Illinois HB 5239: FREESTANDING EMERGENCY CENTERS

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
HB5239

Introduced 2/10/2026, by Rep. Natalie A. Manley 

SYNOPSIS AS INTRODUCED:

210 ILCS 50/32.5

 Amends the Emergency Medical Services (EMS) Systems Act. Provides that the Department of Public Health shall issue an annual Freestanding Emergency Center license to a facility if the facility complies with specified requirements, except that: (i) the Freestanding Emergency Center may be located in a municipality with a population greater than 50,000 inhabitants and (ii) the Freestanding Emergency Center may, if operated as provider-based under specified federal regulations, describe itself or hold itself out to the general public as a hospital emergency department in its advertising and marketing activities.

LRB104 20143 BAB 33594 b

A BILL FOR

HB5239LRB104 20143 BAB 33594 b

1 AN ACT concerning regulation.

2 Be it enacted by the People of the State of Illinois, 

3represented in the General Assembly:

4 Section 5. The Emergency Medical Services (EMS) Systems 

5Act is amended by changing Section 32.5 as follows:

6 (210 ILCS 50/32.5)

7 Sec. 32.5. Freestanding Emergency Center. 

8 (a) The Department shall issue an annual Freestanding 

9Emergency Center (FEC) license to any facility that has 

10received a permit from the Health Facilities and Services 

11Review Board to establish a Freestanding Emergency Center by 

12January 1, 2015, and:

13 (1) is located: (A) in a municipality with a 

14 population of 50,000 or fewer inhabitants; (B) within 50 

15 miles of the hospital that owns or controls the FEC; and 

16 (C) within 50 miles of the Resource Hospital affiliated 

17 with the FEC as part of the EMS System;

18 (2) is wholly owned or controlled by an Associate or