Amends the School Code. In provisions concerning the health examinations and immunizations that school children are required to receive, provides that a child may not be required to submit proof of having received an immunization against COVID-19 upon enrolling in school nor may a child already enrolled in school be required to receive an immunization against COVID-19. Amends the Communicable Disease Prevention Act. Pursuant to the School Code provisions, prohibits the Department of Public Health from adopting any rules that require children to receive an immunization against COVID-19. Effective immediately.

Amends the Election Code. Requires Voters Identification Cards for those who do not have an acceptable photo ID. Sets forth requirements and exemptions. Provides that any person desiring to vote shall present to the judges of election for verification of the person's identity a government-issued photo identification card or his or her Voter Identification Card.

Amends the Abused and Neglected Child Reporting Act. Provides that any report received by the Department of Children and Family Services alleging the abuse or neglect of a child by any person (rather than a person who is not the child's parent, a member of the child's immediate family, a person responsible for the child's welfare, an individual residing in the same home as the child, or a paramour of the child's parent) shall immediately be shared with (rather than referred to) the appropriate local law enforcement agency. Provides that, upon receipt of the shared report, the local law enforcement agency may, in its discretion, conduct a criminal investigation or other action based on the information contained within the report. Provides that the Department shall be the sole agency responsible for receiving and investigating reports of child abuse or neglect made under the Act, except where investigations by other agencies may be required with respect to reports alleging the abuse or neglect of a child by any person (rather than except where investigations by other agencies may be required with respect to reports alleging the abuse or neglect of a child by a person who is not the child's parent, a member of the child's immediate family, a person responsible for the child's welfare, an individual residing in the same home as the child, or a paramour of the child's parent).

Creates the Native to Illinois Labeling Program Act. Establishes the Native to Illinois Labeling Program in the Department of Agriculture. Provides that the Department of Agriculture, in consultation with the Department of Natural Resources, shall adopt rules implementing the Native to Illinois Labeling Program. Provides requirements for certification under the Program. Provides that the Department of Agriculture may, by rule, in consultation with the Department of Natural Resources, require certification by a third party approved by the Department of Agriculture. Provides requirements for eligibility for a "Certified Native to Illinois" label. Provides requirements for compliance. Provides requirements for labeling. Provides for investigatory powers within the Department of Agriculture. Provides for a civil penalty of not more than $10,000 for knowing violation of the compliance requirements, enforceable by a civil lawsuit filed by the Attorney General or a State's Attorney. Provides that any person who knowingly makes a false statement under this Act to an investigator or a certifying agent shall be guilty of a class 4 felony. Provides that any person who knowingly violates the compliance requirements or who knowingly makes a false statement under this Act to an investigator or a certifying agent, after notice and an opportunity to be heard, shall lose all certifications under this Act and shall be ineligible to obtain certifications under this Act for a period of not less than 5 years, beginning on the date of the occurrence, except if waived or modified by the Director of Agriculture. Makes findings. Defines terms.

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that on January 1, 2026 the reimbursement rates for applied behavior analysis services for the treatment of autism spectrum disorder shall be increased by 3.5% above the reimbursement rates in effect on December 31, 2025.

Amends the Assisted Living and Shared Housing Act, the Nursing Home Care Act, the MC/DD Act, and the ID/DD Community Care Act. Provides that a service delivery contract or other contract between a facility and a resident shall not permit rate increases for a resident's room and board before the expiration of the residency period specified in the contract. Provides that, if there is a rate increase for a resident's room and board provided in a subsequent contract that is greater than the percentage increase in the consumer price index-u during the preceding residency period, the facility must provide justification for the increase.

Amends the Wildlife Code. Provides that striped skunks and raccoons may be released alive. Requires the Department of Natural Resources to adopt rules to implement the amendatory Act.

Amends the Election Code. Provides that members of the General Assembly and the offices of Governor, Lieutenant Governor, Attorney General, Secretary of State, Comptroller, and Treasurer shall be elected by ranked-choice voting. Provides for ranked-choice ballots to be produced. Provides that voters may rank their choice for candidates for those offices and provides for interpretations of certain ballot marks. Provides that tallying ranked-choice votes proceeds in rounds. Provides that in each round, the number of votes for each continuing candidate must be counted, that each continuing ballot counts as one vote for its highest-ranked continuing candidate for that round, and that exhausted ballots are not counted for any continuing candidate. Provides that if only 2 candidates remain, the candidate with the higher vote total wins, and that if more than 2 candidates remain, the last-place candidate is eliminated and another round of tallying is to commence. Provides that rounds continue until a winner is found. Makes conforming changes.

Amends the Illinois Vehicle Code. Provides that the Illinois Commerce Commission shall allow commercial relocators to recover towing permit fees or vehicle release fees that are lawfully adopted by a unit of local government and imposed by a law enforcement agency as a necessary administrative fee in order to effectuate an existing relocator program in the unit of local government where the law enforcement agency and relocator operate. Allows the Commission to set the maximum amount of towing permit fees or vehicle release fees that a commercial relocator may recover.

Amends the State Finance Act. Provides that the Secretary of State may maintain a petty cash fund in excess of $1,000, solely for the purpose of making change, at any Secretary of State Motor Vehicle Facility. Provides that those funds may be retained on the premises of the facility.

Creates the Compassionate Support for Bereaved Mothers Act. Provides that the Act may be referred to as the Heal Your Heart Act. Defines a bereaved mother as a mother whose child was, more likely than not, knowingly killed by an unknown or other person. Provides that the Act applies to any bereaved mother whose child was, more likely than not, knowingly killed within the State and whose child was a resident of the State at the time of death. Provides that a bereaved mother shall be entitled to free mental health counseling and psychiatric services for a period of up to one year following the death of the bereaved mother's child. Provides that a bereaved mother is entitled to take paid leave after the death of the bereaved mother's child. Provides that, as federal law permits, a bereaved mother living in subsidized housing, scatter site housing, or public housing units shall be eligible for relocation to another unit if the bereaved mother feels threatened or unsafe. Provides that the Act is repealed 5 years after becoming law. Makes conforming changes to the State Finance Act. Effective January 1, 2026.

Reinserts the provisions of the bill, as amended by House Amendment No. 1, with the following changes. Changes references from "automatic dialing and announcing" to "automatic telephone dialing system". Removes a provision limiting recoverable damages in the case of a class action. Makes conforming changes.

Amends the Counties Code. Provides that, in counties with a population over 3,000,000, representation by the public defender in immigration cases shall be limited to those arising or being heard within the geographical boundaries of the county where the public defender has been appointed to office and to those of county residents with immigration cases outside of the county unless the county board authorizes the public defender to provide representation beyond those limits (rather than limited to those arising in immigration courts located within the geographical boundaries of the county where the public defender has been appointed to office unless the county board authorizes the public defender to provide representation outside the county).

Amends the Probate Act of 1975. Provides that the court may, upon a finding of good cause, extend temporary guardianship for up to an additional 90 days beyond the 120 days now authorized in the Act.

Amends the Medical Assistance Article of the Illinois Public Aid Code. In provisions prohibiting prior authorization mandates and utilization management controls under the fee-for-service and managed care medical assistance programs on specified FDA-approved prescription drugs for mental illness, provides that the prohibition shall apply if a preferred or non-preferred drug is prescribed to an adult patient to treat a serious mental illness and during the preceding 60 days, the patient who experienced an inadequate response was prescribed and unsuccessfully treated with a 14-day treatment trial of a drug for the same clinical condition that is included on the preferred drug list. Removes provisions conditioning the receipt of prescription drugs without prior authorization on: (i) the patient changing providers while receiving a previously authorized prescription drug; (ii) the patient changing insurance coverage while receiving a previously authorized prescription drug; and (iii) the patient's prescription for a previously authorized drug modifies the dosage, dosage frequency, or both, of the drug as part of the same treatment for which the drug was previously prescribed.