Amends the Department of Revenue Law of the Civil Administrative Code of Illinois. Provides that the Department of Revenue shall conduct a study to evaluate the assessment of real property in Will County and shall analyze any information collected in connection with that study. Effective immediately.

Amends the Criminal Code of 2012, the Protective Orders Article of the Code of Criminal Procedure of 1963, Stalking No Contact Order Act, the Civil No Contact Order Act, and the Illinois Domestic Violence Act of 1986. Provides that a respondent alleged to have violated a plenary order of protection is presumed to have actual knowledge of the contents of the order if: (1) the respondent has been served with a summons that includes specified language, (2) the respondent has been served with the petition for the protective order, (3) the respondent has been held in default in the order of protection proceeding, and (4) the respondent has been served with an emergency protective order in the same proceeding that grants the same remedy, including any specifics, that the respondent is alleged to have violated. Effective January 1, 2028.

Amends the Department of Healthcare and Family Services Law. Requires the Department of Healthcare and Family Services to conduct a statewide one-year pilot program that studies the prevalence of cholestatic liver disorders associated with increased risk of end-stage liver disease among women ages 35 through 64 who are recipients of medical assistance. Requires the Department to collect the following information on study participants: (1) key demographics such as age, genetic predispositions, pre-existing conditions, and lifestyle factors that elevate the risk of developing cholestatic liver disorders; (2) the number or percentage of study participants who, despite being identified as high-risk, do not follow through with referrals or treatment recommendations; (3) the number of study participants who avoid referral and follow-up care or engage in treatment avoidance; and (4) any other relevant information or issues identified by the Department. Requires the Department to compile a report on its findings at the end of the one-year study and include (i) recommendations on how to increase awareness of cholestatic liver disorders through screenings, genetic testing, and collaboration with patient advocacy groups to raise public awareness and (ii) an analysis of strategies and funding to increase screening and genetic testing for cholestatic liver disorders. Provides that the Department shall submit the report to the General Assembly no later than December 31, 2028. Effective immediately.

Amends the Illinois Administrative Procedure Act. Provides that, for any law implementing the federal Patient Protection and Affordable Care Act, the Department of Insurance may adopt rules that include incorporations by reference of federal rules and regulations without identifying the incorporated matter by date and without including a statement that the incorporation does not include later amendments. Amends the Illinois Insurance Code. Makes changes concerning the assignment or transfer of property and casualty policies; formatting requirements for the insurance company supplier diversity report; and insurance coverage for dependent parents. Provides that the Director of Insurance shall maintain as confidential any records or information received from the National Association of Insurance Commissioners or other state, federal, and international regulatory agencies (instead of insurance regulatory officials of other states) that are confidential in that other jurisdiction. Provides that the Department may waive registration and course certification fees if the pre-licensing or continuing education course is provided by a government entity free of charge. Amends the Network Adequacy and Transparency Act. In applicability provisions, removes language concerning exemptions for short-term, limited-duration health insurance coverage with a network plan. Repeals the Health Care Purchasing Group Act. Effective immediately.

Reinserts the provisions of the introduced bill with the following changes. In provisions concerning biomarker testing, removes provisions concerning requests for exceptions to restricted coverage; the publication of medical policies and coverage guidelines; written justifications for denial of coverage; prior authorization; and periodic audits and reviews. Provides that the biomarker testing requirements are subject to, and shall operate in accordance with, specified provisions of the Prior Authorization Reform Act and the Managed Care Reform and Patient Rights Act. Provides that the changes made by the amendatory Act apply to policies, contracts, and certificates of insurance amended, delivered, issued, or renewed on or after January 1, 2028. Makes other changes. Effective January 1, 2028.

Reinserts the provisions of the introduced bill with the following changes. In provisions amending the Children's Advocacy Center Act, provides that MDT members shall access and share relevant information related to an investigation to the extent authorized by applicable state and federal privacy and confidentiality laws, so that professionals involved in the investigation can coordinate effectively, ensure the safety and well-being of the child, and support a thorough and informed investigation while protecting sensitive information (rather than work together, share information, and maintain confidentiality throughout the investigative process.) Further provides that Children's Advocacy Centers shall have a multidisciplinary, coordinated systems approach to investigation of child maltreatment. Provides that this approach shall include policy on multidisciplinary team collaboration and communication that requires coordination among applicable MDT members and establishes procedures for the exchange of information pertinent to investigation and the safety of the child to the extent permitted under applicable state and federal privacy and confidentiality laws, through secure and confidential methods. Further provides that the policy shall require that MDT members have access to, and share, relevant information related to an investigation to the extent authorized by applicable state and federal privacy and confidentiality laws, to facilitate MDT coordination, support the investigative responsibilities of the agencies with statutory authority, promote the safety and well-being of the child, and support a thorough and informed investigation while protecting sensitive information. Further provides that the multidisciplinary, coordinated systems approach to the investigation of child maltreatment shall require that MDT members have access to, and share, relevant information related to an investigation to the extent authorized by applicable state and federal privacy and confidentiality laws and provide for that participation of appropriate MDT members, as relevant to the circumstances of the case. In provisions amending the Bill of Rights for Children, provides that the agency with statutory investigative authority shall notify a child and any parent or guardian of the right to request a forensic interview through the Children's Advocacy Center, subject to acceptance of the referral by the CAC, and that such right may be asserted by the child or the child's parent or guardian with the child's assent. Removes provisions amending the Code of Criminal Procedure of 1963. In provisions amending the Criminal Code of 2012, provides that a second or subsequent violation of provisions prohibiting endangering the life or safety of a child or a statute of any other state of an offense that is substantially equivalent to the offense of endangering the life or health of a child, is a Class 3 felony. In provisions amending the Bill of Rights for Children, makes changes to provisions concerning forensic interviews with children's advocacy centers.

Amends the Election Code. Provides that the date of the general election on the first Tuesday after the first Monday of November in even-numbered years shall be a State holiday known as General Election Day and shall be observed throughout the State. Requires the State Board of Elections, in conjunction with election authorities, to implement a secure, free access system available to voters by January 1, 2026. Provides that the system shall allow a voter to track receipt of the voter's vote by mail ballot and check the ballot's status with the election authority. Provides that an election authority shall allow any voter who is in line to vote at the time an early voting polling place closes to cast a ballot. Makes other changes. Amends the Illinois Procurement Code, School Code, and State Universities Civil Service Act making conforming changes. Effective immediately.

Reinserts the provisions of the engrossed bill. In the amendatory changes to the Sexual Assault Survivors Emergency Treatment Act, deletes the definition of "adult" and changes the definition of "minor" to a person who has not attained the age of 18 years. Provides that if certain conditions are met, written authorization for a medical forensic examination to be performed on an unconscious patient who is a sexual assault survivor may be provided by a qualified medical provider and a second health care professional, who may be a physician, advanced practice registered nurse, or physician assistant. Makes other changes.

Amends the Fish and Aquatic Life Code. In provisions concerning fishing licenses, provides that the holder of a lifetime fishing or hunting license or a lifetime sportsmen's combination license that was purchased on or after January 1, 2027 must pay the corresponding resident or non-resident fee when purchasing any permits or stamps required under the Code or the Wildlife Code based on the license holder's current permanent abode when purchasing the permit or stamp. Further provides that, if the lifetime license holder does not live in Illinois at the time of application for any lotteries, drawings, permits, or stamps that are issued or held pursuant to the Code, the Wildlife Code, or any administrative rules issued pursuant to the Code or the Wildlife Code, that lifetime license holder shall be considered a non-resident for purposes of all lotteries, drawings, permits, or stamps issued or held pursuant to the Code, the Wildlife Code, or any administrative rules issued pursuant to the Code or the Wildlife Code. Provides that the Department of Natural Resources shall suspend the privileges of any person who pleads guilty to, is found guilty of, or receives court supervision for a violation of provisions concerning fee fishing areas. Provides that the Department may refuse to issue, refuse to renew, suspend, or revoke any license issued under the Code if the Department finds that the licensed area or its operator is not in compliance with these requirements. Makes other changes.

Amends the Property Tax Code and the Mobile Home Local Services Tax Enforcement Act. Provides that, when the holder of the certificate of purchase is the county as trustee for taxing districts, upon request of or consent by the county as trustee, the county collector may declare an administrative sale in error at any time and for any reason. Provides that the declaration shall state the reason why the sale should not have occurred.

Amends the Property Tax Code. In provisions concerning tax sales, provides that, for tax sales that occur on or after the effective date of the amendatory Act, the redemption period shall be 5 years (instead of 2.5 years). Provides that a tax deed grantee may file a petition in the circuit court of the county in which the property is located forcing a judicial sale of the property. Contains provisions concerning the distribution of surplus funds. Effective immediately.

Amends the Illinois Identification Card Act and the Illinois Vehicle Code. Provides that the Secretary of State shall permit applicants to choose between "male", "female", or "X" (rather than "male", "female", or "non-binary") on an application for an identification card, driver's license, or permit. Provides that an applicant who wants to change the sex listed on an issued identification card, driver's license, or permit must submit a gender designation form. Sets forth the requirements of the gender designation form.

Creates the Prescription Drug Affordability Board Act. Establishes the Prescription Drug Affordability Board and the Prescription Drug Affordability Stakeholder Council. Sets forth provisions concerning membership and staff of the Board and the Council, conflicts of interest, powers and duties of the Board, operational plans for distribution and access to a drug with an upper payment limit, reporting requirements for the Board, and term expiration for the Board and the Council. Provides that the Board shall limit its review to the specified prescription drug products. Establishes further affordability review and upper payment limit implementation requirements. Provides that the Attorney General may enforce the Act. Permits a person aggrieved by a decision of the Board to request an appeal of the decision. Creates the Prescription Drug Affordability Board Fund. Provides that the Act is repealed 5 years after the Act's effective date. Amends the State Finance Act to make a conforming change. Effective 180 days after becoming law.

Amends the Public Utilities Act. In provisions concerning expenses that are recoverable by a public utility, provides that the Illinois Commerce Commission shall not consider as an expense of any public utility company, for the purpose of determining any rate or charge, any amount expended for political activity or lobbying, any amount expended for contributions to a trade association or a chamber of commerce, and any amount expended by a public utility for director and officer liability insurance and fiduciary liability insurance. Provides that, in determining whether the purchase of other types of insurance by a public utility is recoverable, the Commission shall determine whether the specific type of insurance is financially beneficial to the public utility's ratepayers or the public utility's shareholders. Provides that, if the Commission determines that the insurance purchased by the public utility is financially beneficial to its shareholders, then the purchase of the insurance shall not be a recoverable expense. Provides that goodwill or institutional advertising shall not be a recoverable expense by a public utility. Provides that the Commission shall deem as a nonrecoverable expense by a public utility (rather than the Commission shall specifically assess the justness and reasonableness of) any amount expended by a public utility to compensate attorneys or technical experts to prepare and litigate a general rate case filing. Provides that the amount that is deposited into the Consumer Intervenor Compensation Fund by a public utility shall not be a recoverable expense by the public utility. Provides that the computation of compensation awarded from the Fund shall take into consideration the market rates paid to persons of comparable training and experience who offer similar services, but may not exceed the comparable market rate for services paid by the public utility as part of its nonrecoverable rate case expense reported to the Commission (rather than as part of its rate case expense). Makes other changes.

Creates the Capital Area Tourism Authority Act. Establishes the Capital Area Tourism Authority as a political subdivision and unit of local government for the benefit of the general public and for the promotion of business, industry, commerce, and tourism in the City of Springfield, Sangamon County, and the State of Illinois. Provides that, if and only if the Sangamon County Board, by ordinance, imposes a tax under a specified provision of the Counties Code on all hotel operators who engage in business as a hotel operator within a STAR bond district that is established in the territory of the Authority and if the Sangamon County Board also resolves that all of the revenue generated from that tax, as well as all of the tax receipts generated from local sales tax within such a STAR bond district, shall be dedicated to the payment of the project costs for any STAR bond project in such a district and shall be considered pledged STAR revenues under the Statewide Innovation Development and Economy Act, then the Authority may exercise certain economic development powers. Contains provisions concerning the powers and duties of the Authority; the membership of the Board of the Authority; meetings and records of the Board of the Authority; the use of pledged tax revenue; ownership and control of projects financed by the Authority; the investigatory authority of the Board of the Authority; and other matters. Contains legislative findings. Defines terms. Effective immediately.