Amends the Sanitary District Act of 1917. Increases the mandatory competitive bid threshold to not less than $60,000 (currently, not less than $10,000 or more than $40,000). Allows a sanitary district to enter into an intergovernmental agreement with a unit of local government for non-emergency construction, alteration, repair, improvement, or maintenance work on the public way in an amount no greater than $150,000 (currently, $100,000) to save taxpayer funds and eliminate duplication of government effort. Makes conforming changes. Allows contracts to be entered into without competitive bidding for contracts less than $150,000 (currently, $40,000 to $100,000) if the board of trustees declares that an emergency exists affecting the public health or safety. Effective immediately.

Amends the Illinois Municipal Code. Makes a technical change in a Section concerning the short title.

Amends the Liquor Control Act of 1934. Provides that an immediate family member of a retail licensee may be issued a wine manufacturer's license if the family member is not named on the retail license and does not have any ownership or other interest in that family member's licensed business. Provides that an individual shall not be deemed to have an ownership or other interest in the licensed business of a spouse if each spouse's ownership is independent and each spouse does not exercise control over or have a financial interest in the other's operations in a manner inconsistent with this Act. Provides that a holder of a wine manufacturer license and a holder of a retail license who are married shall not be deemed to be accepting, receiving, borrowing, or exchanging anything of value solely based on their marital status so long as (i) each spouse independently operates his or her licensed business separately in compliance with the 3-tier regulatory system, (ii) each spouse's ownership is independent, and (iii) neither spouse exercises control or has a financial interest over the other's operations in a manner inconsistent with the Act or the 3-tier regulatory system. Effective immediately.

Amends the Ambulatory Surgical Treatment Center Act. Removes a provision which provides that, in ambulatory surgical treatment centers, anesthesia service shall be under the direction of a physician who has had specialized preparation or experience in the area or who has completed a residency in anesthesiology. Specifies that with respect to anesthesia service in an ambulatory surgical treatment center, a certified registered nurse anesthetist shall seek consultation regarding development of an anesthesia plan and treatment of patients as is appropriate to the certified registered nurse anesthetist's level of expertise and scope of practice and as is warranted by the needs of the patient. Removes a requirement that an anesthesiologist participate through discussion of and agreement with the anesthesia plan and remain physically present and be available on the premises. Provides that a certified registered nurse anesthetist with clinical privileges may perform acts of advanced assessment and diagnosis and may provide such functions for which the certified registered nurse anesthetist is educationally and experientially prepared. Makes conforming changes to the Hospital Licensing Act. Amends the Medical Practice Act of 1987. Provides that a written collaborative agreement shall be adequate with respect to collaboration with certified registered nurse anesthetists if all of the following apply: (1) the agreement is written to promote exercise of professional judgment by the certified registered nurse anesthetist commensurate with his or her education and experience; (2) the certified registered nurse anesthetist provides service based on a written collaborative agreement with the collaborating physician; and (3) methods of communication are available with the collaborating physician in person or through telecommunications for consultation, collaboration, and referral as needed to address patient care needs. Amends the Nurse Practice Act. Provides that an Illinois-licensed advanced practice registered nurse certified as a certified registered nurse anesthetist shall be deemed by law to possess the ability to practice without a written collaborative agreement. Sets forth requirements of a certified registered nurse anesthetist. Makes conforming changes in the Illinois Dental Practice Act. Effective immediately.

Amends the Public Officer Prohibited Activities Act. Provides that a resident of a county having fewer than 50,000 inhabitants is not prohibited from serving simultaneously on the governing bodies of more than one State or local governmental unit. Makes conforming changes.

Proposes to amend the Legislature and Executive Articles of the Illinois Constitution. Provides that a person may not be elected to the office of State Senator for more than three terms or the office of State Representative for more than five terms, and that service in the General Assembly before the second Wednesday in January of 2025 shall not be considered in the calculation of a person's service. Provides that a person may not be elected to any Executive Branch office, or any combination of Executive Branch offices, for more than 2 terms, and that service in an Executive Branch office before the second Monday in January of 2025 shall not be considered in the calculation of a person's service.

Mourns the death of Gerlad M. Borries of Teutopolis.

Amends the Personnel Code. Provides that, if requirements exist under federal law, regulation, or rule for administration of programs by methods relating to the establishment and maintenance of personnel standards on a merit basis on January 1, 2025, those requirements shall remain in place for the purpose of administration of those programs by the State. Effective immediately.

Amends the Illinois Income Tax Act. Provides that, if a taxpayer is awarded a credit by the Department of Commerce and Economic Opportunity in connection with a qualifying Illinois data center located in a qualified area or a data center developed by a minority-owned business, a women-owned business, or a business owned a person with a disability, then the taxpayer is entitled to an additional income tax credit in an amount equal to 5% of the taxpayer's investment in qualified tangible personal property used in the construction or operation of that data center. Effective immediately.

Amends the Illinois Police Training Act. Provides that the Law Enforcement Training Standards Board shall approve a course for school safety officers (a retired law enforcement officer who has been hired by a school district to perform security services). Sets forth training and certification requirements. Provides that an applicant for employment as a school safety officer must authorize an investigation to determine if the applicant has been convicted of any criminal offense that disqualifies the person as a school safety officer. Amends the Law Enforcement Officer-Worn Body Camera Act. Exempts school safety officers from the Act if a school board does not require officer-worn body cameras. Amends the School Code. Provides that, beginning January 1, 2026, a school may employ a school safety officer. Requires a school safety officer applicant to provide the school district a certificate of completion or approved waiver issued by the Illinois Law Enforcement Training Standards Board. Provides that a school safety officer shall wear a uniform that clearly identifies the officer as a school safety officer. Provides that a school safety officer may detain a person when the officer has reasonable suspicion to believe that an offense, other than an ordinance violation, is being committed. Provides that a school safety officer may carry a firearm as long as the officer is certified under specified provisions of the Peace Officer and Probation Officer Firearm Training Act. Adds references to school safety officers throughout the Code. Amends the Criminal Code of 2012. Provides that that the provisions concerning the unlawful use of weapons as those provisions pertain to firearms do not apply to or affect the carrying or possession of firearms by a qualified current or retired law enforcement officer qualified under the laws of the State or under the federal Law Enforcement Officers Safety Act in specified properties, including schools. Effective immediately.

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that hypoallergenic formula shall be covered under the medical assistance program for persons otherwise eligible for medical assistance who have been prescribed hypoallergenic formula by a physician. Requires the Department of Healthcare and Family Services to apply for any federal waivers or approvals necessary to implement the amendatory Act. Provides that upon federal approval, the Department shall at a minimum determine by rule the amount of hypoallergenic formula an eligible person shall receive coverage for per day.

Mourns the passing of David Paul Clark, former Fire Chief of the Des Plaines Fire Department.

Amends the Property Tax Code. In provisions concerning notices of increased assessments, provides that the chief county assessment officer shall continue to accept appeals from the taxpayer for a period of not less than 30 business days from the later of the date the assessment notice is mailed or is published on the assessor's website. Effective immediately.

Creates the Operating Room Patient Safety Act. Provides that each surgical technologist hired or contracted by a health care facility on or after January 1, 2027 shall meet specified educational, certification, or experiential requirements. Provides that nothing in the Act prohibits an individual from performing surgical technology services if the individual is acting within the scope of the individual's license or registration or is a student or intern under the direct supervision of a licensed health care provider.

Amends the Tobacco Products Manufacturers' Escrow Enforcement Act of 2003. Provides that, upon a distributor's failure to submit certain information, the Attorney General may send a notice of violation to the distributor and provide 10 days to cure the violation. Provides that, if the distributor does not cure the violation, the Attorney General may notify the Director of Revenue of the violation, and, upon receiving the Attorney General's notice, the Director of Revenue shall revoke the distributor's license. Amends the Tobacco Product Manufacturers' Escrow Act. Provides that a tobacco product manufacturer that elects to place funds into escrow may make an irrevocable assignment of its interest in the funds to the benefit of the State.