Makes appropriations for the ordinary and contingent expenses of the State Universities Retirement System for the fiscal year beginning July 1, 2024, as follows: General Funds $2,007,001,049; Other State Funds $215,000,000; Total $2,222,001,049.

Mourns the death of Victor Bryan Clark of Andalusia.

Mourns the death of Joe Keith Wasson of Moline, formerly of Silvis.

Creates the Progressive Design-Build Pilot Program Act. Provides that the Capital Development Board may elect to use the progressive design-build delivery method. Provides that "progressive design-build delivery method" means a project delivery process in which both the design and construction of a project are procured from a single entity that is selected through a qualifications-based selection at the earliest feasible stage of the project. Sets forth other provisions concerning procedures for selection and submission of qualifications, the award of contracts, pricing, and federal requirements.

Amends the Cannabis Regulation and Tax Act. Makes a technical change in a Section concerning the short title.

Amends the Illinois Vehicle Code. Provides that a municipality, county, or township may enact an ordinance providing for administrative and civil fines to enforce violations of provisions concerning fleeing or attempting to elude a peace officer or a similar provision of a local ordinance and imposing liability on a registered owner or lessee of a vehicle used in such a violation. Makes corresponding changes.

Amends the Illinois Notary Public Act. Provides that an applicant to renew an appointment as a notary public or as an electronic notary public is not required to complete a course of study or pass an examination if the applicant is a licensed attorney or judge or employed by a licensed attorney or the court.

Creates the Foreign Agents Registration Act. Provides that no person shall act as an agent of a foreign principal from a country of concern unless he or she has filed with the Attorney General a true and complete registration statement and supplements thereto or unless he or she is exempt from registration under the provisions of the Act. Provides that, except as otherwise provided in the Act, every person who becomes an agent of a foreign principal from a country of concern shall, within 10 days thereafter, file with the Attorney General, in duplicate, a registration statement, under oath on a form prescribed by the Attorney General. Provides that the obligation of an agent of a foreign principal from a country of concern to file a registration statement shall, after the 10th day of his or her becoming such agent, continue from day to day, and termination of such status shall not relieve such agent from his or her obligation to file a registration statement for the period during which he or she was an agent of a foreign principal from a country of concern. Provides that any person who acted as an agent of a foreign principal from a country of concern at any time after January 1, 2014 and until the effective date of the Act shall file with the Attorney General a true and complete retroactive registration statement and supplements thereto. Provides that the registration provisions do not apply to certain agents and foreign principals. Provides penalties for violation. Provides that the Attorney General may at any time make, prescribe, amend, and rescind such rules and forms as the Attorney General may deem necessary to carry out the provisions of the Act. Defines "country of concern" as the People's Republic of China, the Russian Federation, the Islamic Republic of Iran, the Democratic People's Republic of Korea, the Republic of Cuba, the Venezuelan regime of Nicolas Maduro, or the Syrian Arab Republic, including any agent of or any other entity under significant control of such foreign country of concern, or any other entity deemed by the Governor in consultation with the Director of the Illinois Emergency Management Agency and Office of Homeland Security.

Amends the State Commemorative Dates Act. Establishes that the period from June 1st through June 7th of each year is designated as Law Enforcement Civilian Personnel Appreciation Week, to be observed throughout the State as a week to honor the dedicated civilian personnel at law enforcement agencies.

Creates the School District Impact Note Act. Requires the State Board of Education to prepare a School District Impact Note for every bill or amendment to a bill that direct appropriation, regulates, imposes a mandate upon, or otherwise affects the provision of public education. Specifies the contents of the note and the circumstances under which the note is to be prepared. Clarifies that the preparation of the note does not preclude any State officials or employees from participating in legislative hearings concerning the bill. Provides that the subject matter of bills submitted to the State Board of Education shall be kept in strict confidence, and no information relating to the bill or its anticipated impact on education in the State shall be divulged, before the bill's introduction in the General Assembly, by any State official or employee of the State Board, except to the bill's sponsor or his or her designee. Effective immediately.

Creates the Wetlands and Small Streams Protection Act to restore protections for wetlands and small streams that were formerly protected from pollution and destruction by the Clean Water Act. Includes provisions concerning: exemptions; wetlands delineation, classification, notification, permits and veto; general permits; appeal of final decisions made by the Department of Natural Resources and judicial review; investigation and enforcement; and county authority. Creates the Wetlands and Small Streams Advisory Committee and establishes duties and rules for the Committee. Creates the Wetlands and Small Streams Protection Fund. Provides for permit review fees. Defines terms. Makes conforming changes in the State Finance Act and the Illinois Environmental Protection Act. Effective immediately.

Amends the Stalking No Contact Order Act. Changes the short title of the Act to the Stalking or Harassment No Contact Order Act. Defines "harassment" as violence or threats of violence or death, including a single act, directed at a specific person that would cause a reasonable person to (i) fear for the person's safety, the safety of a workplace, school, or place of worship, or the safety of a third person or (ii) suffer emotional distress. Changes the term "stalking no contact order" to "stalking or harassment no contact order". Makes conforming changes in the following Acts: the Criminal Identification Act; the Firearm Owners Identification Card Act; the Criminal Code of 2012; the Code of Criminal Procedure of 1963; the Rights of Crime Victims and Witnesses Act; the Unified Code of Corrections; the Code of Civil Procedure; the Civil No Contact Order Act; the Crime Victims Compensation Act; the Illinois Domestic Violence Act of 1986; the Address Confidentiality for Victims of Domestic Violence, Sexual Assault, Human Trafficking, or Stalking Act; the Domestic Violence Fatality Review Act; and the Illinois Human Rights Act. Makes other changes.

Creates the Language Equity and Access Act. Requires the Governor's Office of New Americans, in partnership with the Department of Human Services, to: prepare a Language Needs Assessment Report that identifies the languages spoken throughout the State; assist State agencies in the creation of language access plans; provide oversight and central coordination to State agencies in the implementation of language access requirements under this Act; ensure that each State agency develops an internal complaint and review process specific to the provision of language assistance services in addressing complaints in a timely manner; and perform other duties. Requires the Office and Department to work with State agencies to compile available United States Census data on language used across the State to inform the Language Needs Assessment Report. Provides that the report shall be updated every 10 years in conjunction with the decennial federal census. Requires each State agency to prepare and submit a language access plan to the Governor's Office of New Americans.

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 Nursing Home Care Act. Creates the Certified Medication Aide Program within the Department of Public Health. Provides that the Department shall implement and enforce the Program. Sets forth requirements for a facility to be designated as a qualified facility within the Program. Describes exempt activities. Sets forth the scope of practice for a certified medication aide. Provides for a civil penalty in an amount not to exceed $10,000, to be paid within 60 days after the effective date of the order imposing the civil penalty, for uncertified practice as a certified medication aide. Provides that the Department shall authorize examinations of applicants for certification at the times and places it may designate. Provides for examination fees to be paid by applicants for certification. Sets forth requirements for an applicant to be certified under the Program. Provides that a person certified under the Program shall use the words "certified medication aide" in connection with the person's name to denote the person's certification under the Program. Authorizes the Department to adopt rules to administer, implement, and enforce the Program.