Amends the Property Tax Code. Provides that, in counties with fewer than 3,000,000 inhabitants, the amount in the indemnity fund shall not be less than 0.03% of the total equalized assessed valuation of the property in the county or $25,000 (currently, $50,000), whichever is greater.

Amends the PFAS Reduction Act. Authorizes the Environmental Protection Agency to participate in a safe chemical clearinghouse and to cooperate with the clearinghouse to take specified actions. Directs manufacturers of PFAS or products or product components containing intentionally added PFAS to register the PFAS or the product or product component containing intentionally added PFAS and to provide certain additional information through a data collection interface established cooperatively by the clearinghouse and the Agency. Establishes civil penalties for violations by manufacturers. Authorizes the Agency to adopt rules and enter contracts to implement these provisions. Exempts certain products from these requirements.

Mourns the death of David N. "Dave" Baker of East Moline.

Creates the Illinois Age-Appropriate Design Code Act. Provides that all covered entities that operate in the State and process children's data in any capacity shall do so in a manner consistent with the best interests of children. Provides that a covered entity subject to the Act shall take specified actions to protect children's privacy in connection with online services, products, or features, including completing a data protection impact assessment for an online service, product, or feature that is reasonably likely to be accessed by children; and maintain documentation of the data protection impact assessment. Contains provisions concerning additional requirements for covered entities; prohibited acts by covered entities; data practices; enforcement by the Attorney General; limitations of the Act; data protection impact assessment dates; and severability. Amends the State Finance Act to create the Age-Appropriate Design Code Enforcement Fund. Effective immediately.

Amends the Motor Vehicle Retail Installment Sales Act. Provides that each person, other than a seller or holder, who signs a retail installment contract may be held liable only to the extent that he actually receives the motor vehicle described or identified in the contract, except that a parent or spouse or any other person who co-signs such retail installment contract (rather than any other person listed as an owner of the motor vehicle on the Certificate of Title issued for the motor vehicle who co-signs such retail installment contract) may be held liable to the full extent of the deferred payment price notwithstanding such parent or spouse or any other person listed as an owner has not actually received the motor vehicle described or identified in the contract and except to the extent such person other than a seller or holder, signs in the capacity of a guarantor of collection.

Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to by rule implement a methodology to reimburse hospitals for inpatient stays extended beyond medical necessity due to the inability of the Department, the managed care organization (MCO) in which a medical assistance recipient is enrolled in, or the hospital discharge planner to find an appropriate placement after discharge from the hospital to the next level of care. Requires the Department to by rule implement a methodology effective for dates of service January 1, 2025 and later to reimburse hospitals for emergency department stays extended beyond medical necessity due to the inability of the Department, the MCO, or the hospital discharge planner to find an appropriate placement after discharge from the hospital setting to the next appropriate level of care. Provides that both methodologies shall provide reasonable compensation for the services provided attributable to the hours of the extended stay for which the prevailing rate methodology provides no reimbursement. Contains provisions concerning the rate for inpatient days of care; hourly rates of reimbursement for emergency department stays; a prohibition on MCOs restricting coverage due to delays caused by the Department or the MCOs in completing the pre-admission screening and resident review process; a prohibition on MCOs imposing authorization or documentation requirements and other conditions of reimbursement that are more restrictive than standards under the fee-for-service medical assistance program; sanctions on MCOs for noncompliance; and administrative rules. Effective immediately.

Amends the Gasoline Storage Act. Provides that, if a leak of petroleum or a petroleum product occurs from a storage tank regulated by the Act and if the leak results in injury to any person or damage to any person's property, then the owner of the storage tank is strictly liable in civil damages to the person for the full amount of the injury or property damage proximately caused by the leak. Provides that the civil damages are in addition to damages under the Hazardous Material Emergency Response Reimbursement Act.

Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to adopt rules, by no later than January 1, 2025, to establish a process under which any provider meeting certain performance standards outlined in the amendatory Act shall be certified for a service authorization exemption from all service authorization programs for a period of no less than one year. Provides that qualification for a service authorization exemption shall be determined by the Department, or its contracted utilization review organization (URO), and shall be binding on a managed care organization (MCO) or the MCO's contracted URO. Provides that a provider shall be eligible for a service authorization exemption if the provider submitted at least 25 service authorization requests to a service authorization program in the preceding calendar year and the service authorization program approved at least 80% of the service authorization requests. Provides that no later than December 1 of each calendar year, each service authorization program shall provide written notification to all providers who qualify for a service authorization exemption for the subsequent calendar year. Requires the Department to adopt rules by January 1, 2025 to establish: (i) a standard method the Department, or its contracted URO, shall use to evaluate whether a provider meets the criteria to qualify for a service authorization exemption; (ii) a standard method the Department, or its contracted URO, shall use to accept and process provider appeals of denied or rescinded exemptions; and (iii) a standard method the MCOs shall use to accept and process professional claims and facility claims, as billed by the provider, for a health care service that is rendered, prescribed, or ordered by a provider granted a service authorization exemption, except in cases of fraud. Contains provisions concerning annual reviews by the Department of service authorization denials made under each service authorization program; quarterly reports issued by the Department that detail the performance of each service authorization program; sanctions on MCOs for noncompliance with any provision of the amendatory Act. Effective immediately.

Appropriates $ 10,000,000 from the General Revenue Fund to the Department of Public Health for local health protection grants for health protection programs. Effective July 1,2024.

Creates the Commission on Disability Access within the Department of Human Services. Describes the composition of the Commission. Directs the Commission to work with other State agencies, including the Office of the Architect of the Capitol and the Department of Human Services, to develop educational materials and information to facilitate compliance with construction-related accessibility standards. Provides that the Commission shall develop and make available on its website educational modules to assist Illinois businesses in understanding their construction-related accessibility obligations. Describes other duties of the Commission. Requires the Commission to report to the General Assembly. Directs the Commission to compile and make publicly available data relating to demand letters and complaints concerning compliance with construction-related accessibility standards. Specifies that the Commission is an advisory body. Requires the Commission to hire staff or contract for services as needed to complete the tasks authorized under the Act. Provides that the Act shall not be implemented and shall not remain operative unless funds are appropriated for that purpose by the General Assembly. Effective immediately.

Amends the Military Code of Illinois. Requires the Governor to organize and maintain within this State, on a reserve basis, a volunteer civilian cybersecurity auxiliary force, known as the Illinois Cyber Auxiliary Force (ICAF), that is capable of being expanded and trained to educate and protect from cyber incidents State, county, and local government entities and critical infrastructure, including election systems, businesses, and the citizens of this State. Provides that in the case of an emergency proclaimed by the Governor, or caused by illicit actors or imminent danger, the Governor, as Commander-in-Chief, shall expand the ICAF as the exigency of the occasion requires. Provides that the ICAF shall be operated as an interagency effort between the Illinois Department of Military Affairs (IDMA), the Illinois Emergency Management Agency and Office of Homeland Security (IEMA-OHS), and the Illinois Department of Innovation and Technology (DoIT). Provides that IEMA-OHS shall have oversight of the entire program and act as the lead agency for the ICAF for mission and project development; DoIT shall evaluate threats and recommend missions to the Homeland Security Advisor; and IDMA shall focus on recruiting, manning, and mission assignments. Provides that the Adjutant General, in cooperation with the Homeland Security Advisor, shall request activation of ICAF for cyber incident response; and that IDMA shall stock and issue uniform articles as required. Contains provisions concerning training for ICAF members; funds appropriated by the General Assembly for the actual and necessary expenses incurred by the ICAF for administration, training, and deployment; and the adoption of rules by IEMA-OHS that are consistent with the provisions of law governing the membership, organization, administration, equipment, and maintenance of the ICAF. Provides that ICAF members may not be called or ordered into the military service. Provides that no person shall be accepted into the ICAF who is not a United States national or a lawful permanent resident. Contains provisions concerning background checks on applicants; the removal or resignation of ICAF members; and other matters.

Amends the Illinois Public Aid Code. Makes changes to the Medical Assistance Article. Provides that beginning with dates of service on and after January 1, 2025, add-on rates for the services delivered by physicians who are board certified in psychiatry and advanced practice registered nurses who hold a current certification in psychiatric and mental health nursing shall be increased so that the sum of the base per service unit rate plus the rate add-on is no less than $264.42 per hour adjusted for time and intensity. In a provision concerning personal needs allowances, provides that the total monthly personal needs allowance from both the State and federal sources for a person who is a resident of a supportive living facility shall equal $120. Requires the Department of Children and Family Services to pay for all inpatient stays at a hospital beginning on the 3rd day a child is in the hospital beyond medical necessity, and the parent or caregiver has denied the child access to the home and has refused or failed to make provisions for another living arrangement for the child or the child's discharge is being delayed due to a pending inquiry or investigation by the Department of Children and Family Services. Provides that beginning January 1, 2025 (rather than January 1, 2020), the Department of Healthcare and Family Services shall reimburse Children's Community-Based Health Care Centers at the lower of their usual and customary charge to the public or at the Department rate of $1,300 (rather than $950). Contains provisions concerning reimbursement for remote ultrasound procedures and remote fetal nonstress tests; increased reimbursement rates for nursing services for medically fragile and technology dependent children; increased reimbursement rates for optometrist services; coverage and reimbursement rates for custom prosthetic and orthotic devices; per-claim add-on payments for renal dialysis services provided within a skilled nursing facility by a certified home dialysis provider; coverage for music therapy services provided by licensed professional music therapists; a deadline extension for reporting data recommendations for ground ambulance services cost structures; administrative rules updating the Handicapping Labio-Lingual Deviation orthodontic scoring tool; emergency rules; and other matters. Makes changes to provisions under the Hospital Services Trust Fund Article concerning reimbursement for hospital (rather than inpatient) stays extended beyond medical necessity. Makes changes to the Managed Care Organization Provider Assessment Article. 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 Hospital Services Trust Fund Article. Provides that beginning on and after July 1, 2024, subject to federal approval, in addition to the statewide standardized amount and any other payments authorized under the Code, a safety-net hospital health care equity add-on payment shall be paid for each inpatient General Acute and Psychiatric day of care, excluding Medicare-Medicaid dual eligible crossover days, for safety-net hospitals. Provides that beginning on and after July 1, 2024, subject to federal approval, in addition to the statewide standardized amount and any other payments authorized under this Code, a safety-net hospital low volume add-on payment of $200 shall be paid for each inpatient General Acute and Psychiatric day of care, excluding Medicare-Medicaid dual eligible crossover days, for any safety-net hospital that provided less than 11,000 Medicaid inpatient days of care, excluding Medicare-Medicaid dual eligible crossover days, in the base period. Grants the Department emergency rulemaking authority to implement these add-on payments. Makes changes to the Hospital Provider Funding Article. For purposes of allocating funds included in capitation payments to MCOs, excludes hospitals with over 9,000 Medicaid acute care inpatient admissions per calendar year from the category of safety-net hospitals. Amends the Birth Center Licensing Act. In a provision concerning reimbursement rates set by the Department of Healthcare and Family Services, requires the facility fees for the birthing person and the baby to be no less than 80% (rather than 75%) of the statewide average facility payment rate made to a hospital. Amends the Specialized Mental Health Rehabilitation Act of 2013. In provisions requiring facilities licensed under the Act to be awarded an additional payment for their single occupancy rooms, provides that beginning on January 1, 2025, a payment of no less than $10 per day, per single room occupancy shall be added to the existing $25.50 additional per day, per single room occupancy rate for a total of at least $35.50 per day, per single room occupancy. Makes other changes. Effective immediately.

Amends the Video Gaming Act. Provides that the Illinois Gaming Board may require video gaming terminals to display a message informing players they may round their winnings down to the nearest whole dollar amount and donate the difference to the special causes described in the Illinois Lottery Law. Provides that the Board shall adopt rules to establish additional criteria and processes to enable video gaming terminals and payout machines to offer players the option to round winnings down to the nearest whole dollar amount or $0 and donate the difference to the State Lottery Fund for distribution to the special causes. Provides that tickets dispensed by pressing the ticket dispensing button on the video gaming terminal must also indicate the total amount to be donated to the special causes.

Appropriates $209,000,000 from the General Revenue Fund to the State Board of Education for costs associated with the Healthy School Meals for All Program. Effective July 1, 2024.

Amends the Criminal Code of 2012. Provides that a full-time, sworn, compensated fire fighter is permitted to carry a pistol, revolver, stun gun, taser, or other firearm on his or her person in public or in a vehicle, if the fire fighter has a valid concealed carry license, is carrying on duty, and has been approved to carry on duty by the mayor, city council, village president, or village board of trustees.