Amends the Mental Health and Developmental Disabilities Administrative Act. Requires the Department of Human Services to file an amendment to the Home and Community-Based Services Waiver Program for Adults with Developmental Disabilities that shall include an increase in the rate methodology sufficient to provide for a wage rate of 150% of the statewide, regional, or local minimum wage for services delivered on or after January 1, 2027, for all direct support personnel and all other frontline personnel who are not subject to the Bureau of Labor Statistics' average wage increases and who work in residential and community day services settings. Provides that for services delivered on or after January 1, 2027, the rates shall include adjustments to employment-related expenses as defined by rule by the Department. Requires the Department to adopt rules, including emergency rules, to implement the rate increases. Contains provisions on benchmark rates for therapy and counseling for adults with intellectual and developmental disabilities; tiered rates for community day services; community integration supports for community day services; and benchmark rates for CILA transportation cost and for the supported employment program for adults with intellectual and developmental disabilities. Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to submit a Title XIX State Plan amendment to the federal Centers for Medicare and Medicaid Services that shall include an increase in the rate methodology sufficient to provide for a wage rate of 150% of the statewide, regional, or local minimum wage for services delivered on or after January 1, 2027, for all direct support personnel and all other frontline personnel at ID/DD and MC/DD facilities. Provides that the State Plan amendment shall provide wage increases for all residential non-executive direct care staff. Effective immediately.

Amends the Common Interest Community Association Act. Requires a common interest association to conduct and update a reserve study every 5 years. "Reserve study" means an analysis of the reserves required for future major maintenance, repairs, and replacements of the common elements. Grants a 5-year window for an association to conduct a reserve study or update a current study. Requires a reserve study to be made available to any prospective purchaser of a unit upon request for a resale of any unit in the community. Exempts an association with 15 or fewer units but still requires the board to comply with the budgeting and reserve requirements elsewhere in the Act. Amends the Condominium Property Act to make similar changes.

Amends the Public Utilities Act. In provisions concerning the valuation of water and sewer utilities, provides that a large public utility that acquires a water or sewer utility may recommend that the large public utility adopt the existing rates of the water or sewer utility. Provides that the contractor or subcontractor shall submit evidence of meeting the requirements to be a responsible bidder to the large public utility (rather than water or sewer utility). Provides that the provisions are repealed on June 30, 2038 (rather than June 1, 2028). Provides that a large public utility, in its application to acquire a water or sewer utility or any other application requesting approval of an acquisition of a water or sewer utility, may request that the Illinois Commerce Commission expedite its review and issue an order within an expedited timeframe. Provides that, if, in its application, a large public utility requests an expedited review, the Commission shall issue a ruling approving or denying expedited review within 30 days of the filing of the application if the large public utility provides ample evidence supporting the need for expedited review. Provides that the large public utility, in its application, shall establish evidence that the expedited review is necessary which may include certain factors. Provides that, upon granting expedited review, and subject to the Commission's rules on interlocutory review, the Commission shall issue its final order no later than 5 months after the date the expedited review was granted. Makes other changes. Effective immediately.

Amends the Child Abuse Notice Act. Adds gun shops and public libraries, as defined, to the list of businesses and establishments that must post a child abuse notice in a conspicuous place that is accessible to the public. Requires the Department of Children and Family Services to include on the model notice it develops for the businesses and establishments to post, the contact information for the National Suicide Prevention Lifeline (988), the Crisis Text Line, and either the Safe2Help Illinois helpline or a local suicide prevention hotline, or both.

Amends the Illinois Vehicle Code by creating the Confidence in Firearm Protection Law Chapter. Provides that the Secretary of State shall suspend an individual's driver's license and the individual's ability to register or renew registration for a motor vehicle of the first division or a motor vehicle of the second division registered at not more than 8,000 pounds upon receiving an authenticated report that the individual has failed to comply with the Firearm Owners Identification Card Act after suspension or revocation of the individual's Firearm Owner's Identification Card. Requires the Illinois State Police to forward to the Secretary of State an authenticated document certifying the requirements have been met to suspend the individual's driver's license or ability to register or renew registration for a motor vehicle of the first division or a motor vehicle of the second division registered at not more than 8,000 pounds no more than 7 days after the suspension or revocation of the individual's Firearm Owner's Identification Card. Requires the Secretary of State, prior to suspending a driver's license or the ability to register or renew registration of a motor vehicle of the first division or a motor vehicle of the second division registered at not more than 8,000 pounds, to serve written notice upon an individual that the individual's driver's license or ability to register or renew registration shall be suspended in 60 days from the date on the notice unless the individual meets the requirements of the Firearm Owners Identification Card Act. Allows a driver to contest these suspensions by administrative hearing. Allows the Secretary of State and the Illinois State Police to adopt necessary rules to establish standards, policies, and procedures related to the provisions. Requires the Secretary of State and the Illinois State Police to create a mechanism by which data concerning the provisions may be electronically shared.

Amends the Chicago Municipal Article of the Illinois Pension Code. Beginning February 1, 2027, requires the Board of Education of the City of Chicago to make an annual contribution equal to the normal cost for all the employees of the Board of Education under the Article on and after the effective date of the amendatory Act and an apportioned contribution toward the unfunded actuarial accrued liability of the fund equal to the percentage of the Fund's total current unfunded liability that is attributable to service credit earned by employees of the Board of Education of the city prior to January 1, 1994. Provides that the amount of the liability shall be determined by the Fund's actuary and amortized in a manner consistent with the statutory funding schedule applicable to the Fund, including the requirement to achieve a funded ratio of not less than 90% by the applicable target year. Makes a conforming change. Amends the State Mandates Act to require implementation without reimbursement. Effective immediately.

Amends the Criminal Code of 2012. In the provision of the Code that provides that a person who by illegal gambling loses $50 or more to another person may sue for and recover the money or other thing of value, so lost and paid or delivered, in a civil action against the winner thereof, with costs, in the circuit court, applies only to a natural person with residency in the State of Illinois. Provides that losses as a result of participation in any fantasy contests against a fantasy contest operator, including single-player fantasy contests, are not recoverable under the provision. Effective immediately.

Creates the Immunity for Private Campgrounds Act. Provides that a private campground owner or an employee or officer of a private campground owner is not be liable for acts or omissions related to camping at a private campground if a person is injured or killed or property is damaged as a result of an inherent risk of camping with exceptions. Provides that "private campground" means any parcel or tract of land, including buildings and other structures, that is owned or operated by a private property owner where 5 or more campsites are made available for use as temporary living quarters for recreational, camping, travel, or seasonal use. Provides that private campground also includes recreational vehicle parks. Exempts employer-employee relationships.

Amends the Illinois Income Tax Act. Creates a corporate income tax deduction for hemp business establishments in an amount equal to 50% of the income generated by the sale of products made by businesses owned by minority and other specific priority-population-owned businesses. Amends the Tobacco Products Tax Act of 1995 to exclude hemp-cannabinoid products subject to tax under the Industrial Hemp Act from the definition of tobacco products. Amends the Liquor Control Act of 1934 to provide that hemp extract and hemp-cannabinoid products made in compliance with State law are considered fit for human consumption. Authorizes liquor license holders to manufacture, distribute, and sell such products. Amends the Industrial Hemp Act to establish a comprehensive regulatory framework for hemp and hemp-derived cannabinoid products, including licensing, registration, packaging and labeling standards, age verification, laboratory testing, recordkeeping, enforcement, and penalties. Creates the Hemp Social Equity Fund to support loans, grants, and technical assistance for social equity applicants. Makes conforming changes to the State Finance Act. Effective January 1, 2027.

Reinserts the provisions of the introduced bill with the following changes. Provides that "physician assistant practice" means the performance of any medical service (rather than any legal medical service) for which the physician assistant has been prepared by the physician assistant's education, training, and experience and is competent to perform as determined through an employment agreement or the credentialing and privileging system of a licensed facility. Provides that no physician assistant shall use the title of doctor, physician, or associate with his or her name or any other term that would indicate to other persons that the physician assistant is a licensed physician (rather than a title or term that would indicate to other persons that he or she is qualified to engage in the general practice of medicine). Provides that no person shall use the title physician assistant, physician associate, PA, PA-C, or any other term that would indicate to other persons that the person is a licensed or board-certified physician assistant unless the person is licensed as a physician assistant under this Act. In a provision concerning continuing education for physician assistant license renewal, provides that continuing education programs shall be relevant to physician assistant practice (rather than shall be in the physician assistant's area of practice) and may be conducted or endorsed by educational institutions, hospitals, professional associations, or other organizations approved to offer continuing education under the Act or rules. Provides that a physician assistant with optimal practice authority may prescribe Schedule II narcotic drugs only in a consultation relationship with a physician. Provides that the consultation relationship shall be recorded on the Prescription Monitoring Program website, pursuant to the Illinois Controlled Substances Act, by the physician and the physician assistant with optimal practice authority, and is not required to be filed with the Department of Financial and Professional Regulation. Provides that at least monthly, the physician assistant with optimal practice authority and the physician must discuss the condition of any patients for whom a Schedule II narcotic drug is prescribed. Provides that the consultation relationship shall provide for physician availability for consultation on complex clinical cases and prescribing decisions, but shall not require the physical presence of the physician or constitute a written collaborative agreement (rather than a supervisory or collaborative agreement). In a provision concerning limitations, removes the prohibition that, pursuant to the Professional Service Corporation Act and the Medical Corporation Act, a person licensed under the Physician Assistant Practice Act of 1987 may not own a corporation for the purposes of practicing medicine. Removes the prohibition that, pursuant to the Professional Limited Liability Company Act, a person licensed under the Physician Assistant Practice Act of 1987 may not own a professional limited liability company for the purposes of practicing medicine. Makes other changes.

Amends the Township Code and the Illinois Municipal Code. Provides that write-in candidates for township offices may not enter upon their duties if the number of votes the write-in candidates received in the election is less than the number of signatures on the petition the write-in candidates would have been required to obtain to appear on the ballot.

Amends the Student Transfer Achievement Reform Act. Provides that the Board of Higher Education and the Illinois Community College Board shall develop a policy to foster the reverse transfer of credit for any student who has accumulated at least 30 (rather than 15) hours of academic credit at a community college and a sufficient number of hours of academic credit at a State university in the prescribed courses necessary to meet a community college's requirements to be awarded an associate degree. Provides that each State university shall automatically notify any transfer student accepted to the State university with at least 30 hours of academic credit at a community college of the option for the reverse transfer of credit within the student's first term of enrollment. Provides that a community college shall provide notification to a student wishing to reverse transfer earned academic credit with instructions on application for conferral of an associate degree. Provides that a community college or State university may not charge an application, transfer evaluation, or graduation fee or any other fee associated with conferral of an associate degree through reverse transfer. Provides that a community college shall include each student awarded an associate degree through reverse transfer within its student information system. Effective immediately.

Amends the Article in the Illinois Trust Code governing the duties and powers of trustees to provide a procedure for settlement of accounts. Provides that a trustee may obtain a settlement of its accounts if a trust terminates under the terms of the trust, a trust terminates early, a trustee resigns or is removed, or a trustee seeks discharge of an interim accounting period if the interest of one or more beneficiaries has terminated and the trust is continuing. Provides that a trustee who elects to use the new provisions must provide notice and a statement of information to the qualified beneficiaries of the trust and the successor trustee, if applicable, within a reasonable time after termination of the trust under its terms, the resignation or removal of the trustee, or the end of the period for which the trustee is seeking discharge. Provides that, if, after receiving the notice and trust information, a qualified beneficiary or any other party that received the notice and trust information objects to a disclosed act or omission, the qualified beneficiary must provide written notice of the objection to the trustee not later than 60 days after the notice was sent by the trustee. Provides that, if no written objection is provided in the 60-day time period, the information provided is considered approved by the recipient. Requires the trustee, in the case of a trust terminating under the terms of the trust or the trustee's resignation or removal, within a reasonable period of time following the expiration of the 60-day time period, to distribute the assets as provided in the trust or to the successor trustee. Provides that, if a qualified beneficiary gives the trustee a written objection within the applicable 60-day time period, the trustee or the qualified beneficiary may (i) submit the written objection to the court for resolution and charge the expense of commencing a proceeding to the trust or (ii) resolve the objection by a nonjudicial settlement agreement or other written agreement. Makes other changes.

Amends the Regulatory Sunset Act. Changes the repeal date of various Articles of the Illinois Insurance Code from January 1, 2027 to January 1, 2032. Effective immediately.

Amends the Illinois Health Care Facilities Planning Act. Repeals the January 1, 2027 inoperative date affecting a change of ownership among related persons. Amends the Illinois Antitrust Act. Repeals the January 1, 2027 inoperative date affecting notice provisions to the Attorney General before a health care merger or affiliation. Amends provisions requiring health care entities to notify the Attorney General within 30 days before a merger or affiliation to include a "covered transaction" even if the parties to the transaction are not themselves a health care facility or provider organization but own or control, directly or indirectly, one or more of the 2 or more health care facilities or provider organizations that will be under common ownership or contracting affiliation if the transaction is consummated, including if parties to the covered transaction are private equity companies. Defines "private equity company" to mean any company or partnership that collects capital investments from individuals or entities and purchases, as a parent company, at any level of corporate ownership, or through another entity or entities so that the company completely or partially owns or controls, a direct or indirect ownership share of an Illinois health care entity or an out-of-state health care entity that generates $10,000,000 or more in annual revenue from patients residing in this State. Changes notice provisions. Defines terms.