Amends the Illinois Insurance Code to require an insurance policy to provide coverage for medically necessary treatments for genetic, rare, unknown or unnamed, and unique conditions, including Ehlers-Danlos syndrome and altered drug metabolism. Provides that an insurance policy that provides coverage for prescription drugs shall include coverage for opioid alternatives, coverage for medicines included in the Model List of Essential Medicines published by the World Health Organization, and coverage for custom-made medications and medical food. Provides that an insurance policy that limits the quantity of a medication in accordance with applicable State and federal law shall not require pre-approval for the treatment of patients with rare metabolism conditions that may need a higher dose of medication than what is otherwise allowed within a time frame or prescription schedule. Provides that the burden of proving that treatment is medically necessary shall not lie with the insured in cases of rejections for filing claims, preauthorization requests, and appeals related to coverage required under the Section.

Amends the Southwest Regional Port District Act. Makes a technical change in a Section concerning the short title.

Amends the Southwest Regional Port District Act. Makes a technical change in a Section concerning the short title.

Amends the Southwest Regional Port District Act. Makes a technical change in a Section concerning the short title.

Amends the Insurance Producers, Limited Insurance Representatives, and Registered Firms Article of the Illinois Insurance Code. Provides that the annual registration fee for an education provider that is not based in the State of Illinois is $2,000. Makes a conforming change.

Amends the Medical Assistance Article of the Illinois Public Aid Code. Expands the classes of persons eligible for medical assistance to include, beginning January 1, 2027 and subject to any federal waivers or approvals necessary for implementation, persons licensed under the Clinical Psychologist Licensing Act, the Clinical Social Work and Social Work Practice Act, the Illinois Dental Practice Act, the Medical Practice Act of 1987, the Licensed Certified Professional Midwife Practice Act, the Nurse Practice Act, the Physician Assistant Practice Act of 1987, or the Registered Surgical Assistant and Registered Surgical Technologist Title Protection Act. Permits such licensed persons to apply for medical assistance by submitting an application to the Department of Healthcare and Family Services between January 1 and March 31. Requires the Director of Healthcare and Family Services to determine the form and manner of submitting an application. Requires the Department to post application instructions on its website. Requires an eligible person who satisfies all application requirements to pay a premium for medical assistance coverage that shall be no higher than 5% of the person's annual income. Provides that any premiums paid shall be automatically allocated to the Department's medical assistance budget for the next fiscal year. Requires the Department to adopt rules.

Creates the Language Equality Acquisition for Deaf, Hard of Hearing, or DeafBlind Children Act. Provides that the Act applies to children from birth to 5 years of age and is subject to appropriation. Provides that the Department of Human Services, in consultation with various State agencies, shall establish a language needs and monitoring program for deaf, hard of hearing, or DeafBlind children. Provides that an advisory committee on language needs and monitoring shall be established. Provides that the Department, in consultation with various State agencies, shall publish a joint action plan that considers the recommendations of the advisory committee and may propose legislation and rules necessary to implement the Act. Provides for reporting, information sharing, and rulemaking. Effective immediately.

Amends the Medical Assistance Article of the Illinois Public Aid Code. In provisions concerning PDPM STRIVE staffing ratio calculations for nursing facilities, provides that beginning January 1, 2025, the staffing percentage used in the calculation of the per diem staffing add-on shall be its PDPM STRIVE Staffing Ratio which equals: its Reported Total Nurse Staffing Hours Per Resident Per Day as published in the most recent federal staffing report (the Provider Information file), divided by the facility's PDPM STRIVE Staffing Target. Provides that each facility's PDPM STRIVE Staffing Target is equal to .76 times the facility's Illinois Adjusted Facility Case-Mix Hours Per Resident Per Day. Provides that a facility's Illinois Adjusted Facility Case-Mix Hours Per Resident Per Day is equal to its Nursing Case-Mix (as published in the most recent federal Provider Information file) divided by 1.4627 times 3.79 (which is the Reported Total Nurse Staffing Hours Per Resident Per Day for the Nation as reported in the January 2024 State US Averages file). Effective July 1, 2025.

Amends the Election Code. Creates the Ranked-Choice Voting in State and Local Elections Task Force. Provides that the Task Force shall study the possibility of implementing ranked-choice voting for State and local elections. Directs the Task Force (1) to engage election officials, interested groups, and members of the public for the purpose of assessing the adoption and implementation of ranked-choice voting in State and local elections beginning in the 2029 consolidated election; (2) to review standards used to certify or approve the use of a voting system, including the standards adopted by the U.S. Election Assistance Commission and the State Board of Elections; (3) to advise whether the voting system used by this State's election authorities would be able to accommodate alternative methods of voting, including, but not limited to, ranked-choice voting; and (4) to make recommendations or suggestions for changes to the Election Code or administrative rules for certification of voting systems in Illinois to accommodate alternative methods of voting, including ranked-choice voting. Provides that, on or before June 30, 2027, the Task Force shall publish a final report of its findings and recommendations and other specified information. Sets forth provisions concerning membership and administrative support. Dissolves the Task Force and repeals the provision on July 1, 2027. Effective immediately.

Amends the Property Tax Code. Provides that property that receives a low-income senior citizens assessment freeze homestead exemption may continue to receive a partial exemption for each of the 4 succeeding taxable years even if the applicant for the exemption would not otherwise qualify for the exemption in the current taxable year because the applicant's household income for the current taxable year exceeds the maximum income limitation. Effective immediately.

Amends the State Property Control Act. In a provision concerning submission of an Annual Real Property Utilization Report, changes the due date for the Report from July 31 to August 31 of each year.

Amends the Illinois Income Tax Act. Makes a technical change in a Section concerning the short title.

Amends the Illinois Income Tax Act. Makes a technical change in a Section concerning the short title.

Amends the Illinois Income Tax Act. Makes a technical change in a Section concerning the short title.

Amends the Juvenile Court Act of 1987. Defines a guardian ad litem as either (i) an attorney licensed in Illinois to practice law; or (ii) a person who holds at a minimum a bachelor's degree in psychology, psychiatry, social work, education, or any other relevant child-related discipline involving determining a child's best interests. Provides that a guardian ad litem must receive training to ensure the guardian ad litem has a fundamental working knowledge of abuser tactics and its effects on children in domestic violence cases as ordered by the Supreme Court. Requires a guardian ad litem to meet with a child who has been exposed to domestic violence in an age-appropriate manner for at least an hour before the issuance of any judicial decision affecting the parental rights of the child and to meet with the child for at least an hour every 3 months and provide a written update to the court at least every 6 months. Amends the Illinois Marriage and Dissolution of Marriage Act to make conforming changes.