle service
15 provider,
16 (7) A member of the State EMS Advisory Council, and
17 (8) A neurosurgeon.
18 (c) Members Of the members first appointed, 5 members shall
19be appointed for a term of one year, 5 members shall be
20appointed for a term of 2 years, and the remaining members
21shall be appointed for a term of 3 years. The terms of
22subsequent appointees shall be 3 years. All appointees shall
23serve until their successors are appointed and qualified.
24 (d) The Council shall be provided a 90-day period in which
25to review and comment upon all rules proposed by the Department
26pursuant to this Act concerning trauma care, except for

SB3414- 132 -LRB098 16189 RPS 55673 b
1emergency rules adopted pursuant to Section 5-45 of the
2Illinois Administrative Procedure Act. The 90-day review and
3comment period may commence upon the Department's submission of
4the proposed rules to the individual Council members, if the
5Council is not meeting at the time the proposed rules are ready
6for Council review. Any non-emergency rules adopted prior to
7the Council's 90-day review and comment period shall be null
8and void. If the Council fails to advise the Department within
9its 90-day review and comment period, the rule shall be
10considered acted upon;
11 (e) Council members shall be reimbursed for reasonable
12travel expenses incurred during the performance of their duties
13under this Section.
14 (f) The Department shall provide administrative support to
15the Council for the preparation of the agenda and minutes for
16Council meetings and distribution of proposed rules to Council
17members.
18 (g) The Council shall act pursuant to bylaws which it
19adopts, which shall include the annual election of a Chair and
20Vice-Chair.
21 (h) The Director or his designee shall be present at all
22Council meetings.
23 (i) Nothing in this Section shall preclude the Council from
24reviewing and commenting on proposed rules which fall under the
25purview of the State EMS Advisory Council.
26(Source: P.A. 90-655, eff. 7-30-98; 91-743, eff. 6-2-00.)

SB3414- 133 -LRB098 16189 RPS 55673 b
1 (210 ILCS 50/3.210)
2 Sec. 3.210. EMS Medical Consultant. If the Chief of the
3Department's Division of Emergency Medical Services and
4Highway Safety is not a physician licensed to practice medicine
5in all of its branches, with extensive emergency medical
6services experience, and certified by the American Board of
7Emergency Medicine or the Osteopathic American Board of
8Osteopathic Emergency Medicine, then the Director shall
9appoint such a physician to serve as EMS Medical Consultant to
10the Division Chief.
11(Source: P.A. 89-177, eff. 7-19-95.)
12 Section 30. The Boxing and Full-contact Martial Arts Act is
13amended by changing Section 12 as follows:
14 (225 ILCS 105/12) (from Ch. 111, par. 5012)
15 (Section scheduled to be repealed on January 1, 2022)
16 Sec. 12. Professional or amateur contests.
17 (a) The professional or amateur contest, or a combination
18of both, shall be held in an area where adequate neurosurgical
19facilities are immediately available for skilled emergency
20treatment of an injured professional or amateur.
21 (b) Each professional or amateur shall be examined before
22the contest and promptly after each bout by a physician. The
23physician shall determine, prior to the contest, if each

SB3414- 134 -LRB098 16189 RPS 55673 b
1professional or amateur is physically fit to compete in the
2contest. After the bout the physician shall examine the
3professional or amateur to determine possible injury. If the
4professional's or amateur's physical condition so indicates,
5the physician shall recommend to the Department immediate
6medical suspension. The physician or a licensed paramedic
7emergency medical technician-paramedic (EMT-P) must check the
8vital signs of all contestants as established by rule.
9 (c) The physician may, at any time during the professional
10or amateur bout, stop the professional or amateur bout to
11examine a professional or amateur contestant and may direct the
12referee to terminate the bout when, in the physician's opinion,
13continuing the bout could result in serious injury to the
14professional or amateur. If the professional's or amateur's
15physical condition so indicates, the physician shall recommend
16to the Department immediate medical suspension. The physician
17shall certify to the condition of the professional or amateur
18in writing, over his signature on forms provided by the
19Department. Such reports shall be submitted to the Department
20in a timely manner.
21 (d) No professional or amateur contest, or a combination of
22both, shall be allowed to begin or be held unless at least one
23physician, at least one EMT and one paramedic EMT-P, and one
24ambulance have been contracted with solely for the care of
25professionals or amateurs who are competing as defined by rule.
26 (e) No professional boxing bout shall be more than 12

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1rounds in length. The rounds shall not be more than 3 minutes
2each with a one minute interval between them, and no
3professional boxer shall be allowed to participate in more than
4one contest within a 7-day period.
5 The number and length of rounds for all other professional
6or amateur boxing or full-contact martial arts contests, or a
7combination of both, shall be determined by rule.
8 (f) The number and types of officials required for each
9professional or amateur contest, or a combination of both,
10shall be determined by rule.
11 (g) The Department or its representative shall have
12discretion to declare a price, remuneration, or purse or any
13part of it belonging to the professional withheld if in the
14judgment of the Department or its representative the
15professional is not honestly competing.
16 (h) The Department shall have the authority to prevent a
17professional or amateur contest, or a combination of both, from
18being held and shall have the authority to stop a professional
19or amateur contest, or a combination of both, for noncompliance
20with any part of this Act or rules or when, in the judgment of
21the Department, or its representative, continuation of the
22event would endanger the health, safety, and welfare of the
23professionals or amateurs or spectators. The Department's
24authority to stop a contest on the basis that the professional
25or amateur contest, or a combination of both, would endanger
26the health, safety, and welfare of the professionals or

SB3414- 136 -LRB098 16189 RPS 55673 b
1amateurs or spectators shall extend to any professional or
2amateur contest, or a combination of both, regardless of
3whether that amateur contest is exempted from the prohibition
4in Section 6 of this Act. Department staff, or its
5representative, may be present at any full-contact martial arts
6contest with scheduled amateur bouts.
7(Source: P.A. 97-119, eff. 7-14-11.)
8 Section 35. The Abandoned Newborn Infant Protection Act is
9amended by changing Section 10 as follows:
10 (325 ILCS 2/10)
11 Sec. 10. Definitions. In this Act:
12 "Abandon" has the same meaning as in the Abused and
13Neglected Child Reporting Act.
14 "Abused child" has the same meaning as in the Abused and
15Neglected Child Reporting Act.
16 "Child-placing agency" means a licensed public or private
17agency that receives a child for the purpose of placing or
18arranging for the placement of the child in a foster family
19home or other facility for child care, apart from the custody
20of the child's parents.
21 "Department" or "DCFS" means the Illinois Department of
22Children and Family Services.
23 "Emergency medical facility" means a freestanding
24emergency center or trauma center, as defined in the Emergency

SB3414- 137 -LRB098 16189 RPS 55673 b
1Medical Services (EMS) Systems Act.
2 "Emergency medical professional" includes licensed
3physicians, and any emergency medical technician
4technician-basic, emergency medical technician-intermediate,
5advanced emergency medical technician, paramedic emergency
6medical technician-paramedic, trauma nurse specialist, and
7pre-hospital registered nurse RN, as defined in the Emergency
8Medical Services (EMS) Systems Act.
9 "Fire station" means a fire station within the State with
10at least one staff person.
11 "Hospital" has the same meaning as in the Hospital
12Licensing Act.
13 "Legal custody" means the relationship created by a court
14order in the best interest of a newborn infant that imposes on
15the infant's custodian the responsibility of physical
16possession of the infant, the duty to protect, train, and
17discipline the infant, and the duty to provide the infant with
18food, shelter, education, and medical care, except as these are
19limited by parental rights and responsibilities.
20 "Neglected child" has the same meaning as in the Abused and
21Neglected Child Reporting Act.
22 "Newborn infant" means a child who a licensed physician
23reasonably believes is 30 days old or less at the time the
24child is initially relinquished to a hospital, police station,
25fire station, or emergency medical facility, and who is not an
26abused or a neglected child.

SB3414- 138 -LRB098 16189 RPS 55673 b
1 "Police station" means a municipal police station, a county
2sheriff's office, a campus police department located on any
3college or university owned or controlled by the State or any
4private college or private university that is not owned or
5controlled by the State when employees of the campus police
6department are present, or any of the district headquarters of
7the Illinois State Police.
8 "Relinquish" means to bring a newborn infant, who a
9licensed physician reasonably believes is 30 days old or less,
10to a hospital, police station, fire station, or emergency
11medical facility and to leave the infant with personnel of the
12facility, if the person leaving the infant does not express an
13intent to return for the infant or states that he or she will
14not return for the infant. In the case of a mother who gives
15birth to an infant in a hospital, the mother's act of leaving
16that newborn infant at the hospital (i) without expressing an
17intent to return for the infant or (ii) stating that she will
18not return for the infant is not a "relinquishment" under this
19Act.
20 "Temporary protective custody" means the temporary
21placement of a newborn infant within a hospital or other
22medical facility out of the custody of the infant's parent.
23(Source: P.A. 96-345, eff. 1-1-10; 97-293, eff. 8-11-11.)
24 Section 40. The Coal Mine Medical Emergencies Act is
25amended by changing Section 2 as follows:

SB3414- 139 -LRB098 16189 RPS 55673 b
1 (410 ILCS 15/2) (from Ch. 96 1/2, par. 3952)
2 Sec. 2. As used in this Act, unless the context clearly
3otherwise requires:
4 (a) "Emergency medical technician" means a person who has
5successfully completed the course on emergency first-aid care
6and transportation of the sick and injured recommended by the
7American Academy of Orthopedic Surgeons, or the equivalent
8thereof, and has been licensed certified by the Department of
9Public Health to provide emergency care.
10 (b) "Mine" means any surface coal mine or underground coal
11mine, as defined in Section 1.03 of "The Coal Mining Act of
121953".
13(Source: P.A. 80-294.)
14 Section 45. The AIDS Confidentiality Act is amended by
15changing Sections 7 and 9 as follows:
16 (410 ILCS 305/7) (from Ch. 111 1/2, par. 7307)
17 Sec. 7. (a) Notwithstanding the provisions of Sections 4, 5
18and 6 of this Act, informed consent is not required for a
19health care provider or health facility to perform a test when
20the health care provider or health facility procures,
21processes, distributes or uses a human body part donated for a
22purpose specified under the Illinois Anatomical Gift Act, or
23semen provided prior to the effective date of this Act for the

SB3414- 140 -LRB098 16189 RPS 55673 b
1purpose of artificial insemination, and such a test is
2necessary to assure medical acceptability of such gift or semen
3for the purposes intended.
4 (b) Informed consent is not required for a health care
5provider or health facility to perform a test when a health
6care provider or employee of a health facility, or a
7firefighter or an EMT-A, EMT, EMT-I, AEMT, or paramedic EMT-P,
8is involved in an accidental direct skin or mucous membrane
9contact with the blood or bodily fluids of an individual which
10is of a nature that may transmit HIV, as determined by a
11physician in his medical judgment. Should such test prove to be
12positive, the patient and the health care provider, health
13facility employee, firefighter, EMT-A, EMT, EMT-I, AEMT, or
14paramedic EMT-P shall be provided appropriate counseling
15consistent with this Act.
16 (c) Informed consent is not required for a health care
17provider or health facility to perform a test when a law
18enforcement officer is involved in the line of duty in a direct
19skin or mucous membrane contact with the blood or bodily fluids
20of an individual which is of a nature that may transmit HIV, as
21determined by a physician in his medical judgment. Should such
22test prove to be positive, the patient shall be provided
23appropriate counseling consistent with this Act. For purposes
24of this subsection (c), "law enforcement officer" means any
25person employed by the State, a county or a municipality as a
26policeman, peace officer, auxiliary policeman, correctional

SB3414- 141 -LRB098 16189 RPS 55673 b
1officer or in some like position involving the enforcement of
2the law and protection of the public interest at the risk of
3that person's life.
4(Source: P.A. 95-7, eff. 6-1-08.)
5 (410 ILCS 305/9) (from Ch. 111 1/2, par. 7309)
6 Sec. 9. No person may disclose or be compelled to disclose
7the identity of any person upon whom a test is performed, or
8the results of such a test in a manner which permits
9identification of the subject of the test, except to the
10following persons:
11 (a) The subject of the test or the subject's legally
12authorized representative. A physician may notify the spouse of
13the test subject, if the test result is positive and has been
14confirmed pursuant to rules adopted by the Department, provided
15that the physician has first sought unsuccessfully to persuade
16the patient to notify the spouse or that, a reasonable time
17after the patient has agreed to make the notification, the
18physician has reason to believe that the patient has not
19provided the notification. This paragraph shall not create a
20duty or obligation under which a physician must notify the
21spouse of the test results, nor shall such duty or obligation
22be implied. No civil liability or criminal sanction under this
23Act shall be imposed for any disclosure or non-disclosure of a
24test result to a spouse by a physician acting in good faith
25under this paragraph. For the purpose of any proceedings, civil

SB3414- 142 -LRB098 16189 RPS 55673 b
1or criminal, the good faith of any physician acting under this
2paragraph shall be presumed.
3 (b) Any person designated in a legally effective release of
4the test results executed by the subject of the test or the
5subject's legally authorized representative.
6 (c) An authorized agent or employee of a health facility or
7health care provider if the health facility or health care
8provider itself is authorized to obtain the test results, the
9agent or employee provides patient care or handles or processes
10specimens of body fluids or tissues, and the agent or employee
11has a need to know such information.
12 (d) The Department and local health authorities serving a
13population of over 1,000,000 residents or other local health
14authorities as designated by the Department, in accordance with
15rules for reporting and controlling the spread of disease, as
16otherwise provided by State law. The Department, local health
17authorities, and authorized representatives shall not disclose
18information and records held by them relating to known or
19suspected cases of AIDS or HIV infection, publicly or in any
20action of any kind in any court or before any tribunal, board,
21or agency. AIDS and HIV infection data shall be protected from
22disclosure in accordance with the provisions of Sections 8-2101
23through 8-2105 of the Code of Civil Procedure.
24 (e) A health facility or health care provider which
25procures, processes, distributes or uses: (i) a human body part
26from a deceased person with respect to medical information

SB3414- 143 -LRB098 16189 RPS 55673 b
1regarding that person; or (ii) semen provided prior to the
2effective date of this Act for the purpose of artificial
3insemination.
4 (f) Health facility staff committees for the purposes of
5conducting program monitoring, program evaluation or service
6reviews.
7 (f-5) A court in accordance with the provisions of Section
812-5.01 of the Criminal Code of 2012.
9 (g) (Blank).
10 (h) Any health care provider or employee of a health
11facility, and any firefighter or EMT-A, EMT, AEMT, paramedic
12EMT-P, or EMT-I, involved in an accidental direct skin or
13mucous membrane contact with the blood or bodily fluids of an
14individual which is of a nature that may transmit HIV, as
15determined by a physician in his medical judgment.
16 (i) Any law enforcement officer, as defined in subsection
17(c) of Section 7, involved in the line of duty in a direct skin
18or mucous membrane contact with the blood or bodily fluids of
19an individual which is of a nature that may transmit HIV, as
20determined by a physician in his medical judgment.
21 (j) A temporary caretaker of a child taken into temporary
22protective custody by the Department of Children and Family
23Services pursuant to Section 5 of the Abused and Neglected
24Child Reporting Act, as now or hereafter amended.
25 (k) In the case of a minor under 18 years of age whose test
26result is positive and has been confirmed pursuant to rules

SB3414- 144 -LRB098 16189 RPS 55673 b
1adopted by the Department, the health care provider who ordered
2the test shall make a reasonable effort to notify the minor's
3parent or legal guardian if, in the professional judgment of
4the health care provider, notification would be in the best
5interest of the child and the health care provider has first
6sought unsuccessfully to persuade the minor to notify the
7parent or legal guardian or a reasonable time after the minor
8has agreed to notify the parent or legal guardian, the health
9care provider has reason to believe that the minor has not made
10the notification. This subsection shall not create a duty or
11obligation under which a health care provider must notify the
12minor's parent or legal guardian of the test results, nor shall
13a duty or obligation be implied. No civil liability or criminal
14sanction under this Act shall be imposed for any notification
15or non-notification of a minor's test result by a health care
16provider acting in good faith under this subsection. For the
17purpose of any proceeding, civil or criminal, the good faith of
18any health care provider acting under this subsection shall be
19presumed.
20(Source: P.A. 96-328, eff. 8-11-09; 97-1046, eff. 8-21-12;
2197-1150, eff. 1-25-13.)
22 Section 50. The Burn Injury Reporting Act is amended by
23changing Section 5 as follows:
24 (425 ILCS 7/5)

SB3414- 145 -LRB098 16189 RPS 55673 b
1 Sec. 5. Burn injury reporting.
2 (a) Every case of a burn injury treated in a hospital as
3described in this Act may be reported to the Office of the
4State Fire Marshal. The hospital's administrator, manager,
5superintendent, or his or her designee deciding to report under
6this Act shall make an oral report of every burn injury in a
7timely manner as soon as treatment permits, except as provided
8in subsection (c) of this Section, that meets one of the
9following criteria:
10 (1) a person receives a serious second-degree burn or a
11 third degree burn, but not a radiation burn, to 10% or more
12 of the person's body as a whole;
13 (2) a person sustains a burn to the upper respiratory
14 tract or occurring laryngeal edema due to the inhalation of
15 superheated air;
16 (3) a person sustains any burn injury likely to result
17 in death; or
18 (4) a person sustains any other burn injury not
19 excluded by subsection (c).
20 (b) The oral report shall consist of notification by
21telephone to the Office of the State Fire Marshal using a
22toll-free number established by the Office of the State Fire
23Marshal for this purpose.
24 (c) A hospital's administrator, manager, superintendent,
25or his or her designee deciding to report under this Act shall
26not report any of the following burn injuries:

SB3414- 146 -LRB098 16189 RPS 55673 b
1 (1) a burn injury of an emergency medical a first
2 responder, as defined in Section 3.50 3.60 of the Emergency
3 Medical Services (EMS) Systems Act, sustained in the line
4 of duty;
5 (2) a burn injury caused by lighting;
6 (3) a burn injury caused by a motor vehicle accident;
7 or
8 (4) a burn injury caused by an identifiable industrial
9 accident or work-related accident.
10(Source: P.A. 94-828, eff. 1-1-07.)
11 Section 55. The Illinois Vehicle Code is amended by
12changing Sections 11-501.01 11-501.2 and as follows:
13 (625 ILCS 5/11-501.01)
14 Sec. 11-501.01. Additional administrative sanctions.
15 (a) After a finding of guilt and prior to any final
16sentencing or an order for supervision, for an offense based
17upon an arrest for a violation of Section 11-501 or a similar
18provision of a local ordinance, individuals shall be required
19to undergo a professional evaluation to determine if an
20alcohol, drug, or intoxicating compound abuse problem exists
21and the extent of the problem, and undergo the imposition of
22treatment as appropriate. Programs conducting these
23evaluations shall be licensed by the Department of Human
24Services. The cost of any professional evaluation shall be paid

SB3414- 147 -LRB098 16189 RPS 55673 b
1for by the individual required to undergo the professional
2evaluation.
3 (b) Any person who is found guilty of or pleads guilty to
4violating Section 11-501, including any person receiving a
5disposition of court supervision for violating that Section,
6may be required by the Court to attend a victim impact panel
7offered by, or under contract with, a county State's Attorney's
8office, a probation and court services department, Mothers
9Against Drunk Driving, or the Alliance Against Intoxicated
10Motorists. All costs generated by the victim impact panel shall
11be paid from fees collected from the offender or as may be
12determined by the court.
13 (c) Every person found guilty of violating Section 11-501,
14whose operation of a motor vehicle while in violation of that
15Section proximately caused any incident resulting in an
16appropriate emergency response, shall be liable for the expense
17of an emergency response as provided in subsection (i) of this
18Section.
19 (d) The Secretary of State shall revoke the driving
20privileges of any person convicted under Section 11-501 or a
21similar provision of a local ordinance.
22 (e) The Secretary of State shall require the use of
23ignition interlock devices on all vehicles owned by a person
24who has been convicted of a second or subsequent offense of
25Section 11-501 or a similar provision of a local ordinance. The
26person must pay to the Secretary of State DUI Administration

SB3414- 148 -LRB098 16189 RPS 55673 b
1Fund an amount not to exceed $30 for each month that he or she
2uses the device. The Secretary shall establish by rule and
3regulation the procedures for certification and use of the
4interlock system, the amount of the fee, and the procedures,
5terms, and conditions relating to these fees.
6 (f) In addition to any other penalties and liabilities, a
7person who is found guilty of or pleads guilty to violating
8Section 11-501, including any person placed on court
9supervision for violating Section 11-501, shall be assessed
10$750, payable to the circuit clerk, who shall distribute the
11money as follows: $350 to the law enforcement agency that made
12the arrest, and $400 shall be forwarded to the State Treasurer
13for deposit into the General Revenue Fund. If the person has
14been previously convicted of violating Section 11-501 or a
15similar provision of a local ordinance, the fine shall be
16$1,000, and the circuit clerk shall distribute $200 to the law
17enforcement agency that made the arrest and $800 to the State
18Treasurer for deposit into the General Revenue Fund. In the
19event that more than one agency is responsible for the arrest,
20the amount payable to law enforcement agencies shall be shared
21equally. Any moneys received by a law enforcement agency under
22this subsection (f) shall be used for enforcement and
23prevention of driving while under the influence of alcohol,
24other drug or drugs, intoxicating compound or compounds or any
25combination thereof, as defined by Section 11-501 of this Code,
26including but not limited to the purchase of law enforcement

SB3414- 149 -LRB098 16189 RPS 55673 b
1equipment and commodities that will assist in the prevention of
2alcohol related criminal violence throughout the State; police
3officer training and education in areas related to alcohol
4related crime, including but not limited to DUI training; and
5police officer salaries, including but not limited to salaries
6for hire back funding for safety checkpoints, saturation
7patrols, and liquor store sting operations. Any moneys received
8by the Department of State Police under this subsection (f)
9shall be deposited into the State Police DUI Fund and shall be
10used to purchase law enforcement equipment that will assist in
11the prevention of alcohol related criminal violence throughout
12the State.
13 (g) The Secretary of State Police DUI Fund is created as a
14special fund in the State treasury. All moneys received by the
15Secretary of State Police under subsection (f) of this Section
16shall be deposited into the Secretary of State Police DUI Fund
17and, subject to appropriation, shall be used for enforcement
18and prevention of driving while under the influence of alcohol,
19other drug or drugs, intoxicating compound or compounds or any
20combination thereof, as defined by Section 11-501 of this Code,
21including but not limited to the purchase of law enforcement
22equipment and commodities to assist in the prevention of
23alcohol related criminal violence throughout the State; police
24officer training and education in areas related to alcohol
25related crime, including but not limited to DUI training; and
26police officer salaries, including but not limited to salaries

SB3414- 150 -LRB098 16189 RPS 55673 b
1for hire back funding for safety checkpoints, saturation
2patrols, and liquor store sting operations.
3 (h) Whenever an individual is sentenced for an offense
4based upon an arrest for a violation of Section 11-501 or a
5similar provision of a local ordinance, and the professional
6evaluation recommends remedial or rehabilitative treatment or
7education, neither the treatment nor the education shall be the
8sole disposition and either or both may be imposed only in
9conjunction with another disposition. The court shall monitor
10compliance with any remedial education or treatment
11recommendations contained in the professional evaluation.
12Programs conducting alcohol or other drug evaluation or
13remedial education must be licensed by the Department of Human
14Services. If the individual is not a resident of Illinois,
15however, the court may accept an alcohol or other drug
16evaluation or remedial education program in the individual's
17state of residence. Programs providing treatment must be
18licensed under existing applicable alcoholism and drug
19treatment licensure standards.
20 (i) In addition to any other fine or penalty required by
21law, an individual convicted of a violation of Section 11-501,
22Section 5-7 of the Snowmobile Registration and Safety Act,
23Section 5-16 of the Boat Registration and Safety Act, or a
24similar provision, whose operation of a motor vehicle,
25snowmobile, or watercraft while in violation of Section 11-501,
26Section 5-7 of the Snowmobile Registration and Safety Act,

SB3414- 151 -LRB098 16189 RPS 55673 b
1Section 5-16 of the Boat Registration and Safety Act, or a
2similar provision proximately caused an incident resulting in
3an appropriate emergency response, shall be required to make
4restitution to a public agency for the costs of that emergency
5response. The restitution may not exceed $1,000 per public
6agency for each emergency response. As used in this subsection
7(i), "emergency response" means any incident requiring a
8response by a police officer, a firefighter carried on the
9rolls of a regularly constituted fire department, or an
10ambulance. With respect to funds designated for the Department
11of State Police, the moneys shall be remitted by the circuit
12court clerk to the State Police within one month after receipt
13for deposit into the State Police DUI Fund. With respect to
14funds designated for the Department of Natural Resources, the
15Department of Natural Resources shall deposit the moneys into
16the Conservation Police Operations Assistance Fund.
17 (j) A person that is subject to a chemical test or tests of
18blood under subsection (a) of Section 11-501.1 or subdivision
19(c)(2) of Section 11-501.2 of this Code, whether or not that
20person consents to testing, shall be liable for the expense up
21to $500 for blood withdrawal by a physician authorized to
22practice medicine, a licensed physician assistant, a licensed
23advanced practice nurse, a registered nurse, a trained
24phlebotomist, a licensed certified paramedic, or a qualified
25person other than a police officer approved by the Department
26of State Police to withdraw blood, who responds, whether at a

SB3414- 152 -LRB098 16189 RPS 55673 b
1law enforcement facility or a health care facility, to a police
2department request for the drawing of blood based upon refusal
3of the person to submit to a lawfully requested breath test or
4probable cause exists to believe the test would disclose the
5ingestion, consumption, or use of drugs or intoxicating
6compounds if:
7 (1) the person is found guilty of violating Section
8 11-501 of this Code or a similar provision of a local
9 ordinance; or
10 (2) the person pleads guilty to or stipulates to facts
11 supporting a violation of Section 11-503 of this Code or a
12 similar provision of a local ordinance when the plea or
13 stipulation was the result of a plea agreement in which the
14 person was originally charged with violating Section
15 11-501 of this Code or a similar local ordinance.
16(Source: P.A. 97-931, eff. 1-1-13; 97-1050, eff. 1-1-13;
1798-292, eff. 1-1-14; 98-463, eff. 8-16-13.)
18 (625 ILCS 5/11-501.2) (from Ch. 95 1/2, par. 11-501.2)
19 Sec. 11-501.2. Chemical and other tests.
20 (a) Upon the trial of any civil or criminal action or
21proceeding arising out of an arrest for an offense as defined
22in Section 11-501 or a similar local ordinance or proceedings
23pursuant to Section 2-118.1, evidence of the concentration of
24alcohol, other drug or drugs, or intoxicating compound or
25compounds, or any combination thereof in a person's blood or

SB3414- 153 -LRB098 16189 RPS 55673 b
1breath at the time alleged, as determined by analysis of the
2person's blood, urine, breath or other bodily substance, shall
3be admissible. Where such test is made the following provisions
4shall apply:
5 1. Chemical analyses of the person's blood, urine,
6 breath or other bodily substance to be considered valid
7 under the provisions of this Section shall have been
8 performed according to standards promulgated by the
9 Department of State Police by a licensed physician,
10 registered nurse, trained phlebotomist, licensed certified
11 paramedic, or other individual possessing a valid permit
12 issued by that Department for this purpose. The Director of
13 State Police is authorized to approve satisfactory
14 techniques or methods, to ascertain the qualifications and
15 competence of individuals to conduct such analyses, to
16 issue permits which shall be subject to termination or
17 revocation at the discretion of that Department and to
18 certify the accuracy of breath testing equipment. The
19 Department of State Police shall prescribe regulations as
20 necessary to implement this Section.
21 2. When a person in this State shall submit to a blood
22 test at the request of a law enforcement officer under the
23 provisions of Section 11-501.1, only a physician
24 authorized to practice medicine, a licensed physician
25 assistant, a licensed advanced practice nurse, a
26 registered nurse, trained phlebotomist, or licensed

SB3414- 154 -LRB098 16189 RPS 55673 b
1 certified paramedic, or other qualified person approved by
2 the Department of State Police may withdraw blood for the
3 purpose of determining the alcohol, drug, or alcohol and
4 drug content therein. This limitation shall not apply to
5 the taking of breath or urine specimens.
6 When a blood test of a person who has been taken to an
7 adjoining state for medical treatment is requested by an
8 Illinois law enforcement officer, the blood may be
9 withdrawn only by a physician authorized to practice
10 medicine in the adjoining state, a licensed physician
11 assistant, a licensed advanced practice nurse, a
12 registered nurse, a trained phlebotomist acting under the
13 direction of the physician, or licensed certified
14 paramedic. The law enforcement officer requesting the test
15 shall take custody of the blood sample, and the blood
16 sample shall be analyzed by a laboratory certified by the
17 Department of State Police for that purpose.
18 3. The person tested may have a physician, or a
19 qualified technician, chemist, registered nurse, or other
20 qualified person of their own choosing administer a
21 chemical test or tests in addition to any administered at
22 the direction of a law enforcement officer. The failure or
23 inability to obtain an additional test by a person shall
24 not preclude the admission of evidence relating to the test
25 or tests taken at the direction of a law enforcement
26 officer.

SB3414- 155 -LRB098 16189 RPS 55673 b
1 4. Upon the request of the person who shall submit to a
2 chemical test or tests at the request of a law enforcement
3 officer, full information concerning the test or tests
4 shall be made available to the person or such person's
5 attorney.
6 5. Alcohol concentration shall mean either grams of
7 alcohol per 100 milliliters of blood or grams of alcohol
8 per 210 liters of breath.
9 (a-5) Law enforcement officials may use standardized field
10sobriety tests approved by the National Highway Traffic Safety
11Administration when conducting investigations of a violation
12of Section 11-501 or similar local ordinance by drivers
13suspected of driving under the influence of cannabis. The
14General Assembly finds that standardized field sobriety tests
15approved by the National Highway Traffic Safety Administration
16are divided attention tasks that are intended to determine if a
17person is under the influence of cannabis. The purpose of these
18tests is to determine the effect of the use of cannabis on a
19person's capacity to think and act with ordinary care and
20therefore operate a motor vehicle safely. Therefore, the
21results of these standardized field sobriety tests,
22appropriately administered, shall be admissible in the trial of
23any civil or criminal action or proceeding arising out of an
24arrest for a cannabis-related offense as defined in Section
2511-501 or a similar local ordinance or proceedings under
26Section 2-118.1. Where a test is made the following provisions

SB3414- 156 -LRB098 16189 RPS 55673 b
1shall apply:
2 1. The person tested may have a physician, or a
3 qualified technician, chemist, registered nurse, or other
4 qualified person of their own choosing administer a
5 chemical test or tests in addition to the standardized
6 field sobriety test or tests administered at the direction
7 of a law enforcement officer. The failure or inability to
8 obtain an additional test by a person does not preclude the
9 admission of evidence relating to the test or tests taken
10 at the direction of a law enforcement officer.
11 2. Upon the request of the person who shall submit to a
12 standardized field sobriety test or tests at the request of
13 a law enforcement officer, full information concerning the
14 test or tests shall be made available to the person or the
15 person's attorney.
16 3. At the trial of any civil or criminal action or
17 proceeding arising out of an arrest for an offense as
18 defined in Section 11-501 or a similar local ordinance or
19 proceedings under Section 2-118.1 in which the results of
20 these standardized field sobriety tests are admitted, the
21 cardholder may present and the trier of fact may consider
22 evidence that the card holder lacked the physical capacity
23 to perform the standardized field sobriety tests.
24 (b) Upon the trial of any civil or criminal action or
25proceeding arising out of acts alleged to have been committed
26by any person while driving or in actual physical control of a

SB3414- 157 -LRB098 16189 RPS 55673 b
1vehicle while under the influence of alcohol, the concentration
2of alcohol in the person's blood or breath at the time alleged
3as shown by analysis of the person's blood, urine, breath, or
4other bodily substance shall give rise to the following
5presumptions:
6 1. If there was at that time an alcohol concentration
7 of 0.05 or less, it shall be presumed that the person was
8 not under the influence of alcohol.
9 2. If there was at that time an alcohol concentration
10 in excess of 0.05 but less than 0.08, such facts shall not
11 give rise to any presumption that the person was or was not
12 under the influence of alcohol, but such fact may be
13 considered with other competent evidence in determining
14 whether the person was under the influence of alcohol.
15 3. If there was at that time an alcohol concentration
16 of 0.08 or more, it shall be presumed that the person was
17 under the influence of alcohol.
18 4. The foregoing provisions of this Section shall not
19 be construed as limiting the introduction of any other
20 relevant evidence bearing upon the question whether the
21 person was under the influence of alcohol.
22 (c) 1. If a person under arrest refuses to submit to a
23chemical test under the provisions of Section 11-501.1,
24evidence of refusal shall be admissible in any civil or
25criminal action or proceeding arising out of acts alleged to
26have been committed while the person under the influence of

SB3414- 158 -LRB098 16189 RPS 55673 b
1alcohol, other drug or drugs, or intoxicating compound or
2compounds, or any combination thereof was driving or in actual
3physical control of a motor vehicle.
4 2. Notwithstanding any ability to refuse under this Code to
5submit to these tests or any ability to revoke the implied
6consent to these tests, if a law enforcement officer has
7probable cause to believe that a motor vehicle driven by or in
8actual physical control of a person under the influence of
9alcohol, other drug or drugs, or intoxicating compound or
10compounds, or any combination thereof has caused the death or
11personal injury to another, the law enforcement officer shall
12request, and that person shall submit, upon the request of a
13law enforcement officer, to a chemical test or tests of his or
14her blood, breath or urine for the purpose of determining the
15alcohol content thereof or the presence of any other drug or
16combination of both.
17 This provision does not affect the applicability of or
18imposition of driver's license sanctions under Section
1911-501.1 of this Code.
20 3. For purposes of this Section, a personal injury includes
21any Type A injury as indicated on the traffic accident report
22completed by a law enforcement officer that requires immediate
23professional attention in either a doctor's office or a medical
24facility. A Type A injury includes severe bleeding wounds,
25distorted extremities, and injuries that require the injured
26party to be carried from the scene.

SB3414- 159 -LRB098 16189 RPS 55673 b
1(Source: P.A. 97-450, eff. 8-19-11; 97-471, eff. 8-22-11;
297-813, eff. 7-13-12; 98-122, eff. 1-1-14.)
3 Section 60. The Good Samaritan Act is amended by changing
4Sections 68 and 70 as follows:
5 (745 ILCS 49/68)
6 Sec. 68. Disaster Relief Volunteers. Any firefighter,
7licensed emergency medical technician (EMT), emergency medical
8technician-intermediate (EMT-I), advanced emergency medical
9technician (AEMT), or paramedic as defined by Section 3.50 of
10the Emergency Medical Services (EMS) Systems Act, physician,
11dentist, podiatric physician, optometrist, pharmacist,
12advanced practice nurse, physician assistant, or nurse who in
13good faith and without fee or compensation provides health care
14services as a disaster relief volunteer shall not, as a result
15of his or her acts or omissions, except willful and wanton
16misconduct on the part of the person, in providing health care
17services, be liable to a person to whom the health care
18services are provided for civil damages. This immunity applies
19to health care services that are provided without fee or
20compensation during or within 10 days following the end of a
21disaster or catastrophic event.
22 The immunity provided in this Section only applies to a
23disaster relief volunteer who provides health care services in
24relief of an earthquake, hurricane, tornado, nuclear attack,

SB3414- 160 -LRB098 16189 RPS 55673 b
1terrorist attack, epidemic, or pandemic without fee or
2compensation for providing the volunteer health care services.
3 The provisions of this Section shall not apply to any
4health care facility as defined in Section 8-2001 of the Code
5of Civil Procedure or to any practitioner, who is not a
6disaster relief volunteer, providing health care services in a
7hospital or health care facility.
8(Source: P.A. 98-214, eff. 8-9-13.)
9 (745 ILCS 49/70)
10 Sec. 70. Law enforcement officers, firemen, Emergency
11Medical Technicians (EMTs) and First Responders; exemption
12from civil liability for emergency care. Any law enforcement
13officer or fireman as defined in Section 2 of the Line of Duty
14Compensation Act, and any "emergency medical responder",
15"emergency medical technician (EMT)", "emergency medical
16technician-intermediate", "advanced emergency medical
17technician", or "paramedic" as defined in Section 3.50 of the
18Emergency Medical Services (EMS) Systems Act, and any "first
19responder" as defined in Section 3.60 of the Emergency Medical
20Services (EMS) Systems Act, who in good faith provides
21emergency care without fee or compensation to any person shall
22not, as a result of his or her acts or omissions, except
23willful and wanton misconduct on the part of the person, in
24providing the care, be liable to a person to whom such care is
25provided for civil damages.

SB3414- 161 -LRB098 16189 RPS 55673 b
1(Source: P.A. 93-1047, eff. 10-18-04; 94-826, eff. 1-1-07.)
2 Section 65. The Workers' Compensation Act is amended by
3changing Section 6 as follows:
4 (820 ILCS 305/6) (from Ch. 48, par. 138.6)
5 Sec. 6. (a) Every employer within the provisions of this
6Act, shall, under the rules and regulations prescribed by the
7Commission, post printed notices in their respective places of
8employment in such number and at such places as may be
9determined by the Commission, containing such information
10relative to this Act as in the judgment of the Commission may
11be necessary to aid employees to safeguard their rights under
12this Act in event of injury.
13 In addition thereto, the employer shall post in a
14conspicuous place on the place of the employment a printed or
15typewritten notice stating whether he is insured or whether he
16has qualified and is operating as a self-insured employer. In
17the event the employer is insured, the notice shall state the
18name and address of his insurance carrier, the number of the
19insurance policy, its effective date and the date of
20termination. In the event of the termination of the policy for
21any reason prior to the termination date stated, the posted
22notice shall promptly be corrected accordingly. In the event
23the employer is operating as a self-insured employer the notice
24shall state the name and address of the company, if any,

SB3414- 162 -LRB098 16189 RPS 55673 b
1servicing the compensation payments of the employer, and the
2name and address of the person in charge of making compensation
3payments.
4 (b) Every employer subject to this Act shall maintain
5accurate records of work-related deaths, injuries and illness
6other than minor injuries requiring only first aid treatment
7and which do not involve medical treatment, loss of
8consciousness, restriction of work or motion, or transfer to
9another job and file with the Commission, in writing, a report
10of all accidental deaths, injuries and illnesses arising out of
11and in the course of the employment resulting in the loss of
12more than 3 scheduled work days. In the case of death such
13report shall be made no later than 2 working days following the
14accidental death. In all other cases such report shall be made
15between the 15th and 25th of each month unless required to be
16made sooner by rule of the Commission. In case the injury
17results in permanent disability, a further report shall be made
18as soon as it is determined that such permanent disability has
19resulted or will result from the injury. All reports shall
20state the date of the injury, including the time of day or
21night, the nature of the employer's business, the name,
22address, age, sex, conjugal condition of the injured person,
23the specific occupation of the injured person, the direct cause
24of the injury and the nature of the accident, the character of
25the injury, the length of disability, and in case of death the
26length of disability before death, the wages of the injured

SB3414- 163 -LRB098 16189 RPS 55673 b
1person, whether compensation has been paid to the injured
2person, or to his or her legal representative or his heirs or
3next of kin, the amount of compensation paid, the amount paid
4for physicians', surgeons' and hospital bills, and by whom
5paid, and the amount paid for funeral or burial expenses if
6known. The reports shall be made on forms and in the manner as
7prescribed by the Commission and shall contain such further
8information as the Commission shall deem necessary and require.
9The making of these reports releases the employer from making
10such reports to any other officer of the State and shall
11satisfy the reporting provisions as contained in the "Health
12and Safety Act" and "An Act in relation to safety inspections
13and education in industrial and commercial establishments and
14to repeal an Act therein named", approved July 18, 1955, as now
15or hereafter amended. The reports filed with the Commission
16pursuant to this Section shall be made available by the
17Commission to the Director of Labor or his representatives and
18to all other departments of the State of Illinois which shall
19require such information for the proper discharge of their
20official duties. Failure to file with the Commission any of the
21reports required in this Section is a petty offense.
22 Except as provided in this paragraph, all reports filed
23hereunder shall be confidential and any person having access to
24such records filed with the Illinois Workers' Compensation
25Commission as herein required, who shall release any
26information therein contained including the names or otherwise

SB3414- 164 -LRB098 16189 RPS 55673 b
1identify any persons sustaining injuries or disabilities, or
2give access to such information to any unauthorized person,
3shall be subject to discipline or discharge, and in addition
4shall be guilty of a Class B misdemeanor. The Commission shall
5compile and distribute to interested persons aggregate
6statistics, taken from the reports filed hereunder. The
7aggregate statistics shall not give the names or otherwise
8identify persons sustaining injuries or disabilities or the
9employer of any injured or disabled person.
10 (c) Notice of the accident shall be given to the employer
11as soon as practicable, but not later than 45 days after the
12accident. Provided:
13 (1) In case of the legal disability of the employee or
14 any dependent of a deceased employee who may be entitled to
15 compensation under the provisions of this Act, the
16 limitations of time by this Act provided do not begin to
17 run against such person under legal disability until a
18 guardian has been appointed.
19 (2) In cases of injuries sustained by exposure to
20 radiological materials or equipment, notice shall be given
21 to the employer within 90 days subsequent to the time that
22 the employee knows or suspects that he has received an
23 excessive dose of radiation.
24 No defect or inaccuracy of such notice shall be a bar to
25the maintenance of proceedings on arbitration or otherwise by
26the employee unless the employer proves that he is unduly

SB3414- 165 -LRB098 16189 RPS 55673 b
1prejudiced in such proceedings by such defect or inaccuracy.
2 Notice of the accident shall give the approximate date and
3place of the accident, if known, and may be given orally or in
4writing.
5 (d) Every employer shall notify each injured employee who
6has been granted compensation under the provisions of Section 8
7of this Act of his rights to rehabilitation services and advise
8him of the locations of available public rehabilitation centers
9and any other such services of which the employer has
10knowledge.
11 In any case, other than one where the injury was caused by
12exposure to radiological materials or equipment or asbestos
13unless the application for compensation is filed with the
14Commission within 3 years after the date of the accident, where
15no compensation has been paid, or within 2 years after the date
16of the last payment of compensation, where any has been paid,
17whichever shall be later, the right to file such application
18shall be barred.
19 In any case of injury caused by exposure to radiological
20materials or equipment or asbestos, unless application for
21compensation is filed with the Commission within 25 years after
22the last day that the employee was employed in an environment
23of hazardous radiological activity or asbestos, the right to
24file such application shall be barred.
25 If in any case except one where the injury was caused by
26exposure to radiological materials or equipment or asbestos,

SB3414- 166 -LRB098 16189 RPS 55673 b
1the accidental injury results in death application for
2compensation for death may be filed with the Commission within
33 years after the date of death where no compensation has been
4paid or within 2 years after the date of the last payment of
5compensation where any has been paid, whichever shall be later,
6but not thereafter.
7 If an accidental injury caused by exposure to radiological
8material or equipment or asbestos results in death within 25
9years after the last day that the employee was so exposed
10application for compensation for death may be filed with the
11Commission within 3 years after the date of death, where no
12compensation has been paid, or within 2 years after the date of
13the last payment of compensation where any has been paid,
14whichever shall be later, but not thereafter.
15 (e) Any contract or agreement made by any employer or his
16agent or attorney with any employee or any other beneficiary of
17any claim under the provisions of this Act within 7 days after
18the injury shall be presumed to be fraudulent.
19 (f) Any condition or impairment of health of an employee
20employed as a firefighter, emergency medical technician (EMT),
21emergency medical technician-intermediate (EMT-I), advanced
22emergency medical technician (AEMT), or paramedic which
23results directly or indirectly from any bloodborne pathogen,
24lung or respiratory disease or condition, heart or vascular
25disease or condition, hypertension, tuberculosis, or cancer
26resulting in any disability (temporary, permanent, total, or

SB3414- 167 -LRB098 16189 RPS 55673 b
1partial) to the employee shall be rebuttably presumed to arise
2out of and in the course of the employee's firefighting, EMT,
3or paramedic employment and, further, shall be rebuttably
4presumed to be causally connected to the hazards or exposures
5of the employment. This presumption shall also apply to any
6hernia or hearing loss suffered by an employee employed as a
7firefighter, EMT, EMT-I, AEMT, or paramedic. However, this
8presumption shall not apply to any employee who has been
9employed as a firefighter, EMT, or paramedic for less than 5
10years at the time he or she files an Application for Adjustment
11of Claim concerning this condition or impairment with the
12Illinois Workers' Compensation Commission. The rebuttable
13presumption established under this subsection, however, does
14not apply to an emergency medical technician (EMT), emergency
15medical technician-intermediate (EMT-I), advanced emergency
16medical technician (AEMT), or paramedic employed by a private
17employer if the employee spends the preponderance of his or her
18work time for that employer engaged in medical transfers
19between medical care facilities or non-emergency medical
20transfers to or from medical care facilities. The changes made
21to this subsection by Public Act 98-291 this amendatory Act of
22the 98th General Assembly shall be narrowly construed. The
23Finding and Decision of the Illinois Workers' Compensation
24Commission under only the rebuttable presumption provision of
25this subsection shall not be admissible or be deemed res
26judicata in any disability claim under the Illinois Pension

SB3414- 168 -LRB098 16189 RPS 55673 b
1Code arising out of the same medical condition; however, this
2sentence makes no change to the law set forth in Krohe v. City
3of Bloomington, 204 Ill.2d 392.
4(Source: P.A. 98-291, eff. 1-1-14.)
5 Section 70. The Workers' Occupational Diseases Act is
6amended by changing Sections 1 and 3 as follows:
7 (820 ILCS 310/1) (from Ch. 48, par. 172.36)
8 Sec. 1. This Act shall be known and may be cited as the
9"Workers' Occupational Diseases Act".
10 (a) The term "employer" as used in this Act shall be
11construed to be:
12 1. The State and each county, city, town, township,
13 incorporated village, school district, body politic, or
14 municipal corporation therein.
15 2. Every person, firm, public or private corporation,
16 including hospitals, public service, eleemosynary,
17 religious or charitable corporations or associations, who
18 has any person in service or under any contract for hire,
19 express or implied, oral or written.
20 3. Where an employer operating under and subject to the
21 provisions of this Act loans an employee to another such
22 employer and such loaned employee sustains a compensable
23 occupational disease in the employment of such borrowing
24 employer and where such borrowing employer does not provide

SB3414- 169 -LRB098 16189 RPS 55673 b
1 or pay the benefits or payments due such employee, such
2 loaning employer shall be liable to provide or pay all
3 benefits or payments due such employee under this Act and
4 as to such employee the liability of such loaning and
5 borrowing employers shall be joint and several, provided
6 that such loaning employer shall in the absence of
7 agreement to the contrary be entitled to receive from such
8 borrowing employer full reimbursement for all sums paid or
9 incurred pursuant to this paragraph together with
10 reasonable attorneys' fees and expenses in any hearings
11 before the Illinois Workers' Compensation Commission or in
12 any action to secure such reimbursement. Where any benefit
13 is provided or paid by such loaning employer, the employee
14 shall have the duty of rendering reasonable co-operation in
15 any hearings, trials or proceedings in the case, including
16 such proceedings for reimbursement.
17 Where an employee files an Application for Adjustment
18 of Claim with the Illinois Workers' Compensation
19 Commission alleging that his or her claim is covered by the
20 provisions of the preceding paragraph, and joining both the
21 alleged loaning and borrowing employers, they and each of
22 them, upon written demand by the employee and within 7 days
23 after receipt of such demand, shall have the duty of filing
24 with the Illinois Workers' Compensation Commission a
25 written admission or denial of the allegation that the
26 claim is covered by the provisions of the preceding

SB3414- 170 -LRB098 16189 RPS 55673 b
1 paragraph and in default of such filing or if any such
2 denial be ultimately determined not to have been bona fide
3 then the provisions of Paragraph K of Section 19 of this
4 Act shall apply.
5 An employer whose business or enterprise or a
6 substantial part thereof consists of hiring, procuring or
7 furnishing employees to or for other employers operating
8 under and subject to the provisions of this Act for the
9 performance of the work of such other employers and who
10 pays such employees their salary or wage notwithstanding
11 that they are doing the work of such other employers shall
12 be deemed a loaning employer within the meaning and
13 provisions of this Section.
14 (b) The term "employee" as used in this Act, shall be
15construed to mean:
16 1. Every person in the service of the State, county,
17 city, town, township, incorporated village or school
18 district, body politic or municipal corporation therein,
19 whether by election, appointment or contract of hire,
20 express or implied, oral or written, including any official
21 of the State, or of any county, city, town, township,
22 incorporated village, school district, body politic or
23 municipal corporation therein and except any duly
24 appointed member of the fire department in any city whose
25 population exceeds 500,000 according to the last Federal or
26 State census, and except any member of a fire insurance

SB3414- 171 -LRB098 16189 RPS 55673 b
1 patrol maintained by a board of underwriters in this State.
2 One employed by a contractor who has contracted with the
3 State, or a county, city, town, township, incorporated
4 village, school district, body politic or municipal
5 corporation therein, through its representatives, shall
6 not be considered as an employee of the State, county,
7 city, town, township, incorporated village, school
8 district, body politic or municipal corporation which made
9 the contract.
10 2. Every person in the service of another under any
11 contract of hire, express or implied, oral or written, who
12 contracts an occupational disease while working in the
13 State of Illinois, or who contracts an occupational disease
14 while working outside of the State of Illinois but where
15 the contract of hire is made within the State of Illinois,
16 and any person whose employment is principally localized
17 within the State of Illinois, regardless of the place where
18 the disease was contracted or place where the contract of
19 hire was made, including aliens, and minors who, for the
20 purpose of this Act, except Section 3 hereof, shall be
21 considered the same and have the same power to contract,
22 receive payments and give quittances therefor, as adult
23 employees. An employee or his or her dependents under this
24 Act who shall have a cause of action by reason of an
25 occupational disease, disablement or death arising out of
26 and in the course of his or her employment may elect or

SB3414- 172 -LRB098 16189 RPS 55673 b
1 pursue his or her remedy in the State where the disease was
2 contracted, or in the State where the contract of hire is
3 made, or in the State where the employment is principally
4 localized.
5 (c) "Commission" means the Illinois Workers' Compensation
6Commission created by the Workers' Compensation Act, approved
7July 9, 1951, as amended.
8 (d) In this Act the term "Occupational Disease" means a
9disease arising out of and in the course of the employment or
10which has become aggravated and rendered disabling as a result
11of the exposure of the employment. Such aggravation shall arise
12out of a risk peculiar to or increased by the employment and
13not common to the general public.
14 A disease shall be deemed to arise out of the employment if
15there is apparent to the rational mind, upon consideration of
16all the circumstances, a causal connection between the
17conditions under which the work is performed and the
18occupational disease. The disease need not to have been
19foreseen or expected but after its contraction it must appear
20to have had its origin or aggravation in a risk connected with
21the employment and to have flowed from that source as a
22rational consequence.
23 An employee shall be conclusively deemed to have been
24exposed to the hazards of an occupational disease when, for any
25length of time however short, he or she is employed in an
26occupation or process in which the hazard of the disease

SB3414- 173 -LRB098 16189 RPS 55673 b
1exists; provided however, that in a claim of exposure to atomic
2radiation, the fact of such exposure must be verified by the
3records of the central registry of radiation exposure
4maintained by the Department of Public Health or by some other
5recognized governmental agency maintaining records of such
6exposures whenever and to the extent that the records are on
7file with the Department of Public Health or the agency.
8 Any injury to or disease or death of an employee arising
9from the administration of a vaccine, including without
10limitation smallpox vaccine, to prepare for, or as a response
11to, a threatened or potential bioterrorist incident to the
12employee as part of a voluntary inoculation program in
13connection with the person's employment or in connection with
14any governmental program or recommendation for the inoculation
15of workers in the employee's occupation, geographical area, or
16other category that includes the employee is deemed to arise
17out of and in the course of the employment for all purposes
18under this Act. This paragraph added by Public Act 93-829 is
19declarative of existing law and is not a new enactment.
20 The employer liable for the compensation in this Act
21provided shall be the employer in whose employment the employee
22was last exposed to the hazard of the occupational disease
23claimed upon regardless of the length of time of such last
24exposure, except, in cases of silicosis or asbestosis, the only
25employer liable shall be the last employer in whose employment
26the employee was last exposed during a period of 60 days or

SB3414- 174 -LRB098 16189 RPS 55673 b
1more after the effective date of this Act, to the hazard of
2such occupational disease, and, in such cases, an exposure
3during a period of less than 60 days, after the effective date
4of this Act, shall not be deemed a last exposure. If a miner
5who is suffering or suffered from pneumoconiosis was employed
6for 10 years or more in one or more coal mines there shall,
7effective July 1, 1973 be a rebuttable presumption that his or
8her pneumoconiosis arose out of such employment.
9 If a deceased miner was employed for 10 years or more in
10one or more coal mines and died from a respirable disease there
11shall, effective July 1, 1973, be a rebuttable presumption that
12his or her death was due to pneumoconiosis.
13 Any condition or impairment of health of an employee
14employed as a firefighter, emergency medical technician (EMT),
15emergency medical technician-intermediate (EMT-I), advanced
16emergency medical technician (AEMT), or paramedic which
17results directly or indirectly from any bloodborne pathogen,
18lung or respiratory disease or condition, heart or vascular
19disease or condition, hypertension, tuberculosis, or cancer
20resulting in any disability (temporary, permanent, total, or
21partial) to the employee shall be rebuttably presumed to arise
22out of and in the course of the employee's firefighting, EMT,
23EMT-I, AEMT, or paramedic employment and, further, shall be
24rebuttably presumed to be causally connected to the hazards or
25exposures of the employment. This presumption shall also apply
26to any hernia or hearing loss suffered by an employee employed

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1as a firefighter, EMT, EMT-I, AEMT, or paramedic. However, this
2presumption shall not apply to any employee who has been
3employed as a firefighter, EMT, EMT-I, AEMT, or paramedic for
4less than 5 years at the time he or she files an Application
5for Adjustment of Claim concerning this condition or impairment
6with the Illinois Workers' Compensation Commission. The
7rebuttable presumption established under this subsection,
8however, does not apply to an emergency medical technician
9(EMT), emergency medical technician-intermediate (EMT-I),
10advanced emergency medical technician (AEMT), or paramedic
11employed by a private employer if the employee spends the
12preponderance of his or her work time for that employer engaged
13in medical transfers between medical care facilities or
14non-emergency medical transfers to or from medical care
15facilities. The changes made to this subsection by this
16amendatory Act of the 98th General Assembly shall be narrowly
17construed. The Finding and Decision of the Illinois Workers'
18Compensation Commission under only the rebuttable presumption
19provision of this paragraph shall not be admissible or be
20deemed res judicata in any disability claim under the Illinois
21Pension Code arising out of the same medical condition;
22however, this sentence makes no change to the law set forth in
23Krohe v. City of Bloomington, 204 Ill.2d 392.
24 The insurance carrier liable shall be the carrier whose
25policy was in effect covering the employer liable on the last
26day of the exposure rendering such employer liable in

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1accordance with the provisions of this Act.
2 (e) "Disablement" means an impairment or partial
3impairment, temporary or permanent, in the function of the body
4or any of the members of the body, or the event of becoming
5disabled from earning full wages at the work in which the
6employee was engaged when last exposed to the hazards of the
7occupational disease by the employer from whom he or she claims
8compensation, or equal wages in other suitable employment; and
9"disability" means the state of being so incapacitated.
10 (f) No compensation shall be payable for or on account of
11any occupational disease unless disablement, as herein
12defined, occurs within two years after the last day of the last
13exposure to the hazards of the disease, except in cases of
14occupational disease caused by berylliosis or by the inhalation
15of silica dust or asbestos dust and, in such cases, within 3
16years after the last day of the last exposure to the hazards of
17such disease and except in the case of occupational disease
18caused by exposure to radiological materials or equipment, and
19in such case, within 25 years after the last day of last
20exposure to the hazards of such disease.
21(Source: P.A. 98-291, eff. 1-1-14.)
22 (210 ILCS 50/3.60 rep.)
23 Section 75. The Emergency Medical Services (EMS) Systems
24Act is amended by repealing Section 3.60.
25 Section 99. Effective date. This Act takes effect upon

SB3414- 177 -LRB098 16189 RPS 55673 b
1becoming law.

SB3414- 178 -LRB098 16189 RPS 55673 b
1 INDEX
2 Statutes amended in order of appearance
3 50 ILCS 745/2from Ch. 85, par. 2502
4 50 ILCS 748/3
5 65 ILCS 5/10-1-7from Ch. 24, par. 10-1-7
6 65 ILCS 5/10-1-7.1
7 65 ILCS 5/10-2.1-4from Ch. 24, par. 10-2.1-4
8 65 ILCS 5/10-2.1-6.3
9 65 ILCS 5/10-2.1-14from Ch. 24, par. 10-2.1-14
10 65 ILCS 5/10-2.1-31
11 70 ILCS 705/16.06b
12 70 ILCS 705/16.08b
13 70 ILCS 705/16.13bfrom Ch. 127 1/2, par. 37.13b
14 210 ILCS 50/3.5
15 210 ILCS 50/3.10
16 210 ILCS 50/3.15
17 210 ILCS 50/3.20
18 210 ILCS 50/3.25
19 210 ILCS 50/3.35
20 210 ILCS 50/3.40
21 210 ILCS 50/3.45
22 210 ILCS 50/3.50
23 210 ILCS 50/3.55
24 210 ILCS 50/3.65
25 210 ILCS 50/3.70

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