Amends the Public Building Commission Act. Makes a technical change to a Section concerning the short title.

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

Amends the School Code. Requires the State Board of Education to make grants available for community schools separate and apart from any federal appropriations to be issued to the Afterschool for Children and Teens Now Coalition (ACT Now) through its fiscal sponsor Metropolitan Family Services and disbursed to 32 partner schools in the State. Requires all ACT Now partner schools to develop plans for implementing community schools that include activities in all of the pipeline services. Requires ACT Now partner schools to submit data on services designated by ACT Now annually to the State Board. Requires ACT Now partner schools to submit all oversight and accounting procedures established by ACT Now to the State Board. Requires ACT Now to conduct technical assistance services, provide professional development to schools and partners, and conduct an annual evaluation of a grant awarded by the State Board. Effective July 1, 2026.

Deletes changes to the Probate Act of 1975. Reinserts provisions amending the Supported Decision-Making Act with these changes. Deletes provisions that provide that the capacity of an adult should be assessed with any supports, including supported decision-making, that the person is using or could use. Provides that a diagnosis of mental illness, intellectual disability, or developmental disability, of itself, does not void the presumption of capacity. Provides that the execution of a supported decision-making agreement may not be used as evidence of capacity or incapacity in any civil or criminal proceeding, but the existence of such an agreement may be entered into evidence. Deletes provisions that a court order terminates a supported decision-making agreement.

Creates the Global Hospital Budget Authority Act. Defines terms. Established the Global Hospital Budget Authority as a Division of the Department of Public Health. Provides that the powers and duties of the Authority shall be vested in and exercised by the Global Hospital Budget Board, which shall have the sole power to employ staff, including an executive director, legal counsel, consultants, or any other staff deemed necessary by the Board to effectuate the purposes of the Act. Provides that individuals employed by the Board shall not be employees of the State for any purpose, including for purposes of compensation, pension benefits, or retirement. Sets forth provisions concerning membership requirements; powers and duties of the Board; roles of participating payers; roles of participant hospitals; data collection and retention; confidentiality of data, contracts, and agreements; and the Global Hospital Budget Fund. Amends the Hospital Licensing Act. Provides that, in reviewing and issuing permits and licenses, the Department shall accept, as factors that satisfy staffing and service-line presence requirements, one or a combination of the following alternative mechanisms if the Department finds that patient safety and continuity of care are maintained: (i) on-site staffing by appropriately licensed clinicians; (ii) written and operative affiliation agreements meeting standards adopted by the Department that provide timely specialty coverage; (iii) documented telemedicine coverage that meets certain standards; or (iv) a waiver issued under certain provisions for a rural or critical access hospital. In provisions concerning requirements for the employment of physicians, provides that employing entities may employ physicians to practice medicine in all of its branches if employment, privileging, and oversight requirements are met. Amends the Illinois Health Facilities Planning Act. Makes changes in provisions concerning definitions; certificates of exemption for change of ownership of a health care facility; applications for permit for discontinuation of a health care facility or category of service; and the powers and duties of State Board. Amends the State Finance Act to make a conforming change.

Amends the Nuclear Safety Law of 2004. Provides that the Illinois Emergency Management Agency and Office of Homeland Security has the right to enter on public and private property in order to take environmental samples in response to a disaster that causes radioactive contamination. Effective immediately.

Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to authorize coverage for screening by low-dose mammography for the presence of occult breast cancer for individuals 25 (rather than 35) years of age or older who are otherwise eligible for medical assistance. Requires the Department to convene 2 separate expert panels to review quality standards for mammography and establish quality standards for breast cancer treatment. Provides that subject to Department approval, rate methodology for screening and diagnostic mammography shall be based on the quality standards established by the expert panels and State qualified ACR Designated Comprehensive Breast Imaging Centers (formerly known as Breast Imaging Centers of Excellence). Requires the expert panels to establish a comprehensive and clinical methodology to inform women who are age-appropriate for screening mammography, but who have not received a mammogram within the previous 18 months, of the importance and benefits of screening mammography. Provides that within 2 years after the completion of a pilot program providing case-managing or patient navigation services for women diagnosed with breast cancer, the Department shall establish as a permanent initiative the Patient Assistance for Beneficiaries Diagnosed with Breast Cancer. Requires the Department to submit annual reports to the General Assembly detailing program outcomes, financial expenditures, and any recommendations for adjustments to maintain or enhance the program's effectiveness. Requires the Department to establish or facilitate training and continuing education opportunities specific to breast health and mammography for radiologists. Makes other changes. Effective immediately.

Amends the Illinois Finance Authority Act. Makes changes concerning the fire truck revolving loan program, the fire station revolving loan program, and the ambulance revolving loan program. Provides that those loans shall be paid out of certain locally held funds established by the Illinois Finance Authority. Provides that loans for the purchase of fire trucks may not exceed $750,000 per truck. Provides that loans for the purchase of ambulances may not exceed $350,000 to any fire department, fire protection district, or non-profit ambulance service. Makes other changes.

Amends the Illinois State Police Radio Act. Provides that the Statewide Interoperability Executive Committee (SIEC) shall oversee governance, interoperability, and land mobile radio standards for Illinois' land mobile radio communications system and shall collaborate with the Office of the Statewide 9-1-1 Administrator and the Office of the Statewide Interoperability Coordinator to strengthen Illinois' emergency communications ecosystem. Provides that the SIEC may designate subcommittees necessary to effectuate its responsibilities. Provides that the voting membership of the SIEC must, at a minimum, include the Statewide Interoperability Coordinator, the Statewide 9-1-1 Administrator, the Director of the Secretary of the State Police or the Director's designee, and at least one representative from each of the following, appointed by the Governor: an association representing Illinois fire chiefs, an association representing Illinois fire protection districts, the Office of the State Fire Marshal, an association representing Illinois chiefs of police, an association representing Illinois sheriffs, the Illinois State Police, the Illinois Emergency Management Agency and Office of Homeland Security, the Department of Public Health, the Department of Innovation and Technology, and the Department of Military Affairs. Removes references to the STARCOM21 Oversight Committee. Requires the SIEC to, no later than July 1, 2027, establish standards necessary to ensure land mobile radio equipment interoperates throughout Illinois; planning, training, and evaluation standards necessary to enhance public safety communications operational readiness; and standards necessary for the unification of the Integrated Public Alert and Warning System statewide. Requires the SIEC to annually review existing statutory law and make recommendations for legislative changes to ensure efficient, effective, reliable, and sustainable communications interoperability statewide (rather than make recommendations concerning better integration of the Integrated Public Alert and Warning System statewide and develop a plan to sustainably fund radio infrastructure, radio equipment, and interoperability statewide). Effective July 1, 2026.

Amends the Environmental Protection Act. Makes findings about the imposition of disproportionate and adverse effects on communities in areas of environmental justice concern. Defines terms. Applies to the following permits for which an owner or operator applies on or after January 1, 2026: (1) a construction permit for a new source that is to be located in an area of environmental justice concern and that is required to obtain from the Agency a CAAPP permit or a Federally Enforceable State Operating Permit; (2) a construction permit for any existing source that is located in an area of environmental justice concern, that possesses a CAAPP permit or a Federally Enforceable State Operating Permit issued by the Agency, and that seeks an increase in annual permitted emissions; or (3) a construction permit for any existing source that is located in an area of environmental justice concern, that seeks an increase in annual permitted emissions, and that will for the first time require a new CAAPP permit or a Federally Enforceable State Operating Permit issued by the Agency. Requires the Environmental Protection Agency to evaluate the application for affects on environmental justice and may suggest additional testing or changes in the application. Requires that the Agency to conduct an evaluation of the prospective owner's or operator's prior experience in owning and operating sources of air pollution before it may issue a construction permit. Makes other changes. Creates the Office of Environmental Justice within the Environmental Protection Agency. Effective immediately.

Amends the Mental Health and Developmental Disabilities Administrative Act. Provides that notwithstanding any other law or rule to the contrary, a State-operated developmental center funded, certified, or licensed by the Department of Human Services shall readmit, upon request, any former resident who transferred to and currently receives services at a licensed community-integrated living arrangement, if the former resident consents or if the former resident has a guardian with placement authority and that guardian consents based on a determination that the former resident's medical needs cannot be met by the program of services administered by the community-integrated living arrangement. Effective immediately.

Reinserts the provisions of the introduced bill with the following changes. Replaces references to abortion care services and abortion services with "abortions". Removes provisions concerning rulemaking and disclosure requirements for the Department of Public Health in provisions creating the Abortion Access Fund Grant Program. Requires specified moneys to be remitted to the Department of Insurance (rather than transferred directly to the Abortion Access Fund), and requires all specified moneys remitted to the Department of Insurance to be deposited into the Abortion Access Fund. Makes other changes. Effective immediately.

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.

Amends the School Code. In provisions concerning the award of certain contracts to the lowest responsible bidder, provides that a contract for goods, services, or management in the operation of a school's food service entered into between a school board and a food service management company shall (1) be for a duration of no longer than one year, with options for yearly renewal of the contract not exceeding 4 additional years and (2) include a termination clause whereby either party may cancel for cause after a 60-day notification. Provides that all competitive bids for a contract for goods, services, or management in the operation of a school's food service entered into between a school board and a food service management company are subject to standardized evaluation criteria created by the State Board of Education for scoring that have been published on the State Board's website in advance. Provides that the school board shall maintain a record of the evaluation scoring, to be disclosed to all bidders within 10 days after the date of the award of the contract.

Creates the 340B Integrity Act. Defines terms. Provides that, beginning January 1, 2027, 340B covered entities shall not bill any medical assistance fee-for-service or medical assistance managed care programs under the Illinois Public Aid Code for 340B drugs. Provides that, beginning July 1, 2026 a 340B covered entity shall use 80% of 340B profits from the prior year to decrease at the point of sale, including at the 340B contract pharmacy, the out-of-pocket costs paid for 340B drugs that are dispensed or administered to low-income patients of the 340B covered entity. Provides that, on or before September 1, 2026, and on or before September 1 of each year thereafter, each 340B covered entity shall annually report to the Department of Insurance, with respect to the 340B covered entity and separately for each offsite outpatient facility associated with the 340B covered entity, the specified information about the prior year. Provides that, on or before December 31, 2026, the Department of Central Management Services shall submit a report to the General Assembly on any impact to the State employee health plan arising from 340B covered entity purchases, 340B contract pharmacy arrangements, and general practices related to 340B drugs, regardless of whether the 340B drugs were self-administered or provider-administered. Provides that the report shall include, but not be limited to, an analysis of foregone rebates, the impact on premiums, and the impact to State employee out-of-pocket costs. Provides that, on or before December 31, 2026, the Department of Healthcare and Family Services shall report to the General Assembly on certain items for total aggregated covered outpatient drug units dispensed or administered in the State for the prior calendar year in connection with the medical assistance program under the Illinois Public Aid Code, broken out by fee-for-service and by each managed care plan. Makes other changes. Effective immediately.