Amends the Local Government Debt Reform Act. Provides that alternate bonds may not be secured by the proceeds of general obligation bonds issued without referendum approval. Effective immediately.

Amends the Illinois Vehicle Code. Provides that the Secretary of State may issue registration plates for all-terrain vehicles and recreational off-highway vehicles. Prescribes placement of registration plates on the rear of all-terrain and recreational off-highway vehicles. Provides registration fees and surcharges. Provides that all-terrain vehicles and recreational off-highway vehicles may be operated on rural roads. Limits home rule powers with respect to the discretion of a municipality, township, county, or other unit of local government to regulate the usage of all-terrain vehicles and recreational off-highway vehicles on roads under their jurisdiction. Effective immediately.

Amends the Department of Professional Regulation Law of the Civil Administrative Code of Illinois. Provides that beginning January 1, 2024, the Department of Financial and Professional Regulation shall supplement all paper-based certificates, licenses, and authorities with a digitally-verified electronic credential. Provides that the Department may use a third-party electronic credential system. Provides that such electronic credential system shall include a verification system that is operated by the electronic credential agency or its agent on its behalf for the purpose of verifying the authenticity and validity of electronic credentials. Effective immediately.

Amends the Accident and Health Article of the Illinois Insurance Code. Provides that an individual or group policy of accident and health insurance that is amended, delivered, issued, or renewed on or after January 1, 2025 shall cover a medically necessary home saliva cancer screening every 24 months. Makes conforming changes in the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, the Limited Health Service Organization Act, the Voluntary Health Services Plans Act, and the Medical Assistance Article of the Illinois Public Aid Code. Effective January 1, 2024.

Amends the Legislative Information System Act. Provides that, as soon as practicable after the effective date of the amendatory Act, the Legislative Information System shall make available to the public through the website maintained by the System the audio and video recordings of all committee hearings of the General Assembly occurring on and after the effective date of this amendatory Act. Provides that the committee hearing audio and video recordings made available by the System shall be posted on the website maintained by the System for at least 30 days after the committee hearing at which the recording was made.

Creates the Workplace COVID-19 Safety Committees Act. Provides that each private employer of at least 30 employees shall establish a safety committee at each of the employer's primary places of employment. Establishes requirements for composition of committees and meetings, records, reporting, and training. Provides for the duties of committees relating to hazard assessment and control, safety and health planning, development of procedures for accident investigations, and other specified matters. Provides that the safety committee shall assist the employer in providing information, instruction, training, and supervision as is necessary to ensure the health and safety of employees at work and individuals affected by their activities. Provides that the Department of Labor may levy a civil penalty upon an employer that violates the Act as established by rule.

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the Medicaid rates set forth in the Department of Healthcare and Family Services' therapy provider fee schedule for reimbursement of occupational therapists, physical therapists, and speech-language pathologists shall be no less than the reimbursement rates set forth in the Medicare fee schedule for occupational therapists, physical therapists, and speech-language pathologists. Effective immediately.

Amends the Property Tax Code. Modifies procedures relating to forfeited properties, including that the procedures relate to forfeiture of tax liens and certificates, rather than forfeiture of property, and that the tax liens and certificates are forfeited to the county rather than the State. Modifies when a court must declare a sale to be a sale in error and how refunds of costs and taxes are to be refunded (removing interest on costs and taxes paid). Provides that, if a sale is declared to be a sale in error, the tax certificate shall be forfeited to the county as trustee. Provides that vacant nonfarm property and property containing a residential structure with at least 7 units sold under the Code may be redeemed at any time before the expiration of one year (rather than 6 months) from the date of the sale (removing restrictions on the delinquency or forfeiture status of the property). Modifies other provisions relating to redemption of property, including the extension of the period of redemption. Modifies a provision relating to special assessments withdrawn (removing forfeiture language) and repeals other provisions about special assessments withdrawn or forfeited. Modifies provisions relating to notice of sale and redemption rights. Modifies various provisions concerning tax deeds. Repeals a provision concerning the denial of deeds. Makes other changes. Effective immediately.

Amends the School Code. Provides that no later than 30 days before a school district submits to the voters of that district a question on whether to issue bonds or increase the school district's property tax rate, the school district must send informational material to each resident of voting age in the school district; defines "informational material". Specifies what must be included in the informational material. Effective immediately.

Amends the Counties Code. Provides that the salary (exclusive of any other compensation or benefits) of a clerk or recorder who is elected or appointed after the effective date of the amendatory Act shall not be less than 80% of the salary set for the State's Attorney for the county in which the county clerk or recorder is elected or appointed. Provides that the State shall furnish 66 2/3% of the total annual salary to be paid to a clerk or recorder, and the county shall furnish 33 1/3% of the total annual salary. Limits the concurrent exercise of home rule powers. Makes conforming changes, including removing outdated salary references.

Amends the Code of Criminal Procedure of 1963 and the Illinois Domestic Violence Act of 1986. Provides that if a respondent to an order of protection is required to turn over the respondent's Firearm Owner's Identification Card or firearms to a local law enforcement agency, then: (1) a local law enforcement agency shall give written notice to the respondent of the respondent's obligations regarding any Firearm Owner's Identification Card or firearms in the respondent's possession; (2) a local law enforcement agency has an affirmative duty to inquire with a respondent as to the obligations of the respondent to tender the respondent's Firearm Owner's Identification Card and firearms under the order of protection; and (3) a respondent who refuses to tender the respondent's Firearm Owner's Identification Card and firearms after a local law enforcement agency has given the respondent written notice is guilty of a Class A misdemeanor.

Creates the Manufacturing Capital Investment Fund Act. Contains only a short title provision.

Creates the Innovation Pilot Program for Chronic Pain Treatment with Opiate Avoidance Act. Contains only a short title provision.

Amends the Environmental Protection Act. Makes a technical change in a Section concerning the short title.

Amends the Election Code. Provides that the State Board of Elections shall create a pilot program that allows petition signatures to be gathered electronically through a secure Internet portal. Provides that a statement of candidacy shall set out a telephone number and email address, if any, for a candidate. Provides that if a candidate seeks to run for countrywide office in Cook County, then the candidate's petition for nomination must contain at least 5,000 but not more than 10,000 signatures (rather than the number of signatures equal to 0.5% of the qualified electors of his or her party who casts votes at the last preceding general election in Cook County). Provides that a qualified primary elector of a party may sign petitions for a candidate in the primary of more than one party. Provides that each petition for nominations for mayor, city clerk, and city treasurer must be signed by at least 5,000 but not more than 10,000 legal voters of the city (rather than 12,500 legal voters of the city). Provides that no rule or ordinance shall be passed that prevents legal voters from signing petitions for nomination for 2 or more candidates running for the same office.