Amends the Home Equity Assurance Act. Provides that a governing commission may establish a program to provide a one-time per household direct relief payment in the form of a rebate to a member who owns a residence that is subject to flood damage. Provides that the governing commission may establish a limit on the amount of rebates that may be issued under this subsection. Provides that members shall be required to submit qualified receipts to the governing showing costs incurred as a result of flood damage to receive a rebate under the rebate program established under the provisions. Provides that the rebate shall provide up to 50% reimbursement, but shall not exceed $1,000. Provides that the rebate program shall last for 3 years unless reapproved by the governing commission.

Amends the Deposit of State Moneys Act. Provides that the State Treasurer may accept a proposal or application from a financial institution for access to capital at a market rate that allows the Treasurer to provide funding to a county for relief of property tax payments. Amends the Property Tax Code. Provides that, for tax year 2027 and thereafter, the tax lien or certificate for all delinquent property subject to a tax sale shall be assigned to the county as trustee for all taxing districts having an interest in the property's taxes or special assessment for the nonpayment of which the property is sold. Provides that the county must attempt to sell the property acquired by tax deed at a public auction. Contains provisions concerning surplus funds. Contains provisions concerning notice. Contains other provisions. Amends the Counties Code and the Revised Uniform Unclaimed Property Act to make conforming changes.

Amends the Property Tax Code. In a provision concerning the exemption for property used for charitable or beneficent purposes, provides that the term "institution of public charity" includes a not-for-profit organization that is organized and operated primarily as an entrepreneurial support organization and that supports, mentors, and trains entrepreneurs, if the applicant provides: (i) affirmative evidence that the organization is an exempt organization under Section 501(c)(3) of the Internal Revenue Code or its successor and (ii) affirmative evidence that the property is used for the provision of services typically provided by entrepreneurial support organizations. Provides that an entrepreneurial support organization shall satisfy the conditions for a property tax exemption with respect to any of its properties and shall be issued a charitable exemption for that property if the value of charitable services or activities provided by the entrepreneurial support organization using the property during the relevant year equals or exceeds the estimated property tax liability of the property for the year for which an exemption is sought. Specifies that the provisions of the amendatory Act are declarative of existing law and are to be given retroactive effect.

Amends the Environmental Protection Act. Defines "CCR management unit" as any area of land at any facility with a CCR surface impoundment, on which any noncontainerized accumulation of CCR is received, is placed, or is otherwise managed, and that is not itself a CCR surface impoundment. Provides that the term "CCR management unit" does not include CCR used in a manner that meets the definition of coal combustion by-product, unless the owner or operator, or the Agency, determines that the CCR is causing or contributing to a statistically significant concentration of one or more constituents above the groundwater protection standard established by the Board. Provides that no later than February 8, 2027, the owner or operator of a CCR surface impoundment must submit to the Agency a copy of the Facility Evaluation Reports Part 1 and 2. Provides that the Board shall adopt rules establishing permit requirements, reporting, financial assurance, and closure and post-closure care requirements for CCR management units. Provides that the owner or operator of a CCR management unit shall pay an initial fee of $75,000 for each CCR management unit by July 1, 2027 and an annual fee of $25,000 for each CCR management unit that has not completed closure; and $15,000 for each CCR management unit that has not completed post-closure care, beginning July 1, 2028.

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 Senate Amendment No. 1 with the following changes. In provisions amending the Emergency Telephone System Act, provides that the Office of the Statewide 9-1-1 Administrator shall, with input from the Statewide 9-1-1 Advisory Board, relevant stakeholders, and subject matter experts, adopt rules to implement the requirement that the Board consult with the Department of Human Services to ensure PSAP compliance with the Community Emergency Services and Support Act. In provisions amending the Community Emergency Services and Support Act, defines "emergency dispatch protocol" as a nationally recognized protocol established under the Emergency Medical Services (EMS) Systems Act approved by the local medical director in coordination with the local PSAP and appropriate local responders. Provides that Mobile Crisis Response and 9-8-8 are both around-the-clock crisis services that must be considered alongside other crisis resources when initially screening an individual contacting a 9-1-1 PSAP. Provides that, when indicated, 9-1-1 PSAPs shall open and use relevant emergency dispatch protocol to ensure all individuals contacting a 9-1-1 PSAP when a behavioral health crisis is indicated have access to a non-law enforcement, behavioral health response. Removes provisions providing that 9-1-1 PSAPs shall screen specific types of law enforcement calls and follow approved protocols and processes. Removes provisions providing that 9-1-1 PSAPs shall open and follow the emergency dispatch protocol at the start of all emergency calls when appropriate to ensure the protocols are used and applied consistently and uniformly and to ensure that information related to behavioral health emergency calls is available for data collection and can be used to determine which calls should be referred for a behavioral health response. Removes provisions authorizing rulemaking by the Department. Makes other changes.

Amends the Illinois Income Tax Act. In provisions concerning the entity-level tax, provides that a partnership making an entity-level tax election may elect to determine its tax base using a full distributive share method or an Illinois-sourced income method. Effective immediately.

Amends the Illinois Income Tax Act. Provides that the Director of Revenue may exchange information with the Department of Labor for the purpose of administering and enforcing Acts within the Department of Labor's statutory authority.

Amends the Medical Practice Act of 1987. In provisions concerning legend drugs, provides that, at the request of a person dispensing a drug or medicine, the label affixed to a box, bottle, vessel, or package containing mifepristone, misoprostol, or any generic alternative may include the name of the dispensing health care practice instead of the name of the person dispensing the drug or medicine. Amends the Pharmacy Practice Act. In provisions concerning the label of a drug, medicine, or poison that is lawfully sold or dispensed, provides that, at a prescriber's request, the label affixed to a box, bottle, vessel, or package containing mifepristone, misoprostol, or any generic alternative may include the name of the prescribing health care practice instead of the name of the prescriber.

Reinserts the provisions of the introduced bill with the following changes. Provides that "physician assistant practice" means the performance of any medical service (rather than any legal medical service) for which the physician assistant has been prepared by the physician assistant's education, training, and experience and is competent to perform as determined through an employment agreement or the credentialing and privileging system of a licensed facility. Provides that no physician assistant shall use the title of doctor, physician, or associate with his or her name or any other term that would indicate to other persons that the physician assistant is a licensed physician (rather than a title or term that would indicate to other persons that he or she is qualified to engage in the general practice of medicine). Provides that no person shall use the title physician assistant, physician associate, PA, PA-C, or any other term that would indicate to other persons that the person is a licensed or board-certified physician assistant unless the person is licensed as a physician assistant under this Act. In a provision concerning continuing education for physician assistant license renewal, provides that continuing education programs shall be relevant to physician assistant practice (rather than shall be in the physician assistant's area of practice) and may be conducted or endorsed by educational institutions, hospitals, professional associations, or other organizations approved to offer continuing education under the Act or rules. Provides that a physician assistant with optimal practice authority may prescribe Schedule II narcotic drugs only in a consultation relationship with a physician. Provides that the consultation relationship shall be recorded on the Prescription Monitoring Program website, pursuant to the Illinois Controlled Substances Act, by the physician and the physician assistant with optimal practice authority, and is not required to be filed with the Department of Financial and Professional Regulation. Provides that at least monthly, the physician assistant with optimal practice authority and the physician must discuss the condition of any patients for whom a Schedule II narcotic drug is prescribed. Provides that the consultation relationship shall provide for physician availability for consultation on complex clinical cases and prescribing decisions, but shall not require the physical presence of the physician or constitute a written collaborative agreement (rather than a supervisory or collaborative agreement). In a provision concerning limitations, removes the prohibition that, pursuant to the Professional Service Corporation Act and the Medical Corporation Act, a person licensed under the Physician Assistant Practice Act of 1987 may not own a corporation for the purposes of practicing medicine. Removes the prohibition that, pursuant to the Professional Limited Liability Company Act, a person licensed under the Physician Assistant Practice Act of 1987 may not own a professional limited liability company for the purposes of practicing medicine. Makes other changes.

Amends the Illinois Vehicle Code. Allows a municipality with a population of 1,000,000 or more to use an automated traffic law enforcement system to record and enforce violations related to traffic obstruction. Provides that for each violation recorded by an automated traffic law enforcement system, the municipality having jurisdiction shall issue a written notice of violation to the registered owner by mail within 30 days after the Secretary of State identifies the owner, but no later than 90 days after the violation. Sets forth defenses for a violation. Provides that unless the driver received a Uniform Traffic Citation from a police officer at the time of the violation, the motor vehicle owner is subject to a civil penalty not exceeding $100, or the completion of a traffic education program, or both, plus an additional penalty of not more than $100 for failure to pay the original penalty or complete a required program in a timely manner. Requires each intersection monitored by an automated traffic law enforcement system to have a posted sign visible to approaching traffic indicating that automated enforcement is in use. Provides that compensation paid for an automated traffic law enforcement system must be based on the value of the equipment or services provided and may not be based on the number of citations issued or the revenue generated. Prohibits a member of the General Assembly and officer or employee of a municipality or county from knowingly accepting employment or receiving compensation or fees for services from a vendor that provides automated traffic law enforcement system equipment or services to municipalities or counties. Allows the Secretary to adopt rules necessary to implement the provisions. Makes other changes.

Reinserts the provisions of the introduced bill with the following changes. Adds definitions of the terms "construction industry", "employee", and "employer". Makes changes in provisions that establish sanitary safety standards for construction workers who menstruate, express milk, or both. Adds provisions that make it unlawful for an employer to take retaliatory actions or to use a request for an accommodation under the Act as the basis for an adverse employment action. Makes changes in provisions concerning penalties. Specifies that an employer that in good faith provides menstrual products in sealed packaging for employee use as required under the Act shall not be liable in any civil action for injuries resulting from the use of the product, except for willful or wanton conduct by the employer. Provides that the amendatory Act takes effect January 1, 2027 (rather than immediately).

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.

Creates the Artificial Intelligence Design Requirements Act. Sets forth provisions concerning product liability actions brought against a developer of an artificial intelligence system for defective design, failure to contain adequate instructions or warnings, and failure to conform to an express warranty. Provides that a deployer of an artificial intelligence system shall be deemed to be liable as a developer for harm caused by a product if: (1) the deployer makes material and substantial change to the product or (2) the deployer intentionally misuses the product contrary to the express warranty and that use was the proximate cause of harm to the plaintiff. Sets forth provisions concerning applicability and enforcement.