Item Types Not Attaching to Element Templates

I have Item Types created for various design elements that we use.  I have corresponding Element Templates created, and have added the correct Item Type to these Element Templates.

I am using a Key-in to turn Element Template Association ON, choose the correct Element Template, and then place a line.

Until yesterday, this process worked perfectly.  I would choose a custom tool that said "Place 1-2" Underground Conduit", and it would turn on Element Template association, select the "P_1-2" Underground Conduit" Element Template, and then pull up the Line tool.  If I drew a line, I could then see the Item Type "Conduits" attached with the correct values.

Now when I go to draw that same line, no Item Types are attached, and I cannot figure out what the issue is.  Any ideas what may be causing this issue?  My Item Types attach to cells with no issue, and I can see the properties when I click on the cell.