Amends the Illinois Vehicle Code. Provides that vehicles shall be inspected every 2 years on a schedule that begins in the sixth (rather than fourth) calendar year after the vehicle model year.

Amends the Illinois Municipal Code. Provides that a municipality that has implemented a Residential Sound Insulation Program to mitigate aircraft noise shall replace all windows and doors in homes where defective products were found to have caused offensive odors prior the initiation of the Residential Sound Insulation Program. Provides that airport revenue funds shall not be used to replace any windows or doors in homes where later testing done as part of the Residential Sound Insulation Program found no offensive odor.

Amends the Toll Highway Act. Requires the Illinois State Toll Highway Authority to erect and maintain at each Illinois Toll Plaza a sign stating the toll rates.

Amends the Illinois Insurance Code. Repeals provisions prohibiting short-term, limited-duration insurance and makes conforming changes. Amends the Health Maintenance Organization Act and the Limited Health Service Organization Act to make conforming changes. Reenacts the Short-Term, Limited-Duration Health Insurance Coverage Act.

Amends the Illinois Municipal Code. Provides that, the beginning on the effective date of the amendatory Act, the Chicago City Council shall not adopt an ordinance authorizing a debt issuance without the affirmative vote of at least three-fifths of the alderpersons then holding office on the Chicago City Council. Defines "debt issuance". Limits home rule powers.

Amends the Illinois Vehicle Code. Provides that the automated speed enforcement systems in safety zones provision applies to home rule municipalities contiguous to municipalities with a population of 1,000,000 or more inhabitants.

Amends the State Revenue Sharing Act. Provides that, if a municipality imposes fees, surcharges, or other costs for the privilege of conducting or participating in sports wagering, then the total amount of those fees, surcharges, or other costs shall be deducted from that municipality's Local Government Distributive Fund allocation and redistributed to the other municipalities and counties in this State in accordance with the Local Government Distributive Fund allocation formula.

Amends the School Boards Article of the School Code. In provisions concerning in-service training programs, provides that the instruction on the federal Americans with Disabilities Act, as it pertains to the school environment, includes, without limitation, service animals.

Amends the Illinois Income Tax Act. Creates a deduction in an amount equal to the amount paid by the taxpayer during the taxable year as monthly premiums for a health insurance plan bought through the Affordable Care Act (ACA) Marketplace, plus an amount equal to the qualified out-of-pocket medical expenses paid by the taxpayer during the taxable year.

Amends the Illinois Insurance Code. Provides that a group or individual plan of accident and health insurance or managed care plan amended, delivered, issued, or renewed on or after January 1, 2029 shall provide coverage for medically prescribed seizure detection devices. Requires all covered seizure detection devices to be approved for use by individuals, and for the choice of device to be made based upon the individual's circumstances and medical needs in consultation with the individual's medical provider. Sets forth provisions prohibiting prior authorization and cost-sharing, as specified. Provides that any group or individual policy of accident and health insurance or managed care plan amended, delivered, issued, or renewed on or after January 1, 2028 shall cover, without imposing a deductible, coinsurance, copayment, or any other cost-sharing requirement upon the insured, preeclampsia biomarker testing for predictive screening in asymptomatic individuals, or for diagnosis and management when symptoms are present. 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 under the provisions of those Acts. Effective immediately.

Amends the Election Code. In provisions concerning ballot forfeiture, provides that any civil penalty paid after the State Board of Elections transmits the list of all candidates whose political committees have not paid an assessed civil penalty shall not result in the election authority placing the candidate who paid the civil penalty on the ballot. Provides that, if a candidate forfeits his or her ballot under the provision, then that candidate may not be appointed to fulfill the resulting vacancy. In provisions concerning the making of nominations, provides that any vacancy in nomination occurring after certification shall be filled at least 45 days before the election for which there is a vacancy (rather than within 8 days after the event creating the vacancy). Provides that, unless a candidate has appealed a civil penalty assessment and the Board has not disposed of the appeal by the certification date, the election authority shall not place upon the ballot the name of any candidate appearing on this list for any office in any election. Provides that any civil penalty paid after the Board certifies the ballot (rather than transmits the list of all candidates whose political committees have not paid any civil penalty) shall not result in the election authority placing the candidate who paid the civil penalty on the ballot. In provisions concerning the delivery of ballots, provides that, if a consolidated primary election is required, vote by mail ballots for the consolidated election shall be mailed no later than 5 business days after the completion of the canvass of the consolidated primary election. Makes other changes.

Amends the Illinois Banking Act. Provides that a financial institution offering a certificate of deposit shall, before account opening, provide the consumer with a clear and conspicuous written disclosure and a specified statement. Establishes provisions concerning disclosure requirements for an automatically renewing certificate of deposit; requirements for financial institutions before processing any early withdrawal of a certificate of deposit; and enforcement provisions. Provides that a violation of the provisions concerning mandatory disclosures related to certificates of deposit is an unlawful practice under the Consumer Fraud and Deceptive Business Practices Act. Amends the Consumer Fraud and Deceptive Business Practices Act to make a corresponding change. Effective January 1, 2027.

Appropriates $10,000,000 from the General Revenue Fund to the Department of Public Health for local health protection grants for health protection programs. Effective July 1, 2026.

Appropriates $1,600,000 from the General Revenue Fund to the Department of Public Health for the purpose of funding Duchenne muscular dystrophy screenings for newborn babies. Effective July 1, 2026.

Amends Public Act 104-17. Changes the effective date of the Public Act from June 30, 2025 to July 1, 2026. Effective immediately.