Amends the Managed Care Organization Provider Assessment Article of the Illinois Public Aid Code. Changes the Tier 1 assessment amount for managed care organizations to $78.90 per member month (rather than $60.20 per member month). Changes the Tier 2 assessment amount for managed care organizations to $1.40 per member month (rather than $1.20 per member month). Provides that for State fiscal year 2020, and for each State fiscal year thereafter (rather than for State fiscal year 2020 through State fiscal year 2025), the Department of Healthcare and Family Services may adjust rates or tier parameters or both. Makes changes to the definition of "base year". Effective January 1, 2025.

Amends the Department of Public Health Act. Establishes the role of HIV Treatment Innovation Coordinator to be housed within the Department. Provides that the Department shall create and fill the Coordinator role within 6 months after the effective date of the amendatory Act. Requires the Coordinator to develop and execute a comprehensive strategy to adopt a Rapid Start model for HIV treatment as the standard of care. Requires compensation and benefits for the Coordinator be at the Program Director level. Describes the specific job responsibilities of the Coordinator. Amends the Illinois Insurance Code. Provides that an individual or group policy of accident and health insurance amended, delivered, issued, or renewed in this State on or after January 1, 2025 shall provide coverage for home test kits for sexually transmitted infections, including any laboratory costs of processing the home test kit, that are deemed medically necessary or appropriate and ordered directly by a clinician or furnished through a standing order for patient use based on clinical guidelines and individual patient health needs. Makes a conforming change to the Illinois Public Aid Code regarding coverage for home test kits for sexually transmitted infections. Amends the AIDS Confidentiality Act. Creates the Illinois AIDS Drug Assistance Program. Provides that Illinois AIDS Drug Assistance Program applications shall be processed within 72 hours after the time of submission. Provides for conditional approval of Illinois AIDS Drug Assistance Program applications within 24 hours after time of submission. Requires Illinois AIDS Drug Assistance Program applicants to document residency within the State of Illinois. Provides for 8 Rapid Start for HIV Treatment pilot sites established by the Department of Public Health. Provides that the Department shall publish a report on the operation of the pilot program 15 months after the pilot sites have launched. Establishes requirements for the report, requires that the report be shared with the General Assembly and the Governor's Office, and requires that the report be made available on the Department's Internet website. Amends the County Jail Act. Creates new annual adult correctional facility public inspection report requirements on the topics of HIV and AIDS.

Creates the Pacific Conflict Stress Test Act. Provides that the Governor shall produce and publish a State risk assessment no later than the day before the annual address made to the General Assembly by the Governor, and annually thereafter. Provides that the State risk assessment shall include all substantial risks to State or national security, State or national economic security, State or national public health, or any combination of those matters, occurring within and threatening the State. Provides that the Auditor General shall conduct an audit of all critical procurements purchased or supplied through a State supply chain or State vendor supply chain, and produce and publish a report, which shall be submitted to the General Assembly and the Governor and made easily accessible to the public, within 180 days after the effective date of the Act. Creates the Select Committee on Pacific Conflict. Provides for the Committee’s membership and duties. Provides that the Governor, in consultation with the Select Committee on Pacific Conflict, shall appoint a Director, who shall lead the study on adversarial threats to State assets and critical infrastructure and coordinate the research and development of the report, commencing within 30 days of the effective date of the Act. Contains a severability provision. Defines terms.

Amends the Property Tax Code. Makes changes concerning payments from the Indemnity Fund to provide that all property owners who sustain loss or damage by reason of the issuance of a tax deed are entitled to payments from the Indemnity Fund. Effective immediately.

Authorizes the Director of Natural Resources to execute and deliver a quit claim deed to Shabbonna Lake State Park in DeKalb County to the Prairie Band Potawatomi Nation. Effective immediately.

Amends the Illinois Lottery Law. Provides that the Department of the Lottery's rules shall allow a consumer to redeem all sums of winnings and to withdraw unspent money deposited in the consumer's internet lottery account in the same manner in which it was deposited.

Creates the Climate Bank Loan Financing Act. Allows a governmental unit (i) to own, construct, equip, manage, control, erect, improve, extend, maintain, and operate new or existing clean energy infrastructure projects, to purchase real estate and any property rights to be used for clean energy infrastructure projects, and to charge for the use of clean energy infrastructure, (ii) to borrow money and to access a loan from the Illinois Finance Authority to finance the acquisition, construction, or improvement of new or existing clean energy infrastructure under the Illinois Climate Bank bond loan programs of the Illinois Finance Authority, and (iii) to issue from time to time general obligation bonds, including alternate bonds and limited bonds, and revenue bonds pursuant to applicable law for the purpose of evidencing its obligation to repay its loans from the Illinois Finance Authority. Includes requirements for the issuance of bonds. Requires the governmental unit to adopt an ordinance, or resolution when appropriate, to authorize participation in a loan from the Illinois Finance Authority, and to authorize and issue bonds. Specifies requirements of the ordinance or resolution, including levying a direct annual tax to pay for general obligation bonds and, for revenue bonds, to enter into covenants and agreements as may be found by the governmental unit to be necessary and appropriate to secure the punctual payment of the principal of and interest on the revenue bonds. Allows the governmental unit to enter into loan agreements and security agreements with respect to the borrowing of money from the Illinois Finance Authority pursuant to the Act. Includes provisions relating to authority to issue bonds under other provisions of law, executing of bonds, and severability. Effective immediately.

Amends the Election Code. Prohibits a political committee from making expenditures for taxable compensation to an immediate family member of a public official or candidate. Defines "immediate family member" and "payments". Effective immediately.

Reinserts the provisions of the introduced bill with the following changes. Deletes the definition of the term "involuntary termination of residency". Provides that, when the Department of Public Health orders the immediate readmission of a resident to an establishment, readmission is not required if a condition which would have allowed transfer or discharge develops within the time that the resident's residency was involuntarily terminated. Makes changes in provisions prohibiting an establishment from terminating residency due to an emergency situation under certain circumstances. Makes changes in provisions concerning fines the Department shall assess if an establishment does not readmit a resident after the Department has ordered readmission. Deletes references to a resident's right to retain residency at an establishment during any hospital stay totaling 10 days or less following a hospital admission. Deletes references to Type 1 violations. Makes other changes. Amends the Nursing Home Care Act. Deletes provisions related to the definitions of "discharge", "high risk designation", and "transfer". Deletes a provision relating to a resident's refusal of treatment not constituting grounds for discharge. Deletes references to Type A violations. Deletes provisions concerning fines the Department shall assess if an establishment does not readmit a resident after the Department has ordered readmission. Deletes references directing a resident's own physician, if any, to conduct an in-person assessment or make a determination that the resident should be discharged because of the resident's health care needs, instead of a facility's physician. Deletes a provision requiring a resident who is in the process of appealing the denial of the resident's application for the Medical Assistance Program to be considered a Medicaid applicant during the appeal process. Removes provisions concerning the long term care ombudsman requesting a hearing on behalf of a resident under certain circumstances. Makes other changes.

Amends the Illinois Historic Sites Advisory Council Act. Provides that the Illinois Historic Sites Advisory Council may recommend the removal of a place from the National Register of Historic Places if the place is a bridge that: (1) is less than 22 feet wide and has a bannister that is at least 18 inches in height; (2) crosses or is on a township road; and (3) will be renovated or rebuilt.

Amends the Illinois Sexually Transmissible Disease Control Act. Changes the short title of the Act to the Illinois Sexually Transmitted Infection Control Act. Changes references to "sexually transmissible diseases" to "sexually transmitted infections". Makes conforming changes throughout the statutes. Provides that, in determining which infections are to be designated sexually transmitted infections, the Department of Public Health shall consider human papillomavirus (HPV) and mpox. Effective immediately.

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that on and after January 1, 2025, the rates paid for sedation evaluation and the provision of deep sedation and intravenous sedation for the purpose of dental services shall be increased by 33% above the rates in effect on December 31, 2024. Provides that the rates paid for nitrous oxide sedation shall not be impacted by the amendatory Act and shall remain the same as the rates in effect on December 31, 2024. Effective January 1, 2025.

Amends the Illinois Pesticide Act. Provides that, notwithstanding any other provision of law, no person shall produce ethanol using seeds that have been treated with a pesticide.

Amends the State Board of Education Article of the School Code. In the provisions requiring the State Board of Education to develop and make available training opportunities for educators, provides that the training may include the creation of an online portal to train educators in teaching Black English language learners and Black English as a second language. Provides that the portal shall aid educators in teaching students accustomed to using the African American English vernacular, teach about the history and development of African American English vernacular, and include evidence-based methods in teaching literacy to these students accustomed to African American English vernacular. Effective immediately.

Amends the Medication Aide Pilot Program Article of the Nurse Practice Act. Changes the title of the Article to Medication Aide Program. Provides that the Department of Public Health (instead of the Department of Financial and Professional Regulation) shall administer and enforce a Certified Medication Aide Program (instead of a Licensed Medication Aide Pilot Program). Makes conforming changes. Provides that the term "qualified employer" means an assisted living or shared housing establishment (instead of a long-term care facility) licensed by the Department of Public Health that meets specified qualifications; makes changes concerning the qualifications. Amends the Administration and Enforcement Article of the Nurse Practice Act to specify that the Department of Public Health shall administer and enforce the provisions of the Article with regards to a certified medication aide.