Sen. Tom Bennett
Filed: 5/14/2024
 
 
 




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1
AMENDMENT TO HOUSE BILL 4179


2 AMENDMENT NO. ______. Amend House Bill 4179 by replacing 
3everything after the enacting clause with the following:

4 "Section 5. The Emergency Services Districts Act is 
5amended by changing Sections 2.5, 4, 11, 11.3, 11.4, and 11.5 
6as follows:

7 (70 ILCS 2005/2.5)
8 Sec. 2.5. Rescue squad district continuance. A rescue 
9squad district organized under this Act before January 1, 2024 
10(the effective date of Public Act 103-134) this amendatory Act 
11of the 103rd General Assembly may (i) continue to be named a 
12rescue squad district or be renamed an emergency services 
13district by ordinance of the board of trustees of the 
14district, (ii) operate under the provisions of this Act as if 
15it was they were organized as an emergency services district, 
16and (iii) continue exercising taxing authority granted to it 
 
 
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1that was approved before January 1, 2024, and (iv) for a 
2district in counties other than Cook County, DuPage County, 
3Kane County, Lake County, McHenry County, or Will County, 
4increase, by referendum, the tax rate authorized by its 
5organizational proposition under Section 4 by up to an 
6additional 0.20%. However, the aggregate tax authorized to be 
7levied for any one year under Section 4, including the amount 
8levied under the organizational proposition, shall not exceed 
90.20% of value for a district in Cook County, DuPage County, 
10Kane County, Lake County, McHenry County, or Will County or 
110.40% of value for a district in counties other than Cook 
12County, DuPage County, Kane County, Lake County, McHenry 
13County, or Will County, as equalized or assessed by the 
14Department of Revenue. The taxes authorized under this Section 
15may be used for any purpose allowed under this Act, including, 
16but not limited to, ambulance service. the effective date of 
17this amendatory Act of the 103rd General Assembly and the 
18taxes may be used for any purpose allowed under this Act.  
19(Source: P.A. 103-134, eff. 1-1-24.)

20 (70 ILCS 2005/4) (from Ch. 85, par. 6854)
21 Sec. 4. The determination of the court as to the necessity 
22for the organization of the proposed emergency services 
23district, together with the description of the boundaries of 
24the district as fixed by the court, shall be entered of record 
25in the court. Thereupon the court shall certify the question 
 
 
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1of the organization of the territory included within the 
2boundaries fixed by it as an emergency services district to 
3the proper election officials, who shall submit the question 
4to the legal voters resident within the territory at an 
5election to be held in the district. Notice of the referendum 
6shall be given and the referendum conducted in the manner 
7provided by the general election law. The notice of the 
8election shall state the purpose of the referendum, describe 
9the territory proposed to be organized as an emergency 
10services district, and state the time of the election.
11 The proposition shall be in substantially the following 
12form:
13--------------------------------------------------------

14 Shall this territory (describing

15it) be organized as The ........... YES

16Emergency Services

17District and shall the

18District be authorized to levy and ----------------------

19collect a property tax not to exceed

20[0.20%/0.40%, as applicable] .20%

21on the property situated in the NO

22District?

23-------------------------------------------------------------
24 The court shall cause a statement of the result to be 
25entered of record in the court.
26(Source: P.A. 103-134, eff. 1-1-24.)

 
 
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1 (70 ILCS 2005/11)
2 Sec. 11. Property tax; fees. 
3 (a) An emergency services district organized under this 
4Act may levy and collect a general tax on the property situated 
5in the district, but the aggregate amount of taxes levied for 
6any one year under this Act shall not exceed the rate of 0.20% 
7.20% of value for a district in Cook County, DuPage County, 
8Kane County, Lake County, McHenry County, or Will County or 
90.80% of value for a district in counties other than Cook 
10County, DuPage County, Kane County, Lake County, McHenry 
11County, or Will County, as equalized or assessed by the 
12Department of Revenue. For a district in a county other than 
13Cook County, DuPage County, Kane County, Lake County, McHenry 
14County, or Will County, no more than half of the rate (0.40%) 
15may be authorized under paragraph (iv) of Section 2.5, Section 
164, or both and half of the rate (0.40%) under Section 11.5. The 
17board of trustees shall determine and certify the amount to be 
18levied and shall return the same to the county clerk. The 
19limitation upon the tax rate may be increased or decreased 
20under the referendum provisions of the General Revenue Law of 
21Illinois.
22 In case the district is located in more than one county, 
23the board of trustees shall determine and certify the amount 
24to be levied upon the taxable property lying in each county and 
25return the same to the respective county clerks of the 
 
 
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1counties in which the amount is to be levied. In order to 
2determine the amount to be levied upon the taxable property of 
3that part of the district lying in each county, the board shall 
4ascertain from the county clerk of the respective counties in 
5which the district lies the last ascertained equalized value 
6of the taxable property of the district lying in their 
7respective counties, then shall ascertain the rate per cent 
8required and shall, accordingly, apportion the whole amount to 
9be raised between the several parts of the district so lying in 
10the different counties. The tax provided for in this Section 
11shall be levied at the same time and in the same manner as 
12nearly as practicable as taxes are now levied for municipal 
13purposes under the laws of this State.
14 All general taxes under this Act, when collected, shall be 
15paid over to the treasurer of the board of trustees, who is 
16authorized to receive and receipt for the same.
17 (b) An emergency services A rescue squad district 
18organized under this Act may fix, charge, and collect fees for 
19district rescue squad services and ambulance services within 
20or outside of the rescue squad district not exceeding the 
21reasonable cost of the service. 
22(Source: P.A. 103-134, eff. 1-1-24; 103-174, eff. 6-30-23; 
23revised 12-12-23.)

24 (70 ILCS 2005/11.3)
25 Sec. 11.3. Ambulance service.
 
 
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1 (a) The board of trustees may provide ambulance service to 
2or from points within or without the district, contract with 
3providers of ambulance service, combine with other units of 
4local government for the purpose of providing ambulance 
5service, and adopt rules and regulations relating to ambulance 
6service within the board's jurisdiction.
7 (b) The board of trustees may: 
8  (1) contract with a private person, hospital, 
9 corporation, or another governmental unit for the 
10 provision and operation of ambulance service or subsidize 
11 the ambulance service; 
12  (2) limit the number of ambulance services by 
13 referendum; 
14  (3) within its jurisdiction, fix, charge, and collect 
15 fees for ambulance service within or outside of the fire 
16 protection district not exceeding the reasonable cost of 
17 the service; and 
18  (4) establish necessary regulations not inconsistent 
19 with the statutes or regulations of the Department of 
20 Public Health relating to ambulance service. 
21 The board of trustees may limit the number of ambulances 
22under paragraph (2) or establish regulations under paragraph 
23(4) if a referendum under Section 11.5 has been approved. 
24(Source: P.A. 103-134, eff. 1-1-24.)

25 (70 ILCS 2005/11.4)
 
 
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1 Sec. 11.4. Charge for ambulance service.
2 (a) The board of trustees of a district may fix, charge, 
3and collect fees not exceeding the reasonable cost of the 
4service for ambulance services rendered by the district within 
5or outside of the district against persons who are not 
6residents of the district and against businesses and other 
7entities that are not located within the district.
8 (b) A fee charged to an individual patient under 
9subsection (a) shall be computed at a rate not to exceed $250 
10per hour and not to exceed $70 per hour per ambulance worker 
11responding to a call for assistance. This limitation does not 
12apply to a third-party payer, and the third-party payer shall 
13pay the charges set in subsection (a). An additional fee may be 
14charged to reimburse the district for documented extraordinary 
15expenses of materials used in rendering ambulance services up 
16to the reasonable cost of the materials, personnel, and 
17operating costs. No charge shall be made for services for 
18which the total charge would be less than $50.
19 As used in this subsection, "third-party payer" means an 
20entity that provides an insurance, medical service, or health 
21plan by contract or agreement, including an automobile 
22liability insurance or no fault insurance carrier, and any 
23other plan or program that is designed to provide compensation 
24or coverage for expenses incurred by a beneficiary for health 
25care services or products. 
26 (c) All revenue from the fees charged under this Section 
 
 
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1shall be deposited to the district's general fund.
2(Source: P.A. 103-134, eff. 1-1-24.)

3 (70 ILCS 2005/11.5)
4 Sec. 11.5. Ambulance service tax. Whenever the board of 
5trustees of an emergency services district desires to levy a 
6special tax to provide an ambulance service or support an 
7existing ambulance service, it shall certify the question to 
8the proper election officials, who shall submit that question 
9at an election to the voters of the district. The result of the 
10referendum shall be entered upon the records of the district. 
11If a majority of the votes on the question are in favor of the 
12question, the board of trustees may then levy a special tax at 
13a rate not to exceed 0.40% of the value of all taxable property 
14within the district as equalized or assessed by the Department 
15of Revenue. The question shall be in substantially the 
16following form:
17----------------------------------------------

18 Shall the ....

19Emergency Services

20District levy a special tax at a rate YES

21not to exceed 0.40% of the value of all

22taxable property within the district -----------------

23as equalized or assessed by the

24Department of Revenue for the purpose NO

25of providing or supporting an ambulance

 
 
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1service?

2-------------------------------------------------------------
3 The A tax levied under Section 4 11 may be used for 
4ambulance services as well as a tax levied under this Section. 
5The aggregate percentage of all tax levies that a district may 
6levy under this Act may not exceed the aggregate percentage 
7limitation under Section 11. 
8(Source: P.A. 103-134, eff. 1-1-24.)