Rep. Nick Smith

Amends the Illinois Vehicle Code. Provides that a commercial driver training school in the State may administer the CDL test to a student who has successfully completed a commercial driver's education course. Provides that any testing administered must satisfy the specified guidelines required under federal and State law. Requires the Secretary of State to adopt rules.

Amends the Illinois Insurance Code to require an insurance policy to provide coverage for medically necessary treatments for genetic, rare, unknown or unnamed, and unique conditions, including Ehlers-Danlos syndrome and altered drug metabolism. Provides that an insurance policy that provides coverage for prescription drugs shall include coverage for opioid alternatives, coverage for medicines included in the Model List of Essential Medicines published by the World Health Organization, and coverage for custom-made medications and medical food. Provides that an insurance policy that limits the quantity of a medication in accordance with applicable State and federal law shall not require pre-approval for the treatment of patients with rare metabolism conditions that may need a higher dose of medication than what is otherwise allowed within a time frame or prescription schedule. Provides that the burden of proving that treatment is medically necessary shall not lie with the insured in cases of rejections for filing claims, preauthorization requests, and appeals related to coverage required under the Section.

Amends the Illinois Municipal Code. Provides that, if a Public Act transfers State real property to a municipality for nominal consideration and the Public Act requires the property to be used for "public purposes" without defining that term, "public purposes" means any lawful purposes when used in a Public Act with an effective date prior to, on, or after the effective date of the amendatory Act. Makes conforming changes to a Division heading.

Amends the Medical Assistance Article of the Illinois Public Aid Code. In provisions concerning non-emergency transportation services for medical assistance recipients, removes a requirement that facilities complete a Physician Certification Statement prior to ordering non-emergency transportation services for a patient. Instead, requires the Department of Healthcare and Family Services to develop, subject to federal approval, a Uniform Non-Emergency Transportation Certification Form (form) for non-emergency transportation. Provides that the form shall be the only form used by and required of all facilities, physicians, transportation providers, and transportation brokers whenever a patient or person covered by the medical assistance program is being transported from a facility or personal residence and requires non-emergency transportation. Makes corresponding changes to the Nursing Home Care Act and the Hospital Licensing Act. Further amends the Medical Assistance Article with a provision authorizing transportation brokers to use a network of independent driver providers for the delivery of covered transportation services. Provides that transportation brokers and participating independent driver providers shall be subject to the same driver credentialing and licensing standards and provider registration requirements as transportation network companies (TNC) and TNC drivers enrolled in the Impact Medicaid Program Advanced Cloud Technology system. With respect to the Department's Business Enterprise Program requirements for Medicaid managed care organizations (MCO), requires each MCO to submit only one Letter of Intent that consolidates and sets forth all pending transportation services from all BEP-certified transportation providers contracted with the MCO. Requires the Department to permit a MCO's transportation broker to attest to the accuracy of all claims for services provided by a contracted transportation provider.

Creates the Commission to End Gun Violence in Disproportionately Impacted Areas Act. Establishes the Commission to End Gun Violence in Disproportionately Impacted Areas. Provides that the purpose of the Commission is to study, analyze data, make recommendations, and develop policy proposals addressing the root causes of violence and resulting trauma to drastically reduce gun violence in Disproportionately Impacted Areas. Sets forth provisions concerning membership; terms; compensation; and administrative support. Provides that the Commission shall submit a report to the Governor and the General Assembly no later than July 1, 2026 and each year thereafter, including, at a minimum, detailed findings and recommendations related to the reduction of gun violence in Disproportionately Impacted Areas. Effective immediately.

Amends the Illinois Municipal Code. Provides that all municipalities (currently, only municipalities in a county with a population of over 3,000,000 inhabitants) may impose a motor fuel tax. Effective immediately.

Creates the Debt Resolution Services Act. Provides that no person shall provide or offer to provide debt resolution services without a debt resolution services license. Defines "debt resolution services" as a program or service represented, directly or by implication, to renegotiate, settle, or in any way alter the terms of payment or other terms of the debt between a consumer and one or more unsecured creditors. Sets forth requirements for a debt resolution services license. Sets forth the process for obtaining a debt resolution services license. Provides that specified persons are exempt under the Act. Provides the prerequisites and permitted practices for providing debt resolution services. Provides the requirements for a contract between a licensee and a consumer for debt resolution services. Provides that a consumer may terminate a contract to provide debt resolution services at any time without any penalty. Provides that a licensee may terminate a contract to provide debt resolution services if specified conditions are satisfied. Includes provisions concerning the powers of the Department of Financial and Professional Regulation; prohibited activities under the Act, including prohibitions against false or misleading advertising; annual reports filed by a licensee; fees for debt resolution services; information a licensee must provide to a consumer; records a licensee is required to keep; penalties for violating the Act; and transactions entered into before the effective date of the Act. Repeals the Debt Settlement Consumer Protection Act. Amends various Acts to replace references to the Debt Settlement Consumer Protection Act to the Debt Resolution Services Act. Effective one year after becoming law except that certain provisions concerning rulemaking are effective immediately.

Maddy summaryThis is a memorial resolution honoring Annie Pearl Howard, a Chicago resident who passed away. The Illinois House of Representatives formally mourns her death and extends condolences to her family, including her children, grandchildren, and extended community. As a procedural resolution (not a policy bill), it has no legislative impact beyond expressing collective sympathy.

Maddy summaryThis is a ceremonial resolution (not a policy bill) recognizing Illinois House Speaker Emanuel "Chris" Welch for becoming the first Black lawmaker elected as Illinois House Speaker in the state's 200+ year history. The resolution formally celebrates his leadership during Black History Month and acknowledges his re-election as Speaker in 2023 and 2025. It serves as a symbolic gesture from the Illinois House of Representatives to honor his historic role, with no new laws or policy changes enacted.

Maddy summaryHR 146 is a memorial resolution honoring Joseph Henry Holifield, a retired Ford welder and Chicago resident who passed away. The resolution, adopted by the Illinois House of Representatives on February 20, 2025, expresses condolences to his family and describes his life, including his work, faith, love of family (especially as "Poppy" to his grandchildren), and hobbies. This is a ceremonial resolution with no policy provisions or impact on laws - it solely serves to formally mourn his passing and extend sympathy.