TACTICAL MEDICAL PROVIDERS

Illinois General Assembly - Full Text of HB5523

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HB5523 - 104th General Assembly

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104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
HB5523

Introduced 2/13/2026, by Rep. Dennis Tipsword

SYNOPSIS AS INTRODUCED:

50 ILCS 705/10.28 new
55 ILCS 5/3-6012.3 new
65 ILCS 5/10-4-15 new
210 ILCS 50/3.5
210 ILCS 50/3.50

Amends the Illinois Police Training Act. Provides that the Illinois
Law Enforcement Training Standards Board and the Department of Public
Health shall jointly develop and establish a program of certification of
tactical medical providers for the purpose of aiding special law
enforcement teams involved in search and rescues, civil disturbances, bomb
threat responses, tactical or special operations team deployments, hostage
negotiations, hazardous material responses, executive and dignitary
protection, counterterrorism, or other similar functions, as assigned and
directed by a law enforcement agency that is recognized by the Board.
Includes program requirements. Amends the Counties Code and the Illinois
Municipal Code. Provides that chiefs of police and sheriffs may employ
tactical medical providers and provide tactical medical provider support
to first responders. Amends the Emergency Medical Services (EMS) Systems
Act to make conforming changes.
LRB104 20736 RTM 34239 b

A BILL FOR

HB5523
LRB104 20736 RTM 34239 b
1

AN ACT concerning local government.

2

Be it enacted by the People of the State of Illinois,
3
represented in the General Assembly:

4

Section 5.
The Illinois Police Training Act is amended by
5
adding Section 10.28 as follows:

6

(50 ILCS 705/10.28 new)
7

Sec. 10.28.
Tactical medical providers.
8

(a) Notwithstanding any other law, the Board and the
9
Department of Public Health shall jointly develop and
10
establish a program of certification of tactical medical
11
providers for the purpose of aiding special law enforcement
12
teams involved in search and rescues, civil disturbances, bomb
13
threat responses, tactical or special operations team
14
deployments, hostage negotiations, hazardous material
15
responses, executive and dignitary protection,
16
counterterrorism, or other similar functions, as assigned and
17
directed by a law enforcement agency that is recognized by the
18
Board.
19

The Board, in conjunction with the Department of Public
20
Health, may establish any fees necessary to fund the training
21
and certification requirements of this Section and may
22
establish other entities to provide training to meet all or a
23
portion of the requirements of this Section.

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LRB104 20736 RTM 34239 b
1

(b) As part of the program of certification of tactical
2
medical providers, the Board shall develop or approve a
3
tactical medicine for special operators course. The course
4
shall be overseen by the EMS Medical Director. A tactical
5
medical provider may not work on a special response team until
6
the tactical medical provider has completed the tactical
7
medicine for special operators course.
8

(c) The tactical medical provider program certification
9
requirements shall, at a minimum, require an applicant who is
10
seeking the certification:
11

(1) to be an emergency medical technician, paramedic,
12

physician, physician's assistant, nurse, or other medical
13

professional licensed to practice in the State or to
14

possess a suitable license as determined by the Board and
15

the Department of Public Health;
16

(2) to have completed no less than a 40-hour basic
17

firearms certification program recognized by the Board;
18

(3) to have completed no less than 50 hours of
19

tactical medical training approved by the Board;
20

(4) to have attended no less than 40 hours of tactical
21

and firearms training, including use of force training;
22

and
23

(5) to operate within the EMS system in the State that
24

is licensed by the Department of Public Health.
25

(d) The Board and the Department of Public Health shall
26
establish annual requirements for certification of tactical

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1
medical providers, including proof that the tactical medical
2
provider:
3

(1) holds a valid license or certification as a
4

medical professional licensed or certified to practice in
5

the State;
6

(2) operates within the EMS system in the State that
7

is licensed by the Department of Public Health;
8

(3) completes, on an annual basis, no less than 50
9

hours of tactical medical training;
10

(4) completes, on an annual basis, no less than 40
11

hours of tactical and firearms training, including use of
12

force training; and
13

(5) satisfies any additional qualifications or
14

licensing, certification, or training standards deemed
15

necessary by the Board and the Department of Public
16

Health.

17

Section 10.
The Counties Code is amended by adding Section
18
3-6012.3 as follows:

19

(55 ILCS 5/3-6012.3 new)
20

Sec. 3-6012.3.
Tactical medical provider support.
A
21
sheriff may employ and provide tactical medical provider
22
support to first responders with tactical medical providers
23
certified under Section 10.28 of the Illinois Police Training
24
Act. In addition to any other requirements, the tactical

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LRB104 20736 RTM 34239 b
1
medical providers shall participate in routine, ongoing
2
tactical and medical training with the first responders that
3
the tactical medical providers shall support and shall meet
4
any additional training, certification, and licensing
5
standards that the sheriff deems appropriate.

6

Section 15.
The Illinois Municipal Code is amended by
7
adding Section 10-4-15 as follows:

8

(65 ILCS 5/10-4-15 new)
9

Sec. 10-4-15.
Tactical medical provider support.
A
10
municipality may provide tactical medical provider support to
11
first responders with tactical medical providers certified
12
under Section 10.28 of the Illinois Police Training Act. In
13
addition to any other requirements, the tactical medical
14
providers shall participate in routine, ongoing tactical and
15
medical training with the first responders that the tactical
16
medical providers shall support and shall meet any additional
17
training, certification, and licensing standards that the
18
chief of police deems appropriate.

19

Section 20.
The Emergency Medical Services (EMS) Systems
20
Act is amended by changing Sections 3.5 and 3.50 as follows:

21

(210 ILCS 50/3.5)
22

Sec. 3.5.
Definitions.
As used in this Act:

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"Clinical observation" means the ongoing observation of a
2
patient's medical or mental health condition by a licensed
3
health care professional utilizing a medical skill set while
4
continuing assessment and care.
5

"Department" means the Illinois Department of Public
6
Health.
7

"Director" means the Director of the Illinois Department
8
of Public Health.
9

"Emergency" means a medical condition of recent onset and
10
severity that would lead a prudent layperson, possessing an
11
average knowledge of medicine and health, to believe that
12
urgent or unscheduled medical care is required.
13

"Emergency Medical Services personnel" or "EMS personnel"
14
means persons licensed as an Emergency Medical Responder (EMR)
15
(First Responder), Emergency Medical Dispatcher (EMD),
16
Emergency Medical Technician (EMT), Emergency Medical
17
Technician-Intermediate (EMT-I), Advanced Emergency Medical
18
Technician (A-EMT), Paramedic (EMT-P), Emergency
19
Communications Registered Nurse (ECRN), Pre-Hospital
20
Registered Nurse (PHRN), Pre-Hospital Advanced Practice
21
Registered Nurse (PHAPRN),
or
Pre-Hospital Physician Assistant
22
(PHPA)
, or Tactical Medical Providers (TMP)
.
23

"Exclusive representative" has the same meaning as defined
24
in Section 3 of the Illinois Public Labor Relations Act.
25

"Health care facility" means a hospital, nursing home,
26
physician's office or other fixed location at which medical

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1
and health care services are performed. It does not include
2
"pre-hospital emergency care settings" which utilize EMS
3
personnel to render pre-hospital emergency care prior to the
4
arrival of a transport vehicle, as defined in this Act.
5

"Hospital" has the meaning ascribed to that term in the
6
Hospital Licensing Act.
7

"Labor organization" has the same meaning as defined in
8
Section 3 of the Illinois Public Labor Relations Act.
9

"Medical monitoring" means the performance of medical
10
tests and physical exams to evaluate an individual's ongoing
11
exposure to a factor that could negatively impact that
12
person's health. "Medical monitoring" includes close
13
surveillance or supervision of patients liable to suffer
14
deterioration in physical or mental health and checks of
15
various parameters such as pulse rate, temperature,
16
respiration rate, the condition of the pupils, the level of
17
consciousness and awareness, the degree of appreciation of
18
pain, and blood gas concentrations such as oxygen and carbon
19
dioxide.
20

"NREMT" means the National Registry of Emergency Medical
21
Technicians.
22

"Silver spanner program" means a program in which a member
23
under a fire department's or fire protection district's
24
collective bargaining agreement works on or at the EMS System
25
under another fire department's or fire protection district's
26
collective bargaining agreement and (i) the other fire

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LRB104 20736 RTM 34239 b
1
department or fire protection district is not the member's
2
full-time employer and (ii) any EMS services not included
3
under the original fire department's or fire protection
4
district's collective bargaining agreement are included in the
5
other fire department's or fire protection district's
6
collective bargaining agreement.
7

"Trauma" means any significant injury which involves
8
single or multiple organ systems.
9
(Source: P.A. 103-521, eff. 1-1-24; 103-689, eff. 1-1-25;
10
104-362, eff. 8-15-25.)

11

(210 ILCS 50/3.50)
12

Sec. 3.50.
Emergency Medical Services personnel licensure
13
levels.
14

(a) "Emergency Medical Technician" or "EMT" means a person
15
who has successfully completed a course in basic life support
16
as approved by the Department, is currently licensed by the
17
Department in accordance with standards prescribed by this Act
18
and rules adopted by the Department pursuant to this Act, and
19
practices within an EMS System. A valid Emergency Medical
20
Technician-Basic (EMT-B) license issued under this Act shall
21
continue to be valid and shall be recognized as an Emergency
22
Medical Technician (EMT) license until the Emergency Medical
23
Technician-Basic (EMT-B) license expires.
24

(b) "Emergency Medical Technician-Intermediate" or "EMT-I"
25
means a person who has successfully completed a course in

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1
intermediate life support as approved by the Department, is
2
currently licensed by the Department in accordance with
3
standards prescribed by this Act and rules adopted by the
4
Department pursuant to this Act, and practices within an
5
Intermediate or Advanced Life Support EMS System.
6

(b-5) "Advanced Emergency Medical Technician" or "A-EMT"
7
means a person who has successfully completed a course in
8
basic and limited advanced emergency medical care as approved
9
by the Department, is currently licensed by the Department in
10
accordance with standards prescribed by this Act and rules
11
adopted by the Department pursuant to this Act, and practices
12
within an Intermediate or Advanced Life Support EMS System.
13

(c) "Paramedic (EMT-P)" means a person who has
14
successfully completed a course in advanced life support care
15
as approved by the Department, is licensed by the Department
16
in accordance with standards prescribed by this Act and rules
17
adopted by the Department pursuant to this Act, and practices
18
within an Advanced Life Support EMS System. A valid Emergency
19
Medical Technician-Paramedic (EMT-P) license issued under this
20
Act shall continue to be valid and shall be recognized as a
21
Paramedic license until the Emergency Medical
22
Technician-Paramedic (EMT-P) license expires.
23

(c-3) "Tactical Medical Provider" means a person who has
24
successfully completed certification under Section 10.28 of
25
the Illinois Police Training Act.

26

(c-5) "Emergency Medical Responder" or "EMR (First

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LRB104 20736 RTM 34239 b
1
Responder)" means a person who has successfully completed a
2
course in emergency medical response as approved by the
3
Department and provides emergency medical response services in
4
accordance with the level of care established by the National
5
EMS Educational Standards Emergency Medical Responder course
6
as modified by the Department, or who provides services as
7
part of an EMS System response plan, as approved by the
8
Department, of that EMS System. The Department shall have the
9
authority to adopt rules governing the curriculum, practice,
10
and necessary equipment applicable to Emergency Medical
11
Responders.
12

On August 15, 2014 (the effective date of Public Act
13
98-973), a person who is licensed by the Department as a First
14
Responder and has completed a Department-approved course in
15
first responder defibrillator training based on, or equivalent
16
to, the National EMS Educational Standards or other standards
17
previously recognized by the Department shall be eligible for
18
licensure as an Emergency Medical Responder upon meeting the
19
licensure requirements and submitting an application to the
20
Department. A valid First Responder license issued under this
21
Act shall continue to be valid and shall be recognized as an
22
Emergency Medical Responder license until the First Responder
23
license expires.
24

(c-10) All EMS Systems and licensees shall be fully
25
compliant with the National EMS Education Standards, as
26
modified by the Department in administrative rules, within 24

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LRB104 20736 RTM 34239 b
1
months after the adoption of the administrative rules.
2

(d) The Department shall have the authority and
3
responsibility to:
4

(1) Prescribe education and training requirements,
5

which includes training in the use of epinephrine, for all
6

levels of EMS personnel except for EMRs, based on the
7

National EMS Educational Standards and any modifications
8

to those curricula specified by the Department through
9

rules adopted pursuant to this Act.
10

(A) A failure rate per course of 30% or greater at
11

the first attempt on the licensure examination shall
12

require the EMS System to submit a quality improvement
13

plan to the Department. The EMS System shall share
14

failure rates with the EMS Lead Instructor quarterly.
15

Neither the EMS System nor the Department may take
16

licensure action against an EMS Lead Instructor based
17

solely on first-attempt pass rates.
18

(B) Candidates shall complete the licensure
19

examination within the timeline required by the NREMT.
20

(C) An accredited Paramedic program shall be
21

conducted only by an EMS System or an academic
22

institution whose curriculum has been approved by the
23

EMS System. An EMS System associate hospital may allow
24

students from an EMS System-approved and
25

Department-approved Paramedic course to complete
26

clinical rotations as approved by the EMS System

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1

Medical Director. The approval by the EMS System
2

Medical Director may not be unreasonably denied.
3

(2) Prescribe licensure testing requirements for all
4

levels of EMS personnel, which shall include a requirement
5

that all phases of instruction, training, and field
6

experience be completed before taking the appropriate
7

licensure examination. Candidates shall take the
8

appropriate National Registry examination. In prescribing
9

licensure testing requirements for honorably discharged
10

members of the armed forces of the United States under
11

this paragraph (2), the Department shall ensure that a
12

candidate's military emergency medical training, emergency
13

medical curriculum completed, and clinical experience, as
14

described in paragraph (2.5), are recognized.
15

(2.5) Review applications for EMS personnel licensure
16

from honorably discharged members of the armed forces of
17

the United States with military emergency medical
18

training. Applications shall be filed with the Department
19

within one year after military discharge and shall
20

contain: (i) proof of successful completion of military
21

emergency medical training; (ii) a detailed description of
22

the emergency medical curriculum completed; and (iii) a
23

detailed description of the applicant's clinical
24

experience. The Department may request additional and
25

clarifying information. The Department shall evaluate the
26

application, including the applicant's training and

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LRB104 20736 RTM 34239 b
1

experience, consistent with the standards set forth under
2

subsections (a), (b), (c), and (d) of Section 3.10. If the
3

application clearly demonstrates that the training and
4

experience meet such standards, the Department shall offer
5

the applicant the opportunity to successfully complete a
6

Department-approved EMS personnel examination for the
7

level of license for which the applicant is qualified.
8

Upon passage of an examination, the Department shall issue
9

a license, which shall be subject to all provisions of
10

this Act that are otherwise applicable to the level of EMS
11

personnel license issued.
12

(3) License individuals as an EMR, EMT, EMT-I, A-EMT,
13

or Paramedic who have met the Department's education,
14

training and examination requirements.
15

(4) Prescribe annual continuing education and
16

relicensure requirements for all EMS personnel licensure
17

levels.
18

(5) Relicense individuals as an EMD, EMR, EMT, EMT-I,
19

A-EMT, PHRN, PHAPRN, PHPA,
TMP,
or Paramedic every 4
20

years, based on their compliance with continuing education
21

and relicensure requirements as required by the Department
22

pursuant to this Act. Every 4 years, a Paramedic shall
23

have 100 hours of approved continuing education, an EMT-I
24

and an advanced EMT shall have 80 hours of approved
25

continuing education, and an EMT shall have 60 hours of
26

approved continuing education. An Illinois licensed EMR,

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EMD, EMT, EMT-I, A-EMT, Paramedic, ECRN, PHPA,
TMP,

2

PHAPRN, or PHRN whose license has been expired for less
3

than 36 months may apply for reinstatement by the
4

Department. Reinstatement shall require that the applicant
5

(i) submit satisfactory proof of completion of continuing
6

medical education and clinical requirements to be
7

prescribed by the Department in an administrative rule;
8

(ii) submit a positive recommendation from an Illinois EMS
9

Medical Director attesting to the applicant's
10

qualifications for retesting; and (iii) pass a Department
11

approved test for the level of EMS personnel license
12

sought to be reinstated.
13

(6) Grant inactive status to any EMR, EMD, EMT, EMT-I,
14

A-EMT, Paramedic, ECRN, PHAPRN, PHPA,
TMP,
or PHRN who
15

qualifies, based on standards and procedures established
16

by the Department in rules adopted pursuant to this Act.
17

(7) Charge a fee for EMS personnel examination,
18

licensure, and license renewal.
19

(8) Suspend, revoke, or refuse to issue or renew the
20

license of any licensee, after an opportunity for an
21

impartial hearing before a neutral administrative law
22

judge appointed by the Director, where the preponderance
23

of the evidence shows one or more of the following:
24

(A) The licensee has not met continuing education
25

or relicensure requirements as prescribed by the
26

Department;

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LRB104 20736 RTM 34239 b
1

(B) The licensee has failed to maintain
2

proficiency in the level of skills for which he or she
3

is licensed;
4

(C) The licensee, during the provision of medical
5

services, engaged in dishonorable, unethical, or
6

unprofessional conduct of a character likely to
7

deceive, defraud, or harm the public;
8

(D) The licensee has failed to maintain or has
9

violated standards of performance and conduct as
10

prescribed by the Department in rules adopted pursuant
11

to this Act or his or her EMS System's Program Plan;
12

(E) The licensee is physically impaired to the
13

extent that he or she cannot physically perform the
14

skills and functions for which he or she is licensed,
15

as verified by a physician, unless the person is on
16

inactive status pursuant to Department regulations;
17

(F) The licensee is mentally impaired to the
18

extent that he or she cannot exercise the appropriate
19

judgment, skill and safety for performing the
20

functions for which he or she is licensed, as verified
21

by a physician, unless the person is on inactive
22

status pursuant to Department regulations;
23

(G) The licensee has violated this Act or any rule
24

adopted by the Department pursuant to this Act; or
25

(H) The licensee has been convicted (or entered a
26

plea of guilty or nolo contendere) by a court of

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1

competent jurisdiction of a Class X, Class 1, or Class
2

2 felony in this State or an out-of-state equivalent
3

offense.
4

(9) Prescribe education and training requirements in
5

the administration and use of opioid antagonists for all
6

levels of EMS personnel based on the National EMS
7

Educational Standards and any modifications to those
8

curricula specified by the Department through rules
9

adopted pursuant to this Act.
10

(d-5) An EMR, EMD, EMT, EMT-I, A-EMT, Paramedic, ECRN,
11
PHAPRN, PHPA,
TMP,
or PHRN who is a member of the Illinois
12
National Guard or an Illinois State Trooper or who exclusively
13
serves as a volunteer for units of local government with a
14
population base of less than 5,000 or as a volunteer for a
15
not-for-profit organization that serves a service area with a
16
population base of less than 5,000 may submit an application
17
to the Department for a waiver of the fees described under
18
paragraph (7) of subsection (d) of this Section on a form
19
prescribed by the Department.
20

(d-10) A person who is not an EMS personnel may operate an
21
EMS vehicle pursuant to this Act if the following requirements
22
are met: (i) the person meets the requirements of Section
23
11-1421 of the Illinois Vehicle Code; (ii) 2
24
Department-licensed EMS personnel are present and have met
25
educational requirements prescribed by the Department; and
26
(iii) the clinical condition of the patient necessitates the

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LRB104 20736 RTM 34239 b
1
involvement of additional licensed personnel to ensure
2
appropriate assessment, treatment, and patient safety. If a
3
waiver is issued by the Department, the person who is not an
4
EMS personnel may operate the EMS vehicle if only one EMS
5
personnel is present. Upon request, the Department may issue a
6
retroactive waiver when appropriate.
7

The education requirements prescribed by the Department
8
under this Section must allow for the suspension of those
9
requirements in the case of a member of the armed services or
10
reserve forces of the United States or a member of the Illinois
11
National Guard who is on active duty pursuant to an executive
12
order of the President of the United States, an act of the
13
Congress of the United States, or an order of the Governor at
14
the time that the member would otherwise be required to
15
fulfill a particular education requirement. Such a person must
16
fulfill the education requirement within 6 months after his or
17
her release from active duty.
18

(e) In the event that any rule of the Department or an EMS
19
Medical Director that requires testing for drug use as a
20
condition of the applicable EMS personnel license conflicts
21
with or duplicates a provision of a collective bargaining
22
agreement that requires testing for drug use, that rule shall
23
not apply to any person covered by the collective bargaining
24
agreement.
25

(f) At the time of applying for or renewing his or her
26
license, an applicant for a license or license renewal may

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LRB104 20736 RTM 34239 b
1
submit an email address to the Department. The Department
2
shall keep the email address on file as a form of contact for
3
the individual. The Department shall send license renewal
4
notices electronically and by mail to a licensee who provides
5
the Department with his or her email address. The notices
6
shall be sent at least 60 days prior to the expiration date of
7
the license.
8
(Source: P.A. 104-362, eff. 8-15-25.)

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This site is maintained for the Illinois General Assembly by the
Legislative Information System, 705 Stratton Building, Springfield, Illinois 62706.
Contact ILGA Webmaster

ILGA.gov uses cookies to ensure you get the best experience on our website. By continuing to browse ILGA.gov you consent to our use of cookies.
Read About Cookies

ILGA.GOV

2026 ILGA.gov | All Rights Reserved |
ADA

|
Disclaimers
|
Learn