Amends the Downstate Public Transportation Act. Provides, in Articles concerning Downstate Public Transportation Assistance and Nonurbanized Area Public Transportation Assistance, that the term "operating deficits" does not include revenue from advertising.

Amends the Business Assistance and Regulatory Reform Act. Provides that the Office of Business Permits and Regulatory Assistance may establish a matching grant program to incentivize and assist units of local government in improving the use of technology tools for permitting and licensing processes. Sets forth reporting requirements for State agencies with jurisdiction over business permitting or licensing. Creates an Interagency Business Permitting and Licensing Reform Advisory Committee to coordinate business permitting and licensing processes. Sets forth provisions concerning membership of the advisory committee.

Creates the Medical Assistant Practice Act. Provides that the Department of Financial and Professional Regulation shall issue credentials for Registered Medical Assistants (RMA-IL) and Licensed Medical Assistants (LMA-IL). Provides that an applicant for registration as a Registered Medical Assistant (RMA-IL) shall be at least 18 years of age; complete not less than one academic year of approved education; pass a Department-approved examination; and meet the requirements established by rule. Provides that an applicant for licensure as a Licensed Medical Assistant (LMA-IL) shall meet all requirements for registration as a RMA-IL; complete not less than 2 academic years of approved education; pass a Department-approved licensure examination; and meet the requirements established by rule. Sets forth provisions concerning examinations; education and training programs; transition; experienced-based education credit; renewal and continuing education; and rulemaking. Effective July 1, 2026.

Creates the Global Hospital Budget Authority Act. Defines terms. Established the Global Hospital Budget Authority as a Division of the Department of Public Health. Provides that the powers and duties of the Authority shall be vested in and exercised by the Global Hospital Budget Board, which shall have the sole power to employ staff, including an executive director, legal counsel, consultants, or any other staff deemed necessary by the Board to effectuate the purposes of the Act. Provides that individuals employed by the Board shall not be employees of the State for any purpose, including for purposes of compensation, pension benefits, or retirement. Sets forth provisions concerning membership requirements; powers and duties of the Board; roles of participating payers; roles of participant hospitals; data collection and retention; confidentiality of data, contracts, and agreements; and the Global Hospital Budget Fund. Amends the Hospital Licensing Act. Provides that, in reviewing and issuing permits and licenses, the Department shall accept, as factors that satisfy staffing and service-line presence requirements, one or a combination of the following alternative mechanisms if the Department finds that patient safety and continuity of care are maintained: (i) on-site staffing by appropriately licensed clinicians; (ii) written and operative affiliation agreements meeting standards adopted by the Department that provide timely specialty coverage; (iii) documented telemedicine coverage that meets certain standards; or (iv) a waiver issued under certain provisions for a rural or critical access hospital. In provisions concerning requirements for the employment of physicians, provides that employing entities may employ physicians to practice medicine in all of its branches if employment, privileging, and oversight requirements are met. Amends the Illinois Health Facilities Planning Act. Makes changes in provisions concerning definitions; certificates of exemption for change of ownership of a health care facility; applications for permit for discontinuation of a health care facility or category of service; and the powers and duties of State Board. Amends the State Finance Act to make a conforming change.

Creates the Reproductive Health Records Privacy Act. Requires health information exchanges to implement policies and technical capabilities by July 1, 2027, to segregate medical information related to abortion care, restrict access by out-of-state entities, and limit disclosure. Provides enforcement through private actions and civil actions by the Attorney General, including injunctive relief and civil penalties. Defines terms. Amends the Medical Patient Rights Act to clarify patient privacy rights and allow segregation of abortion-related information in health information exchanges. Provides for severability.

Amends the Environmental Protection Act. Makes findings about the imposition of disproportionate and adverse effects on communities in areas of environmental justice concern. Defines terms. Applies to the following permits for which an owner or operator applies on or after January 1, 2026: (1) a construction permit for a new source that is to be located in an area of environmental justice concern and that is required to obtain from the Agency a CAAPP permit or a Federally Enforceable State Operating Permit; (2) a construction permit for any existing source that is located in an area of environmental justice concern, that possesses a CAAPP permit or a Federally Enforceable State Operating Permit issued by the Agency, and that seeks an increase in annual permitted emissions; or (3) a construction permit for any existing source that is located in an area of environmental justice concern, that seeks an increase in annual permitted emissions, and that will for the first time require a new CAAPP permit or a Federally Enforceable State Operating Permit issued by the Agency. Requires the Environmental Protection Agency to evaluate the application for affects on environmental justice and may suggest additional testing or changes in the application. Requires that the Agency to conduct an evaluation of the prospective owner's or operator's prior experience in owning and operating sources of air pollution before it may issue a construction permit. Makes other changes. Creates the Office of Environmental Justice within the Environmental Protection Agency. Effective immediately.

Reinserts the provisions of the introduced bill with the following changes: Provides that whenever psychotropic medication or electroconvulsive therapy is refused at least once that day, the physician (rather than the psychiatrist) or advanced practice psychiatric nurse shall determine and state in writing the reasons why the recipient did not meet the criteria for the administration of medication or electroconvulsive therapy.

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 appropriated for the purposes enumerated in the Act. Effective July 1, 2026.

Creates the Hispanic-Serving Institutions Task Force Act. Creates the Hispanic-Serving Institutions Task Force. Sets forth provisions regarding administrative support, membership, compensation, meetings, and hearings. Requires the Task Force to assess the current landscape of Hispanic-serving institutions and emerging Hispanic-serving institutions in the State; identify barriers to student access, retention, and completion; review existing State policies and accountability frameworks to determine their impact on Hispanic-serving institutions and their students' success; examine best practices from other states related to supporting Hispanic-serving institutions; develop recommendations to improve access to and success in higher education for students, strengthen institutional capacity, improve coordination between State agencies and Hispanic-serving institutions, align Hispanic-serving institutions' efforts with State workforce and economic development priorities, and consider the feasibility of creating a permanent State initiative, designation, or funding mechanism to support Hispanic-serving institutions. Requires the Task Force to submit a written report to the Governor and the General Assembly on the Task Force's findings and recommendations for legislative, administrative, or budgetary action. Requires the Board of Higher Education and the Illinois Community College Board to each post the report on their respective public websites. Dissolves the Task Force upon the submission of its report to the Governor and General Assembly. Repeals the Act on January 1, 2029. Effective immediately.

Amends the Landlord and Tenant Act. Provides that in any eviction proceeding in which the trier of fact determines that the tenant has complied with the terms of the last written and signed lease as to the amount and timeliness of rent payments, the proceedings shall be sealed.

Amends the Medical Assistance Article of the Illinois Public Aid Code. Removes provisions requiring the Department of Healthcare and Family Services to: (i) establish benchmarks for hospitals to measure and align payments to reduce potentially preventable hospital readmissions, inpatient complications, and unnecessary emergency room visits; (ii) publish provider-specific historical readmission data and anticipated potentially preventable targets 60 days prior to the start of the program; and (iii) adopt policies and rates of reimbursement for readmission services and other payments.

Amends the Hospital Services Trust Fund Article of the Illinois Public Aid Code. In provisions requiring the Department of Healthcare and Family Services to (i) pay safety-net hospitals a health care equity add-on payment that is based on such hospitals' Medicaid inpatient utilization rate and (ii) pay safety-net hospitals a low volume add-on payment of $200 for each inpatient General Acute and Psychiatric day of care, removes the December 31, 2026 sunset dates for such add-on payments. Effective immediately.

Provides that the Act may be referred to as the Illinois Newborn Equity Support Transfer (NEST) Program Act. Amends the Department of Human Services Act. Requires the Department of Human Services to establish and administer, subject to appropriations, the Illinois Newborn Equity Support Transfer (NEST) Program to provide direct cash assistance to eligible participants by July 1, 2026. Defines "participant" to mean any individual who gives birth in Illinois while enrolled in or eligible for Medicaid through Moms and Babies. Permits the Department to adopt any rules necessary to implement the NEST Program. Provides that program participants shall receive a $1,500 lump sum payment in or around the third trimester of pregnancy, prior to delivery; and a $500 monthly cash payment for the first 6 months following delivery. Requires the Department to submit reports to the General Assembly on a biennial basis that summarizes (1) the number of program participants and distribution across the State, (2) outcomes related to maternal and child health, housing stability, and economic security, or other outcomes identified by the Department in collaboration with stakeholders, and (3) recommendations for program improvements or additional populations beyond Medicaid enrollment to include as participants. Provides that cash disbursements made to participants under the NEST Program shall be considered "guaranteed income" as described in the Hospital Uninsured Patient Discount Act for purposes of determining eligibility for assistance under the Illinois Public Aid Code. Effective immediately.

Amends the Interscholastic Athletic Organization Act. Provides that the Illinois High School Association and the State Board of Education, in consultation with the Department of Public Health, the Illinois Athletic Trainers Association, and the National Institutes of Health, may develop and implement eligibility standards for public and nonpublic schools and institutions of higher education to obtain a Safe Sports School Seal. Sets forth standards to receive the Safe Sports School Seal, and provides for application. Grants rulemaking authority to the State Board of Education. Effective July 1, 2026.

Amends the School Code. Requires a school board to create a policy that prohibits all school personnel from using a showering or bathing facility accessible to a student during school hours. Sets forth provisions concerning policy requirements and school personnel duties and prohibitions. Provides that school personnel that violate the policy may be subject to corrective action. Requires the school board to review the policy annually and update the policy as needed to comply with any changes to the law, best practices, or feedback from school personnel.