Illinois · House Bill 3645 · 104th General Assembly

EMS-OPIOID OVERDOSE REPORTS

  1. Introduced Feb 7, 2025
  2. In committee Feb 18, 2025
  3. Passed the House Apr 8, 2025
  4. Passed the Senate May 22, 2025
  5. To the governor Jun 20, 2025
  6. Became law Aug 15, 2025

What it does

The legislature's own summary of the bill, or its official long title.

Amends the Emergency Medical Services (EMS) Systems Act. In provisions concerning opioid overdose reporting, provides that overdose information reported by a covered vehicle service provider shall not be used in an opioid use-related criminal investigation, prosecution, welfare checks, or warrant checks of the individual who was treated by the covered vehicle service provider personnel for experiencing the suspected…

Read the full title (267 words)

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

Every action

48 steps, oldest first, as the legislature records them.

Show the 40 earlier steps
  1. HouseFiled with the Clerk by Rep. Michael J. Kelly
  2. HouseFirst Reading
  3. CommitteeReferred to Rules Committee · House Rules
  4. HouseAdded Co-Sponsor Rep. Martin J. Moylan
  5. HouseAdded Co-Sponsor Rep. Dave Vella
  6. CommitteeAssigned to Public Health Committee · House Public Health
  7. HouseAdded Chief Co-Sponsor Rep. Nicolle Grasse
  8. CommitteeDo Pass / Short Debate Public Health Committee; 009-000-000 · House Public Health
  9. HousePlaced on Calendar 2nd Reading - Short Debate
  10. HouseSecond Reading - Short Debate
  11. HouseHeld on Calendar Order of Second Reading - Short Debate
  12. HouseHouse Floor Amendment No. 1 Filed with Clerk by Rep. Michael J. Kelly
  13. CommitteeHouse Floor Amendment No. 1 Referred to Rules Committee · House Rules
  14. HouseChief Sponsor Changed to Rep. Matt Hanson
  15. HouseAdded Chief Co-Sponsor Rep. Michael J. Kelly
  16. CommitteeHouse Floor Amendment No. 1 Rules Refers to Public Health Committee · House Public Health
  17. CommitteeHouse Floor Amendment No. 1 Recommends Be Adopted Public Health Committee; 008-000-000 · House Public Health
  18. HouseHouse Floor Amendment No. 1 Adopted
  19. HousePlaced on Calendar Order of 3rd Reading - Short Debate
  20. HouseThird Reading - Short Debate - Passed 113-000-000
  21. HouseAdded Co-Sponsor Rep. Kelly M. Cassidy
  22. HouseMotion Filed to Reconsider Vote Rep. Matt Hanson
  23. HouseMotion to Reconsider Vote - Prevails 115-000-000
  24. HousePlaced on Calendar Order of 3rd Reading - Short Debate
  25. HouseHouse Floor Amendment No. 2 Filed with Clerk by Rep. Matt Hanson
  26. CommitteeHouse Floor Amendment No. 2 Referred to Rules Committee · House Rules
  27. CommitteeHouse Floor Amendment No. 2 Recommends Be Adopted Rules Committee; 005-000-000 · House Rules
  28. HouseRecalled to Second Reading - Short Debate
  29. HouseHouse Floor Amendment No. 2 Adopted
  30. HousePlaced on Calendar Order of 3rd Reading - Short Debate
  31. HouseThird Reading - Short Debate - Passed 114-000-000
  32. SenateArrive in Senate
  33. SenatePlaced on Calendar Order of First Reading
  34. SenateChief Senate Sponsor Sen. Laura Fine
  35. SenateFirst Reading
  36. CommitteeReferred to Assignments · Senate Assignments
  37. CommitteeAssigned to Behavioral and Mental Health · Senate Behavioral and Mental Health
  38. CommitteeDo Pass Behavioral and Mental Health; 005-000-000 · Senate Behavioral and Mental Health
  39. SenatePlaced on Calendar Order of 2nd Reading May 8, 2025
  40. SenateSecond Reading
  1. SenatePlaced on Calendar Order of 3rd Reading May 13, 2025
  2. SenatePlaced on Calendar Order of 3rd Reading **
  3. SenateThird Reading - Passed; 058-000-000
  4. HousePassed Both Houses
  5. HouseSent to the Governor
  6. HouseGovernor Approved
  7. HouseEffective Date January 1, 2026
  8. HousePublic Act . . . . . . . . . 104-0321

Roll calls

7 recorded votes: 4 on the floor, 3 in committee. Each shows how every member voted.

Third Reading · Full House

Passed 113–0
Apr 8, 2025 · journal entry
Yes 113 No 0 Not voting 5
Democrats: 75 yes, 0 no Republicans: 38 yes, 0 no
How each member voted

Yes · 113

Excused · 5

Motion · Full House

Passed 115–0
Apr 10, 2025 · journal entry
Yes 115 No 0 Not voting 3
Democrats: 77 yes, 0 no Republicans: 38 yes, 0 no
How each member voted

Yes · 115

Excused · 3

Third Reading · Full House

Passed 114–0
Apr 10, 2025 · journal entry
Yes 114 No 0 Not voting 4
Democrats: 76 yes, 0 no Republicans: 38 yes, 0 no
How each member voted

Yes · 114

Excused · 4

Third Reading · Full Senate

Passed 58–0
May 22, 2025 · journal entry
Yes 58 No 0 Not voting 1
Democrats: 39 yes, 0 no Republicans: 19 yes, 0 no
How each member voted

Yes · 58

Not voting · 1

Committee and other votes

DateWhereQuestionResult
Mar 20, 2025 House Public Health Public Health - Do Pass
Members

Yes · 9

Passed 9–0
Apr 8, 2025 House Public Health House Floor Amendment No. 1 - Public Health - Recommends Be Adopted
Members

Yes · 8

Not voting · 1

Passed 8–0
May 7, 2025 Senate Behavioral and Mental Health Behavioral and Mental Health - Do Pass
Members

Yes · 5

Not voting · 4

Passed 5–0

Sponsors

The member who introduced it, joined by 5 cosponsors: 5 Democrats.

All 5 cosponsors

From Illinois's official records (www.ilga.gov), checked Nov 13, 2026. Text links go to the official versions; LegiList does not copy bill text.