republic-os/legislation/us/states/il/99th/hb-4388.md

---
type: "Bill"
title: "FREESTANDING EMERGENCY CENTERS"
description: "Amends the Emergency Medical Services (EMS) Systems Act. Requires a freestanding emergency center (FEC) to limits its participation in the EMS System strictly to receiving a limited number of ambulance runs by emergency medical vehicles as pre-approved by both the EMS Medical Director and the Department of Public Health and according to the FEC's 24-hour capabilities and protocols developed by the Resource Hospital within the FEC's designated EMS System. Effective immediately."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "99th"
identifier: "HB 4388"
citation: "Illinois HB 4388 (99th)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: []
version_count: 3
action_count: 41
vote_count: 2
first_action: "2016-01-05"
last_action: "2016-08-05"
source: "openstates"
source_identifier: "ocd-bill/48a388fe-6f33-40e2-b6c9-a50470eebf36"
source_url: "http://ilga.gov/legislation/BillStatus.asp?DocNum=4388&GAID=13&DocTypeID=HB&LegId=93155&SessionID=88&GA=99"
source_hash: "af1f74549b4a14c4df0dc3be83d04d8463c3bdc88cb7fdba9342b707122418b7"
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 4388 (99th) — FREESTANDING EMERGENCY CENTERS

Amends the Emergency Medical Services (EMS) Systems Act. Requires a freestanding emergency center (FEC) to limits its participation in the EMS System strictly to receiving a limited number of ambulance runs by emergency medical vehicles as pre-approved by both the EMS Medical Director and the Department of Public Health and according to the FEC's 24-hour capabilities and protocols developed by the Resource Hospital within the FEC's designated EMS System. Effective immediately.

## 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=09900HB4388&GA=99&SessionId=88&DocTypeId=HB&LegID=93155&DocNum=4388&GAID=13&Session=&print=true)
2. **Engrossed** (committee substitute) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09900HB4388eng&GA=99&SessionId=88&DocTypeId=HB&LegID=93155&DocNum=4388&GAID=13&Session=&print=true)
3. **Enrolled** (enrolled) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09900HB4388enr&GA=99&SessionId=88&DocTypeId=HB&LegID=93155&DocNum=4388&GAID=13&Session=&print=true)

## Votes

- Third Reading — **104–0** (pass) · lower
- Third Reading — **57–0** (pass) · upper

## Sponsors

- Chris Nybo — cosponsor (person)
- Grant Wehrli — primary (person)
- Thomas Cullerton — cosponsor (person)

## Timeline

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

- **2016-01-05** Filed with the Clerk by Rep. Grant Wehrli `filing`
- **2016-01-14** First Reading `reading-1`
- **2016-01-14** Referred to Rules Committee `referral-committee`
- **2016-02-17** Added Co-Sponsor Rep. Mark Batinick
- **2016-02-17** Added Chief Co-Sponsor Rep. Natalie A. Manley
- **2016-02-17** Added Chief Co-Sponsor Rep. Ron Sandack
- **2016-03-01** Added Chief Co-Sponsor Rep. Christian L. Mitchell
- **2016-03-02** Added Co-Sponsor Rep. Patricia R. Bellock
- **2016-04-04** Assigned to Human Services Committee `referral-committee`
- **2016-04-04** House Committee Amendment No. 1 Filed with Clerk by Rep. Grant Wehrli `amendment-introduction`
- **2016-04-04** House Committee Amendment No. 1 Referred to Rules Committee `referral-committee`
- **2016-04-05** House Committee Amendment No. 1 Rules Refers to Human Services Committee
- **2016-04-08** Committee Deadline Extended-Rule 9(b) April 22, 2016
- **2016-04-13** House Committee Amendment No. 1 Adopted in Human Services Committee; by Voice Vote `amendment-passage`
- **2016-04-13** Do Pass as Amended / Short Debate Human Services Committee; 012-000-000 `committee-passage`
- **2016-04-13** Placed on Calendar 2nd Reading - Short Debate
- **2016-04-13** Added Co-Sponsor Rep. Litesa E. Wallace
- **2016-04-14** Second Reading - Short Debate `reading-2`
- **2016-04-14** Placed on Calendar Order of 3rd Reading - Short Debate
- **2016-04-14** Added Co-Sponsor Rep. Stephanie A. Kifowit
- **2016-04-15** Third Reading - Short Debate - Passed 104-000-000 `reading-3, passage`
- **2016-04-18** Arrive in Senate `introduction`
- **2016-04-18** Placed on Calendar Order of First Reading `reading-1`
- **2016-04-18** Chief Senate Sponsor Sen. Michael Connelly
- **2016-04-18** First Reading `reading-1`
- **2016-04-18** Referred to Assignments `referral-committee`
- **2016-04-27** Assigned to Public Health `referral-committee`
- **2016-05-03** Added as Alternate Chief Co-Sponsor Sen. Linda Holmes
- **2016-05-03** Added as Alternate Chief Co-Sponsor Sen. Jennifer Bertino-Tarrant
- **2016-05-03** Do Pass Public Health; 007-000-000 `committee-passage`
- **2016-05-03** Placed on Calendar Order of 2nd Reading May 4, 2016
- **2016-05-10** Second Reading `reading-2`
- **2016-05-10** Placed on Calendar Order of 3rd Reading May 11, 2016
- **2016-05-19** Added as Alternate Co-Sponsor Sen. Thomas Cullerton
- **2016-05-19** Added as Alternate Co-Sponsor Sen. Chris Nybo
- **2016-05-19** Third Reading - Passed; 057-000-000 `reading-3, passage`
- **2016-05-19** Passed Both Houses
- **2016-06-17** Sent to the Governor `executive-receipt`
- **2016-08-05** Governor Approved `executive-signature`
- **2016-08-05** Effective Date August 5, 2016
- **2016-08-05** Public Act . . . . . . . . . 99-0710 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/48a388fe-6f33-40e2-b6c9-a50470eebf36`. Confidence: reported (aggregated from official Illinois legislature records).