Amends the Preventing Sexual Violence in Higher Education Act. Requires each higher education institution to biennially (rather than annually) conduct a sexual misconduct climate survey of all students at the institution. Adds the Executive Director of the Illinois Community College Board, members appointed by the Board of Higher Education, and members appointed by the Illinois Community College Board to the Task Force on Campus Sexual Misconduct Climate Surveys. Removes some members of the Task Force who were appointed by the Governor. Requires the Task Force to meet to recommend updates and revisions to the base survey (rather than to review the results of the survey and to implement updates and improvements). Removes the civil fine imposed upon an institution that violates the provisions or fails to carry out the provisions. Makes other changes.

Amends the Educator Licensure Article of the School Code. Adds 5 administrative or faculty members of community colleges to the State Educator Preparation and Licensure Board. For a Professional Educator License: provides that the requirements to successfully complete specified coursework are only required until July 1, 2027 or the date that the revised test for a particular content area is implemented, whichever is later; and exempts persons seeking a school support personnel or chief school business official endorsement from the requirement that a person must successfully complete specified coursework. Requires, by July 1, 2027, the State Superintendent of Education to begin incorporating specified topics into revised examinations for individuals seeking a Professional Educator License endorsed in teaching or administration, excluding a chief school business official endorsement. Exempts, for educator licenses, applicants seeking a school support personnel endorsement who hold an active and valid professional license in the same subject matter as the endorsement sought from being required to pass a test of content area knowledge for each area of endorsement for which there is an applicable test. Creates the Teacher Performance Assessment Advisory Committee to aid in operationalizing and creating a pilot, State-developed, teacher performance assessment. Establishes the Paraprofessional to Teacher Pathway Program to provide an expedited pathway for paraprofessionals to earn a Professional Educator License in a specific content area. Sets forth the Program criteria, the requirements for individuals for entry into the Program, and the adoption of rules by the State Board of Education. Provides that an institution of higher education approved to offer educator preparation programs may enter into a partnership agreement with a community college to offer an approved educator preparation program leading to educator licensure for individuals who already hold a bachelor's degree. Makes other changes.

Amends the Healthy Forests, Wetlands, and Prairies Act. Authorizes grants to be provided under the Act for financing shoreline restoration and protection projects on behalf of counties and park districts.

Amends the Hospital Licensing Act. Provides that, if an individual is treated at a hospital and the hospital conducts a urine drug screening to assist in diagnosing the individual's condition, the hospital shall include testing for fentanyl in the individual's urine screening. Provides that if the urine drug screening, conducted in accordance with the provisions, detects fentanyl, the hospital shall report the test results, which shall be deidentified, to the Department of Public Health through the State-designated health information exchange. Provides that a hospital that does not have chemical analyzer equipment is not subject to the provisions. Provides that the provisions do not affect any State law which provides civil or criminal immunity to an individual who is in need of medical assistance after ingesting or using alcohol or drugs or to an individual who, in good faith, assists another who is in need of medical assistance after ingesting or using alcohol or drugs. Effective immediately.

Amends the State Universities Article of the Illinois Pension Code. Provides that a Tier 2 member who has at least 20 years of service in this system as a police officer or firefighter is entitled to a retirement annuity upon written application on or after the attainment of age 55 (instead of age 60) if a specified rule is applicable to the participant. Provides that the changes apply retroactively to January 1, 2011. Provides that any benefit increase that results from the amendatory Act is excluded from the definition of "new benefit increase".

Amends the Chicago Firefighter Article of the Illinois Pension Code. Provides that the Retirement Systems Reciprocal Act (Article 20 of the Code) is adopted and made a part of the Chicago Firefighter Article, but only with respect to a person who, on or after the effective date of the amendatory Act, is entitled under the Chicago Firefighter Article to begin receiving a retirement annuity or survivor's annuity and who elects to proceed under the Retirement Systems Reciprocal Act. Amends the State Mandates Act to require implementation without reimbursement by the State.

Makes changes to defined terms in provisions concerning billing for emergency services. Removes provision that made emergency billing provisions inapplicable to ground ambulance services. Sets forth provisions concerning coverage for ground ambulance services provided by nonparticipating ground ambulance service providers. Provides that, beginning on October 1, 2026, and each October 1 thereafter, each nonparticipating ground ambulance service provider shall file annually with the Department of Public Health, in the form and manner prescribed by the Department, its average gross charge rates and any other information required by the Department, by rule, for each of the specified ground ambulance charge descriptions. Requires the Department to publish the submitted rate information by January 1, 2027 and every January 1 thereafter. Permits the Department to request other information, as provided. Requires the Department of Insurance to direct the health insurance issuer to the location in which the information reported to the Department of Public Health is stored. Provides that a home rule unit may not regulate payments for ground ambulance service in a manner inconsistent with the specified provisions concerning billing for emergency services. Makes conforming changes. Effective immediately.

Amends the Video Gaming Act. Prohibits a home rule unit of local government with a population of over 1,000,000 from enforcing any local ordinance passed prior to the effective date of the amendatory Act prohibiting the operation of video gaming terminals within the corporate limits of the municipality. Prohibits a home rule unit of government with a population of over 1,000,000 from imposing any fee for the operation of a video gaming terminal in excess of $250 per year.

Amends the Illinois Insurance Code. Provides that an individual or group health benefit plan shall not impose any prior authorization requirements on outpatient services for the prevention, screening, diagnosis, or treatment of mental, emotional, nervous, or substance use disorders or conditions.

Amends the Department of Employment Security Law of the Civil Administrative Code of Illinois. Provides that the Department of Employment Security shall create a self-employment assistance program to provide benefits to individuals who are working to start a business in the State and who are otherwise eligible to receive benefits under the Unemployment Insurance Act. Provides that a participant in the program shall be deemed to be actively engaged in seeking work as required under the Unemployment Insurance Act. Provides that benefits paid to a participant in the program are considered to be benefits paid under the Unemployment Insurance Act. Provides that the Department of Employment Security shall adopt rules to implement and administer the program.

Amends the Consumer Fraud and Deceptive Business Practices Act. Provides that it is an unlawful practice for any third-party hotel booking service to facilitate the reservation or booking of a physical accommodation in the State without providing specified disclosures to the consumer. Sets forth requirements for the disclosure, including that it is clear and conspicuous. Defines terms. Effective January 1, 2026.

Amends the Illinois Highway Code. Allows a highway commissioner's salary to be paid from the corporate road and bridge fund or the permanent road fund or both.

Amends the ID/DD Community Care Act. Provides that, by no later than January 1, 2026, the Department of Public Health shall adopt and implement streamlined and person-centered procedures for appealing a resident assessment conducted by the inspection of care team. Requires the Department to adopt rules, including emergency rules, to implement the provisions. Amends the Illinois Administrative Procedure Act to make a conforming change. Effective July 1, 2025.

Amends the Freedom of Information Act. Provides that "public records" includes records of the names of persons on electronic monitoring and the number of times a person on electronic monitoring has violated the terms of electronic monitoring and includes court records of that information. Provides that notwithstanding any other provision of the Act to the contrary, the Act does not authorize withholding of information or limit the availability of records to the public that contain the names of persons on electronic monitoring and the number of times a person on electronic monitoring has violated the terms of electronic monitoring. Amends the Unified Code of Corrections. Provides that these records are public records and subject to disclosure, inspection, and copying under the Freedom of Information Act.

Amends the Property Tax Code. Provides that, for taxable years 2026 and thereafter, provisions concerning erroneous homestead exemptions also apply to persons who received an erroneous low-income senior citizens assessment freeze homestead exemption in a county with less than 3,000,000 inhabitants. Effective immediately.