Appropriates $600,000 from the Illinois Opioid Remediation State Trust Fund to the Department of Human Services to supply free fentanyl testing strips to public institutions of higher education. Effective July 1, 2026.

Amends the Nursing Home Care Act. Replaces reporting requirement provisions for the Department of Public Health concerning nurse surveyors. Provides that, in addition to the listed information, the Department's annual report on all survey activity from the preceding fiscal year shall include: (i) the total number of authorized nursing home surveyor positions within the Department, (ii) the total number of filled and vacant nursing home surveyor positions, (iii) the average length of tenure for nursing home surveyors employed by the Department at the time the report is created, and (iv) any additional information the Department deems relevant regarding nursing home surveyor recruitment, retention, or workload.

Amends the Use Tax Act, the Service Use Tax Act, the Service Occupation Tax Act, and the Retailers' Occupation Tax Act. Provides that prescription medicines and products classified as Class III medical devices by the United States Food and Drug Administration that are used for cancer treatment pursuant to a prescription are exempt from the tax under the Acts. Amends the Illinois Income Tax Act. Increases the amount deposited into the Local Government Distributive Fund to: (i) 7.47% of the net revenue realized from the tax imposed upon individuals, trusts, estates, and pass-through entities; and (ii) 7.85% of the net revenue realized from the tax imposed upon corporations. Effective July 1, 2026.

Prohibits health insurance issuers from specifying or describing personal sensitive health care information in any explanation of benefits, summary of payments, claims history, or any other communication or record relating to payment or coverage of services or procedures involving sensitive health care information for an insured member other than the insured subscriber, unless the insured member receiving the service or procedure clearly makes a request orally or in writing to not suppress information relating to sensitive health care. Grants the Department of Insurance rulemaking authority. Provides that the Department of Insurance, in collaboration with the Department of Public Health, shall develop and implement a plan to educate health care providers and consumers regarding the rights of insured members and the responsibilities of health insurance issuers to promote compliance with the stated requirements. Amends 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 Illinois Public Aid Code to establish the same requirements in the provisions of those Acts. Effective one year after becoming law.

Amends the Community-Integrated Living Arrangements Licensure and Certification Act. Changes the licensing term for a community developmental services agency from 3 years to 2 years.

Appropriates $12,000,000 or so much of that amount as may be necessary, from the General Revenue Fund to the Department of Public Health for operational expenses associated with the administration of the Screen Illinois Initiative. Effective July 1, 2026.

Amends the Community Behavioral Health Care Professional Loan Repayment Program Act. Provides, that to be eligible for assistance under the Community Behavioral Health Care Professional Loan Repayment Program, the Illinois Student Assistance Commission must find that the applicant, among other requirements, at the time of application, is currently working as a behavioral health professional in a community mental health center. Provides that an applicant seeking a renewal award in a subsequent year must be employed by a community mental health center, behavioral health clinic, substance use treatment center, or State-operated psychiatric hospital in an underserved or rural federally designated Mental Health Professional Shortage Area in the State at the time of application and must provide evidence of continuous employment for the 12 months that precede the application for renewal. Defines "behavioral health professional". Effective July 1, 2026.

Amends the School Code. With regard to a school report card, beginning with the October 2026 report card, each school district must report to the State Board of Education on or before October 1 each year, the total student capacity for each school in the school district. Effective immediately.

Amends the School Code. Provides that on or before the beginning of the 2027-2028 school year, each school board and charter school shall adopt and implement a wireless communication device policy. Establishes exceptions for the use of a wireless communication device during school time. Prohibits a school district or charter school from enforcing the wireless communication device policy through fees, fines, suspensions, expulsions, or the deployment of a school resource officer or local law enforcement officer. Sets forth how the policy shall be developed. Requires each school district and charter school to ensure all school personnel and substitute teachers are informed of the tenets of the policy, the roles and responsibilities of staff members, the importance of uniform enforcement, and the handling of implementation in a trauma-informed, developmentally appropriate manner. Provides that a school board and any school personnel, including charter school personnel, shall be immune from any liability resulting from damage to a wireless communication device when the device is stored in good faith and in accordance with the school board's wireless communication device policy. Provides that the wireless communication device policy shall be posted on the school district's or charter school's existing, publicly accessible Internet website and included in the student handbook. Requires, by September 1, 2026, the State Board of Education to post on its website a template for a model wireless communication device policy. Provides that if a school district or charter school has an existing wireless communication device policy in place before the effective date of the amendatory Act that limits wireless communication devices during a majority of or the entirety of the school day, the district or charter school may keep its existing policy in place until the 2030-2031 school year, at which point the district or charter school must adopt a wireless communication device policy meeting the requirements the amendatory Act. Makes other and conforming changes. Effective immediately.

Amends the Regional Superintendent of Schools Article of the School Code. Requires the regional superintendent of schools to, beginning on August 7, 2028, exercise and perform all rights, powers, duties, and responsibilities that were vested in or required by law to be exercised and performed by former regional boards of school trustees and appoint a nonpartisan citizens committee consisting of 5 members to conduct the duties of the former regional board of school trustees. Provides that the expiring terms of members of each regional board of school trustees shall be extended so as to terminate on the August 7, 2028. Provides that all books, records, maps, papers, documents, equipment, supplies, accounts, deposits, and other personal property belonging to or subject to the control or disposition of former regional board of school trustees shall be transferred and delivered to the regional office of education or education service center that services the same or substantially similar territory as the former regional board of school trustees. Repeals provisions regarding regional boards of school trustees. Amends various Acts to make conforming changes. Effective immediately.

Amends the Code of Criminal Procedure of 1963. Provides that if a person has 2 or more pending misdemeanor charges involving a firearm or 4 or more pending Class A misdemeanor charges, the defendant may be charged as a habitual misdemeanant offender. Provides that the provision does not apply unless each of the following requirements are satisfied: (1) the third offense occurred after the second offense; (2) the second offense occurred after the first offense; and (3) all of the charged offenses must be proved at trial in order for the person to be adjudged a habitual misdemeanant offender. Provides that the charges alleged do not have to be for the same offense. Provides that any offense that results from or is connected with the same transaction, or results from an offense committed at the same time, shall be counted for the purposes of this provision as one offense. Provides that a habitual misdemeanant offender shall be sentenced as a Class 4 felony offender for which the person shall be sentenced to a term of imprisonment of not less than one year and not more than 3 years. Provides that the court may deny pretrial release to a person charged as a habitual misdemeanant offender. Amends the Unified Code of Corrections to make conforming changes.

Reinserts the provisions of the engrossed bill with the following changes. Further amends the Common Interest Community Association Act and the Condominium Property Act. Makes changes in provisions concerning the provision of financial data to association members and in provisions concerning the information that must be supplied by association boards on their websites.

Amends the Mine Subsidence Insurance Article of the Illinois Insurance Code. Makes changes to defined terms. Provides that the moneys in the Illinois Mine Subsidence Insurance Fund shall be derived primarily from premiums for mine subsidence insurance ceded by insurers to the Fund pursuant to the Article and from investment income. In establishing mine subsidence insurance premium rates, provides that the Fund shall give due consideration to factors reasonably considered by an insurer when setting premium rates. Changes terms related to the appointment of directors in provisions concerning management of the Fund and establishes 3-year staggered terms for the directors. Provides that all directors shall be independent and owe a duty of care and duty of loyalty to the Fund. In provisions concerning mine subsidence coverage, provides that the loss covered shall be the loss in excess of any applicable deductible or retention in the policy, subject to the limit of insurance for mine subsidence damage stated in the policy. For all policies issued or renewed on or after January 1, 2027, provides that there shall be no deductible or retention applicable to mine subsidence damage. For all policies issued or renewed on or after the effective date of the amendatory Act, provides that the maximum amount of reinsured loss per residence, per commercial building, and per living unit shall be the amounts established by the Fund and approved by the Director. Provides that the residential and living unit coverage provided under the Article may also cover specified costs of debris removal, moving and storage of contents, and repair or replacement of landscaping. Makes changes in provisions concerning division of the Fund; exemptions; rights of insurers to refuse to provide mine subsidence coverage; arbitration; reinsurance agreements; distribution of premiums; reporting requirements; right of recourse and setoffs; subrogation; and powers of the Director of Insurance.

Amends Illinois Income Tax Act. Creates a legacy tax credit for businesses that are headquartered in the State. Creates an employee tax credit and a collective bargaining employee tax credit. Effective immediately.

Amends the Newborn Screening Act. Changes the title of the Act and the short title. Provides that, beginning July 1, 2026, an additional newborn screening fee of at least $45, determined by the Department by rule, may be collected and deposited into the Metabolic Screening and Treatment Fund for specified purposes. Provides that nothing in the Act shall be construed to override, replace, preempt, or supersede any provision, requirement, or other duty or prohibition under the Early Hearing Detection and Intervention Act. Limits the application of certain provisions to hearing screenings and makes technical and conforming changes. Makes conforming changes in the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois, the Illinois Procurement Code, the Illinois Public Aid Code, and the Genetic Information Privacy Act. Effective immediately.