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Springfield Push Could Put EMTs in Line for Fallen-Duty Payouts

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Published on February 23, 2026
Springfield Push Could Put EMTs in Line for Fallen-Duty PayoutsSource: The Illinois State Capitol

Illinois lawmakers are weighing a quiet but consequential tweak to state law that could mean a lot to families of front line medical workers. Rep. Wayne Rosenthal has filed a bill in Springfield that would extend Illinois’ Line of Duty Compensation Act so it covers state-licensed emergency medical services workers, not just cops and firefighters.

The proposal, HB 5599, would put families of EMTs, dispatchers, prehospital nurses and physician assistants in line for the same lump-sum duty-death payment that currently goes to survivors of police officers, firefighters and paramedics. Rosenthal introduced the bill in mid February, and it is already headed for an early committee review at the State Capitol.

What the bill would change

HB 5599 is written to amend Sections 2, 3 and 4 of the Line of Duty Compensation Act in order to “include emergency medical services personnel within the scope of the Act,” according to the bill text. The Illinois General Assembly lists the measure under Rosenthal’s name and publishes the bill’s introductory language.

Who would be eligible

The bill leans on the job categories already defined in Illinois' Emergency Medical Services (EMS) Systems Act. That means eligibility could extend to emergency medical responders, emergency medical dispatchers, EMTs at multiple certification levels, emergency communications registered nurses, prehospital registered and advanced practice nurses, and prehospital physician assistants.

As reported by EMS1, that list reaches well beyond the single “paramedic” reference in current state law.

How the law works now

Right now, the Line of Duty Compensation Act spells out a narrower group. Paramedics, firemen, law-enforcement officers, chaplains and similar public safety workers are named as eligible for duty-death benefits, and the statute ties those benefits to deaths that occur within one year of an injury caused by violence or a related accidental event.

Existing law also defines how long families have to file claims and outlines the historical framework for calculating those duty-death payments. The full statute text is reproduced at Justia.

Next steps in Springfield

HB 5599 has already had its first reading on the House floor and has been sent to the House Rules Committee. That panel will decide whether the bill gets a hearing or a vote, or whether it quietly stalls.

LegiScan tracks the filing date and early procedural moves on the bill. Even if it clears committee, the proposal would still need approval from both the Illinois House and Senate, along with the governor’s signature, before any change becomes law.

Why it matters

The bill’s official synopsis states that it would “include emergency medical services personnel within the scope of the Act,” a short line of legalese that would pull a much wider slice of prehospital clinicians under the same protective umbrella as other listed public safety workers.

For families of a covered EMS worker who dies within a year of a qualifying on-duty injury, the change could open access to the one-time duty-death payouts that are already available to survivors of other specified public safety professionals. The Illinois General Assembly also publishes the synopsis language that sets out that aim.