---
type: "Bill"
title: "AMBULANCE SERVICE UPGRADE-PHRN"
description: "Amends the Emergency Medical Services (EMS) Systems Act. Provides that if the Department of Public Health approves a service upgrade for an ambulance service provider that serves a rural population of 7,500 or fewer inhabitants, then the ambulance service provider is authorized to operate at the highest level of EMT license or Pre-Hospital RN certification (currently, highest level of EMT license) held by any person staffing the ambulance."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "98th"
identifier: "HB 4523"
citation: "Illinois HB 4523 (98th)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: []
version_count: 3
action_count: 35
vote_count: 2
first_action: "2014-02-03"
last_action: "2014-08-13"
source: "openstates"
source_identifier: "ocd-bill/fd7bb462-efc5-49df-a742-a8b6f75b99d4"
source_url: "http://ilga.gov/legislation/BillStatus.asp?DocNum=4523&GAID=12&DocTypeID=HB&LegId=78969&SessionID=85&GA=98"
source_hash: "46cebb11e7cb82cc1452ad8ba98ebf8fa6bd6fd9e62ae1d1b547adfc4c7febb8"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-il"]
---

# Illinois HB 4523 (98th) — AMBULANCE SERVICE UPGRADE-PHRN

Amends the Emergency Medical Services (EMS) Systems Act. Provides that if the Department of Public Health approves a service upgrade for an ambulance service provider that serves a rural population of 7,500 or fewer inhabitants, then the ambulance service provider is authorized to operate at the highest level of EMT license or Pre-Hospital RN certification (currently, highest level of EMT license) held by any person staffing the ambulance.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Introduced** (filed) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09800HB4523&GA=98&SessionId=85&DocTypeId=HB&LegID=78969&DocNum=4523&GAID=12&Session=&print=true)
2. **Engrossed** (committee substitute) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09800HB4523eng&GA=98&SessionId=85&DocTypeId=HB&LegID=78969&DocNum=4523&GAID=12&Session=&print=true)
3. **Enrolled** (enrolled) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09800HB4523enr&GA=98&SessionId=85&DocTypeId=HB&LegID=78969&DocNum=4523&GAID=12&Session=&print=true)

## Votes

- Third Reading — **112–0** (pass) · lower
- Third Reading — **57–0** (pass) · upper

## Sponsors

- Donald L. Moffitt — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2014-02-03** Filed with the Clerk by Rep. Donald L. Moffitt `filing`
- **2014-02-03** First Reading `reading-1`
- **2014-02-03** Referred to Rules Committee `referral-committee`
- **2014-02-11** Assigned to Health Care Licenses Committee `referral-committee`
- **2014-02-18** Added Chief Co-Sponsor Rep. Robert W. Pritchard
- **2014-02-19** Do Pass / Short Debate Health Care Licenses Committee; 008-000-000 `committee-passage`
- **2014-02-19** Placed on Calendar 2nd Reading - Short Debate
- **2014-02-19** Added Chief Co-Sponsor Rep. Lawrence M. Walsh, Jr.
- **2014-02-19** Added Chief Co-Sponsor Rep. Ron Sandack
- **2014-02-26** Second Reading - Short Debate `reading-2`
- **2014-02-26** Placed on Calendar Order of 3rd Reading - Short Debate
- **2014-03-04** Third Reading - Short Debate - Passed 112-000-000 `reading-3, passage`
- **2014-03-04** Added Co-Sponsor Rep. Rich Brauer
- **2014-03-04** Added Co-Sponsor Rep. Tom Demmer
- **2014-03-04** Added Co-Sponsor Rep. David R. Leitch
- **2014-03-04** Added Co-Sponsor Rep. Patricia R. Bellock
- **2014-03-04** Added Co-Sponsor Rep. Cynthia Soto
- **2014-03-04** Added Co-Sponsor Rep. Ann Williams
- **2014-03-04** Added Co-Sponsor Rep. Edward J. Acevedo
- **2014-03-04** Arrive in Senate `introduction`
- **2014-03-04** Placed on Calendar Order of First Reading March 5, 2014 `reading-1`
- **2014-03-04** Chief Senate Sponsor Sen. John M. Sullivan
- **2014-03-05** First Reading `reading-1`
- **2014-03-05** Referred to Assignments `referral-committee`
- **2014-04-23** Assigned to Human Services `referral-committee`
- **2014-04-29** Do Pass Human Services; 008-000-000 `committee-passage`
- **2014-04-29** Placed on Calendar Order of 2nd Reading April 30, 2014
- **2014-04-30** Second Reading `reading-2`
- **2014-04-30** Placed on Calendar Order of 3rd Reading May 1, 2014
- **2014-05-21** Third Reading - Passed; 057-000-000 `reading-3, passage`
- **2014-05-21** Passed Both Houses
- **2014-06-19** Sent to the Governor `executive-receipt`
- **2014-08-13** Governor Approved `executive-signature`
- **2014-08-13** Effective Date January 1, 2015
- **2014-08-13** Public Act . . . . . . . . . 98-0880 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/fd7bb462-efc5-49df-a742-a8b6f75b99d4`. Confidence: reported (aggregated from official Illinois legislature records).