Reinserts the provisions of Senate Amendment No. 1. Deletes the provision that the Office of Statewide Pretrial Services shall assist local pretrial services with pretrial supervision at the request of the Chief Judge. Effective immediately.

Amends the Illinois Insurance Code. Provides that no policy of accident or health insurance that is issued, amended, delivered, or renewed on or after January 1, 2027 may limit or otherwise alter coverage available to an insured based solely on that insured's weight or body mass index. Amends the Medical Patient Rights Act. Provides that no physician may make a diagnosis or determination of treatment based solely on a patient's body mass index. Establishes disclosure requirements for hospitals concerning the use of body mass index in diagnosis and treatment. Provides that any physician, medical student, resident, advanced practice registered nurse, registered nurse, physician assistant, licensed behavior analyst, licensed assistant behavior analyst, or clinical psychologist who conducts medical, behavioral, or psychological assessments shall only use methodology recommended by peer-reviewed clinical practice guidelines or methodology established through evidence-based standards that are widely recognized by professional medical, behavioral, or psychological organizations, respective to the form of assessment, when conducting those assessments.

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that any person who was initially determined to be eligible for medical assistance and is receiving institutional services or home and community-based services as authorized under the Article shall be presumed eligible for a continuation of coverage for such services during any redetermination process, unless the person experiences a material change in financial circumstances that results in the loss of eligibility. Requires any person who experiences a material change in financial circumstances that results in the loss of eligibility to notify the Department of Healthcare and Family Services. Permits the Department to conduct a redetermination of eligibility. Requires the Department to notify the person before the commencement of any redetermination and after the redetermination is concluded along with the results of the redetermination and the effective date of any eligibility change. Requires the Department to seek federal authorization, no later than January 1, 2028, to exempt persons with disabilities who are otherwise eligible for medical assistance from annual eligibility redeterminations, except that a full redetermination shall be conducted at least once every 5 years, regardless of whether a material change in financial circumstances has occurred.

Amends the Illinois Insurance Code. Beginning January 1, 2027, requires each covered entity to pay to the Department of Insurance a behavioral health emergency services covered lives assessment for deposit into the Behavioral Health Emergency Services Assessment Account within the Statewide 9-8-8 Trust Fund. Establishes requirements for the assessment and for payments from a covered entity. Grants the Department of Insurance authority to contract with a third party to obtain covered lives information, administer the assessment, and perform related audit or collection functions. Sets forth provisions concerning liability for when ownership is transferred and periodic adjustment of the assessment. Provides that the provisions concerning the behavioral health emergency services covered lives assessment may be referred to as the Preventing Crisis Cost Shifting to Medicaid Law. Sets forth provisions concerning network adequacy requirements for a health insurance issuer or health maintenance organization relating to behavioral health emergency services. Amends the State Finance Act. Creates the Behavioral Health Emergency Services Assessment Account within the Statewide 9-8-8 Trust Fund to be used solely, consistent with the specified purposes, for behavioral health emergency services and administrative costs related to implementation of the assessment provisions in the Illinois Insurance Code. Prohibits a provider or entity receiving funds attributable to the assessment under the Illinois Insurance Code from billing a covered entity for the specified behavioral health emergency services for a covered life. Requires the Department of Human Services to submit an annual report to the Governor and the General Assembly on the receipts and expenditures of the Behavioral Health Emergency Services Assessment Account. Contains a severability clause. Effective January 1, 2027.

Repeals the Messages Tax Act. Makes changes concerning cross-references to that Act. Amends the Use Tax Act, the Service Use Tax Act, the Service Occupation Tax Act, and the Retailers' Occupation Tax Act, and various Acts imposing local use and occupation taxes to replace references to "alcoholic beverages" with "alcoholic liquor taxable under Section 8-1 of the Liquor Control Act". Makes technical changes concerning incorporation of provisions of the Retailers' Occupation Tax Act into various other Acts. Amends the Hotel Operators' Occupation Tax Act to make changes concerning re-renters of hotel rooms. Effective immediately.

Amends the Illinois Horse Racing Act of 1975. Provides that the Illinois Racing Board, in lieu of obtaining a court reporter to make accurate transcriptions at each regular and special meeting and proceeding, shall create a verbatim record of each regular and special meeting in the form of an audio or video recording, unless an emergency situation precludes the creation of a transcript or recording. Allows the Board to refuse an occupation license to any person for any other just cause. Requires an applicant for an employment position as a pari-mutuel clerk, parking attendant, or security guard to include in the application whether the applicant has ever been convicted of any theft, fraud, wagering during the course of employment, touting, bookmaking, or any other act which is detrimental to the best interests of racing. Requires a licensee to forward a copy of the application form to the Board prior to extending an offer of employment to an applicant (rather than upon its decision to hire the applicant) and certify that it has checked the applicant's background. Removes language requiring the Board's review of an applicant to include an inquiry. Provides that no organization license may be granted to conduct a horse race meeting to any person who does not, at the time of application for the organization license, have plans certified by a licensed architect and confirmed financing for construction of a race track suitable for the type of racing intended to be held by the applicant and for the accommodation of the public on property that the applicant owns or has a contract or lease for possession of with completion scheduled before the meet applied for begins. Requires an application to conduct a horse race meeting to be delivered with a certified check or bank draft payable to the order of the Board for $10,000 (rather than $1,000). Allows the Board to impose civil penalties of up to $10,000 (rather than $5,000) for individuals and up to $25,000 (rather than $10,000) against licensees for each violation of the Act. Makes conforming and other changes. Effective immediately.

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

Amends the Adult Protective Services Act. Expands the list of mandated reporters to include investment advisers, investment adviser representatives, dealers and salespersons, and employees of financial institutions who have direct contact with eligible adults who are clients of the financial institution and have access to the financial information of the institution's clients. Permits a financial institution to place a transactional hold on an eligible adult's account if the institution's employees have a reasonable suspicion that a transaction or disbursement from the eligible adult's account may involve, facilitate, result in, or contribute to financial exploitation of the eligible adult. Provides that transactional holds must be followed by an internal review that satisfies the internal policies of the financial institution that issued the hold. Further provides that a financial institution that uses a transactional hold must create internal policies regarding identifying and reporting financial exploitation of eligible adults and transactional holds. Contains provisions on the duration of initial transactional holds and extended transactional holds; requirements on notification to law enforcement, especially in cases involving financial fraud that is outside the Act's scope; civil immunity for any financial institution and its employees who place a transactional hold on an eligible adult's account in good faith; mandated reporter training for specified employees of a financial institution; and other matters. Makes conforming changes to the Illinois Securities Law of 1953, the Illinois Banking Act, the Savings Bank Act, Illinois Credit Union Act, and the Criminal Code of 2012. Effective January 1, 2027.

Amends the Public Utilities Act. Provides that a public utility shall freeze its monthly customer charge for low-income households at an amount equal to a percentage of the household's income that is no greater than the current percentage of income used to determine the amount of monthly credits administered to participants of the Percentage of Income Payment Plan under the Energy Assistance Act.

Creates the Law Enforcement Data Sharing Act. Provides that a criminal justice agency shall share with a bona fide researcher all criminal justice data and records, including relevant personally identifying information and demographic information, held by that agency relating to: (1) a law enforcement stop, search, or seizure; (2) a warrant, arrest, or citation; (3) participation in a pre-arrest or post-arrest diversion, specialty court, or other alternative resolution program; (4) a criminal charge, disposition, or sentence; (5) a pretrial or posttrial release from custody, or any terms or conditions of release; (6) a grant, order, change in the terms of, or termination of pretrial supervised release, probation, parole, or participation in correctional or rehabilitative programs; or (7) a formal discipline, reclassification, or relocation of any person under criminal sentence or correctional control. Provides that a criminal justice agency shall share with a bona fide researcher all criminal justice data and records, including relevant personally identifying information and demographic information, held by the criminal justice agency that is subject to mandatory or discretionary disclosure to any member of the public under the Freedom of Information Act. Provides that a criminal justice agency may share with a bona fide researcher any other criminal justice data, records, or information, including relevant personally identifying information and demographic information, held by that agency that is responsive to a bona fide researcher's request. Provides that, within 6 months after the effective date of the Act, the Attorney General shall issue guidance to assist criminal justice agencies in complying with the Act's requirements. Provides that a criminal justice agency may assess reasonable fees, not to exceed actual costs, for the search, retrieval, and copying of criminal justice data, records, or information requested under the Act, and may waive fees at their discretion.

Reinserts the provisions of the introduced bill with the following changes. Makes changes to senior management official and executive officer provisions. In provisions concerning the delegation of duties by the board of directors, provides that the board of directors may delegate to the chief management official the hiring of employees other than the chief management official, including, without limitation, vice presidents and other officers (instead of just the hiring of employees other than the chief management official), and fixing their title, grade, and compensation (instead of just their compensation). Removes provisions concerning a credit union's authority to engage in digital asset business activity and perform custodial services. Provides that, when marketing or advertising digital assets, digital asset business activities conducted by covered persons or service providers (instead of digital asset business activities), and related administrative functions to the members of the credit union, the members shall receive the specified information. Makes changes to compliance requirements in provisions concerning the investment of credit union funds in commercial mortgage related securities and collateralized mortgage obligations. Effective immediately.

Creates the Internet Gaming Act. Authorizes an Internet gaming operator to offer Internet gaming in accordance with the provisions of the Act. Provides that Internet gaming shall only be offered by an Internet gaming license or an Internet management service provider that has contracted with an Internet gaming licensee. Provides that an Internet gaming licensee shall offer no more than 3 individually branded Internet gaming skins. Provides that an Internet management service provider may conduct Internet gaming on its own Internet gaming platform pursuant to the agreement between the provider and an Internet gaming licensee and in accordance with the rules of the Board and the provisions of the Act. Includes provisions for: requirements of an Internet gaming platform; Internet waging accounts; license requirements; age verification, location, and responsible gaming; diversity goals in procurement and spending by Internet gaming licensees; acceptance of out-of-state wagers; and limitations on home rule units. Provides that a 25% privilege tax is imposed on Internet gaming to be deposited into the State Gaming Fund. Authorizes the adoption of emergency rules to implement the Act and makes conforming changes in the Illinois Administrative Procedure Act. Effective immediately.

Amends the Environmental Protection Act. In a provision establishing greenhouse gas emission controls, authorizes an electric generating unit or large GHG-emitting unit to continue operating if an emergency, pre-emergency, or conservative operations situation exists. Provides that no variance, adjusted standard, or other regulatory relief that is otherwise available under the Act may be granted from the Act's greenhouse gas emission controls if battery storage resources constitute at least 10% of the total State-installed generation capacity. Provides that, if battery storage resources constitute less than 10% of the total State-installed generation capacity at any time after the effective date of the amendatory Act, the Environmental Protection Agency shall delay enforcement of certain greenhouse gas emission controls. Directs the Environmental Protection Agency to adopt rules to implement these requirements. Defines "battery storage resource" and "total State-installed generation capacity". Makes other changes. Effective immediately.

Creates the Transparency in Frontier Artificial Intelligence Act. Requires large frontier artificial intelligence developers to adopt and publish a frontier artificial intelligence framework addressing catastrophic risk management, transparency, and cybersecurity. Mandates reporting of critical safety incidents to the Attorney General and establishes civil penalties for noncompliance. Directs the Department of Innovation and Technology to review and recommend updates to definitions and standards. Creates a consortium to develop ILCompute, a public cloud computing resource that advances the development and deployment of artificial intelligence that is safe, ethical, equitable, and sustainable. Exempts specified information under the Freedom of Information Act. Makes conforming changes to the Freedom of Information Act.

Creates the Local Government Building Permit Act. Provides that the Act only applies to units of local government that require a person to obtain a permit from the unit of local government before the person may construct a building within the unit of local government. Requires a unit of local government to comply with specified timelines for issuing building permits. Provides that, if a unit of local government fails to comply with the timelines, then the building permit is automatically approved by operation of law, unless the proposed building project violates published building or zoning codes. Requires a unit of local government to publish the specified information concerning building permits on its public-facing website. Provides that the fees that a unit of local government imposes to approve a building permit application may not exceed the actual cost the unit of local government incurs to review a building permit application. Provides that, if a unit of local government denies a person's building permit application, then the person may appeal the decision to the Building Permit Ombudsman. Amends the Department of Commerce and Economic Opportunity Law. Creates the position of Building Permit Ombudsman within the Department of Commerce and Economic Opportunity. Provides that the Building Permit Ombudsman shall receive, review, and resolve appeals brought under the Local Government Building Permit Act. Requires the Building Permit Ombudsman to (i) examine the issues and the information provided by both parties; (ii) make findings of fact and conclusions of law; and (iii) issue a decision to the developer and the unit of local government in response to the appeal.