Amends the School Code. In provisions concerning a school board's suspension or expulsion of pupils, provides that a student who is determined to have initiated sexual activity with another individual without that individual's consent, a sexual assault, or an attempted sexual assault at a school, a school-sponsored activity or event, or an activity or event that bears a reasonable relationship to school shall be expelled for a period of not less than one year. Provides that (i) a student initiates sexual activity with another individual without that individual's consent if the student uses force or a threat of force to make the other individual perform a nonconsensual sexual act; (ii) a student initiates a sexual assault if the student commits an act of sexual penetration and uses force or a threat of force; and (iii) a student initiates an attempted sexual assault if, with the intent to commit a sexual assault, the student commits an act that constitutes a substantial step toward the commission of a sexual assault. Allows the expulsion requirement to be modified by the superintendent of the school district and the superintendent's determination to be modified by the school board on a case-by-case basis. Provides that the expulsion shall be construed in a manner consistent with the federal Individuals with Disabilities Education Act and a student who is subject to expulsion may be eligible for a transfer to an alternative school program. Effective immediately.

Amends the Community Behavioral Health Care Professional Loan Repayment Program Act. Provides, that to be eligible for assistance under the Community Behavioral Health Care Professional Loan Repayment Program, the Illinois Student Assistance Commission must find that the applicant, among other requirements, at the time of application, is currently working as a behavioral health professional in a community mental health center. Provides that an applicant seeking a renewal award in a subsequent year must be employed by a community mental health center, behavioral health clinic, substance use treatment center, or State-operated psychiatric hospital in an underserved or rural federally designated Mental Health Professional Shortage Area in the State at the time of application and must provide evidence of continuous employment for the 12 months that precede the application for renewal. Defines "behavioral health professional". Effective July 1, 2026.

Appropriates $5,000,000 from the General Revenue Fund to the Department of Human Services for Assisted Outpatient Treatment related projects. Effective July 1, 2026.

Amends the Community Emergency Services and Support Act. Replaces all references to the Division of Mental Health of the Department of Human Services with the Department of Human Services throughout the Act. Provides that 9-1-1 public safety answering points shall screen specific types of law enforcement calls and follow approved protocols and processes under the Act to identify callers experiencing behavioral health crises and to refer them for a behavioral health response. Provides that 9-1-1 public safety answering points shall open and follow the emergency medical dispatch protocols established under the Emergency Medical Services (EMS) Systems Act at the start of all emergency calls to ensure the protocols are used and applied consistently and uniformly to ensure that information related to behavioral health emergency calls is available for data collection and can be used to determine which calls should be referred for a behavioral health response. Provides that, among other things, each Regional Advisory Committee or subregional committee must (1) review regional and subregional crisis response system capacities and resources to inform planning and implementation and to foster collaboration across all sectors of the system and (2) determine the need for and make a plan to support local communities to develop and use other resources to create additional mobile mental health relief provider services to expand the capacity to provide more immediate service coverage. Amends the Emergency Telephone System Act. Provides that, beginning July 1, 2027, all public safety answering points shall use the protocols established under the Community Emergency Services and Support Act to identify behavioral and mental health-related emergencies that do not require a law enforcement response. Amends the Illinois State Police Law. Amends the Illinois Police Training Act. Provides that Crisis Intervention Team (CIT) training programs shall include, among other things, community response options including, the community response options under the Community Emergency Services and Support Act. Makes other changes.

Amends the Illinois Horse Racing Act of 1975. Provides that, in addition to the appropriation for payment into the thoroughbred and standardbred horse racing purse accounts at Illinois pari-mutuel tracks, a one-time appropriation shall be made for the 3-year period before the effective date of the amendatory Act for which appropriations were not made. Makes conforming changes. Makes changes to provisions concerning the calculation of organization licensees' annual contributions to non-profit organizations that provide medical and family, counseling, and similar services to persons who reside or work on the backstretch of Illinois racetracks. Provides that for the 10-year (rather than 5-year) period beginning on the January 1 of the calendar year immediately following the calendar year during which an organization licensee begins conducting gaming operations, the organization licensee shall make capital expenditures to the improvement and maintenance of the backstretch. Amends the Illinois Gambling Act. Requires a person or entity having operating control of a racetrack to pay an initial fee of $17,500 (rather than $30,000) per gaming position from organization gaming licensees where gaming is conducted in Cook County. Provides that a person or entity having operating control of a racetrack located in Cook County shall only pay the initial fees for 720 of the gaming positions authorized under the license. Provides that the required reconciliation payments for an organization gaming licensee who operates gaming positions may be made in installments over a period of no more than 12 (rather than 6) years.

Amends the Higher Education Student Assistance Act. Changes the name of the School and Municipal Social Work Shortage Loan Repayment Program to the Social Worker and School Counselor Shortage Loan Repayment Program. Allows a school counselor to apply for the Program. Provides that the Illinois Student Assistance Commission shall award a grant of up to $8,000 (rather than $6,500) per year for a maximum of 4 years to each qualified applicant. Provides that a grant shall be used for repayment of the recipient's educational loan instead of the Commission encouraging the recipient to use the grant to repay the recipient's educational loan. Makes other and conforming changes. Effective July 1, 2026.

Amends the Property Tax Code. Provides that, in counties in which the county board so provides, by ordinance or resolution, owners of income-producing properties in the county shall file physical descriptions of their properties with the chief county assessment officer upon request of the chief county assessment officer. Sets forth the period of time during which those provisions apply. Provides that the request for information shall include an individualized statement specifying all physical description information that the assessor's office has on record or recorded against the property and shall contain a statement that the owner may confirm the information if no changes are required. Imposes certain penalties if the property owner fails to respond to a request for information. Amends the Freedom of Information Act to provide that financial records and data related to real estate income, expenses, and occupancy submitted by or on behalf of a property owner to a chief county assessment officer, except if submitted as part of an assessment appeal, are exempt from disclosure. Effective immediately.

Creates the Neurodegenerative Disease Patient Protection and Progress Act. Requires the Department of Public Health to convene a Neurodegenerative Disease Advisory Council within the Department. Sets forth provisions concerning the membership of the Advisory Council, terms of the members, meetings of the Advisory Council, and administrative support, and duties of the Advisory Council Provides that the Director of Public Health shall designate or hire a full-time Neurodegenerative Disease Coordinator within the Department to implement and administer the Act. Requires the Coordinator, acting through and under the supervision of the Director, and with input from the Advisory Council, to develop and publish a State plan to address neurodegenerative diseases. Sets forth required components of the Plan. Establishes a voluntary statewide clinical and population registry to collect de-identified information and, with the patient's informed consent, limited identifying information, to (i) improve understanding of burden imposed by neurodegenerative diseases, natural history, and outcomes, (ii) facilitate public health planning and service delivery, and (iii) support research consistent with applicable privacy protections. Establishes the Neurodegenerative Disease Research Support And Grant Fund to make grants to public or private not-for-profit entities for the purpose of conducting neurodegenerative disease research. Sets forth provisions concerning equity and rural access; coordination with federal programs, academic centers, and private partners; reporting; limitations; and rulemaking. Amends the State Finance Act to make a conforming change. Effective immediately.

Amends the Illinois Municipal Code. Provides that, no municipal official, municipal employee, or candidate for a municipal office shall engage in or permit the unauthorized use of any municipal property. Provides that no candidate for municipal office or political fundraising committee may use any municipal property or photographic or filmed image of municipal property for the purpose of influencing, in any way, the outcome of any election of any candidate for municipal office. Provides that specified expenditures made by political fundraising committees for the purpose of either financing communications expressly advocating for the election or defeat of a clearly identified candidate for municipal office or soliciting funds for purpose of financing communications expressly advocating the election or defeat of a clearly identified candidate for municipal office, if paid for and authorized by a candidate for municipal office or an authorized political committee of a candidate for municipal office or its agents, shall clearly state that the communication was paid for by the authorized political fundraising committee and shall contain a statement, either read by the candidate in a pre-recorded audio message or clearly printed, that the candidate has approved the communication.

Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to authorize coverage for screening by low-dose mammography for the presence of occult breast cancer for individuals 25 (rather than 35) years of age or older who are otherwise eligible for medical assistance. Requires the Department to convene 2 separate expert panels to review quality standards for mammography and establish quality standards for breast cancer treatment. Provides that subject to Department approval, rate methodology for screening and diagnostic mammography shall be based on the quality standards established by the expert panels and State qualified ACR Designated Comprehensive Breast Imaging Centers (formerly known as Breast Imaging Centers of Excellence). Requires the expert panels to establish a comprehensive and clinical methodology to inform women who are age-appropriate for screening mammography, but who have not received a mammogram within the previous 18 months, of the importance and benefits of screening mammography. Provides that within 2 years after the completion of a pilot program providing case-managing or patient navigation services for women diagnosed with breast cancer, the Department shall establish as a permanent initiative the Patient Assistance for Beneficiaries Diagnosed with Breast Cancer. Requires the Department to submit annual reports to the General Assembly detailing program outcomes, financial expenditures, and any recommendations for adjustments to maintain or enhance the program's effectiveness. Requires the Department to establish or facilitate training and continuing education opportunities specific to breast health and mammography for radiologists. Makes other changes. Effective immediately.

Amends the Environmental Protection Act. Defines "CCR management unit" as any area of land at any facility with a CCR surface impoundment, on which any noncontainerized accumulation of CCR is received, is placed, or is otherwise managed, and that is not itself a CCR surface impoundment. Provides that the term "CCR management unit" does not include CCR used in a manner that meets the definition of coal combustion by-product, unless the owner or operator, or the Agency, determines that the CCR is causing or contributing to a statistically significant concentration of one or more constituents above the groundwater protection standard established by the Board. Provides that no later than February 8, 2027, the owner or operator of a CCR surface impoundment must submit to the Agency a copy of the Facility Evaluation Reports Part 1 and 2. Provides that the Board shall adopt rules establishing permit requirements, reporting, financial assurance, and closure and post-closure care requirements for CCR management units. Provides that the owner or operator of a CCR management unit shall pay an initial fee of $75,000 for each CCR management unit by July 1, 2027 and an annual fee of $25,000 for each CCR management unit that has not completed closure; and $15,000 for each CCR management unit that has not completed post-closure care, beginning July 1, 2028.

Amends the Consumer Protection New Construction Residential Housing Act. Provides that a housing merchant implied warranty is implied in the contract or agreement for the sale of a new home and shall survive the passing of title. A housing merchant implied warranty shall mean that: (1) one year from and after the warranty date the home will be free from defects due to a failure to have been constructed in a skillful manner; (2) two years from and after the warranty date the plumbing, electrical, heating, cooling, and ventilation systems of the home will be free from defects due to a failure by the builder to have installed the systems in a skillful manner; and (3) six years from and after the warranty date the home will be free from material defects. Provides for the exclusion or modification of warranties. Preempts home rule.

Reinserts the provisions of House Amendment No. 1 with changes. Removes provisions of the Illinois Power Agency Act extending a home rule preemption concerning taxes or fees related to the generation of electricity. Removes provisions extending the following income tax credits: (1) the research and development credit; (2) the angel investment credit; (3) the apprenticeship education expense credit; and (4) the River Edge Redevelopment Zone credit. Effective immediately.

Amends the Community-Integrated Living Arrangements Licensure and Certification Act. Changes the licensing term for a community developmental services agency from 3 years to 2 years.

Amends the Department of Professional Regulation Law of the Civil Administrative Code of Illinois. Makes a technical change in a Section concerning the short title.