Amends the Domestic Violence Shelters Act. Provides that, no later than 180 days following the effective date of the amendatory Act, the Department of Human Services shall establish the Domestic Violence Transportation Assistance Program. Provides that the Program shall consist of 3 parts: (1) the Department shall coordinate with the Suburban Bus Board established under the Regional Transportation Authority Act to create a transportation card that may be given to a victim of domestic violence and the victim's family or household members at a shelter for free transportation on Suburban Bus Board transportation; (2) the Department of Human Services shall create a system where victims of domestic violence may call the Department of Children and Family Services' Domestic Violence Helpline that will connect the caller with a taxi or a rideshare company to transport victims and the victim's family or household members to a safe residence free of charge to get the victim and the victim's family or household members out of a domestic violence situation or from a shelter; and (3) the Program shall provide for reimbursement for shelter employees or volunteers for travel-related expenses after providing transportation services to a victim of domestic violence or the victim's family or household members. Provides that the implementation of the Program is subject to appropriation by the General Assembly. Contains other provisions about Program funding and rules that may be adopted to implement the provisions. Amends the Regional Transportation Authority Act and the State Finance 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 the 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.

Amends the School Code. Provides that all school districts shall provide instruction on relaxation activities such as yoga or meditation for at least one half-period of the school day to enhance both mental and physical health of students.

Amends the Illinois Income Tax Act. Makes a technical change in a Section concerning the short title.

Amends the Election Code. Provides that notwithstanding any provision to the contrary, all elections shall be conducted by ranked choice voting. Sets forth State Board of Elections procedures for counting ranked choice ballots. Creates an open-primary system. Provides that primary ballots shall list each candidate for office, regardless of party affiliation, participating in the primary election. Provides that the 2 candidates in any primary that received the most votes in the primary election, regardless of party affiliation of the candidates, shall be the only 2 candidates certified for participation in the general election. Makes conforming changes.

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that for dates of service on and after July 1, 2023, the Department of Healthcare and Family Services shall set the per diem ventilator rate for skilled nursing facilities at a rate equal to the exceptional care per diem rate established for medically complex for the developmentally disabled facilities licensed under the MC/DD Act. Effective immediately.

Amends the State Board of Education Article of the School Code. Provides that, Subject to appropriation, the State Board of Education shall distribute grants to early childhood education and care nonprofit organizations that are established as a Section 501(c)(3) organization and that are dedicated to providing early childhood education and care services to children and families to provide transportation services to families that have trouble affording transportation to early childhood education and care centers. Creates the Early Childhood Education and Care Transportation Fund. Provides that the State Board of Education shall develop an application process for this grant program. Provides that grant funds be distributed annually. Provides that the application process shall require that early childhood education and care nonprofit organizations detail how many families and children would receive transportation assistance from the program, the amount of funding needed per child in their area to fund adequate transportation for the year, and how the funding will be used to provide transportation for each family in the application. Provides that the State Board of Education shall require that any early childhood education and care nonprofit organizations that receive funding shall report the amount of money used for transportation during the State's previous fiscal year and return unused funds to the Early Childhood Education and Care Transportation Fund. Amends the State Finance Act to make a conforming change.

Amends the Counties Code. Provides that if a municipality approves a special use permit for a facility regulated under the Livestock Management Facilities Act located within 1.5 miles of the border of the municipality, the parameters of the special use permit supersede the zoning powers of the county for that property. States that the provisions shall not be construed as to prevent a county from zoning property for any other agricultural use allowed under the Counties Code. Limits home rule powers. Amends the Illinois Municipal Code. Provides that facilities permitted under the Livestock Management Facilities Act may be permitted as a special use by the corporate authorities of a municipality and such special uses may be part of specified intergovernmental agreements.

Creates the Salaried Board Confirmation Act. Provides that the Senate shall confirm or reject an appointee to any Governor appointed board that receives a salary from the State within either 30 session days after the person has been appointed by the Governor or 90 calendar days after the person has been appointed by the Governor, whichever occurs first. Provides that failure of the Senate to confirm or reject the person appointed within this time period shall be deemed a rejection of the appointment by the Senate. Provides that an appointee to the board whose name has been withdrawn as a nominee to the board by the Governor is ineligible to serve on the board for a period of 2 years after the date of withdrawal. Effective immediately.

Creates the Small Business Financing Transparency Act. Sets forth provisions concerning registration requirements for persons providing commercial financing; additional registration information; registration expiration; functions, power, and duties; subpoena power of the Secretary of Financial and Professional Regulation; disclosure requirements; commercial financing disclosure forms approved for use in other states; violation of disclosure requirements; notification; suspension of registrations, civil penalties, and other discipline; investigation of complaints; confidentiality; appeal and review; registration fees; cease and desist orders; injunctions; exemptions; complaint disclosure; rules; violations; limitations on liability; beginning of registration; beginning of disclosure requirements; severability; and a commercial financing database. Amends the Freedom of Information Act and the Consumer Fraud and Deceptive Business Practices Act to make conforming changes. Effective immediately.

Amends the Illinois Insurance Code. Makes a technical change in a Section concerning the short title.

Amends the Department of Professional Regulation Law of the Civil Administrative Code of Illinois. Requires health care professionals who have continuing education requirements to complete cultural competency training, which shall include information on sensitivity relating to and best practices for providing affirming care to people in the person's preferred language, people with disabilities, documented or undocumented immigrants, people who are intersex, people living with HIV, and people of diverse sexual orientations and gender identities. Provides that for every license or registration renewal occurring on or after the effective date of the amendatory Act, a health care professional who has continuing education requirements must complete at least 5 hours in cultural competency training. Provides that for every license or registration renewal occurring on or after the effective date of the amendatory Act, a person licensed or registered by the Department under the Medical Practice Act of 1987 and who has continuing education requirements must complete at least 10 hours in cultural competency training. Provides that these continuing education hours may count toward meeting the minimum credit hours required for continuing education. Provides for rulemaking. Effective January 1, 2024.

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that, on and after July 1, 2023, all non-controlled FDA-approved prescription medications for the treatment of a serious mental illness shall be covered under the medical assistance program for persons otherwise eligible for medical assistance who are diagnosed with a mental disorder that meets criteria established in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) and which is the focus of the treatment provided, including, but not limited to, schizophrenia, schizo-affective disorders, bipolar disorders, or major depression. Exempts medications covered under the amendatory Act from any prior authorization or lifetime restriction limit mandate. Provides that, for any covered medication that contains an opioid antagonist, the prescriber shall check the Illinois Prescription Monitoring Program to determine if the patient is being actively prescribed an opioid. Requires a prescriber of any medication covered under the amendatory Act to be a board-certified psychiatrist or a medical professional with prescribing authority that routinely treats patients with a serious mental illness. Effective July 1, 2023.

Reaffirms commitment to the strengthening and deepening of the sister-state ties between the State of Illinois and Taiwan, R.O.C. Reaffirms support for the Taiwan Relations Act (TRA) and supports Illinois businesses to refer to Taiwan, R.O.C. as Taiwan. Endorses Taiwan's efforts to secure the signing of a Bilateral Trade Agreement (BTA), the Avoidance of Double Taxation Agreement (ADTA), and the Indo-Pacific Economic Framework for Prosperity (IPEF) with the United States and reiterates support for a closer economic and trade partnership between the State of Illinois and Taiwan. Expresses continued support for Taiwan's meaningful participation in international organizations that impact the health, safety, and well-being of the people of Taiwan and supports Taiwan's aspiration to make more contributions in international societies.

Creates the Essential Support Person Act. Provides that a resident or the resident's representative may designate a primary essential support person and a secondary essential support person who may visit the resident despite general visitation restrictions imposed on other visitors, provided that the primary essential support person or secondary essential support person complies with any rules adopted by the Department of Public Health to protect the health, safety, and well-being of residents. Tasks the Department with establishing a statewide policy for visitation with a resident. Requires the Office of State Long Term Care Ombudsman to perform specified duties. Contains other provisions. Effective immediately.