Amends the Illinois Human Rights Act. Makes it a civil rights violation under the Act to use artificial intelligence in a real estate transaction without providing notice to the other person engaging in the real estate transaction that the owner, real estate broker or salesman, or agent of one of them is using artificial intelligence to conduct the real estate transaction. Makes it a civil rights violation to fail to inform an applicant for a loan or credit card if the financial institution used artificial intelligence to process the application. Makes it a civil rights violation to fail to inform a person seeking a place of public accommodation that the place of public accommodation uses artificial intelligence to determine whether the person seeking a place of public accommodation is permitted to enjoy the full and equal enjoyment of its facilities, goods, and services. Requires that the Department of Human Rights adopt any rules necessary for the implementation and enforcement of the Act.

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides medical assistance coverage for sickle cell disease (rather than sickle cell anemia); coverage for seizure detection devices; and coverage for virtual intensive outpatient program services. Establishes the Distressed Hospital Loan Program under a new Article of the Code to provide interest-free cash flow loans to public hospitals and not-for-profit hospitals in significant financial distress to prevent the closure of or to facilitate the reopening of those hospitals. Requires the Department of Healthcare and Family Services to administer the Distressed Hospital Loan Program in coordination with the Department of Public Health and the Governor's Office of Management and Budget. Amends the Rebuild Illinois Mental Health Workforce Act. Provides that, subject to federal approval, for dates of service on and after July 1, 2026, the Medicaid reimbursement rates for Assertive Community Treatment and Community Support Team services shall be increased by an amount no less than the following targeted pools: (1) Assertive Community Treatment, $10,600,000; and (2) Community Support Team services, $17,500,000. Amends the Hospital Licensing Act. Requires any licensed hospital that has outstanding debts to the State in the form of tax arrears or that maintains debt through the Distressed Hospital Loan Program or other Medicaid advance payments to submit to the Department of Public Health a hospital emergency and financial contingency plan for the rapid and orderly resolution of finances and operations in the event of material financial distress. Amends the Illinois Administrative Procedure Act. Permits the Department of Healthcare and Family Services to adopt emergency rules to implement certain financial and utilization data reporting requirements on hospitals. Amends the Medicaid Technical Assistance Act. Amends the State Finance Act. Requires the Medicaid Technical Assistance Center to collaborate with public and private partners throughout the State to identify, establish, and maintain best practices necessary for health providers to ensure their capacity to participate in the Illinois Medical Assistance Program (rather than ensure their capacity to participate in HealthChoice Illinois or YouthCare). Removes provisions concerning the Medicaid Technical Assistance Center's administration of network adequacy reports, and instead requires the Medicaid Technical Assistance Center to administer a network requirement plan. Repeals a provision creating the Medicaid Technical Assistance Center Fund. In the State Finance Act, provides for the dissolution of the Medicaid Technical Assistance Center Fund on July 1, 2026, or as soon thereafter as practical, after the transfer of all remaining funds into the Healthcare Provider Relief Fund. Amends the Hospital Services Trust Fund Article in the Illinois Public Aid Code. In provisions concerning annual funding for the health care transformation program, provides that funds that had been budgeted but unexpended in State fiscal years 2021 through 2027 may be allocated in State fiscal year 2028 in an amount not to exceed $150,000,000. Amends the Administration Article of the Illinois Public Aid Code. Provides that disbursements shall be made from the Public Aid Recoveries Trust Fund for the payment of contingency fees to third-party entities that the Office of Inspector General authorizes to conduct payment recapture audits and other specified audits under the medical assistance program. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that for dates of service starting July 1, 2027, reimbursement calculations and direct payments for services provided by facilities licensed under the ID/DD Community Care Act are the responsibility of the Department of Healthcare and Family Services; and that appropriations for facilities licensed under the ID/DD Community Care Act must be shifted from the Department of Human Services to the Department of Healthcare and Family Services. Extends the period of eligibility within which a hospital, that would have qualified for the rate year beginning October 1, 2011 or October 1, 2012, shall be a Safety-Net Hospital. Amends the Hospital Licensing Act. Removes provisions requiring the Department on Aging to adopt rules to address instances when a case coordination unit is unable to complete an assessment in a hospital prior to the discharge of a patient 60 years or older to a nursing home to ensure that the patient is able to access nursing home care, the nursing home is not penalized for accepting the admission, and the patient's timely discharge from the hospital is not delayed, to the extent permitted under federal law or regulation. Amends the Medical Assistance Article of the Illinois Public Aid Code. In provisions concerning prenatal and perinatal care, provides that, for dates of service on and after January 1, 2026, the medical assistance program shall provide coverage, without imposing a deductible, coinsurance, copayment, or any other cost-sharing requirement, for preeclampsia biomarker testing for predictive screening in asymptomatic individuals, or for diagnosis and management when symptoms are present. Amends the Illinois Act on the Aging. Provides that effective July 1, 2026, subject to federal approval, the Department on Aging shall reimburse Care Coordination Units at specified rates for case management services. Amends the Specialized Mental Health Rehabilitation Act of 2013. Provides that each consumer shall be offered at least 15 hours of treatment programming per week and encouraged to attend the treatment domains that meet the consumer's needs, as reflected in the consumer's treatment plans. Amends the Community-Integrated Living Arrangements Licensure and Certification Act. In provisions concerning per diem reimbursement for a community-integrated living arrangement provider, provides that, if it is determined by third-party medical personnel that a resident that required a medical absence is unable to return to the community-integrated living arrangement, or if the resident dies during the medical absence, the provider shall receive 100% of the per diem reimbursement for up to 20 medical absence days. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that, beginning on and after October 1, 2026, for rate year 2027 and thereafter, the Medicaid inpatient utilization rate used in the determination of eligibility for inpatient adjustment payments provided under the Code shall be modified to exclude from both the numerator and denominator all days of care funded by the U.S. Department of Veterans Affairs at a hospital approved to conduct its operations from more than one location within contiguous counties under a single license, if at the time of its licensing application the hospital was located in a county with fewer than 125,000 inhabitants and the hospital's second facility is located in a contiguous county with fewer than 235,000 inhabitants. Amends the Illinois Act on the Aging. Provides that within 30 days after the effective date of the amendatory Act, rates for adult day services shall be increased to $17.84 per hour and rates for each way transportation services for adult day services shall be increased to $13.44 per unit transportation. Amends the Hospital Services Trust Fund Article of the Illinois Public Aid Code. Makes changes to provisions concerning certain add-on payments to safety-net hospitals. Amends the Illinois Public Aid Code. Changes certain deadline dates for adopting permanent rules on guidelines related to the publication of MCO service authorization policies and procedures listed on the Medicare Inpatient Only list that, due to medical complexity, must be reimbursed under the applicable inpatient methodology. Makes changes to provisions concerning (i) quality and compliance audits regarding Medicaid managed care organizations' compliance with nationally recognized clinical decision guidelines for inpatient and outpatient hospital services and (ii) an analysis that compares and contrasts a Medicaid MCO's service authorization determination outcomes for inpatient and outpatient hospital services to the outcomes of each other MCO plan and the State's fee-for-service program model. Makes other changes. Amends the Psychiatric Residential Treatment Facilities (PRTF) Act. Extends the date by which the Department of Healthcare and Family Services shall submit a State Plan Amendment to establish coverage of federally authorized, medically necessary inpatient psychiatric services delivered by a certified PRTF to medical assistance beneficiaries under 21 years of age. Extends the publication deadline for the Department's PRTF capacity analysis. Amends the Illinois Insurance Code. In provisions requiring the Department of Insurance to issue a joint report with the Department of Healthcare and Family Services on the methodology the Departments use to check for compliance with the federal Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008, changes the reporting deadline date to March 1 (rather than January 1) of each year, beginning in calendar year 2027; and requires the Departments to post the report on their websites. Amends the Medicare-Medicaid Alignment Initiative (MMAI) Nursing Home Residents' Managed Care Rights Law of the Illinois Public Aid Code. Provides that the Article applies to a fully integrated dual eligible special needs plan and any managed care plan for persons who are dually eligible for Medicare and Medicaid. Amends the Nursing Home Care Act. Adds an Article that creates a framework that encourages the construction and operation of skilled nursing facilities that are consistent with State and federal laws and referred to as "cottage style". Amends the Medical Assistance Article of the Illinois Public Aid Code by adding provisions requiring a per diem add on for cottage style nursing homes. Extends the period of eligibility within which a hospital shall be a Safety-Net Hospital if the hospital would have qualified for (i) the rate year beginning October 1, 2011 or October 1, 2012 or (ii) the rate year beginning October 1, 2020, if the hospital was also designated a federal rural referral center. Contains provisions limiting non-citizens eligibility for medical assistance based on federal requirements under Public Law 119-21. Contains provisions on eligibility redeterminations; the duration of retroactive eligibility; emergency rule authority; coverage for proteomic blood tests; MCO behavioral health post-payment reviews; supportive living dementia care services; and other matters. Amends the Specialized Mental Health Rehabilitation Act of 2013. Adds provisions concerning payments to specialized mental health rehabilitation facilities for improving the quality of life and the quality of care of residents; payment rates, beginning January 1, 2027, for facilities with 100 licensed beds to 130 licensed beds; and forensic add-on payments. Amends the Nursing Home Care Act. Contains provisions concerning annual training requirements for facility staff based on the most recurrent citations as specified by the Department of Public Health; rules on monetary penalties for non-compliance with certain requirements; and other matters. Amends the Medical Assistance Article of the Illinois Public Aid Code by adding provisions concerning per diem rate increases based on a facility's STRIVE staffing levels; the enforcement of advance payment agreements; and other matters. Effective immediately, except some provisions take effect July 1, 2026 and some provisions take effect July 1, 2027.

Amends the Environmental Protection Act. Provides that the Underground Storage Tank Fund shall be accessible by owners and operators who intend to remove underground storage tanks installed over 30 years before removal if the eligibility requirements of specified provisions are satisfied and (1) neither the owner nor the operator is the United States Government; (2) the tank does not contain fuel which is exempt from the Motor Fuel Tax Law; (3) the costs were incurred as a result of removing an underground storage tank installed over 30 years prior to removal; (4) the owner or operator registered the tank and paid all fees in accordance with the statutory and regulatory requirements of the Gasoline Storage Act; (5) the owner or operator notified the Illinois Environmental Protection Agency and the Office of the State Fire Marshal of the owner's or operator's intent to remove the underground storage tank; and (6) the costs have not already been paid to the owner or operator under a private insurance policy, other written agreement, or court order.

Amends the Illinois Vehicle Code by creating the Confidence in Firearm Protection Law Chapter. Provides that the Secretary of State shall suspend an individual's driver's license and the individual's ability to register or renew registration for a motor vehicle of the first division or a motor vehicle of the second division registered at not more than 8,000 pounds upon receiving an authenticated report that the individual has failed to comply with the Firearm Owners Identification Card Act after suspension or revocation of the individual's Firearm Owner's Identification Card. Requires the Illinois State Police to forward to the Secretary of State an authenticated document certifying the requirements have been met to suspend the individual's driver's license or ability to register or renew registration for a motor vehicle of the first division or a motor vehicle of the second division registered at not more than 8,000 pounds no more than 7 days after the suspension or revocation of the individual's Firearm Owner's Identification Card. Requires the Secretary of State, prior to suspending a driver's license or the ability to register or renew registration of a motor vehicle of the first division or a motor vehicle of the second division registered at not more than 8,000 pounds, to serve written notice upon an individual that the individual's driver's license or ability to register or renew registration shall be suspended in 60 days from the date on the notice unless the individual meets the requirements of the Firearm Owners Identification Card Act. Allows a driver to contest these suspensions by administrative hearing. Allows the Secretary of State and the Illinois State Police to adopt necessary rules to establish standards, policies, and procedures related to the provisions. Requires the Secretary of State and the Illinois State Police to create a mechanism by which data concerning the provisions may be electronically shared.

Creates the Chatbot Response Liability Act. Provides that a proprietor of a chatbot that is used as an alternative to a human representative or that provides any substantive response, information, advice, or action may not disclaim liability if the chatbot provides materially misleading, incorrect, contradictory, or harmful information that results in financial loss or other demonstrable harm or that results in bodily harm to the covered user or any third party. Provides that a proprietor of a chatbot shall provide clear, conspicuous, and explicit notice to covered users that the covered users are interacting with an artificial intelligence chatbot program rather than a human. Sets forth requirements for proprietors of companion chatbots, including parental consent for the use of companion chatbots by minors. Requires the Attorney General to adopt rules to determine commercially reasonable and technically feasible methods for proprietors of companion chatbots to comply with the Act. Effective one year after becoming law.

Amends the Criminal Code of 2012. Provides that bribery and legislative misconduct include the receipt of property or personal advantage after the improper act has been performed (rather than just the intent to influence the improper act). Provides that the provisions do not apply to the promise, tender, acceptance, or receipt of any campaign contributions that are permissible under the Election Code.

Amends the State Officials and Employees Ethics Act. Provides that an employer shall not knowingly offer employment, compensation, or fees for services to a person if that person is prohibited by the Act's revolving door prohibitions from accepting employment, compensation, or fees for services from that employer. Grants the Executive Ethics Commission and the Legislative Ethics Commission jurisdiction over employers who make offers of employment, compensation, or fees for services in violation of this prohibition. Authorizes an ethics commission to impose a penalty of up to 3 times the total annual compensation that was offered in violation of this prohibition.

Amends the Lobbyist Registration Act. Provides that a lobbyist or lobbying entity may not promise anything of value to an official, State employee, or a candidate for a State executive or State legislative office for the person's support, action, or inaction for a specific legislative action or executive action, including, but not limited to, campaign contributions, endorsement of candidacy, or any in-kind contributions supporting an official, State employee, or candidate for a State executive or State legislative office. Prohibits a lobbyist or lobbying entity from soliciting an official or State employee to violate similar provisions of the State Officials and Employees Ethics Act. Provides that nothing in the provisions prevents the making or accepting of voluntary contributions otherwise in accordance with law.

Amends the Administration Article of the Illinois Public Aid Code. Requires the Department of Human Services to reduce the risk of SNAP recipients becoming the victims of benefits fraud by transitioning to and issuing as soon as practicable electronic benefits transfer (EBT) cards embedded with a smart chip or Near Field Communication technology that enables cardholders to make a payment transaction by either inserting an EBT card into a card reader or by "tapping" an EBT card onto a payment terminal or card reader that is enabled to accept and process contactless payments.

Amends the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois. Requires the Department of Public Health to issue a notification to public officials when a hospital, medical facility, nursing home, rehabilitation center, or any other health care facility licensed by the State fails any kind of federally required or State-required inspection or fails to pay State taxes. Provides that the Department shall publish a report quarterly, on a publicly accessible website, of all hospitals, medical facilities, nursing homes, rehabilitation centers, and any other health care facilities licensed by the State that have failed any kind of federally required or State-required inspection or failed to pay State taxes.

Amends the Administration Article of the Illinois Public Aid Code. Provides that notwithstanding any other law and subject to federal approval, if required, the Department of Human Services shall not collect or initiate any debt collection action to recoup any overpayment in Supplemental Nutrition Assistance Program (SNAP) benefits that was made to a SNAP recipient as a result of agency error. Requires the Department to apply for any federal waivers or approvals necessary to implement the amendatory Act.

Creates the Make Polluters Pay Act. Amends the Drug Take-Back Act. Provides that any person who violates the act is liable for a civil penalty of $10,000 (rather than $7,000). Amends the Consumer Electronics Recycling Act. Provides that any person who violates the Act is liable for a civil penalty of $10,000 (rather than $7,000) Amends the Paint Stewardship Act. Provides that any person who violates the Act is liable for a civil penalty of $10,000 (rather than $7,000).

Reinserts the provisions of the introduced bill with the following change. In provisions concerning the registration and recognition of non-public elementary and secondary schools, provides that a non-public, sectarian school that has registered or seeks to register or that has obtained or seeks to obtain recognition status is not subject to the requirements of the provisions that restrict a school's ability to adopt, enforce, or apply policies regarding religious hairstyles, hair-related religious practices, or facial hair worn in accordance with a student's or employee's sincerely held religious beliefs, observance, or practice. Effective immediately.

Amends the Secretary of State Act. Provides that, by January 1, 2027, the Secretary of State shall establish and maintain a secure database that is accessible to local election officials and that indicates whether the particular person to whom a driver's license or State identification card has been issued is a United States citizen. Amends the Election Code. Provides that, on and after January 1, 2027, before an applicant is registered to vote, the registration officer shall verify the applicant's citizenship status using the secure database maintained by the Secretary of State. Provides that, if the information in the database indicates that the applicant is not a United States citizen, then the applicant's card shall be marked with the word "incomplete", and the registration officer shall notify the applicant in writing that (i) the application is incomplete and (ii) the applicant may not vote unless the applicant appears before the county clerk to present evidence that the applicant is a United States citizen. Effective immediately.

Amends the Illinois Vehicle Code. With regard to automated speed enforcement systems in safety zones, provides that "safety zone" does not include any roadway in which the 30 mile per hour speed limit is decreased by local ordinance without an engineering or traffic investigation. Provides that a local authority or park district shall determine and declare by ordinance a reasonable and safe absolute maximum speed which: decreases the limit within an urban district which shall not require an engineering or traffic investigation to a maximum speed limit of 25 miles per hour, but not less than 20 miles per hour and a maximum speed limit of 10 miles per hour in an alley; increases the limit within an urban district, but not to more than 55 miles per hour, if after increasing the limit within an urban district an engineering or traffic investigation is required to decrease the limit; or decreases the limit within a residence district which shall not require an engineering or traffic investigation to a maximum speed limit of 20 (rather than not to less than 25) miles per hour. Requires a park district, city, village, incorporated town, or county board to post a sign designating the new speed limit. Makes other changes.