Amends the Network Adequacy and Transparency Act. Provides that the Department of Insurance shall determine whether the network plan at each in-network hospital and facility has a sufficient number of hospital-based medical specialists to ensure that covered persons have reasonable and timely access to such in-network physicians and the services they direct or supervise. Defines "hospital-based medical specialists".

Amends the Nursing Home Care Act. Provides that the State Long Term Care Ombudsman shall be notified when a resident is involuntarily transferred or discharged from a facility. Makes corresponding changes.

Creates the Agricultural and Natural Resources Legacy Act. Creates the Agricultural and Natural Resources Legacy Fund as a separate fund in the State treasury to be managed by the Department of Agriculture. Provides that from the Fund, moneys shall be made available in each fiscal year for grants to qualified easement holdings having an application which has been reviewed by the Department of Agriculture and approved by the Agricultural Legacy Council. Creates the Agricultural Legacy Council to annually review and approve award grants recommended by the Department of Agriculture, review and approve rules adopted by the Department of Agriculture for administration of the program, and review outcomes of the program and advise the Department of Agriculture of changes in the program or rules to ensure success of the program in achieving the intent of the Act.

Amends the Employment of Teachers Article of the School Code. Provides that in fixing salaries of employees, school boards shall pay to employees an hourly rate not less than the following: (i) $20 for the 2023-2024 school year; (ii) $21 for the 2024-2025 school year; and (iii) $22 for the 2025-2026 school year. Provides that the minimum hourly rate for each school year thereafter shall equal the minimum salary rate for the previous school year increased by a percentage equal to the percentage increase, if any, in the Consumer Price Index for All Urban Consumers for all items published by the United States Department of Labor for the previous school year. Provides that "employee" means any employee of the school district who provides educational support services to the district, including, but not limited to, custodial employees, transportation employees, food service providers, classroom assistants, administrative staff, or paraprofessional educators. Effective immediately.

Amends the Counties Code. Provides that, when a corner knows or is informed that a death is suspected to be a maternal or fetal death due to an abortion, the coroner shall go to the place where the dead body is located, take charge of the body, and make a preliminary investigation into the circumstances of the death. Effective immediately.

Amends the Illinois Municipal Code. Provides that a zoning ordinance or other zoning regulation may not (1) prohibit a home-based business from serving clients by appointment, (2) prohibit 2 or fewer nonresident employees from working at a home-based business, (3) prohibit or require structural modifications for a home-based business, (4) restrict the amount of floor space a home-based business may use, or (5) restrict storage or the use of equipment that does not produce effects outside the home or accessory structure. Defines terms. Limits the concurrent exercise of home rule powers. Effective immediately.

Creates the Coercive Abuse Against Mothers Prevention Act. Provides that it is illegal to coerce or force a pregnant woman to have an abortion. Provides that whoever coerces or forces a pregnant woman to have an abortion is guilty of a petty offense with a fine of $500 and a business offense with a fine of $1,500. Allows a pregnant woman injured by an abuser's violation of the Act to bring a civil suit to recover damages for such injury regardless of whether the abuser is criminally prosecuted and whether the pregnant woman has an abortion. Requires a reproductive health care facility to conspicuously post signs visible to all who enter its waiting, consultation, and procedure rooms specified notices and information. Requires a mandatory reporter to personally report every instance of alleged or suspected coerced abortion to the Department of Children and Family Services or the local law enforcement authority of the county the facility is in. Requires an attending health care professional to orally ask a pregnant woman, in a private room and without any individual accompanying her, if she is being coerced or forced to have an abortion. Provides that any mandatory reporter who has reason to believe a woman is or has been a victim of coercion and willfully and knowingly does not report such coercion, force, attempted coercion, threatened coercion, or threatened force is guilty of a business offense with a fine of $5,000. Provides that any health care professional who willfully violates the mandatory reporting requirements shall be referred to the Illinois State Medical Board for action on whether to suspend or revoke his or her license. Allows a pregnant woman injured by a facility's violation of the Act to bring a civil suit to recover damages for such injury. Makes other changes. Effective 90 days after becoming law.

Amends the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois. Requires the Department of Public Health to ensure that safe gun storage information is available at all Secretary of State driver services facilities. Provides that the Department may use existing public or private programs to implement the provisions. Requires the Department to disseminate safe gun storage information on its website and in Department facilities. Effective January 1, 2024.

Creates the Farmland Conservancy Program Act. Creates the Farmland Conservancy Program Fund in the State treasury. Provides that the moneys in the fund shall, upon appropriation by the General Assembly, be used for the purposes of the program, which include the purchase of agricultural conservation easements, fee title acquisition grants, land improvement and planning grants, technical assistance grants, technical assistance provided by the Department of Agriculture, technology transfer activities of the Department, and administrative costs incurred by the Department in administering the program. Provides that not less than 25% of funds shall be provided to applicants that lease or sell to socially disadvantaged farmers. Provides that moneys in the fund shall also be available for the following purposes: (1) to provide technical assistance grants to eligible assistance entities in support of socially disadvantaged farmers who are seeking financing for land acquisition or leasing; (2) to provide acquisition assistance grants to eligible assistance entities for the sole purpose of reducing barriers to land access for socially disadvantaged farmers, including, but not limited to, down payment assistance, interest rate assistance, direct costs incidental to acquisition, and infrastructure for land improvement; (3) to provide technical assistance grants to eligible assistance entities in support of socially disadvantaged farmers who are seeking financing for land acquisition or leasing; and (4) to provide acquisition assistance grants to eligible assistance entities for the sole purpose of reducing barriers to land access for socially disadvantaged farmers, including, but not limited to, down payment assistance, interest rate assistance, direct costs incidental to acquisition, and infrastructure for land improvement. Amends the State Finance Act to make a conforming change.

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.

Amends the Illinois Vehicle Code. Provides that the provision requiring the driver of a vehicle approaching a traffic-control signal on which no signal light facing such vehicle is illuminated to stop before entering the intersection does not apply to the driver of a vehicle approaching a pedestrian hybrid beacon. Defines "pedestrian hybrid beacon" as a traffic-control device used to warn and control traffic, at locations that are otherwise without a traffic-control signal, to assist pedestrians in crossing a street or highway at a marked crosswalk.

Amends the School Code. Provides that a school uniform or dress code policy adopted by a school board or local school council shall not prohibit the right of a student to wear or accessorize graduation attire with items associated with the student's cultural or ethnic identity or any protected characteristic or category identified in the Illinois Human Rights Act. Provides that the items used to accessorize graduation attire may include, but are not limited to, flags, pins, or any other relevant item. Effective immediately.

Amends the State Officials and Employees Ethics Act. Provides that any officer, member, or State employee subject to revolving door prohibitions, who is considering or offered non-State employment during State employment or, within a period of one year immediately after termination of State employment, may request the appropriate Inspector General make a determination as to whether the State employee is restricted from accepting such employment. Provides that within 10 calendar days after receiving a request from an employee, the Inspector General shall determine whether the State employee is restricted from accepting such employment. Provides that a determination by an Inspector General must be in writing, signed and dated by the Inspector General, and delivered to the subject of the determination within 10 calendar days or the person is deemed eligible for the employment opportunity.

Amends the Illinois Public Labor Relations Act. Modifies the definitions of "supervisor" and "unit". In the definition of "supervisor", specifies that the authority to assign is not an indication of supervisory status. In the definition of "unit", prohibits a unit from including (i) employees and managerial employees or (ii) managerial employees only. Provides that no public employee position shall be excluded from a bargaining unit prior to that position being filled. Provides, with respect to bargaining units in existence on the amendatory Act's effective date, that the Illinois Labor Relations Board shall, in describing the unit found appropriate for purposes of collective bargaining, describe the unit in terms of job functions rather than job titles. Provides that, for those units, descriptions may also include the currently existing job titles that perform the job functions. Provides that these existing bargaining units shall also include positions later filled that perform the job functions of a unit and job titles later created that: (i) are successor job titles to the currently existing job titles; (ii) perform the same or substantially similar job functions as the currently existing job titles; or (iii) are logically encompassed within an existing unit.

Amends the Architectural, Engineering, and Land Surveying Qualifications Based Selection Act. Provides that the evaluation and response of a firm's performance upon completion of contract shall not be made available to any other person or firm without the consent of the evaluated firm.