Amends the State Officials and Employees Ethics Act. In provisions regarding personnel policies and work time requirements, specifies that State employees of public institutions of higher education classified as faculty and those not eligible for overtime pay may satisfy the time sheets requirement by complying with the terms of their contract with the public institution of higher education. Effective immediately.

Amends the Counties Code. Provides that the amendments made by Public Act 102-1123 to provisions concerning commercial wind energy facilities and commercial solar energy facilities do not apply to a commercial wind energy development, a commercial solar energy development, or an energy storage development on property in that located South of Interstate 70 and Edwards County, Franklin County, Hamilton County, Jackson County, Jefferson County, Madison County, Monroe County, Perry County, Randolph County, St. Clair County, Union County, Wabash County, Washington County, Wayne County, or White County.

Creates the Alexander/Pulaski Medical District Act. Creates the Alexander/Pulaski Medical District covering specified areas from the City of Cairo to north of the City of Pulaski in Alexander County and Pulaski County. Creates the Commission of the District with 9 appointed commissioners and 3 ex officio commissioners. Contains provisions related to the operation of the District; rights and powers of the District and Commission; acquisition, management, and disposition of property; and other provisions. Amends the Eminent Domain Act and State Finance Act. Makes conforming changes. Amends the Court of Claims Act. Replaces a reference to a dissolved medical district commission with the Alexander/Pulaski Medical District Commission and the other existing medical district commissions. Effective immediately.

Amends the Network Adequacy and Transparency Act. Replaces provisions concerning uniform electronic provider directory information forms. Provides that each provider shall notify all contracted health insurance issuers of any change to the provider's information. Provides that the health insurance issuer shall use the information to update its provider directory within the time frames required under the Act. Provides that nothing in the provisions shall prohibit a health insurance issuer from using its own process, platform, or electronic system to receive provider directory updates, so long as the system allows providers to submit the required information. Effective immediately.

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that, in accordance with federal guidance issued by the federal Centers for Medicare and Medicaid Services, the Department of Healthcare and Family Services shall exempt from electronic visit verification requirements all live-in caregivers who provide Medicaid-funded personal care services or home health care services under the Illinois Title XIX State Plan or a waiver of the plan, including personal care services and home health care services provided under various home and community-based services waiver programs authorized under the Social Security Act. Defines "live-in caregiver". Grants the Department rulemaking authority. Effective immediately.

Creates the Professional AI Oversight Act. Defines terms. Provides that a licensee shall prominently disclose when a person who is paying for a service provided by the licensee is interacting with artificial intelligence. Provides that the disclosure shall (i) be provided verbally at the start of an oral exchange or conversation and in writing before a written exchange and (ii) notify the person of the specific purpose of the artificial intelligence that will be used in the interaction. Sets forth rulemaking authority for the Department of Financial and Professional Regulation. Provides that any individual, corporation, or entity found in violation of the Act shall pay a civil penalty to the Department in an amount not to exceed $2,500 per violation, as determined by the Department, with penalties assessed based on the degree of harm and the circumstances of the violation. Provides that an individual, corporation, or entity that is found in violation of the Act shall pay the civil penalty within 60 days after the date of the issuance of an order by the Department imposing the civil penalty. Provides that the Department's order shall constitute a judgment and may be filed and executed in the same manner as any judgment from a court of record. Provides that the Department may investigate any actual, alleged, or suspected violation of the Act. Amends the Consumer Fraud and Deceptive Business Practices Act. Provides that it is an unlawful practice within the meaning of the Act for any person to use, prompt, or otherwise cause artificial intelligence to interact with a person while engaging in trade and commerce without clearly and conspicuously disclosing to the person with whom the artificial intelligence interacts, if asked or prompted by that person, that the person is interacting with artificial intelligence and not a human. Effective January 1, 2027.

Amends the Governmental Account Audit Act. Provides that, beginning in fiscal year 2027, any governmental unit receiving revenue of less than $1,500,000 (rather than $850,000) in the immediately preceding fiscal year shall, in lieu of causing an annual audit of the accounts of the unit to be made, either (i) cause an audit of the accounts of the unit to be made once every 4 years and file with the Comptroller an annual financial report containing information required by the Comptroller or (ii) file with the Comptroller an annual financial report containing information required by the Comptroller, a copy of which has been provided to each member of that governmental unit's board of elected officials, presented either in person or by a live phone or web connection during a public meeting, and approved by a 3/5 majority vote. Provides that, beginning in fiscal year 2028, governmental units receiving revenue of $1,500,000 or more (rather than $850,000) in the immediately preceding fiscal year shall, in addition to complying with the requirements for audits and audit reports, file with the Comptroller the financial report and immediately make one copy of the audit report and one copy of the financial report a part of its public record as required by the Act. Makes conforming changes. Effective immediately.

Amends the Public Utilities Act. Provides that, beginning January 1, 2027, broadband providers shall offer affordable rates to serve the needs of low-income broadband customers. Provides that the Illinois Commerce Commission shall establish and implement appropriate rules to ensure that low-income broadband rates are developed by broadband providers, including, but not limited to, rules establishing minimum Internet service speeds at affordable rates and setting a maximum low-income broadband rate for broadband service. Effective immediately.

Amends the African-American HIV/AIDS Response Act. Provides that, on August 1, 2026, and August 1 of each year thereafter, the Comptroller shall order transferred and the Treasurer shall transfer from the General Revenue Fund to the African-American HIV/AIDS Response Fund a sum equal to the difference between (i) $15,000,000 and (ii) the amount appropriated to the African-American HIV/AIDS Response Fund by the General Assembly for the award of African-American HIV/AIDS Response Grants in the then current State fiscal year. Directs the Department of Public Health to adopt specified revisions to the rules in the African-American HIV/AIDS Response Code (77 Ill. Adm. Code Part 691) concerning the award of African-American HIV/AIDS Response Grants. Repeals provisions in the Act concerning African-American HIV/AIDS Response Officers and the HIV/AIDS Response Review Panel. Effective immediately.

Amends the Property Tax Code. Provides that provisions concerning the abatement of property taxes pending or imposed upon property acquired by a governmental unit also apply to property acquired by a township.

Amends the Regulatory Sunset Act. Provides that the Radiation Protection Act of 1990 shall be repealed on January 1, 2037 (rather than January 1, 2027). Amends the Election Code. In provisions concerning the Public Financing of Judicial Elections Task Force, provides that the Task Force shall complete its study no later than July 1, 2027 (rather than June 30, 2024). Specifies that the provisions shall be repealed on July 1, 2027 (rather than July 1, 2026). In provisions concerning the Ranked Choice and Voting Systems Task Force, provides that, on or before January 1, 2027 (rather than June 30, 2025), the Task Force shall publish a final report of its findings. Specifies that the provisions shall be repealed on January 1, 2027 (rather than July 1, 2026). Amends the Department of Human Services Act. Specifies that provisions concerning a home visiting program shall be repealed on July 1, 2027 (rather than July 1, 2026). Amends the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois. Specifies that provisions concerning a safe gun storage awareness campaign shall be repealed on July 1, 2027 (rather than July 1, 2026). Amends the Illinois Power Agency Act. Provides that home rule provisions shall be repealed on January 1, 2031 (rather than January 1, 2028). Amends the Renewable Energy Component Recycling Task Force Act. Changes the final report date of the Task Force to July 1, 2027 (rather than January 1, 2026). Specifies that the Act shall be repealed on July 1, 2027 (rather than July 1, 2026). Amends the Design-Building Procurement Act. Specifies that the Act shall be repealed on January 1, 2030 (rather than January 1, 2027). Amends the Progressive Design-Build Pilot Program Act. Specifies that the Act shall be repealed on January 1, 2028 (rather than January 1, 2027). Amends the Illinois Pension Code. Makes changes to dates in provisions concerning employment as a teacher for an annuitant receiving a retirement annuity other than a disability retirement annuity. Amends the Bias-Free Child Removal Pilot Program Act. Specifies that the Act shall be repealed on January 1, 2028 (rather than January 1, 2027). Amends the Early Intervention Services Systems Act. Specifies that the Act shall be repealed on July 1, 2027 (rather than July 1, 2026). Amends the Cannabis Regulation and Tax Act. Specifies that the Community College Cannabis Vocational Pilot Program Article is repealed January 1, 2031 (rather than July 1, 2026). Amends the Interchange Fee Prohibition Act. Provides that the Act is effective July 1, 2027 (rather than July 1, 2026). Amends Public Act 103-594. Extends the effective date of a repealer in the Act. Effective immediately.

Amends the Educator Licensure Article of the School Code. Provides that an applicant for a Substitute Teaching License who holds a valid paraprofessional educator endorsement on an Educator License with Stipulations and who has been working in the capacity of a paraprofessional in this State for a minimum of 5 school years does not need to hold a bachelor's degree or higher from a regionally accredited institution of higher education or be enrolled in an approved educator preparation program in this State and have earned at least 90 credit hours to be issued a Substitute Teaching License.

Amends the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois. Defines "covered facility" as any long-term care facility, assisted living establishment or shared housing establishment, supportive living facility, ID/DD facility, MC/DD facility, community living facility, community-integrated living arrangement, or Alzheimer's disease management center alternative health care model licensed under the Alternative Health Care Delivery Act. Provides that the Department of Public Health shall establish rules requiring a covered facility to notify a resident or the resident's power of attorney or representative whenever the covered facility determines that a vaccination recommended by the Department cannot be administered to the resident within the time frame established by the Department.

Amends the Electric Supplier Act. In provisions concerning rights granted to electric cooperative broadband grant recipients, provides that, outside of the grant service area, a broadband provider may access and use (i) any existing electric easement held or controlled by the broadband provider or (ii) any other existing electric easement contingent upon an agreement with the easement holder or controller for the delivery of broadband service by the broadband provider. Provides that, if the proper permits are acquired by State and local authorities, no property owner of property located outside the grant service area shall forbid or prevent a proposed broadband provider from entering upon the property for purposes of and in connection with the deployment of broadband infrastructure, nor shall any such property owner forbid or prohibit the broadband provider from deploying upon, beneath, or over that property broadband infrastructure utilized by the broadband provider for such broadband service. Provides that the property owner may be entitled to the payment of just compensation by that broadband provider and the broadband provider shall indemnify the property owner for any physical damage caused by the deployment of the broadband infrastructure and service. Changes references in the Electrical Service Broadband Deployment and Access Law to include broadband providers.

Amends the Regulatory Sunset Act. Changes the repeal date of the Boiler and Pressure Vessel Repairer Regulation Act and the Petroleum Equipment Contractors Licensing Act from January 1, 2027 to January 1, 2032. Effective immediately.