Amends the Mental Health and Developmental Disabilities Administrative Act. Requires the Department of Human Services to establish reimbursement rates that build toward livable wages for front-line personnel in residential and day programs and service coordination agencies serving persons with intellectual and developmental disabilities. Provides that for community-based providers serving persons with intellectual or developmental disabilities, subject to federal approval, the rates taking effect for services delivered on or after July 1, 2023 shall be increased sufficiently to: (i) provide a minimum $4.00 per hour wage increase over the wages in effect on June 30, 2023 for front-line personnel; and (ii) provide wages for all other residential non-executive direct care staff, excluding direct support personnel, at the U.S. Department of Labor's average wage as defined, by rule, by the Department. Amends the Illinois Public Aid Code. Provides that for ID/DD facilities and MC/DD facilities, the rates taking effect for services delivered on or after July 1, 2023, shall be increased sufficiently to: (i) provide a minimum $4.00 per hour wage increase over the wages in effect on June 30, 2023 for front-line personnel; and (ii) provide wages for all other residential non-executive direct care staff, excluding direct support personnel, at the U.S. Department of Labor's average wage as defined, by rule, by the Department. Requires the same increase for front-line personnel employed at community-based providers serving persons with intellectual or developmental disabilities. Amends the Illinois Administrative Procedure Act. Grants the Departments of Human Services and Healthcare and Family Services emergency rulemaking authority. Effective immediately.

Amends the Public Community College Act. Provides for the election (rather than appointment) of the board of trustees of the City Colleges of Chicago beginning with the 2025 consolidated election. Provides that the City of Chicago shall be subdivided into 20 trustee districts by the General Assembly for seats on the board of trustees, in addition to one at-large trustee. Makes related changes. Effective immediately.

Amends the Election Code. Provides that the lettering on all ballots shall be in both capital and lowercase letters in conformance with standard English language guidelines. Effective immediately.

Amends the Prevailing Wage Act. Provides that the Act does not apply to wages paid to all laborers, workers, and mechanics employed by or on behalf of public body for work performed on a public works project with a total cost of $20,000 or less if the public body notifies the Department of Labor of each project for which the waiver is used within 60 days before commencing the project. Provides that the Department shall make available a form with which public bodies may make this notification. Provides that the Department shall submit an annual report detailing the number of projects for which the waiver was used in the preceding year, the total number of employees engaged in those projects, the total cost of those projects without using prevailing wage standards, the total cost of those projects using prevailing wage standards, and any other information the Department deems appropriate. Effective immediately.

Amends the Illinois Procurement Code. Removes a provision which specifies that a portion of the Code concerning Historically Underutilized Business Zones does not apply to the selection of construction-related professional services.

Appropriations and reappropriations for capital projects for the Department of Commerce and Economic Opportunity for the fiscal years beginning July 1, 2023. Effective immediately.

Makes appropriations for the ordinary and contingent expenses of the Board of Trustees of Illinois State University for the fiscal year beginning July 1, 2023, as follows: General Funds $78,217,400; Other State Funds $25,000; Total $78,242,400.

Makes appropriations for the ordinary and contingent expenses of the Board of Trustees of Northeastern Illinois University for the fiscal year beginning July 1, 2023, as follows: General Funds $39,959,500.

Makes appropriations for the ordinary and contingent expenses of the Executive Ethics Commission for the fiscal year beginning July 1, 2023, as follows: General Funds $11,136,000; Other State Funds $2,778,000; Total $13,914,000.

Makes appropriations for the ordinary and contingent expenses of the Illinois Labor Relations Board for the fiscal year beginning July 1, 2023, as follows: General Funds $2,188,300.

Makes appropriations for the ordinary and contingent expenses of the State Fire Marshal for the fiscal year beginning July 1, 2023, as follows: Other State Funds $55,760,000; Federal Funds $1,000,000; Total $56,760,000.

Makes appropriations for the ordinary and contingent expenses of the Illinois Workers' Compensation Commission for the fiscal year beginning July 1, 2023, as follows: Other State Funds $30,885,900.

Makes appropriations for the ordinary and contingent expenses of the Department of Healthcare and Family Services for the fiscal year beginning July 1, 2023, as follows: General Funds $9,069,962,700; Other State Funds $27,913,084,300; Federal Funds $205,000,000; Total $37,188,047,000.

Makes appropriations for the ordinary and contingent expenses of the Illinois Arts Council for the fiscal year beginning July 1, 2023, as follows: General Funds $15,145,400; Federal Funds $1,325,000; Total $16,470,400.

Makes appropriations for the ordinary and contingent expenses of the Environmental Protection Agency for the fiscal year beginning July 1, 2023, as follows: General Revenue Funds $10,000,000. Other State Funds $482,124,877. Federal Funds $379,283,100. Total $871,407,977.