republic-os/legislation/us/states/il/102nd/hb-2864.md

---
type: "Bill"
title: "EMS SYSTEMS-RURAL POPULATIONS"
description: "Amends the Emergency Medical Services (EMS) Systems Act. Provides that, in a rural population of 7,500 or fewer inhabitants, each EMS System medical director shall create an exception to the credentialing process to allow registered nurses, physician assistants, and advanced practice registered nurses to serve as EMTs. Requires each EMS System medical director to accept documentation from an applicant detailing education from either continuing education or documented work experience and practical skill credentialing including, but not limited to, airway management, ambulance operations, extrication, telecommunications, and pre-hospital cardiac and trauma care. Requires each EMS System medical director to ensure that applicants meet EMS System requirements for credentialing and authorizing the practice in accordance with the EMS System Plan as an EMT."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "102nd"
identifier: "HB 2864"
citation: "Illinois HB 2864 (102nd)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Daniel Swanson", "Neil Anderson"]
version_count: 5
action_count: 48
vote_count: 2
first_action: "2021-02-18"
last_action: "2021-08-20"
source: "openstates"
source_identifier: "ocd-bill/da5e3782-2c85-4030-a069-1910ab1e83ff"
source_url: "https://ilga.gov/legislation/BillStatus.asp?DocNum=2864&GAID=16&DocTypeID=HB&LegId=131748&SessionID=110&GA=102"
source_hash: "eeb6bca184bb7f6d605a68c4d692f6e5233e82f571bd403f271fab98c4a08dab"
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 2864 (102nd) — EMS SYSTEMS-RURAL POPULATIONS

Amends the Emergency Medical Services (EMS) Systems Act. Provides that, in a rural population of 7,500 or fewer inhabitants, each EMS System medical director shall create an exception to the credentialing process to allow registered nurses, physician assistants, and advanced practice registered nurses to serve as EMTs. Requires each EMS System medical director to accept documentation from an applicant detailing education from either continuing education or documented work experience and practical skill credentialing including, but not limited to, airway management, ambulance operations, extrication, telecommunications, and pre-hospital cardiac and trauma care. Requires each EMS System medical director to ensure that applicants meet EMS System requirements for credentialing and authorizing the practice in accordance with the EMS System Plan as an EMT.

## Version chain

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

1. **Introduced** (filed) — [source](https://ilga.gov/legislation/102/HB/PDF/10200HB2864.pdf)
2. **Engrossed** (committee substitute) — [source](https://ilga.gov/legislation/102/HB/PDF/10200HB2864eng.pdf)
3. **House Amendment 001** (committee substitute) — [source](https://ilga.gov/legislation/102/HB/PDF/10200HB2864ham001.pdf)
4. **House Amendment 002** (committee substitute) — [source](https://ilga.gov/legislation/102/HB/PDF/10200HB2864ham002.pdf)
5. **Enrolled** (enrolled) — [source](https://ilga.gov/legislation/102/HB/PDF/10200HB2864enr.pdf)

## Votes

- Third Reading — **57–0** (pass) · upper
- Third Reading — **115–0** (pass) · lower

## Sponsors

- Daniel Swanson — primary (person)
- Neil Anderson — primary (person)
- Amy Elik — cosponsor (person)
- Avery Bourne — cosponsor (person)
- C.D. Davidsmeyer — cosponsor (person)
- Chapin Rose — cosponsor (person)
- Chris Miller — cosponsor (person)
- Dave Severin — cosponsor (person)
- Mark Luft — cosponsor (person)
- Michael T. Marron — cosponsor (person)
- Norine K. Hammond — cosponsor (person)
- Steven Reick — cosponsor (person)
- Thomas M. Bennett — cosponsor (person)
- Tony McCombie — cosponsor (person)

## Timeline

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

- **2021-02-18** Filed with the Clerk by Rep. Daniel Swanson `filing`
- **2021-02-19** First Reading `reading-1`
- **2021-02-19** Referred to Rules Committee `referral-committee`
- **2021-02-25** Added Co-Sponsor Rep. Chris Miller
- **2021-02-26** Added Co-Sponsor Rep. Mark Luft
- **2021-03-09** Assigned to Health Care Licenses Committee `referral-committee`
- **2021-03-15** Added Co-Sponsor Rep. Michael T. Marron
- **2021-03-15** Added Co-Sponsor Rep. Thomas M. Bennett
- **2021-03-15** Added Co-Sponsor Rep. C.D. Davidsmeyer
- **2021-03-24** Do Pass / Short Debate Health Care Licenses Committee; 008-000-000 `committee-passage`
- **2021-04-08** Placed on Calendar 2nd Reading - Short Debate
- **2021-04-20** House Floor Amendment No. 1 Filed with Clerk by Rep. Daniel Swanson `amendment-introduction`
- **2021-04-20** House Floor Amendment No. 1 Referred to Rules Committee `referral-committee`
- **2021-04-20** House Floor Amendment No. 2 Filed with Clerk by Rep. Daniel Swanson `amendment-introduction`
- **2021-04-20** House Floor Amendment No. 2 Referred to Rules Committee `referral-committee`
- **2021-04-21** House Floor Amendment No. 1 Rules Refers to Health Care Licenses Committee
- **2021-04-21** House Floor Amendment No. 2 Rules Refers to Health Care Licenses Committee
- **2021-04-21** Added Co-Sponsor Rep. Tony McCombie
- **2021-04-21** Added Co-Sponsor Rep. Steven Reick
- **2021-04-21** Added Co-Sponsor Rep. Amy Elik
- **2021-04-21** Added Co-Sponsor Rep. Avery Bourne
- **2021-04-21** Second Reading - Short Debate `reading-2`
- **2021-04-21** Held on Calendar Order of Second Reading - Short Debate `reading-2`
- **2021-04-21** House Floor Amendment No. 2 Recommends Be Adopted Health Care Licenses Committee; 008-000-000 `committee-passage-favorable`
- **2021-04-22** House Floor Amendment No. 2 Adopted `amendment-passage`
- **2021-04-22** Placed on Calendar Order of 3rd Reading - Short Debate
- **2021-04-22** Third Reading - Short Debate - Passed 115-000-000 `passage, reading-3`
- **2021-04-22** House Floor Amendment No. 1 Tabled Pursuant to Rule 40 `amendment-failure`
- **2021-04-22** Added Co-Sponsor Rep. Norine K. Hammond
- **2021-04-22** Added Co-Sponsor Rep. Dave Severin
- **2021-04-23** Arrive in Senate `introduction`
- **2021-04-23** Placed on Calendar Order of First Reading `reading-1`
- **2021-04-23** Chief Senate Sponsor Sen. Neil Anderson
- **2021-04-23** First Reading `reading-1`
- **2021-04-23** Referred to Assignments `referral-committee`
- **2021-05-04** Assigned to Licensed Activities `referral-committee`
- **2021-05-13** Do Pass Licensed Activities; 009-000-000 `committee-passage`
- **2021-05-13** Placed on Calendar Order of 2nd Reading May 14, 2021
- **2021-05-14** Second Reading `reading-2`
- **2021-05-14** Placed on Calendar Order of 3rd Reading May 17, 2021
- **2021-05-24** Placed on Calendar Order of 3rd Reading ** May 25, 2021
- **2021-05-25** Added as Alternate Chief Co-Sponsor Sen. Chapin Rose
- **2021-05-27** Third Reading - Passed; 057-000-000 `passage, reading-3`
- **2021-05-27** Passed Both Houses
- **2021-06-23** Sent to the Governor `executive-receipt`
- **2021-08-20** Governor Approved `executive-signature`
- **2021-08-20** Effective Date January 1, 2022
- **2021-08-20** Public Act . . . . . . . . . 102-0450 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/da5e3782-2c85-4030-a069-1910ab1e83ff`. Confidence: reported (aggregated from official Illinois legislature records).