Amends the Cemetery Maintenance District Act. Provides that, on January 1, 2027, all cemetery associations in the State shall be incorporated as cemetery maintenance districts subject to the Act. Provides that the initial territory incorporated in a district shall be the land the cemetery association operated as a cemetery on the effective date of the amendatory Act. Amends the Cemetery Association Act to make conforming changes. Repeals the Cemetery Association Act on January 1, 2028. Effective immediately.

Amends the Military Veterans Assistance Act. Provides that for each fiscal year after January 1, 2027, each Veterans Assistance Commission shall prepare a budget and publish the budget on its official website. Provides that a public hearing on the contents of the budget shall occur within 30 days of its publication. Provides that the budget must be approved by the full Commission membership and by the county board of the county where the Veterans Assistance Commission is organized. Requires each Veterans Assistance Commission to follow the same procurement and bidding procedures as its respective county or the largest sponsoring government entity based on financial contribution, not population. Provides that all Veterans Assistance Commissions are subject to the Freedom of Information Act. Effective immediately.

Amends the Counties Code. Provides that, beginning January 1, 2027, every county with a population over 600,000 shall create a tourism and convention bureau. Provides that a tourism and convention bureau shall have the same powers and duties as a tourism and convention bureau created under the Tourism Preservation and Sustainability District Act, except that the tourism and convention bureau shall immediately be eligible for State tourism dollars and grant funding. Provides that the governing body of the tourism and convention bureau shall consist of a board of 25 members. Provides that the county board shall appoint the members of the board. Provides that the members of the board of the tourism and convention bureau shall elect the leader of the board of the tourism and convention bureau by simple majority. Effective immediately.

Congratulates Mark Schneidewind on his retirement as Will County Farm Bureau Manager.

Makes changes to various Acts concerning the following revenue provisions: tax amnesty; the business interest deduction; deposits into the Road Fund; civil penalties under the Environmental Protection Act; short-term rentals; tobacco products; grocery taxes; the 9-8-8 suicide prevention system; marketplace facilitators and remote retailers; motor fuel taxes; affordable housing property tax credits; and tobacco and cigarette taxes. Creates the American Hostage Tax Liability Postponement Act. Creates the Advancing Innovative Manufacturing for Illinois Tax Credit Act. Creates the Digital Advertisement Tax Act. Contains other provisions. Effective immediately, except that certain provisions take effect July 1, 2025, certain provisions take effect January 1, 2026, and certain provisions take effect January 1, 2027.

Amends the Freedom of Information Act. Provides that, upon written request for a traffic crash report by an attorney who provides an affidavit confirming representation of an individual in the traffic crash, the public body from whom the traffic crash report is requested shall disclose an unredacted copy of the traffic crash report to the requesting attorney.

Amends the Illinois Lottery Law. Allows a licensed lottery sales agent to enter into an agreement with a third-party entity to assist with processing the sale of lottery tickets on behalf of the licensed lottery sales agent. Requires the licensed sales agent to provide a copy of agreement to the Lottery Control Board within 5 business days of execution. Requires the agreement to include at least the following: (1) terminal usage cannot be commingled at the location; (2) a ticket may only be sold to a person physically located in the State; (3) a third-party entity shall not share or sell user data to an entity unaffiliated with the retailer or third-party entity; and (4) the third-party entity shall adhere to all rules established by the Board related to the sale of lottery tickets. Effective immediately.

Creates the Municipal and Cooperative Electric Utility Transparent Planning Act. Requires certain electric cooperatives, municipal power agencies, and municipalities and distribution electric cooperatives to initiate an integrated resource planning process. Sets forth provisions concerning the integrated resource plan; stakeholder meetings; and a prequalified consulting firm list. Makes conforming changes in the Open Meetings Act and the General Not For Profit Corporation Act of 1986. Creates the Utility Data Access Act. Requires the Illinois Commerce Commission to adopt certain rules. Amends the Illinois Finance Authority Act. Adds provisions concerning the Thermal Energy Network Revolving Loan Program. Amends the Illinois Power Agency Act. Makes changes in provisions concerning the powers of the Illinois Power Agency; the Illinois Power Agency Renewable Energy Resources Fund; the Illinois Solar for All Program; the Planning and Procurement Bureau; and the Agency's annual reports. Amends the Illinois Procurement Code. Makes changes in provisions concerning prequalification. Amends the Property Tax Code. Adds a Division concerning commercial energy storage systems. Amends the Counties Code and the Illinois Municipal Code to add a Division concerning the Solar Bill of Rights. Amends the Public Utilities Act. Makes changes in provisions concerning the duties of public utilities; energy efficiency and demand-response measures; certificates of public convenience and necessity; the renewable energy access plan; rate case filing; net electricity metering; distributed generation rebates; the recovery of costs associated with delivery; procurement; alternative retail electric suppliers; and customer self-generation of electricity. Adds provisions concerning time-of-use pricing; the Thermal Energy Network Pilot Program; new large load energy and water reporting requirements; the Energy Reliability Corporation of Illinois; investigation into colocation and rate design; integrated resource plan development, review, and approval; the Interconnection Working Group; and the Interconnection Monitor. Amends the Electric Transmission Systems and Construction Standards Act. Adds requirements for construction contractors. Amends the Environmental Protection Act. Makes changes in provisions concerning greenhouse gases and permit issuance. Makes other changes.

Amends the Public Utilities Act. In provisions concerning the valuation of water and sewer utilities, provides that a large public utility that acquires a water or sewer utility may recommend that the large public utility adopt the existing rates of the water or sewer utility. Provides that the contractor or subcontractor shall submit evidence of meeting the requirements to be a responsible bidder to the large public utility (rather than water or sewer utility). Provides that the provisions are repealed on June 30, 2038 (rather than June 1, 2028). Provides that a large public utility, in its application to acquire a water or sewer utility or any other application requesting approval of an acquisition of a water or sewer utility, may request that the Illinois Commerce Commission expedite its review and issue an order within an expedited timeframe. Provides that, if, in its application, a large public utility requests an expedited review, the Commission shall issue a ruling approving or denying expedited review within 30 days of the filing of the application if the large public utility provides ample evidence supporting the need for expedited review. Provides that the large public utility, in its application, shall establish evidence that the expedited review is necessary which may include certain factors. Provides that, upon granting expedited review, and subject to the Commission's rules on interlocutory review, the Commission shall issue its final order no later than 5 months after the date the expedited review was granted. Makes other changes. Effective immediately.

Amends the Illinois Vehicle Code. Makes a technical change in a Section concerning the short title.

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 Health Care Surrogate Act. Requires a health care provider to release the medical records of the patient as a response to a written request for the release of records to an individual who was named as a surrogate or any person, entity, or organization presenting valid authorization. Provides that, upon a determination that a patient lacks decisional capacity and a health care surrogate is identified, a health care facility shall provide specified written information, which may be provided electronically, to the surrogate. Provides that a health care provider who relies on and carries out a surrogate's directions and who acts with due care and in accordance with the Act shall not be subject to any claim based on lack of patient authorization for unprofessional conduct. Effective immediately.

Amends the Eminent Domain Act. Authorizes quick-take proceedings by the Village of Hoffman Estates for a period of one year after the effective date of the amendatory Act for the acquisition of specified property for the purpose of constructing improvements on portions of Shoe Factory Road from Essex Drive to Beverly Road, along with portions of Beverly Road and Rohrssen Road connecting to Shoe Factory Road. Repeals the provisions 2 years after the effective date of the amendatory Act. Effective immediately.

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides medical assistance coverage for sickle cell disease (rather than sickle cell anemia); coverage for seizure detection devices; and coverage for virtual intensive outpatient program services. Establishes the Distressed Hospital Loan Program under a new Article of the Code to provide interest-free cash flow loans to public hospitals and not-for-profit hospitals in significant financial distress to prevent the closure of or to facilitate the reopening of those hospitals. Requires the Department of Healthcare and Family Services to administer the Distressed Hospital Loan Program in coordination with the Department of Public Health and the Governor's Office of Management and Budget. 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 no less than the following targeted pools: (1) Assertive Community Treatment, $10,600,000; and (2) Community Support Team services, $17,500,000. Amends the Hospital Licensing Act. Requires any licensed hospital that has outstanding debts to the State in the form of tax arrears or that maintains debt through the Distressed Hospital Loan Program or other Medicaid advance payments to submit to the Department of Public Health a hospital emergency and financial contingency plan for the rapid and orderly resolution of finances and operations in the event of material financial distress. Amends the Illinois Administrative Procedure Act. Permits the Department of Healthcare and Family Services to adopt emergency rules to implement certain financial and utilization data reporting requirements on hospitals. Amends the Medicaid Technical Assistance Act. Amends the State Finance Act. Requires the Medicaid Technical Assistance Center to collaborate with public and private partners throughout the State to identify, establish, and maintain best practices necessary for health providers to ensure their capacity to participate in the Illinois Medical Assistance Program (rather than ensure their capacity to participate in HealthChoice Illinois or YouthCare). Removes provisions concerning the Medicaid Technical Assistance Center's administration of network adequacy reports, and instead requires the Medicaid Technical Assistance Center to administer a network requirement plan. Repeals a provision creating the Medicaid Technical Assistance Center Fund. In the State Finance Act, provides for the dissolution of the Medicaid Technical Assistance Center Fund on July 1, 2026, or as soon thereafter as practical, after the transfer of all remaining funds into the Healthcare Provider Relief Fund. Amends the Hospital Services Trust Fund Article in the Illinois Public Aid Code. In provisions concerning annual funding for the health care transformation program, provides that funds that had been budgeted but unexpended in State fiscal years 2021 through 2027 may be allocated in State fiscal year 2028 in an amount not to exceed $150,000,000. Amends the Administration Article of the Illinois Public Aid Code. Provides that disbursements shall be made from the Public Aid Recoveries Trust Fund for the payment of contingency fees to third-party entities that the Office of Inspector General authorizes to conduct payment recapture audits and other specified audits under the medical assistance program. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that for dates of service starting July 1, 2027, reimbursement calculations and direct payments for services provided by facilities licensed under the ID/DD Community Care Act are the responsibility of the Department of Healthcare and Family Services; and that appropriations for facilities licensed under the ID/DD Community Care Act must be shifted from the Department of Human Services to the Department of Healthcare and Family Services. Extends the period of eligibility within which a hospital, that would have qualified for the rate year beginning October 1, 2011 or October 1, 2012, shall be a Safety-Net Hospital. Amends the Hospital Licensing Act. Removes provisions requiring the Department on Aging to adopt rules to address instances when a case coordination unit is unable to complete an assessment in a hospital prior to the discharge of a patient 60 years or older to a nursing home to ensure that the patient is able to access nursing home care, the nursing home is not penalized for accepting the admission, and the patient's timely discharge from the hospital is not delayed, to the extent permitted under federal law or regulation. Amends the Medical Assistance Article of the Illinois Public Aid Code. In provisions concerning prenatal and perinatal care, provides that, for dates of service on and after January 1, 2026, the medical assistance program shall provide coverage, without imposing a deductible, coinsurance, copayment, or any other cost-sharing requirement, for preeclampsia biomarker testing for predictive screening in asymptomatic individuals, or for diagnosis and management when symptoms are present. Amends the Illinois Act on the Aging. Provides that effective July 1, 2026, subject to federal approval, the Department on Aging shall reimburse Care Coordination Units at specified rates for case management services. Amends the Specialized Mental Health Rehabilitation Act of 2013. Provides that each consumer shall be offered at least 15 hours of treatment programming per week and encouraged to attend the treatment domains that meet the consumer's needs, as reflected in the consumer's treatment plans. Amends the Community-Integrated Living Arrangements Licensure and Certification Act. In provisions concerning per diem reimbursement for a community-integrated living arrangement provider, provides that, if it is determined by third-party medical personnel that a resident that required a medical absence is unable to return to the community-integrated living arrangement, or if the resident dies during the medical absence, the provider shall receive 100% of the per diem reimbursement for up to 20 medical absence days. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that, beginning on and after October 1, 2026, for rate year 2027 and thereafter, the Medicaid inpatient utilization rate used in the determination of eligibility for inpatient adjustment payments provided under the Code shall be modified to exclude from both the numerator and denominator all days of care funded by the U.S. Department of Veterans Affairs at a hospital approved to conduct its operations from more than one location within contiguous counties under a single license, if at the time of its licensing application the hospital was located in a county with fewer than 125,000 inhabitants and the hospital's second facility is located in a contiguous county with fewer than 235,000 inhabitants. Amends the Illinois Act on the Aging. Provides that within 30 days after the effective date of the amendatory Act, rates for adult day services shall be increased to $17.84 per hour and rates for each way transportation services for adult day services shall be increased to $13.44 per unit transportation. Amends the Hospital Services Trust Fund Article of the Illinois Public Aid Code. Makes changes to provisions concerning certain add-on payments to safety-net hospitals. Amends the Illinois Public Aid Code. Changes certain deadline dates for adopting permanent rules on guidelines related to the publication of MCO service authorization policies and procedures listed on the Medicare Inpatient Only list that, due to medical complexity, must be reimbursed under the applicable inpatient methodology. Makes changes to provisions concerning (i) quality and compliance audits regarding Medicaid managed care organizations' compliance with nationally recognized clinical decision guidelines for inpatient and outpatient hospital services and (ii) an analysis that compares and contrasts a Medicaid MCO's service authorization determination outcomes for inpatient and outpatient hospital services to the outcomes of each other MCO plan and the State's fee-for-service program model. Makes other changes. Amends the Psychiatric Residential Treatment Facilities (PRTF) Act. Extends the date by which the Department of Healthcare and Family Services shall submit a State Plan Amendment to establish coverage of federally authorized, medically necessary inpatient psychiatric services delivered by a certified PRTF to medical assistance beneficiaries under 21 years of age. Extends the publication deadline for the Department's PRTF capacity analysis. Amends the Illinois Insurance Code. In provisions requiring the Department of Insurance to issue a joint report with the Department of Healthcare and Family Services on the methodology the Departments use to check for compliance with the federal Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008, changes the reporting deadline date to March 1 (rather than January 1) of each year, beginning in calendar year 2027; and requires the Departments to post the report on their websites. Amends the Medicare-Medicaid Alignment Initiative (MMAI) Nursing Home Residents' Managed Care Rights Law of the Illinois Public Aid Code. Provides that the Article applies to a fully integrated dual eligible special needs plan and any managed care plan for persons who are dually eligible for Medicare and Medicaid. Amends the Nursing Home Care Act. Adds an Article that creates a framework that encourages the construction and operation of skilled nursing facilities that are consistent with State and federal laws and referred to as "cottage style". Amends the Medical Assistance Article of the Illinois Public Aid Code by adding provisions requiring a per diem add on for cottage style nursing homes. Extends the period of eligibility within which a hospital shall be a Safety-Net Hospital if the hospital would have qualified for (i) the rate year beginning October 1, 2011 or October 1, 2012 or (ii) the rate year beginning October 1, 2020, if the hospital was also designated a federal rural referral center. Contains provisions limiting non-citizens eligibility for medical assistance based on federal requirements under Public Law 119-21. Contains provisions on eligibility redeterminations; the duration of retroactive eligibility; emergency rule authority; coverage for proteomic blood tests; MCO behavioral health post-payment reviews; supportive living dementia care services; and other matters. Amends the Specialized Mental Health Rehabilitation Act of 2013. Adds provisions concerning payments to specialized mental health rehabilitation facilities for improving the quality of life and the quality of care of residents; payment rates, beginning January 1, 2027, for facilities with 100 licensed beds to 130 licensed beds; and forensic add-on payments. Amends the Nursing Home Care Act. Contains provisions concerning annual training requirements for facility staff based on the most recurrent citations as specified by the Department of Public Health; rules on monetary penalties for non-compliance with certain requirements; and other matters. Amends the Medical Assistance Article of the Illinois Public Aid Code by adding provisions concerning per diem rate increases based on a facility's STRIVE staffing levels; the enforcement of advance payment agreements; and other matters. Effective immediately, except some provisions take effect July 1, 2026 and some provisions take effect July 1, 2027.

Creates the Ticket Sale and Resale Act of 2025. Provides that a primary seller, secondary ticket exchange, issuer, and reseller shall clearly and conspicuously disclose specified information to a consumer. Prohibits the speculative sale of tickets. Provides that an issuer, secondary ticket exchange, or reseller directly engaged in a transaction with a purchaser shall provide a full refund to the purchaser. Requires specified entities to annually register with the Secretary of State as an event ticket reseller. Sets forth requirements for surety bonds; reporting requirements; consumer compensation; audit and oversight; and revocation of registration. Provides for violations and civil penalties. Requires the Secretary of State to submit an annual report to the General Assembly. Repeals the Ticket Sale and Resale Act. Makes conforming changes. Effective January 1, 2026.