Amends the Workers' Compensation Act. Provides that any corporation, limited liability company, or partnership engaged in activities requiring licensure by a State agency, for which proof that it has insured its workers' compensation liability is a requirement for licensure, that fails to satisfy specified requirements, shall be subject to civil penalties under the Act unless it shows by clear and convincing evidence that it was not operating during the time its license was active.

Creates the Alexander/Pulaski Medical District Act. Creates the Alexander/Pulaski Medical District covering specified areas from the City of Cairo to north of the City of Pulaski in Alexander County and Pulaski County. Creates the Commission of the District with 9 appointed commissioners and 3 ex officio commissioners. Contains provisions related to the operation of the District; rights and powers of the District and Commission; acquisition, management, and disposition of property; and other provisions. Amends the Eminent Domain Act and State Finance Act. Makes conforming changes. Amends the Court of Claims Act. Replaces a reference to a dissolved medical district commission with the Alexander/Pulaski Medical District Commission and the other existing medical district commissions. Effective immediately.

Appropriates $10,000,000 from the General Revenue Fund to Department of Commerce and Economic Opportunity for grants to the Job Training and Economic Development program. Effective July 1, 2026.

Amends the Jury Act. Makes a technical change in a Section concerning the short title.

Amends the Property Tax Code. Provides that provisions concerning the abatement of property taxes pending or imposed upon property acquired by a governmental unit also apply to property acquired by a township.

Amends the Unified Code of Corrections. Provides that an individual convicted of a sex offense and released from the Department of Corrections to mandatory supervised release shall, to the extent practicable, be placed on mandatory supervised release in either: (1) the sentencing community or (2) a community of connection. Provides that placement outside the sentencing community or a community of connection may occur only upon a documented determination by the Department of Corrections that such placement is necessary due to one or more of the following: (1) verified public safety concerns; (2) victim safety considerations, including the location of a victim or the existence of protective orders; (3) the unavailability of compliant housing that satisfies statutory or mandatory supervised release conditions; or (4) the unavailability of required treatment, monitoring, or supervision resources. Provides that prior to release, the Department of Corrections shall develop an individualized reentry plan for each individual subject to the provision that identifies the sentencing community and any communities of connection and evaluates appropriate housing, treatment, and supervision options. Provides that nothing in the provision shall be construed to limit the authority of the Department of Corrections to impose conditions of mandatory supervised release necessary to protect public safety or to comply with existing law. Provides that the Department of Corrections shall submit an annual report to the General Assembly no later than March 1 of each year containing aggregate data regarding: (1) mandatory supervised release placement patterns for individuals convicted of sex offenses; (2) the number of placements made outside sentencing communities or communities of connection; (3) the primary reasons for such placements; and (4) geographic distribution by county. Provides that the report shall not include personally identifying information. Defines "sex offense", "sentencing community", and "community of connection". Effective immediately.

Amends the Sports Wagering Act. Allows a licensee to offer pool sports wagering to State patrons where State patrons compete against patrons located outside of the State. Allows the Illinois Gaming Board to issue master sports wagering licenses to persons to conduct sports wagering over the Internet or through a mobile application (rather than issue 3 master sports wagering licenses to online sports wagering operators for a nonrefundable license fee of $20,000,000 pursuant to an open and competitive selection process). Provides that the application fee for a master sports wagering license is $250,000 while the initial fee for a master sports wagering license issued to an online sports wagering operator is $15,000,000. Provides that a master sports wagering license is valid for 4 years and may be renewed for another 4 years by paying a specified renewal fee. Allows the Board to regulate the conduct of fantasy contest operators under the Act. Sets forth rulemaking authority, fees, surcharges, civil penalties, monthly taxes, Board powers, and cooperation with law enforcement investigations. Prohibits a person from offering fantasy contests in the State unless the person is licensed by the Board as a fantasy contest operator for an application fee of $500 for a fantasy contest operator that had 7,500 or fewer active patrons over the preceding 365-day period and $7,500 for a fantasy contest operator that had more than 7,500 patrons over the preceding 365-day period. Sets forth applicant requirements. Prohibits a person from participating in a fantasy contest if the person is not at least 21 years of age. Sets forth the duties of fantasy contest licensees. Provides that, beginning July 1, 2026, the State shall impose a privilege tax of 15% on the fantasy contest operator licensee's adjusted gross fantasy contest receipts. Makes other changes. Makes conforming changes in the Illinois Administrative Procedures Act and the Criminal Code of 2012. Effective immediately.

Amends the Illinois Administrative Procedure Act. Provides that, for any law implementing the federal Patient Protection and Affordable Care Act, the Department of Insurance may adopt rules that include incorporations by reference of federal rules and regulations without identifying the incorporated matter by date and without including a statement that the incorporation does not include later amendments. Amends the Illinois Insurance Code. Makes changes concerning the assignment or transfer of property and casualty policies; formatting requirements for the insurance company supplier diversity report; and insurance coverage for dependent parents. Provides that the Director of Insurance shall maintain as confidential any records or information received from the National Association of Insurance Commissioners or other state, federal, and international regulatory agencies (instead of insurance regulatory officials of other states) that are confidential in that other jurisdiction. Provides that the Department may waive registration and course certification fees if the pre-licensing or continuing education course is provided by a government entity free of charge. Amends the Network Adequacy and Transparency Act. In applicability provisions, removes language concerning exemptions for short-term, limited-duration health insurance coverage with a network plan. Repeals the Health Care Purchasing Group Act. Effective immediately.

Declares October 11 through October 17, 2026 as Menopause Awareness Week in the State of Illinois.

Amends the Mental Health and Developmental Disabilities Administrative Act. Provides that beginning July 1, 2026, the Department of Human Services shall reissue the original cost and wage survey for costs associated with the administration of services to persons with intellectual and developmental disabilities in community day services that was contained in the Department's Guidehouse Rate Study. Provides that the cost and wage survey shall be used to effectuate rate increases in transportation funding for the administration of community day services to persons with intellectual and developmental disabilities and may include provider contact information, total costs of employee salaries and benefits, staff turnover, and other information. Requires the Department to adopt rules. Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to file an amendment to the Home and Community-Based Services Waiver Program for Adults with Developmental Disabilities that removes the 5 hour per day billing maximums at community day services. Provides that the amendment shall not modify monthly and yearly billing maximums for community day services. Provides that implementation is contingent on federal approval. Effective July 1, 2026.

Amends the Public Funds Investment Act. Provides that a public agency may invest any public funds in any security that matures or that may be tendered for purchase at the option of the holder within not more than 7 years of the date on which it is acquired and that has the highest rating category (AAA) assigned by Standard & Poor's corporation, Moody's investors service, or other similar nationally recognized statistical rating organization. Effective immediately.

Appropriates $15,000,000 from the General Revenue Fund to the Department of Public Health for continued funding to the Illinois Association of Free and Charitable Clinics. Effective July 1, 2026.

Amends the Sales Finance Agency Act. Makes changes to defined terms. Provides that applicants for a license shall apply in a form prescribed by the Secretary of Financial and Professional Regulation. Prohibits any person, partnership, association, corporation, limited liability company, or other entity engaged in a business regulated by the Act from operating the business under a name other than the real names of the entity and individuals conducting the business. Grants the Secretary authority to issue a license upon completion of the specified filing and investigatory requirements. Sets forth further licensing requirements. Provides that all moneys received by the Secretary under the Act in conjunction with the provisions relating to sales finance agencies shall be paid into the Financial Institution Fund. Prohibits a sales finance agency from aiding or seeking to aid any person in the violation of the Retail Installment Sales Act or the Motor Vehicle Retail Installment Sales Act. Grants additional investigatory, disciplinary, and examination authority to the Secretary. Establishes rulemaking provisions. Grants the Department authority to adopt rules to provide for review within the Department of the Secretary's decisions affecting the rights of persons or entities under the Act. Allows the Secretary to request a circuit court to assess a civil penalty of up to $10,000 (rather than $1,000) for violations of the Act. Repeals various provisions of the Act. Makes other changes. Effective immediately.

Amends the Illinois Procurement Code. Provides that, for contracts, goods, and services procured by the Department of Transportation, no business shall be a small business, regardless of type, if (i) its annual sales for its most recently completed fiscal year exceed the small business size standard for its specific industry, as established by the U.S. Small Business Administration, or (ii) it employs more individuals than the number set forth in the small business size standard for its specific industry, as established by the U.S. Small Business Administration, whichever is applicable.

Amends the Property Tax Code. Provides that the assessor shall publish the assessed value of all property that qualifies for a hospital exemption under the Code in the taxable year as well as the estimated property tax liability for that property. Provides that general services, such as health fairs or the preparation and distribution of marketing materials, shall not qualify as a reimbursable cost when determining whether property qualifies for the hospital exemption. Provides that, when calculating the hospital exemption, discounts provided to managed care organizations or commercial insurers are not included unless those services are provided directly pursuant to a contract with the Department of Healthcare and Family Services. Provides that no more than 30% of the total services being claimed as a benefit may be related to residency programs or research. Provides that no more than 50% of the total services being claimed as a benefit may be related to government-sponsored health care. Amends the Community Benefits Act. Makes changes to the definition of "charity care." Provides that the Attorney General shall post certain reports on the Attorney General's website.