Amends the Equal Pay Act of 2003. Removes references to the federal Annual Employer Information Report. Amends the Prevailing Wage Act. Changes specified references to the Office of Apprenticeship within the U.S. Department of Labor's Employment and Training Administration. Makes other changes. Effective immediately.

Urges the U.S. Congress to consider passing proposed legislation by the Nu Paradigm Foundation that promotes equity regarding safe and effective medication for all communities.

Amends the Abandoned Newborn Infant Protection Act. Provides that as soon as practicable, the Department of Children and Family Services, in consultation with the county board of each county, shall identify hospital emergency departments, fire stations, emergency medical facilities, and police stations to install, maintain, and provide outreach regarding newborn safety devices. Provides that each county having a population less than 500,000 shall identify one hospital emergency department, fire station, emergency medical facility, or police station to install a newborn safety device; and each county having a population greater than 500,000 shall identify a total of 4 hospital emergency departments, fire stations, emergency medical facilities, or police stations, or any combination of those facilities, to install a newborn safety device. Requires the Department to award grants to the designated facilities of each county to pay for the installation of a newborn safety device and any other costs associated with maintaining proper operation of the device. Provides that a designated facility's acceptance of the grant award and any agreement to install and maintain a newborn safety device shall be strictly voluntary. Provides that a hospital emergency department, fire station, emergency medical facility, or police station that operates a newborn safety device is immune from civil liability for an act or omission relating to the operation of the newborn safety device unless the act or omission constitutes gross negligence or willful or wanton misconduct. Makes conforming changes throughout the Act.

Mourns the death of Carl Wesley Moore.

Amends the Municipal Code and the Fire Protection District Act. Provides that no person under the age of 18 (rather than 21) shall be eligible for employment as a firefighter.

Amends the Local Government Debt Reform Act. Provides that alternate bonds issued on or after the effective date of the amendatory Act may not be secured by the proceeds of general obligation bonds issued without referendum approval. Effective immediately.

Amends the Educator Licensure Article of the School Code. By June 1, 2026, requires the State Board of Education, in consultation with the State Educator Preparation and Licensure Board, to establish, by rule, a Montessori education endorsement to be added to a Professional Educator License. Requires the rules adopted by the State Board of Education to outline the requirements for obtaining the endorsement. Provides that these provisions are inoperative on and after January 1, 2027.

Amends the Property Tax Code. Provides that a copy of the complaint shall also be served on each taxing district in which the property is located at least 90 days prior to the board of review hearing on the complaint. Effective immediately.

Amends the Property Tax Code. Provides that, for the purpose of the Low-Income Senior Citizens Assessment Freeze Homestead Exemption, the term "household" includes only the applicant and the applicant's spouse (currently, the applicant, the spouse of the applicant, and all persons using the residence of the applicant as their principal place of residence). Effective immediately.

Amends the Interscholastic Athletic Organization Act. Provides that the Illinois High School Association shall be responsible for licensing all game officials. Provides that each applicant for licensure is required, as a condition of licensure, to authorize a fingerprint-based criminal history records check to determine if such applicant has been convicted of any disqualifying, specified criminal or drug offenses. Provides that the Illinois State Police shall charge applicants a fee for conducting the criminal history records check, which shall be deposited into the State Police Services Fund and shall not exceed the actual cost of the records check. Requires the Illinois High School Association to perform a check of the Statewide Sex Offender Database and the Statewide Murderer and Violent Offender Against Youth Database for each applicant once every 5 years that an applicant remains licensed by the Illinois High School Association. Provides that pending full check clearance, a prospective game official must be supervised at all times by an individual who has received full check clearance.

Creates the Accountability in Psychotropic Drug Prescriptions for Children Under Medicaid Act. Requires medical care providers prescribing psychotropic drugs to children under the State's Medicaid program to provide FDA Medication Guides to parents or legal guardians before issuing a prescription. Provides that the Medication Guides must be printed and reviewed with the parent or legal guardian, explaining (1) FDA-identified risks of the medication, including pediatric-specific warnings and (2) signs of potential side effects and adverse drug reactions detailed in the Medication Guide. Provides that written informed consent must be obtained from the parent or legal guardian before prescribing a psychotropic drug. Requires the Department of Healthcare and Family Services to, within 12 months after the effective date of the Act, develop and maintain a secure online reporting system for adverse drug reactions related to psychotropic drugs prescribed to children and adolescents. Contains provisions on adverse drug reaction reporting requirements; legislative oversight and reviews of adverse drug reaction reports related to psychotropic drugs; penalties for medical care providers who fail to comply with medication guide distribution; transparency and accountability reporting requirements for the Department of Healthcare and Family Services; and other matters. Amends the State Finance Act. Creates the Medicaid Oversight and Safety Measures Fund.

Amends the Use Tax Act, the Service Use Tax Act, the Service Occupation Tax Act, and the Retailers' Occupation Tax Act. Provides that certain materials furnished to a common interest community association pursuant to a contract entered into with the highway commissioner of a road district are exempt from the taxes imposed under those Acts.

Amends the Nursing Mothers in the Workplace Act. Provides that an employer shall provide 30 minutes of paid break time (rather than reasonable break time) to an employee who needs to express breast milk for her nursing infant child each time the employee has the need to express milk for one year after the child's birth. Provides that the employee may use other paid break time or meal time for any time needed in excess of 30 minutes. Provides that an employer shall provide paid break time (rather than reasonable break time) as needed by the employee unless to do so would create an undue hardship.

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that subject to federal approval, for dates of service on and after January 1, 2026, the Department of Healthcare and Family Services shall reimburse diagnostic testing facilities that provide long-term ambulatory electrocardiogram monitoring services at a rate not less than 80% of the Medicare Physician Fee Schedule rate for such services. Defines "long-term ambulatory electrocardiogram monitoring services".

Amends the Substance Use Disorder Act. Creates the State Fetal Alcohol Spectrum Disorders (FASD) Program to provide awareness, prevention, identification, intervention, and service delivery. Sets forth certain activities under the program, including, but not limited to: (i) designating a State FASD coordinator with knowledge and experience in the field of prenatal alcohol exposure and FASD; (ii) utilizing and adapting existing federal or State programs to include FASD identification and FASD-informed support; (iii) developing and expanding screening and diagnostic capacity for FASD; and (iv) providing training with respect to FASD for professionals across relevant sectors. Establishes a FASD State Advisory Committee to provide guidance for the FASD State Program to prevent FASD and provide for the identification, treatment, and support of individuals with FASD and their families. Sets forth certain activities of the committee; committee membership; and committee reporting requirements. Permits the Department of Human Services to contract with or provide grants to public and private nonprofit entities for FASD programs.