Creates the First Responder Medal of Honor Act. Provides that the Governor may award the First Responder Medal of Honor to a first responder who displays conspicuous gallantry and intrepidity at the risk of the first responder's life above and beyond the call of duty while engaged in an act of public service. Provides that the Illinois Emergency Management Agency and Office of Homeland Security shall determine if a first responder is eligible for the First Responder Medal of Honor. Provides that a first responder's employer may recommend a first responder who has been killed or seriously injured in the line of duty for the First Responder Medal of Honor. Provides that a member of the General Assembly may recommend a first responder who resides, works, or dies in the line of duty in the member's district for the First Responder Medal of Honor.