Illinois 2025-2026 Regular Session

Illinois House Bill HB3597

Introduced
2/7/25  
Refer
2/18/25  
Refer
3/11/25  

Caption

EMS-NONEMERGENCY CALL FEES

Summary

HB3597 would amend the Illinois Municipal Code and the Fire Protection District Act to authorize municipalities and fire protection districts to impose reasonable fees on residents for responses to nonemergency calls for service. The bill defines these calls as ambulance or emergency-service calls that are not medical emergencies, do not involve a threat to life, health, or property, and do not otherwise fit an emergency-response billing code. Under the bill, local governments could charge for the response time or services provided by municipal fire departments, firefighters, emergency response units, public safety employees, or fire protection districts when the call is determined to be nonemergency. The measure is framed as a local-government authority bill and would create new statutory sections in both the Municipal Code and the Fire Protection District Act.

Impact

If enacted, HB3597 would expand local authority in Illinois by expressly allowing municipalities and fire protection districts to recover costs for certain nonemergency EMS responses. It would add new sections to 65 ILCS 5/11-6-12 and 70 ILCS 705/11n, creating a statutory basis for fee collection where none is currently specified in the bill text. The practical effect would be to shift some costs of nonemergency ambulance or emergency-service calls from local agencies and taxpayers to residents who receive those services, while leaving the determination of fee reasonableness and implementation to local governments.

Sentiment

The available record shows the bill as introduced, with no committee transcript, recorded votes, or amendments in the provided materials. Based on the text alone, the bill appears to be a cost-recovery measure intended to help local fire and EMS agencies recoup expenses for nonemergency responses. Because there is no recorded debate in the supplied context, there is no documented support or opposition to characterize beyond the bill’s apparent administrative and fiscal purpose.

Contention

The main potential point of contention is whether local governments should be allowed to bill residents for calls that are not true emergencies, especially when the line between emergency and nonemergency service can be difficult to draw in practice. Supporters would likely emphasize cost recovery and discouraging misuse of emergency resources, while critics may raise concerns about fairness, billing disputes, and whether residents could be deterred from seeking help. Another likely issue is how municipalities and fire protection districts would define and apply the nonemergency standard consistently.

Companion Bills

No companion bills found.

Previously Filed As

IL HB2336

LOCAL GOV-LIFT-ASSIST SERVICES

IL HB1916

LOCAL GOV-LIFT-ASSIST SERVICES

IL AB438

Revises provisions relating to nonemergency medical transportation. (BDR 40-1042)

IL LD1835

An Act to Improve Nonemergency MaineCare Transportation

IL SB01323

An Act Concerning The Nonemergency Transportation Of Persons Via Stretcher Vans.

IL HB1328

Medicaid Nonemergency Medical Transportation

IL SB775

Workgroup to Study Implementation of an Expanded 3-1-1 Nonemergency System

IL SF2125

Nonemergency medical transportation payment rates increase

IL HB2584

Nonemergency medical transportation; study

IL SB063

Nonemergency Medical Transportation Services

Similar Bills

IL HB2336

LOCAL GOV-LIFT-ASSIST SERVICES

NV AB438

Revises provisions relating to nonemergency medical transportation. (BDR 40-1042)

KY HB61

AN ACT relating to Medicaid-covered nonemergency medical transportation.

CA SB741

An act to amend Section 30624 30600 of the Public Resources Code, relating to coastal resources.

MS SB2824

Nonemergency transport; prohibit ambulance services from exercising exclusivity contracts that prevent patient choice during.

CA AB645

Emergency medical services: dispatcher training.

NJ A3241

Requires DOH to establish partnerships with certain entities to improve emergency response to public health crisis.

TN SB0241

AN ACT to amend Tennessee Code Annotated, Title 33 and Title 52, relative to mental health.