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---
type: "Bill"
title: "EMS-OPIOID OVERDOSE REPORTS"
description: "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."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "104th"
identifier: "HB 3645"
citation: "Illinois HB 3645 (104th)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Laura Fine", "Matt Hanson"]
version_count: 5
action_count: 48
vote_count: 7
first_action: "2025-02-07"
last_action: "2025-08-15"
source: "openstates"
source_identifier: "ocd-bill/82e1e5cd-9acd-4a8c-896f-b59771a32da3"
source_url: "https://ilga.gov/Legislation/BillStatus?DocNum=3645&GAID=18&DocTypeID=HB&LegId=162394&SessionID=114"
source_hash: "8014589bbc1b7e0a7ba19aec0f5aaba0f50feafc94cf1af8856f1a48cbcac892"
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 3645 (104th) — EMS-OPIOID OVERDOSE REPORTS
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.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Introduced** (filed) — [source](https://ilga.gov/documents/legislation/104/HB/PDF/10400HB3645.pdf)
2. **Engrossed** (committee substitute) — [source](https://ilga.gov/documents/legislation/104/HB/PDF/10400HB3645eng.pdf)
3. **House Amendment 001** (committee substitute) — [source](https://ilga.gov/documents/legislation/104/HB/PDF/10400HB3645ham001.pdf)
4. **House Amendment 002** (committee substitute) — [source](https://ilga.gov/documents/legislation/104/HB/PDF/10400HB3645ham002.pdf)
5. **Enrolled** (enrolled) — [source](https://ilga.gov/documents/legislation/104/HB/PDF/10400HB3645enr.pdf)
## Votes
- Third Reading — **1130** (pass) · lower
- Behavioral and Mental Health — **50** (pass) · upper
- Public Health, Amendment 1 — **80** (pass) · lower
- Motion — **1150** (fail) · lower
- Public Health — **90** (pass) · lower
- Third Reading — **1140** (pass) · lower
- Third Reading — **580** (pass) · upper
## Sponsors
- Laura Fine — primary (person)
- Matt Hanson — primary (person)
- Dave Vella — cosponsor (person)
- Kelly M. Cassidy — cosponsor (person)
- Martin J. Moylan — cosponsor (person)
- Michael J. Kelly — cosponsor (person)
- Nicolle Grasse — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2025-02-07** Filed with the Clerk by Rep. Michael J. Kelly `filing`
- **2025-02-18** First Reading `reading-1`
- **2025-02-18** Referred to Rules Committee
- **2025-03-06** Added Co-Sponsor Rep. Martin J. Moylan
- **2025-03-06** Added Co-Sponsor Rep. Dave Vella
- **2025-03-11** Assigned to Public Health Committee `referral-committee`
- **2025-03-19** Added Chief Co-Sponsor Rep. Nicolle Grasse
- **2025-03-20** Do Pass / Short Debate Public Health Committee; 009-000-000
- **2025-03-20** Placed on Calendar 2nd Reading - Short Debate `reading-2`
- **2025-03-26** Second Reading - Short Debate `reading-2`
- **2025-03-26** Held on Calendar Order of Second Reading - Short Debate `reading-2`
- **2025-04-04** House Floor Amendment No. 1 Filed with Clerk by Rep. Michael J. Kelly `amendment-introduction`
- **2025-04-04** House Floor Amendment No. 1 Referred to Rules Committee
- **2025-04-04** Chief Sponsor Changed to Rep. Matt Hanson
- **2025-04-04** Added Chief Co-Sponsor Rep. Michael J. Kelly
- **2025-04-07** House Floor Amendment No. 1 Rules Refers to Public Health Committee
- **2025-04-08** House Floor Amendment No. 1 Recommends Be Adopted Public Health Committee; 008-000-000 `committee-passage-favorable`
- **2025-04-08** House Floor Amendment No. 1 Adopted `amendment-passage`
- **2025-04-08** Placed on Calendar Order of 3rd Reading - Short Debate
- **2025-04-08** Third Reading - Short Debate - Passed 113-000-000 `passage, reading-3`
- **2025-04-08** Added Co-Sponsor Rep. Kelly M. Cassidy
- **2025-04-09** Motion Filed to Reconsider Vote Rep. Matt Hanson
- **2025-04-10** Motion to Reconsider Vote - Prevails 115-000-000
- **2025-04-10** Placed on Calendar Order of 3rd Reading - Short Debate
- **2025-04-10** House Floor Amendment No. 2 Filed with Clerk by Rep. Matt Hanson `amendment-introduction`
- **2025-04-10** House Floor Amendment No. 2 Referred to Rules Committee
- **2025-04-10** House Floor Amendment No. 2 Recommends Be Adopted Rules Committee; 005-000-000 `committee-passage-favorable`
- **2025-04-10** Recalled to Second Reading - Short Debate `reading-2`
- **2025-04-10** House Floor Amendment No. 2 Adopted `amendment-passage`
- **2025-04-10** Placed on Calendar Order of 3rd Reading - Short Debate
- **2025-04-10** Third Reading - Short Debate - Passed 114-000-000 `passage, reading-3`
- **2025-04-23** Arrive in Senate `introduction`
- **2025-04-23** Placed on Calendar Order of First Reading `reading-1`
- **2025-04-23** Chief Senate Sponsor Sen. Laura Fine
- **2025-04-23** First Reading `reading-1`
- **2025-04-23** Referred to Assignments
- **2025-04-29** Assigned to Behavioral and Mental Health `referral-committee`
- **2025-05-07** Do Pass Behavioral and Mental Health; 005-000-000
- **2025-05-07** Placed on Calendar Order of 2nd Reading May 8, 2025 `reading-2`
- **2025-05-08** Second Reading `reading-2`
- **2025-05-08** Placed on Calendar Order of 3rd Reading May 13, 2025
- **2025-05-20** Placed on Calendar Order of 3rd Reading **
- **2025-05-22** Third Reading - Passed; 058-000-000 `passage, reading-3`
- **2025-05-22** Passed Both Houses
- **2025-06-20** Sent to the Governor `executive-receipt`
- **2025-08-15** Governor Approved `executive-signature`
- **2025-08-15** Effective Date January 1, 2026
- **2025-08-15** Public Act . . . . . . . . . 104-0321 `became-law`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/82e1e5cd-9acd-4a8c-896f-b59771a32da3`. Confidence: reported (aggregated from official Illinois legislature records).