Creates the Local Government Chairperson Term Limit Review Act. Provides that, no later than December 31, 2023, and no less than every 2 years thereafter, a governmental unit that is governed by an elected governing body that has not enacted term limits for the board's chairperson by ordinance or resolution shall consider and decide, by verbal or written vote, ordinance, resolution, or referendum of the electors of the governmental unit, whether to impose term limits for the chairperson of the governing body. Defines "governmental unit" as a unit of local government or school district. Provides that, if a governmental unit has a term limit policy for the chairperson of its governing body, before a person may be elected chairperson, the governmental unit's clerk or secretary shall determine which members of the governing body are eligible to serve as chairperson of the governing body based upon the term limit policy. Provides that the clerk or secretary shall submit an eligibility report to the governing body listing those members who are eligible and ineligible before the meeting at which the chairperson is to be elected. Limits the concurrent exercise of home rule powers. Effective immediately.

Creates the Ensuring Essential Services Act. Provides that the purpose of the Act is to ensure the State meets its obligation to provide certain essential services for individuals with developmental disabilities at consistent quality levels in accordance with its waiver agreement with the Centers for Medicare and Medicaid Services, all while allocating scarce taxpayer resources. Provides that any contract entered into between the Department of Human Services and an agency shall include a provision assuring the State of the uninterrupted delivery of the contracted-for services. Provides that such assurance shall provide that the agency has entered into a binding labor peace agreement with any labor organization that is the exclusive representative of the agency's frontline and direct support staff or, where no exclusive representation has been established, that the agency has or will enter into an agreement with any labor organization that seeks to become the agency's frontline and direct support staff's exclusive representative. Provides that the assurance shall become a condition of any contract entered into, renewed, or amended on or after the effective date of the Act. Requires the Department of Healthcare and Family Services to, no later than 90 days after the effective date of the Act, apply to the Centers for Medicare and Medicaid Services for a waiver or State Plan amendment to allow implementation of the contracting requirements. Requires the Department of Human Services, no later than 60 days after the effective date of the Act, to adopt rules implementing the requirements of the Act. Contains provisions on contract requirements for Department of Human Services' contracts; enforcement of contractual assurances; remedial actions for noncompliance; and other matters. Effective June 1, 2023.

Creates the Vacancy Fraud Act. Provides that the board of review in a county with 3,000,000 or more inhabitants has the power to review complaints of vacancy fraud related to property in that county. Provides that a property owner, or the agent of a property owner, commits vacancy fraud when he or she knowingly makes one or more false statements or representations to a chief county assessment officer, the board of review, or any other trier of fact, for the purpose of obtaining an enhanced vacancy reduction. Provides that an enhanced vacancy reduction means an enhanced abatement of taxes or a reduction in property taxes by a chief county assessment officer, the board of review, or a taxing district, based on full or partial vacancy of the property, under an ordinance of the county or taxing district, a resolution of the county or taxing district, or a policy of the county or taxing district. Effective immediately.

Amends the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to adopt policies and rates for long-acting reversible contraception by January 1, 2024 to ensure that reimbursement is not less than actual acquisition cost. Requires the Department to submit any necessary application to the federal Centers for Medicare and Medicaid Services for the purposes of implementing such policies and rates. Effective immediately.

Amends the Freedom from Drone Surveillance Act. Defines "special event". Deletes "data" from the definition of "information". Provides that "information" does not apply to circumstances in which the drone is used over publicly owned property or private property with prior permission of the owner of the private property when the purpose is training peace officers, public relations, conducting infrastructure inspections, or other similar non-law enforcement purposes. Permits the use of a drone by a law enforcement agency at a special event to prepare for or monitor crowd size, density, and movement; assess public safety staffing; or to monitor the safety of the participants. Provides that a law enforcement agency may use a drone to respond to Public Safety Answering Point (PSAP) dispatched calls for service, when the primary purpose for the response is to locate or assist victims, or both, identify offenders, and to guide emergency response. Provides that information gathered by a drone is subject to the disclosure and exception to disclosure provisions of the Freedom of Information Act. Makes other changes. Amends the Freedom of Information Act to make conforming changes.

Amends the Illinois Horse Racing Act of 1975. Removes a provision providing that if the determination is made that a standardbred stallion is not owned by a resident of the State of Illinois or that a transfer of ownership is a subterfuge to qualify a standardbred stallion under the Act, or that a standardbred stallion owner, manager, or person associated with him or her has knowingly participated in the arrangements for transporting semen from a standardbred stallion registered under this Act out-of-state, the Director of the Department of Agriculture or his authorized agent shall immediately publish notice of such fact in publications devoted to news concerning standardbred horses. Removes a provision providing that if any person owning any stallion, mare or foal is found by the Director or his authorized agent to have willfully violated any provision of the Act or to have made any false statements concerning such person's stallion, mare, or foal, then no animal owned by such person is eligible to participate in specified events.

Amends the Firearm Concealed Carry Act. Eliminates a provision that a licensee under the Act shall not knowingly carry a firearm on any bus, train, or form of transportation paid for in whole or in part with public funds, or in any building, real property, or parking area under the control of a public transportation facility paid for in whole or in part with public funds. Effective immediately.

Amends the Nursing Home Care Act. Requires the Department of Public Health to adopt criteria, by rule, to identify distressed facilities and to publish a list of distressed facilities quarterly. Provides that no facility shall be identified as a distressed facility unless it has committed a violation or deficiency that has harmed a resident. Removes existing language requiring the Department of Public Health to generate and publish quarterly a list of distressed facilities based on specified criteria.

Amends the Child Care Act of 1969. Provides that subject to appropriation, the Department of Children and Family Services shall create and implement a 3-year pilot program to provide grants to underserved units of local government to establish licensed day care centers within local government facilities for local government employees, visitors, and eligible residents who reside in the local government's jurisdiction. Provides that the Department shall arrange for an evaluation of the pilot program to determine whether the pilot program is successfully supporting local government employees. Provides that at the end of the 3-year pilot program, the Department shall submit a report to the General Assembly with its findings from the evaluation. Provides that the report shall state whether the Department intends to continue the pilot program and the rationale for its decision. Provides that the Department may adopt rules and procedures to implement and administer the program. Creates the Local Government Facilities Day Care Fund and makes a corresponding change in the State Finance Act.

Amends the Illinois Public Aid. Makes a technical change in a Section concerning managed care protections.

Congratulates United States Attorney for the Northern District of Illinois John R. Lausch Jr. on his upcoming retirement and thanks him for his years of dedicated service to the State of Illinois in battling public corruption.

Amends the Property Tax Code. Provides that, for properties where the buyer or buyers are natural individuals, the transfer declaration shall state whether the property is intended to be the principal residence of the buyer or buyers.

Amends the State Board of Education Article of the School Code. Provides that any task force, study committee, blue ribbon panel, commission, or organization created or appointed by the State Board of Education or the State Superintendent of Education after the effective date of the amendatory Act, including one created by the State Board of Education or one mandated by the Governor or General Assembly, shall include representatives that reflect the racial, ethnic, and geographic diversity of this State, including representatives of rural, suburban, and urban areas.

Amends the Hospital Services Trust Fund Article of the Illinois Public Aid Code. Increases by 20% hospital reimbursement rates for dates of service on and after January 1, 2024, for specified services, including, but not limited to: inpatient general acute care services; inpatient psychiatric services for safety-net hospitals; general acute care hospitals that are not safety-net hospitals; and outpatient general acute care services. Provides that the rates for the listed services shall be increased, beginning on January 1, 2025 and each January 1 thereafter, based on the annual increase in the national hospital market basket price proxies (DRI) hospital cost index from the midpoint of the calendar year 2 years prior to the current year, to the midpoint of the preceding calendar year. Provides that in no instance shall the adjustment result in a reduction to the rates in place at the time of the required adjustment. Provides that if the federal Centers for Medicare and Medicaid Services finds that the increases required under the amendatory Act would result in rates of reimbursement which exceed the federal maximum limits applicable to hospital payments, then the payments and assessment tax imposed on hospital providers shall be reduced as provided in the Hospital Provider Funding Article. Requires the Department of Healthcare and Family Services to promptly take all actions necessary to ensure the changes authorized in the amendatory Act are in effect for dates of service on and after January 1, 2024. Requires the Department to ensure that all necessary adjustments to the managed care organization capitation base rates necessitated by the adjustments in the amendatory Act are completed, published, and applied 90 days prior to the implementation date of the changes required under the amendatory Act. Provides that, by October 1, 2023, the Department shall by rule implement a methodology effective for dates of service beginning on and after January 1, 2024 to reimburse hospitals for extended stays in a hospital emergency department. Amends the Illinois Administrative Procedure Act. Grants the Department emergency rulemaking authority. Effective immediately.

Amends the State Finance Act. Provides that State travel reimbursement rates for lodging and mileage for automobile travel, as well as allowances for meals, shall be set at the maximum rates established by the federal government for travel expenses, subsistence expenses, and mileage allowances. Provides that if the rates set under federal regulations increase or decrease during the course of the State's fiscal year, the effective date of the new rate shall be the effective date of the change in the federal rate. Makes conforming and other changes.