Amends the Environmental Barriers Act. Defines "ICC/ANSI A117.1", as used in the Act, as meaning either of the 2 most recent editions of the International Code Council/American National Institute Standard A117.1 ("Accessible and Usable Buildings and Facilities"). Provides that no public facility may be constructed or altered and no multi-story housing may be constructed or altered (rather than only constructed) without the statement of an architect registered in the State of Illinois that the plans for the work to be performed comply with the provisions of the Act and the Code promulgated under the Act unless the cost of such construction or alteration is less than $50,000. Provides that multi-story housing that is not a public facility but that is subject to specified requirements shall be deemed to be in compliance with the Code if all dwelling units in the multi-story housing are required to be adaptable dwelling units comply with the requirements for Type A units in ICC/ANSI A117.1, if dwelling units in the multi-story housing comply with the requirements for Type B units in ICC/ANSI A117.1, and if all common use and public uses spaces comply with the Code. Provides that an election to use this alternative compliance method must be explicitly identified in the required statement made by a professional engineer or a structural engineer.

Reinserts the provisions of the introduced bill, as amended by House Amendment No. 1, with the following changes. In the changes to the Residential Mortgage License Act of 1987 in provisions about shared appreciation agreement consumer counseling and disclosures, provides that, notwithstanding any provision in the Act to the contrary, before (rather than prior to) taking any legally binding action on a shared appreciation agreement, the borrower or borrowers shall be provided counseling (removing a cross-reference to a definition of counseling in the Residential Real Property Disclosure Act and a reference that the borrower or borrowers shall be provided counseling regardless of the county in which the property is located). Removes changes to the Residential Real Property Disclosure Act from the introduced bill, and further amends the Residential Real Property Disclosure Act by defining "counseling". Effective immediately.

Amends the Substance Use Disorder Act. Provides that, subject to appropriation, the Department of Human Services shall establish and administer pilot programs in the counties of Lee, Whiteside, Ogle, and Tazewell that allow for court-ordered involuntary treatment for persons 18 years of age or older who have a substance use disorder. Requires the pilot programs to be implemented no later than January 1, 2025 with an end date of January 1, 2029. Provides that under the pilot programs, no person shall be ordered to undergo involuntary treatment for a substance use disorder unless that person: (i) suffers from a substance use disorder; (ii) presents an imminent threat of danger to self, family, or others as a result of a substance use disorder, or there exists a substantial likelihood of such a threat in the near future; and (iii) can reasonably benefit from treatment. Contains provisions concerning the rights of persons subject to involuntary treatment; forms; jurisdiction; petition requirements; court and medical examinations; emergency hospitalization; the consequences of failing to attend examinations; summons; hospitals and treatment facilities; and defined terms. Requires the Department to submit a report to the General Assembly, no later than July 1, 2029, on the effectiveness and efficiency of each county's pilot program. Sets out certain data and information that must be included in the report. Effective immediately.

Amends the Illinois Dental Practice Act. Creates a license for dental therapists. Sets forth requirements for licensure and the scope of practice. Makes conforming changes.

Amends the State Finance Act. Removes language providing that, for State fiscal year 2024, transfers among line item appropriations to a State agency from the same State treasury fund may be made for operational or lump sum expenses only, provided that the sum of such transfers for a State agency in State fiscal year 2024 shall not exceed 8% of the aggregate amount appropriated to that State agency for operational or lump sum expenses for State fiscal year 2024.

Amends the Video Gaming Act. Provides that the Illinois Gaming Board shall establish a database that contains the following variables: the population of each municipality and unincorporated county area in which video gaming has not been prohibited; the number of licensed establishments within each municipality and unincorporated county area that has been listed by population in the database; and the ratio, as measured in licensed establishments per 1,000 residents, within each municipality and unincorporated county area listed by population in the database. Provides that, notwithstanding any other provision of law, no new license shall be issued to an applicant for licensure as a licensed establishment if the applicant is located within a municipality or unincorporated county area in which there is more than one licensed establishment per 1,000 residents; and when a municipality or unincorporated county area exists with more than one licensed establishment per 1,000 residents, the Board shall deny a licensed establishment's application to renew its license until the number of licensed establishments within the political subdivision has dropped to a ratio that is equal to, or less than, one licensed establishment per 1,000 residents. Specifies that the provisions shall not infringe upon the right of a licensed establishment to continue to enjoy licensure as a licensed establishment for the duration of the license that has been awarded to the establishment before the effective date of the amendatory Act. Effective immediately.

Amends the Unified Code of Corrections. Eliminates provisions that a person must serve various percentages for particular offenses. Provides that the rules and regulations of the Department of Corrections shall provide that the individual in custody shall receive one day of sentence credit for each day of service in prison other than when a sentence of natural life imprisonment has been imposed. Provides that each day of sentence credit shall reduce by one day the incarcerated person's period of incarceration set by the court. Provides that within 6 months after the effective date of the amendatory Act, the Department of Corrections shall recalculate each incarcerated person's release date by crediting each person one day sentence credit for each day the incarcerated person has spent in prison on the current sentence. Provides that an incarcerated person serving a term of natural life imprisonment shall be eligible to accumulate sentence credit so that in the event that his or her sentence is reduced to something less than a sentence of natural life imprisonment, it can thereafter be credited toward his or her new sentence. Makes technical changes. Effective January 1, 2025.

Amends the Illinois Vehicle Code. Provides that a vehicle or combination of vehicles powered primarily by means of electric battery power may exceed the posted weight limits by up to 2,000 pounds.

Amends the Election Code. Provides that a ranked-choice voting method that allows voters to rank candidates for an office in order of preference and tabulates cast ballots in multiple rounds following the elimination of a candidate until a single candidate attains a majority shall not be used in determining the election or nomination of any candidate to any local, State, or federal elective office in this State. Provides that an ordinance existing on the effective date of the amendatory Act or adopted after the effective date of the amendatory Act by a county, a municipality, or any other unit of local government that is in conflict with the provisions is void. Repeals the provision on January 1, 2034. Removes a provision allowing a municipality to adopt an ordinance to administer an election using a ranked ballot for municipal and township office candidates to be voted on in the consolidated election.

Amends the Illinois Lottery Law. Provides that the State Lottery Fund shall receive from the sale of lottery tickets or shares consisting of the net of commissions and fees representing those expenses that are directly proportionate to the sale of tickets or shares at the agent location and prizes of $600 or less (rather than less than $600) which have been validly paid at the agent level. Makes a conforming change. Provides that the Department of Lottery may pay any prize (rather than prizes up to $25,000) from funds held by the Department in an account separate and apart from all public moneys of the State. Removes provisions allowing moneys in the account to be deposited by the Department into the Public Treasurers' Investment Pool or used to pay amounts to deferred prize winners. Allows the Department to contract (rather than the State Treasurer with the consent of the Director of the Lottery) with any person or corporation, including, without limitation, a bank, banking house, trust company or investment banking firm, to perform such financial functions, activities, or services in connection with operation of the lottery. Allows, with the consent of the Director, the State Treasurer to act as an agent of the Department to perform the financial functions as the Director may prescribe. Removes language requiring the Director to prepare and send to the State Comptroller vouchers requesting payment from the Deferred Lottery Prize Winners Trust Fund to deferred prize winners.

Amends the State Employee Article of the Illinois Pension Code. Includes persons employed on a full-time basis by the Illinois Department of Transportation in the positions of sign hanger and sign hanger foreman in the definition of "State highway maintenance worker". Provides that a person who is employed on a full-time basis by the Illinois Department of Transportation in the position of sign hanger or sign hanger foreman may elect to convert service credit earned to eligible creditable service under the alternative annuity formula by filing a written election with the Board and paying a specified amount to the System. Provides that any benefit increase that results from the amendatory Act is excluded from the definition of "new benefit increase". Effective immediately.

Reinserts the contents of the bill as introduced with the following changes. In provisions concerning accelerated placement, provides that a school district's accelerated placement policy shall cover a student who exceeds State standards in specified coursework (instead of meets or exceeds State standards in specified coursework). Provides that by no later than the beginning of the 2027-2028 school year, a school district's accelerated placement policy shall provide the option, in the following school term, for a student to enroll in the next most rigorous level of advanced coursework offered by the high school if the student meets State standards in English language arts, mathematics, or science on a State assessment administered following specified requirements for specified coursework. Effective immediately.

Amends the Property Tax Code. Creates a reduction in the equalized assessed value of property containing a qualified nursing home in an amount equal to 50% of the equalized assessed value of the nursing home property. Provides that a qualified nursing home is a facility licensed under the Nursing Home Care Act that is located in a census tract with a median household income of less than 150% of the federal poverty level and that has a resident population that is at least 90% Medicaid eligible. Effective immediately.

Appropriates $50,000,000 from the General Revenue Fund to the Electric Vehicle Rebate Fund. Effective July 1, 2024.

Amends the Unemployment Insurance Act. In provisions concerning the recoupment of benefits granted to an ineligible individual, provides that an applicant for a waiver shall be rebuttably presumed to be eligible for the waiver unless the Department of Employment Security can show by clear and convincing evidence that the applicant does not meet one or more of the required criteria. Provides that an applicant for the waiver whose application was denied prior to the effective date of the amendatory Act may reapply for a waiver and shall be rebuttably presumed to be eligible for the waiver unless the Department can show by clear and convincing evidence that the applicant does not meet one or more of the required criteria. Provides that the Department shall mail a notice to every applicant for a waiver who was denied prior to the effective date of the amendatory Act to inform them that they may reapply for a waiver as provided in the provisions.