Amends the Hospital Services Trust Fund Article of the Illinois Public Aid Code. In provisions requiring the Department of Healthcare and Family Services to pay safety-net hospitals a low volume add-on payment of $200 for each inpatient General Acute and Psychiatric day of care, removes the December 31, 2026 sunset date for such add-on payments. Effective immediately.

Amends the Illinois Insurance Code. Increases one of the fees allowed as part of the taxable costs in a specified action to $240,000 (instead of $60,000). Provides that it shall be unlawful for any company transacting insurance business in this State to pay a claim of an insured property owner for loss by fire or explosion to a structure located in this State where the amount recoverable for loss to the structure under a policy exceeds $100,000 (instead of $25,000), until the insurance company receives the required certificate. Sets forth provisions concerning adjustment and settlement of first party property insurance losses based on replacement cost. Requires the insurer to replace items with material of like kind and quality so as to conform to a reasonably uniform appearance, including interior and exterior covered losses, when a covered loss for real property requires the replacement of an item or items and the replacement item or items do not match adjacent items in quality, color, or size. Excludes expenses to be reimbursed to the public adjuster from the 10% cap on a public adjuster's salary, fee, commission, compensation, or consideration. Sets forth provisions concerning direction to pay letters and payments to public adjusters. Provides that the policies must be individually underwritten for personal, family, or household use. Provides that expenses to be reimbursed to the public adjuster are not limited to emergency mitigation expenses, and requires expenses to be reimbursed to the public adjuster regardless of whether the expense is covered by the applicable insurance policy. Includes the named insured's public adjuster and the named insured's attorney as designees.

Amends the Probate Act of 1975. Provides that an individual under guardianship who understands the nature, effect, duties, and obligations of marriage does not lose the right to marry without the prior consent of the individual, the guardian, or authorization of the court with some exceptions. Allows a court to remove the right to marry if removal is included as requested relief in a petition for a limited or plenary guardian or upon application of the guardian, and the court finds by clear and convincing evidence after an evidentiary hearing that the individual lacks the capacity to understand the nature, effect, duties, and obligations of a decision to marry. Provides conditions in which an individual from whom the right to marry has been removed may nonetheless marry. Provides that a marriage entered into by one or more individuals from whom the right to marry has been removed is void with some exceptions. Permits a guardian to contest the validity of a marriage under the Illinois Marriage and Dissolution of Marriage Act.

Amends the Chicago Firefighter Article of the Illinois Pension Code. Provides that, if a fireman receiving an occupational disease disability benefit dies on or after the effective date of the amendatory Act, the fireman's surviving spouse may elect, in a manner prescribed by the Board of the Fund, to receive the deceased fireman's occupational disease disability benefit in lieu of the widow's annuity or Tier 2 surviving spouse annuity, whichever is applicable. Provides that the surviving spouse's eligibility for the deceased fireman's occupational disease disability benefit shall be the same as the eligibility for the widow's annuity or Tier 2 surviving spouse annuity, whichever is applicable. Provides that the changes apply without regard to whether the deceased fireman was in service on or after the effective date of the amendatory Act. Amends the State Mandates Act to require implementation without reimbursement.

Reinserts the provisions of the introduced bill with the following changes. In provisions concerning payment from a health insurance issuer to a nonparticipating ground ambulance service provider, provides that, for nonparticipating ground ambulance service providers subject to a unit of local government (rather than owned and operated by a unit of local government), the rate shall be equal to the rate established or approved by the governing body of the local government (rather than a unit of local government) providing the ground ambulance service. Provides that, for nonparticipating ground ambulance service providers that are not subject to the jurisdiction of a unit of local government (rather than owned and operated by a unit of local government), the rate shall be equal to the lesser of the specified rates.

Amends the Accident and Health Article of the Illinois Insurance Code. Provides that an individual or group policy of accident and health insurance that is amended, delivered, issued, or renewed on or after January 1, 2028 shall cover a medically necessary coronary calcium scan and scoring every 36 months for individuals over the age of 40. Defines "coronary calcium scan and scoring". Makes conforming changes in the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, the Limited Health Service Organization Act, the Voluntary Health Services Plans Act, and the Medical Assistance Article of the Illinois Public Aid Code. Effective January 1, 2027.

Amends the Fire Protection District Act. Provides that a member of the board of trustees of a fire protection district having fewer than 4 full-time paid firemen may be compensated a sum not to exceed $1,500 (rather that $1,000) per annum. Provides that a member of the board of trustees of a fire protection district having more than 3 but fewer than 10 full-time paid firemen may be compensated a sum not to exceed $2,000 (rather that $1,500) per annum. Provides that a member of the board of trustees of a fire protection district having 10 or more full-time paid firemen may be compensated a sum not to exceed $2,500 (rather that $2,000) per annum.

Amends the Department of Central Management Services Law of the Civil Administrative Code of Illinois. Creates the Disability Benefits Maximization Program. Provides that, within 6 months after the effective date of the amendatory Act, the Department of Central Management Services, in conjunction with the 5 State-funded retirement systems, shall enter into a contract with an administrator to establish and conduct a Disability Benefits Maximization Program to identify individuals eligible for but not enrolled in Medicare, and to assist those individuals with enrolling in Social Security and Medicare. Provides that the Disability Benefits Maximization Program shall conduct an annual audit of the State health benefits program for everyone covered under the State Employees Group Insurance Program, the Teachers' Retirement Insurance Program, and the College Insurance Program for the purpose of identifying participants and their dependents who are eligible for Medicare under federal law and shall also ensure that those annuitants, retirees, benefit recipients, survivors, and dependents who are eligible for Medicare are enrolled in Medicare with Medicare as their primary health care benefits coverage and the State health benefits program being the secondary provider of their health care benefits coverage. Provides that the Disability Benefits Maximization Program shall assist annuitants, retirees, benefit recipients, and their survivors and dependents who become disabled and are not enrolled in Social Security Disability Insurance and Medicare with enrolling in and obtaining Social Security Disability Insurance and Medicare benefits. Provides that the administrator of the Disability Benefits Maximization Program shall provide the Department, the 5 State-funded retirement systems, and the General Assembly with an annual report. Effective January 1, 2027.

Amends the Medical Assistance Article of the Illinois Public Aid Code. In provisions concerning the supportive living facilities program, provides that sites for the operation of the program shall be selected by the Department of Healthcare and Family Services based upon criteria that may include the need for services in a geographic area, the availability of funding, the site's ability to meet the standards, and a need to increase access for Medicaid enrollees who need an alternative to nursing home care. Requires the Department to determine need utilizing the most recently available statewide report every 3 years, and to also consider the occupancy rates, vacancies, and waiting lists in surrounding operational supportive living program sites, and public comments. Provides that based on need, the Department shall make the final determination to establish geographic areas utilizing county or zip code-based geographic areas within a rate setting region as the basis for opening a competitive application process. Contains provisions on the analysis and other information required in the statewide report; primary market areas for supportive living program sites; and other matters. Effective immediately.

Amends the Capital Development Board Act. Provides that the Capital Development Board may enter into contracts and manage construction projects pursuant to a public-private partnership agreement on behalf of an institution of higher education or a State agency, excluding the Department of Corrections, if the State agency or institution of higher education is authorized by statute or otherwise permitted to enter into a public-private partnership agreement.

Amends the Illinois Income Tax Act. Amends the Illinois Income Tax Act. Sets forth a schedule of income-based tax rates for individuals, trusts, and estates for taxable years beginning on or after January 1, 2027.

Amends the Consumer Fraud and Deceptive Business Practices Act. Provides that a consumer may opt out of the processing of personal data for the purpose of targeted advertising by submitting a request using the methods specified in a data processing controller's privacy notice. Sets forth the requirements of a controller's privacy notice. Provides that, if a controller processes personal data for purposes of targeted advertising or sells personal data to third parties for targeted advertising, the controller shall disclose the processing or sale in a privacy notice and provide access to a clear and conspicuous method outside the privacy notice for a consumer to opt out of the processing or sale. Makes other changes. Effective January 1, 2028.

Amends the Regulatory Sunset Act. Changes the repeal date of the Radiation Protection Act of 1990 from January 1, 2027 to January 1, 2037. Effective immediately.

Congratulates Leo Geerts on his retirement as chief of the Albany Fire Protection District.

Amends the Department of Transportation Law of the Civil Administrative Code of Illinois. Provides that sovereign immunity from civil suit in federal court is waived consistent with specified provisions of Title 23 of the United States Code and limited to the compliance, discharge, or enforcement of a responsibility assumed by the Department of Transportation under the Law. Provides that the provision applies only to actions that are authorized under the law and does not create liability that exceeds the liability created under specified provisions of Title 23 of the United States Code.