Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Chief Procurement Officer for General Services, in consultation with the Department of Healthcare and Family Services, to conduct and complete, no later than one year after the effective date of the amendatory Act, any procurement necessary to select a third-party administrator to serve as the single State pharmacy benefit manager for the medical assistance program and to be used by all Medicaid managed care organizations under contract with the Department. Provides that, beginning on January 1, 2028, the selected pharmacy benefit manager shall be responsible for managing and processing all pharmacy claims under the medical assistance program, including pharmacy claims from contracted Medicaid managed care organizations. Provides that the Department is responsible for enforcing the pharmacy benefit manager contract after the procurement process. Sets forth certain activities the Director of Healthcare and Family Services must do as part of the procurement process, including: (i) establishing eligibility criteria an entity must meet in order to become the State pharmacy benefit manager; and (ii) developing a master contract that incorporates all pharmacy benefit manager contract requirements under the Illinois Insurance Code, with some exceptions. Requires a prospective State pharmacy benefit manager to disclose certain information during the procurement process, including, but not limited to: (i) any conflicts of interest; (ii) any common ownership, board membership, or other control the pharmacy benefit manager has over a Medicaid managed care organization or other specified entities; and (iii) any financial terms and arrangements between the pharmacy benefit manager and a prescription drug manufacturer or labeler. Effective immediately.

Amends the Chicago Park District Act. Authorizes the Chicago Park District, in collaboration with the botanic gardens authorized under the Forest Preserve Botanic Gardens Act, to establish, maintain, and manage small public gardens throughout the City of Chicago. Provides that each public garden shall include a native landscape aimed at protecting butterfly populations that migrate through the City of Chicago. Defines "Illinois native plants" and "native landscape".

Creates the Health Care Worker Platform Act. Sets forth provisions requiring any person, corporation, partnership, or association that operates or offers an electronic platform, system, or application through which health care workers can accept one or more shifts to perform health care related services at a health care facility to register with the Department of Public Health prior to operating in the State. Requires the Department to review and issue a decision on each new application or application for renewal of a registration within 30 days after the submission of the new application or application for renewal. Provides that the Department shall allow an appeal of any decision not to approve an application or an application for renewal for registration under the Act. Establishes recordkeeping and operational requirements for a health care worker platform. Effective immediately.

Amends the Environmental Protection Act, Energy Efficient Building Act, Illinois Power Agency Act, Public Utilities Act, and related statutes to establish comprehensive environmental, water, and energy regulations for hyperscale data centers. In the Environmental Protection Act, requires cumulative impact assessments, public notice, and community benefits agreements for data centers; prohibits nondisclosure agreements; and creates the Data Center Community Intervenor Compensation Fund and Hyperscale Data Center Public Benefits and Affordability Fund funded by annual fees based on peak demand. Mandates water resource planning, quarterly water usage reporting, water scarcity plans, and Water Impact Permits with public hearings and renewal every 5 years. Requires compliance with stringent energy codes and annual energy and water reporting to the Illinois Commerce Commission. Expands renewable energy procurement programs, establishes a hyperscale data center self-direct program, and strengthens equity, transparency, and labor standards in clean energy initiatives. Creates the Residential Automated Solar Permitting Platform Act to require municipalities and counties to adopt a residential automated solar permitting platform on or before July 1, 2027, and authorizes persons to file a civil action against a municipality or county in violation.

Creates the Food Reform to Ensure Student Health Act. Requires each school district in the State to begin to eliminate ultraprocessed foods of concern and restricted school foods by July 1, 2029. Provides that, beginning July 1, 2032, a vendor may not offer to a school either an ultraprocessed food of concern or a restricted school food. Requires food vendors to report to the Department of Public Health certain information about ultraprocessed foods of concern and restricted school foods that they have sold to schools. Requires the Department, in consultation with the State Board of Education, to submit to the General Assembly and Governor annual summary reports of the data submitted to it by food vendors. Directs the Department to post these reports on its website. Requires the Department of Public Health to adopt rules establishing definitions of the terms "ultraprocessed foods of concern" and "restricted school foods" for purposes of these requirements. Requires the Department to review those rules and, if needed, update them every 5 years. Requires the Department to consult with the State Board of Education and to provide compliance training for school food service and procurement staff. Describes the topics to be covered by the Department in the training. Provides for the repeal of the Act on January 1, 2034. Amends the State Mandates Act to require implementation without reimbursement.

Amends the Workers' Compensation Act. Provides that, on and after July 1, 2026, if a public employer files a petition to review an award of an arbitrator of the Commission, the award shall draw interest, retroactive to the date of the injury, at a rate equal to 10% or at a rate equal to the yield on indebtedness issued by the United States Government with a 26-week maturity next previously auctioned on the day on which the decision is filed, whichever is greater. Sets forth limitations on interest assessed under the provision. Defines "public employer". Effective July 1, 2026.

Amends the Hospital Provider Funding Article of the Illinois Public Aid Code. Provides that, beginning January 1, 2027, if an Illinois freestanding psychiatric hospital reopens a previously closed hospital facility within 4 calendar years of that hospital facility's closure, and the previously closed hospital facility qualified for fee-for-service supplemental payments, then the Illinois freestanding psychiatric hospital shall receive an annual payment equal to $200 per covered inpatient day contained in paid fee-for-service claims and $200 per paid fee-for-service outpatient claim for dates of service of the closed hospital facility in Calendar Year 2019 in the Department of Healthcare and Family Services' Enterprise Data Warehouse as of May 11, 2020. Provides that "closed hospital facility" includes hospitals that have been terminated from participation in the medical assistance program. Effective immediately.

Amends the Student Online Personal Protection Act. Provides that a student, school, or parent that has been injured or aggrieved by a violation of the Act may bring an action in a court of competent jurisdiction against the person or entity that violated the Act. Specifies that the provisions establishing a private right of action do not limit the Attorney General's enforcement authority under the Act.

Appropriates the sum of $5,000,000 from the General Revenue Fund to the Department of Commerce and Economic Opportunity for grants to the Illinois Hispanic Chamber of Commerce to carry out shop local campaigns, multilingual public awareness efforts, and coordination with the State and the City of Chicago to rebuild foot traffic and restore confidence in affected business corridors. Effective July 1, 2026.

Amends the Illinois Enterprise Zone Act. Provides that, if a municipality has adopted an enterprise zone pursuant to the Act and subsequently establishes a redevelopment project area pursuant to the Tax Increment Allocation Redevelopment Act, the municipality may provide for a partial abatement of taxes for property located within both the enterprise zone and the redevelopment project area. Provides that, if a municipality has established a redevelopment project area pursuant to Tax Increment Allocation Redevelopment Act and subsequently adopts an enterprise zone that includes property within the redevelopment project area, the municipality may provide for a partial abatement of taxes for property located within both the enterprise zone and the redevelopment project area. Amends the Statewide Innovation Development and Economy Act. Provides that certain local hotel taxes are considered local taxes for purposes of the Act.

Amends the Emergency Medical Services (EMS) Systems Act. Makes changes to defined terms. Replaces references to Primary Stroke Centers with Stroke Centers. Provides that a hospital that no longer meets nationally recognized, evidence-based standards for Stroke Centers, loses its Stroke Center certification, or has any change to its designation level shall notify the Department of Public Health and the Regional EMS Advisory Committee within 5 business days. Requires the Department to consult with the State Stroke Advisory Subcommittee for the adoption or deletion of approved stroke designation levels. Provides that the approved stroke designation levels shall coincide with the stroke designation levels recognized by Department-approved certifying bodies. Requires the Department to establish reporting requirements for designated Stroke Centers to capture information using new or existing electronic reporting tools for statewide data collection and certification purposes. Removes provisions concerning previous Stroke Center designations. Makes other changes.

Amends the Common Interest Community Association Act. Provides that financial records of the association for the last 7 years must be made available to unit owners upon request. Provides that financial records include, but are not limited to, the income statement, balance sheet, check register, current budget with monthly variation, detailed records of receipts and expenditures affecting the operation and administration of the association, reserve account details, tax returns and other appropriate accounting records. Amends the Condominium and Common Interest Community Ombudsperson Act. Provides that if the Ombudsperson is unable to resolve the complaint through the dispute resolution process, the Ombudsperson may investigate the complaint. Provides that the Department of Financial and Professional Regulation must examine the issues and the records, make findings of fact and conclusions of law, and issue to the parties a written determination in response to the complaint. Provides that the determination is binding on both the parties, subject to administrative review. Provides that the respondent must comply with the requirements of a written determination from the Department within 7 days after the notice of violation is received. Provides that if a respondent fails to comply with the requirements of a notice of violation within the required time period, and the Department has not received written notice of the respondent's request for an administrative hearing, the Department may impose a penalty, up to a maximum of $5,000 per violation per day, for each day that a violation remains uncorrected. Amends the Condominium Property Act to make some conforming changes.

Reinserts the provisions of the introduced bill with the following changes. Removes provisions concerning out-of-network coverage and provisions amending the Pharmacy Practice Act. Amends the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, the Limited Health Service Organization Act, and the Voluntary Health Services Plans Act to require coverage for prescription hormone therapy under the provisions of those Acts.

Appropriates $600,000 from the Illinois Opioid Remediation State Trust Fund to the Department of Human Services to supply free fentanyl testing strips to public institutions of higher education. Effective July 1, 2026.

Amends the Tax Increment Allocation Redevelopment Act of the Illinois Municipal Code. Extends the estimated date of completion of a redevelopment project and the retirement of obligations issued to finance redevelopment project costs for an ordinance adopted on March 2, 2015 by the Village of Lisle.