Amends the Department of Professional Regulation Law of the Civil Administrative Code of Illinois. In a provision concerning the requirements that a health care professional must meet before he or she can have his or her license placed on volunteer status (rather than being granted a volunteer license), provides that a health care professional must possess an active license that is not currently subject to discipline or under investigation by the Department of Financial and Professional Regulation (rather than satisfaction of all requirements of the State licensing Act that applies to his or her health care profession and the rules adopted under the Act). Removes the volunteer licensure fee and removes references to volunteer licenses. Provides that a health care professional whose license is in volunteer status may request that the Department change the status of the license to active as long as the request for the change is made during the same renewal period in which the license was previously active or the license is renewed in the same manner, at the same time, and with the same conditions as an active license. Provides that a health care professional who holds an active license that was previously a volunteer license is subject to the requirements of the State licensing Act that applies to his or her health care profession and the rules adopted under the relevant Act. Provides that the Department may adopt rules for the administration of the provisions regarding volunteer licenses (rather than determining by rule the total number of volunteer licenses to be issued). Makes conforming and other changes.

Amends the Fire Investigation Act. Provides that, beginning July 1, 2026, the Office of the State Fire Marshal shall, in consultation with the Mutual Aid Box Alarm System (MABAS), annually determine what funding is necessary for MABAS to sufficiently alleviate difficulties that emergency responders face in coordinating personnel and equipment from participating agencies and units of local government when responding to tornado disasters at large warehouse complexes in this State. Provides that, by January 1, 2027, the Office shall, in consultation with MABAS, establish a formula for the distribution of that funding, with certain requirements. Provides for a continuing appropriation from the General Revenue Fund to the Office for the maintenance, operation, and capital expenses of MABAS. Makes findings. Defines terms. Effective immediately.

Creates the Wholesale Prescription Drug Importation Program Act. Requires the Department of Public Health to establish the Wholesale Prescription Drug Importation Program. Provides that the Department shall implement the program by: contracting with one or more prescription drug wholesalers and Canadian suppliers to import prescription drugs and provide prescription drug cost savings to consumers in this State; developing a registration process for health benefit plan issuers, health care providers, and pharmacies to obtain and dispense prescription drugs imported under the program; developing a list of prescription drugs, including the prices of those drugs, that meet certain requirements set forth under the Act and publishing the list on the Department's website; establishing an outreach and marketing plan to generate program awareness; ensuring the program and the prescription drug wholesalers that contract with this State comply with certain federal tracking, tracing, verification, and identification requirements; and other actions. Sets forth eligibility criteria for prescription drugs that may be imported into the State under the program. Contains provisions concerning anticompetitive behavior monitoring; program funding; program expansion; audit procedures; annual reporting requirements; the adoption of rules to implement the Act; and federal waiver or authorization requirements. Effective July 1, 2025.

Amends the Military Veterans Assistance Act. Defines "veteran" to mean any person who: (i) served on active duty in any branch of the United States Armed Forces and whose last discharge or release was under conditions other than dishonorable; (ii) served on active duty in any branch of the United States Armed Forces, including active duty solely for training purposes, and was either awarded a service-connected disability or died in such service under conditions other than dishonorable; (iii) served in the National Guard or as a reservist in any branch of the United States Armed Forces, including active duty solely for training purposes; or (iv) is determined to be a veteran according to the U.S. Department of Veterans Affairs; provided, that in any case, the service of such person was entered into or served in Illinois, or such person has resided in the State for at least one day, except for the purpose of determining the residential eligibility of a deceased veteran's dependents.

Amends the Transportation Article of the School Code. Provides that each school board may provide free transportation for any pupil residing within a one-half mile (rather than one and one-half miles) from the school attended where conditions are such that walking, either to or from the school to which a pupil is assigned for attendance or to or from a pick-up point or bus stop, constitutes a serious hazard to the safety of the pupil due to either vehicular traffic or rail crossings or a course or pattern of criminal activity.

Amends the Child Care Act of 1969. Creates a manufacturer child care center incentive pilot program in this State. Provides that an applicant shall follow staffing, medication, background checks, and liability insurance requirements as contained in administrative rule. Provides that the pilot program is limited to 10 sites and is available to any manufacturer who has a facility in the State. Provides that a manufacturer may apply on an individual basis or in a group of 2 or more manufacturers. Provides that a child care center must only be made available to employees of the manufacturer at no cost to the employee. Provides the application requirements for the pilot program. Provides requirements for maintaining and dispensing medications for the child care center. Provides that a child care center shall require all persons subject to background checks under administrative rule to furnish written information regarding any criminal convictions, to submit to fingerprinting, and to authorize the background checks required. Provides that the Department of Children and Family Services shall create a website and application process for the pilot program that streamlines the application process and is maintained on the Department website. Provides that an application for the pilot program shall receive priority consideration once submitted. Amends the Illinois Income Tax Act. Creates an income tax credit for each taxpayer who participates in the manufacturer child care center incentive pilot program in the amount of $250 for each child enrolled in the taxpayer's child care center.

Amends the Illinois Insurance Code. Provides that the amendatory Act may be referred to as the Motor Vehicle Insurance Fairness Act. Provides that no insurer shall refuse to issue or renew a policy of automobile insurance based in whole or in part on specified prohibited underwriting or rating factors. Sets forth factors that are prohibited with respect to underwriting and rating a policy of automobile insurance. Sets forth provisions concerning the use of territorial factors. Provides that every insurer selling a policy of automobile insurance in the State shall demonstrate that its marketing, underwriting, rating, claims handling, fraud investigations, and any algorithm or model used for those business practices do not disparately impact any group of customers based on race, color, national or ethnic origin, religion, sex, sexual orientation, disability, gender identity, or gender expression. Provides that no rate shall be approved or remain in effect that is excessive, inadequate, unfairly discriminatory, or otherwise in violation of the provisions. Provides that every insurer that desires to change any rate shall file a complete rate application with the Director of Insurance. Provides that all information provided to the Director under the provisions shall be available for public inspection. Provides that any person may initiate or intervene in any proceeding permitted or established under the provisions and challenge any action of the Director under the provisions. Provides that the Department of Insurance shall adopt rules. Provides that all insurers subject to the provisions shall be assessed a fee of 0.05% of their total earned premium from the prior calendar year, and that the fee shall be payable to the Department no later than July 1 of each calendar year and shall be used by the Department to implement the provisions.

Amends the Workers' Compensation Act. Provides that an injury arises out of and in the course of employment only if the accident significantly caused or contributed to both the resulting condition and the disability. Provides that an injury does not arise out of and in the course of employment if (1) the hazard or risk was not incidental to employment and was a hazard or risk to which the general public is also exposed, (2) the injury did not occur at a time and place and under circumstances reasonably required by the employment, or (3) the disability resulted from a personal risk. Limits conditions under which repetitive or cumulative trauma is compensable. Provides that gradual deterioration or progressive degeneration of the body caused by aging is not compensable as repetitive or cumulative trauma. Effective immediately.

Amends the Illinois Vehicle Code. Adds language providing that a person who damages a vehicle or who damages or removes any part of a vehicle commits a misdemeanor if the person does so with intent and without the right to do so (instead of "without authority to do so"). Adds language providing that a person who tampers with a vehicle or goes in it, on it, or works to attempt to work any of its parts, or sets or attempts to set it in motion commits a misdemeanor if he does so without right to do so and with intent to commit a crime (instead of "without authority to do so").

Amends the Illinois Procurement Code. Provides that authorized emergency vehicles are excluded from the definitions of "flexible fuel vehicles" and "fuel efficient hybrid vehicles".

Amends the Illinois Vehicle Code. Provides that the operation of a non-highway vehicle is authorized if it is operated only on streets where the posted speed limit is 55 (rather than 35) miles per hour or less and the use of the non-highway vehicle is permitted by the unit of local government. Provides that a non-highway vehicle may cross a road or street at an intersection where the road or street has a posted speed limit of more than 55 (rather than 35) miles per hour. Provides that a county board located in a county that permits the use of a non-highway vehicle on its roadways shall not be deemed liable for crashes involving the use of a non-highway vehicle on its roadways.

Amends the Illinois Driver Licensing Law Chapter of the Illinois Vehicle Code. Provides that, if the Secretary of State denies, suspends, or revokes an individual's driving privileges for a reason set forth in specified provisions of the Driver License Compact concerning an offense in another state, the Secretary of State must provide the applicant with the reasons why the driver's license was denied, suspended, or revoked in Illinois and provide verification of the related offense. Provides that the Secretary of State must provide information pertaining to the application process and the hearing process for reinstatement and review the individual's application for issuance or reinstatement and provide a decision within 21 calendar days. Provides that, if the applicant's application is denied, the Secretary of State must: (1) provide the applicant of verification of the reason the application is denied by certified mail within 7 calendar days of the denial; (2) provide the applicant with all documents presented at the hearing and the reasons for denial; and (3) provide the applicant with information regarding the process for contesting the denial.

Amends the Unified Code of Corrections. In the procedures for executive clemency, provides that a victim who has supplied a statement to the Prisoner Review Board may waive notice of petitions for clemency and the waiver must be in writing. Provides that the statement supplied by the victim shall be part of all petitions for clemency filed by the petitioner. Provides that if the victim is not registered with the Board, the Board shall contact the sentencing county's State's Attorney's Office for the victim's last known address. Provides that the Board shall send notice to the last known address of the victim. Provides that at the request of the victim, the Board shall allow the victim to provide oral testimony via electronic means and not require the victim to appear in person at the executive clemency hearing. Provides that a victim who waives notice shall receive notice if the Prisoner Review Board makes a recommendation of clemency to the Governor. Provides that the notice to the victim of a recommendation of clemency shall be in writing and given not less than 30 days prior to the Board's recommendation of clemency being sent to the Governor.

Creates the Department of Government Efficiency Act. Establishes the Department of Government Efficiency in the Office of the Auditor General for certain purposes. Provides that the Office of the Auditor General shall provide administrative and other support to the Department. Provides that the Department shall be led by a Board of Directors, chaired by a Chairperson elected annually at the first meeting of the year from among the directors. Lists 5 directors, including the Auditor General or the Auditor General's designee and 4 directors appointed by leaders of the General Assembly. Provides that the Board may appoint members of the Department who are experts in certain fields or with certain experience who shall serve under the Board. Provides that directors and members shall serve without compensation but shall be reimbursed for their reasonable and necessary expenses from funds appropriated for that purpose. Provides for powers of the Department, including advising the Office of the Auditor General regarding audits and investigations. Provides that the Board may request a State agency head to provide all information requested by the Board and possessed by the State agency to the Board. Provides that the Department may adopt rules. Provides that the Department shall issue quarterly reports to the Governor and the General Assembly, as well as other discretionary reports. Sets forth findings and a statement of purpose. Defines terms. Amends the Illinois State Auditing Act to provide that the Auditor General may consult with the Department of Government Efficiency regarding audits and investigations.

Amends the Personnel Record Review Act. Provides that the definition of "employer" includes a county, municipal, or State law enforcement agency.