Amends the Hospital Services Trust Fund Article of the Illinois Public Aid Code. In provisions concerning the hospital rate reform payment system, provides that reimbursement for inpatient general acute care services shall utilize the All Patient Refined Diagnosis Related Grouping (APR-DRG) software, version 30, distributed by Solventum previously known as 3MTM Health Information System. Provides that Solventum shall be the exclusive provider of this software unless the Department of Healthcare and Family Services determines that Solventum is unable to meet the required operational or contractual terms. Provides that only under such circumstances may an alternative authorized provider of the software be considered. Adds corresponding provisions regarding software used to process reimbursements for outpatient services.

Amends the Video Gaming Act. Provides that an applicant or licensee is not in violation of the Act or any of the Illinois Gaming Board rules, and shall not be subject to disciplinary action, delay of any Board consideration, or denial of any license for operating a game device if operation of the gaming device is in compliance with and not considered gambling under the Criminal Code of 2012. Amends the Criminal Code of 2012. Provides that a gambling offense involving a specific gambling device is a Class 4 felony. Prohibits a municipality from imposing any restriction or prohibition related to an activity which is lawful under under a provision that set forth activities that a person may not be convicted of gambling for participating. Includes specified vending or other electronic machines or devices in the definition of gambling device. Amends the Prizes and Gifts Act. Provides that it is unlawful for a person to operate on any premises a prize and gift kiosk that fails to meet the specified technical standards. Prohibits a prize and gift kiosk from being connected directly or indirectly to the Internet in order to participate in the game or contest or to receive or retrieve any data related to the kiosk or device unless the connected device is a redemption vault. Provides that is unlawful for a prize and gift kiosk to offer the sale of anything other than a bona fide product. Provides that it is unlawful to operate a prize and gift kiosk without a self contained fill system which permits the operation of the device solely determined on a fee basis or the amount of revenue generated but does not include a system based on time, number of spins or spin equivalent, or other non-revenue based system, and automatically ceases to operate upon the completion of a predetermined cycle. Provides that it is unlawful to operate a prize and gift kiosk without a route boost plus internal monitoring system that accounts and records (i) cash in, (ii) winnings, (iii) entries used, (iv) power failures, disconnections from the monitoring system, and malfunctions, and (v) remote activations and disabling. Requires a prize and gift kiosk to be registered with the Department of Revenue and to remit the annual fee as set by the Department of Revenue. Effective immediately.

Amends the Interscholastic Athletic Organization Act. Provides that an association or other entity that has as one of its purposes promoting, sponsoring, regulating, or in any manner providing for interscholastic athletics or any form of athletic competition among schools and students within the State shall require all paid school head coaches or chief sponsors of an activity to obtain training in cardiopulmonary resuscitation (CPR), first aid, and the use of an automated external defibrillator (AED). Provides that training in CPR and AED use shall be consistent with national, evidence-based, emergency cardiovascular care guidelines and shall be completed every 2 years. Amends the School Safety Drill Act. Provides that a school district shall conduct an annual cardiac response drill to practice the steps established in its cardiac emergency response plan, in partnership with local emergency medical services, and a cardiac response drill may be conducted without student participation. Provides that a school district, school board and each member of the school board, governing body and each member of the governing body of a nonpublic school, administrator, principal, teacher, school employee, and member of a school district's safety or crisis response team, whether a student or an adult, are immune from any liability that might otherwise be incurred or caused by an act or omission related to the requirements under the Act, unless the act or omission was willful or wanton. Makes other changes. Effective July 1, 2027.

Amends the Sports Wagering Act. Provides for a lottery sports wagering pilot program. Provides that the Department of the Lottery shall implement and administer the lottery sports wagering pilot program no later than June 30, 2025. Provides that every sports lottery terminal offered in this State for play shall first be tested and approved pursuant to the rules of the Department, and each sports lottery terminal offered in this State for play shall conform to an approved model, which shall be ready for play in Illinois within 90 days after the effective date of the amendatory Act and any system testing dates designated by the Department. Provides that lottery games are a part of the private management agreement and competitive bidding process. Provides that sports lottery terminals may be placed in any lottery retailer in the State. Provides that no lottery retailer may cause or permit any person under the age of 21 years to use a sports lottery terminal or sports wagering application. Sets forth provisions concerning definitions, testing, apportionment of revenues, transfer of funds, jurisdiction of the Department, and the purchase or lease of sports lottery terminals. Makes other changes. Amends the Illinois Lottery Law to make conforming changes. Amends the Illinois Administrative Procedure Act to authorize emergency rulemaking. Effective immediately.

Amends the Employee Credit Privacy Act. Provides that an employer shall not order or obtain an applicant's social security number, except for the purpose of conducting a background check of the applicant at the time the background check is completed. Provides that the provision does not prohibit an employer from obtaining an employee's social security number after the employee has been hired.

Amends the Environmental Protection Act. Provides that one year after the effective date of the amendatory Act, the Agency shall develop and begin implementation of requirements for a Stormwater Pollution Prevention Plan or other similar best management practice requirements, to be included in National Pollutant Discharge Elimination System (NPDES) permits issued to facilities regulated under certain federal regulations. Provides that these requirements apply to the control of plastic pellets or other preproduction plastic materials, in stormwater runoff from these facilities.

Amends the Administration Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to provide persons lawfully admitted for permanent residence under the Immigration and Nationality Act and other people of all immigration statuses the same medical coverage for family planning and family planning-related services and supplies as provided under the Medical Assistance Program to eligible persons who are United States citizens. Provides that to be eligible for family planning and related services, lawful permanent residents or other people of all immigration statuses must meet all other eligibility qualifications under the HFS Family Planning Program established in accordance with the Illinois' Family Planning State Plan Amendment as approved by the federal Centers for Medicare and Medicaid Services. Provides that the Department shall not require lawful permanent residents or other people of all immigration statuses who are otherwise eligible for family planning and related services under the amendatory Act to complete a mandatory waiting period as a condition of receiving medical coverage.

Amends the Illinois Income Tax Act. Creates a deduction for the full amount of union dues paid by the taxpayer during the taxable year if the taxpayer was not allowed a federal deduction under the Internal Revenue Code. Provides that, if any amount of union dues representing federal miscellaneous itemized deductions was allowed as a federal deduction, then the amount allowed as an Illinois deduction shall be a percentage of the union dues disallowed under the Internal Revenue Code. Provides that the deduction is exempt from the Act's automatic sunset provision. Effective immediately.

Amends the Illinois Domestic Violence Act of 1986. Provides that whenever a law enforcement officer has reason to believe that a person has been abused, neglected, or exploited by a family or household member, the officer shall, if appropriate, arrest the abusing, neglecting, and exploiting party except in situations in which the alleged offending party is a juvenile. Provides that if the alleged offender is a juvenile, then the officer, based on the totality of the circumstances, may choose not to arrest the juvenile and instead may divert the juvenile or may assist the juvenile and his family in finding alternative placement.

Amends the Public Utilities Act. Provides that a public utility shall ensure that it has the necessary labor force in order to fulfill its duties under the Act. Provides that no substantial change shall be made by any public utility in its labor force unless the public utility provides notice to the Illinois Commerce Commission at least 45 days before the implementation of the change. Provides that a public utility shall provide a report to the Commission in addition to the notice of the substantial change. Sets forth requirements for the content of the report. Provides that the Commission may conduct an audit or investigation of any public utility report filed pursuant to provisions concerning a public utility's labor force. Provides that if, after notice and hearing, the Commission finds that a report was insufficient to justify the substantial change in labor force, then the cost of any independent audit conducted by the Commission shall not be recoverable as an expense from the ratepayers of the public utility.

Amends the Community Behavioral Health Care Professional Loan Repayment Program Act. Requires the Illinois Student Assistance Commission to award a $15,000 per year grant to qualified applicants who are licensed occupational therapists or licensed occupational therapy assistants.

Amends the Illinois Vehicle Code. Provides that a municipality or unit of local government may erect and maintain a specialized traffic control device at an intersection where an emergency response vehicle enters the roadway or within 1,000 feet from a structure where such vehicles are stored. Allows the specialized traffic control device to be controlled by the emergency response unit or fire station as the emergency response vehicle enters or exits traffic.

Appropriates $575,000,000 to the Department of Transportation for expenses related to the Statewide Railway Program. Effective July 1, 2025.

Reinserts the provisions of the introduced bill with the following changes. Provides that a disclosure of information that is exempt under federal law can be made only in response to a request made under the Domestic Violence Fatality Review Act but only to the extent not otherwise subject to federal regulations concerning the confidentiality of substance abuse disorder patient records. Effective immediately.

Creates the Illinois Medicare for All Health Care Act. Provides that all individuals residing in the State are covered under the Illinois Health Services Program for health insurance. Sets forth the health coverage benefits that participants are entitled to under the Program. Sets forth the qualification requirements for participating health providers. Sets forth standards for provider reimbursement. Provides that it is unlawful for private health insurers to sell health insurance coverage that duplicates the coverage of the Program. Provides that investor-ownership of health delivery facilities is unlawful. Provides that the State shall establish the Illinois Health Services Trust to provide financing for the Program. Sets forth the requirements for claims billing under the Program. Provides that the Program shall include funding for long-term care services and mental health services. Provides that the Program shall establish a single prescription drug formulary and list of approved durable medical goods and supplies. Creates the Pharmaceutical and Durable Medical Goods Committee to negotiate the prices of pharmaceuticals and durable medical goods with suppliers or manufacturers on an open bid competitive basis. Sets forth provisions concerning patients' rights. Provides that the employees of the Program shall be compensated in accordance with the current pay scale for State employees and as deemed professionally appropriate by the General Assembly. Effective January 1, 2026.