Amends the Public Safety Employee Benefits Act. Provides that, if the injured employee subsequently dies, the employer shall continue to pay the entire health insurance premium for the surviving spouse (rather than the surviving spouse until remarried) and for the dependent children under specified conditions.

Amends the Illinois Controlled Substances Act. Provides that, notwithstanding any other provision of law, a prescriber shall not be required to issue prescriptions for a substance classified in Schedule II, III, IV, or V electronically if the prescription is issued by a licensed veterinarian within 7 (rather than 2) years after November 17, 2023 (the effective date of Public Act 103-563).

Amends the Innovation Development and Economy Act. Provides that the corporate authorities of any political subdivision that (i) is not a home-rule unit and (ii) has established a STAR bond district under the Act may, by ordinance or resolution, impose a tourism tax upon all admission and amusement charges from transactions at places of business located within the STAR bond district, at a rate not to exceed 9% of the gross receipts derived from any admission and amusement charge within the STAR bond district, to be imposed only in 0.25% increments. Provides that the tax imposed under the provisions and all civil penalties that may be assessed as an incident of the tax under the provisions shall be collected and enforced by the Department of Revenue. Provides that, for any STAR bond district created on or after January 1, 2025, the Director of Revenue may only approve a STAR bond district if the Director finds that: (i) the proposed STAR bond district is an eligible area; (ii) the STAR bond district plan includes a projected capital investment of at least $500,000,000; (iii) the STAR bond district plan is reasonably projected to produce at least $100,000,000 of annual gross sales revenues, 1,500 new jobs, and 5,000 construction jobs; (iv) the STAR bond district plan includes a statement of how the jobs and taxes will contribute significantly to the economic development of the State and region; (v) the STAR bond district plan shows visitation expectations in excess of 1,000,000 visitors annually; (vi) the STAR bond district plan includes potential destination users and a potential entertainment user; (vii) the creation of the STAR bond district and STAR bond district plan are in accordance with the purpose of the Act and the public interest; and (viii) the STAR bond district and STAR bond district plan meet any other requirement the Director deems appropriate. Provides that, for the purposes of the Act, "local sales tax increment" includes, with respect to local sales taxes administered by the Illinois Department of Revenue, all of the local sales tax paid by, among others, amusement park users. Makes other changes.

Amends the Illinois Insurance Code. Provides that specified notices of cancellation of insurance must be mailed at least 30 days prior to the effective date of cancellation to the named insured if the effective date of cancellation is within the first 60 days of coverage. Provides that, after the coverage has been effective for 61 days or more, all notices must be mailed at least 60 days prior to the effective date of cancellation. Makes conforming changes. Creates the Climate Risk Disclosure Article. Provides that the Article applies to all companies licensed in Illinois under Classes 2 and 3 that write $100,000,000 or more annually in premiums. Allows the monetary threshold to be altered by rule. Requires all insurers subject to the Article to, upon direction from the Department of Insurance, participate in National Association of Insurance Commissioners issued climate surveys and Department issued climate surveys.

Creates the Youth Health Protection Act. Provides that a medical doctor shall not prescribe, provide, administer, or deliver puberty-suppressing drugs or cross-sex hormones and shall not perform surgical orchiectomy or castration, urethroplasty, vaginoplasty, mastectomy, phalloplasty, or metoidioplasty on biologically healthy and anatomically normal persons under the age of 18 for the purpose of treating the subjective, internal psychological condition of gender dysphoria or gender discordance. Provides that any efforts to modify the anatomy, physiology, or biochemistry of a biologically healthy person under the age of 18 who experiences gender dysphoria or gender discordance shall be considered unprofessional conduct and shall be subject to discipline by the licensing entity or disciplinary review board. Provides that no medical doctor or mental health provider shall refer any person under the age of 18 to any medical doctor for chemical or surgical interventions to treat gender dysphoria or gender discordance. Contains definitions, a statement of purpose, and legislative findings. Amends the Medical Practice Act of 1987 to make related changes.

Makes appropriations for the ordinary and contingent expenses of the Department of Children and Family Services for the fiscal year beginning July 1, 2025, as follows: General Funds $1,610,462,600; Other State Funds $846,568,900; Federal Funds $15,816,600; Total $2,472,848,100.

Makes appropriations for the ordinary and contingent expenses of the Department of Commerce and Economic Opportunity for the fiscal year beginning July 1, 2025, as follows: General Funds $182,191,670; Other State Funds $2,149,841,888; Federal Funds $2,493,793,066; Total $4,825,826,624.

Makes appropriations for the ordinary and contingent expenses of the Department of Natural Resources for the fiscal year beginning July 1, 2025, as follows: General Funds; Other State Funds; Federal Funds; Total.

Makes appropriations for the ordinary and contingent expenses of the Department of Juvenile Justice for the fiscal year beginning July 1, 2025, as follows: General Funds $153,851,600; Other State Funds $13,000,000; Total $166,851,600.

Makes appropriations for the ordinary and contingent expenses of the Department of Employment Security for the fiscal year beginning July 1, 2025, as follows: General Funds $19,055,000; Other State Funds $5,000,000; Federal Funds $500,266,800; Total $524,321,800.

Makes appropriations for the ordinary and contingent expenses of the Department of Corrections for the fiscal year beginning July 1, 2025, as follows: General Funds $2,071,048,900; Other State Funds $114,500,000; Total $2,185,548,900.

Makes appropriations for the ordinary and contingent expenses of the Department of Financial and Professional Regulation for the fiscal year beginning July 1, 2025, as follows: Other State Funds $193,223,000.

Makes appropriations for the ordinary and contingent expenses of the Department of Human Rights for the fiscal year beginning July 1, 2025, as follows: General Funds $19,247,900; Other State Funds $5,600,000; Federal Funds $4,794,800; Total $29,642,700.

Makes appropriations for the ordinary and contingent expenses of the Department of Human Services for the fiscal year beginning July 1, 2025, as follows: General Funds $7,903,187,633; Other State Funds $1,871,862,304; Federal Funds $4,142,198,501; Total $13,917,248,438.

Makes appropriations for the ordinary and contingent expenses of the Department of Insurance for the fiscal year beginning July 1, 2025, as follows: Other State Funds $123,750,000; Total $123,750,000.