Rep. Nicolle Grasse

Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2026 shall provide coverage for medically necessary general anesthesia, regardless of the duration, for any procedure covered by the policy, and that medical necessity shall be determined by the attending anesthesiologist or licensed anesthesia provider. Provides that an individual or group policy of accident and health insurance is prohibited from denying payment or reimbursement for anesthesia services solely because the duration of care exceeded a preset time limit. Amends the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, the Limited Health Service Organization Act, the Voluntary Services Plans Act, and the Illinois Public Aid Code to require coverage under those provisions. Effective immediately.

Creates the Illinois Freedom Trails Commission Act. Establishes the Illinois Freedom Trails Commission. Provides that the purpose of the Commission shall be to explore, research, and commemorate the journeys of freedom seekers and the sites and landmarks in the State that became the networks of the Underground Railroad. Provides that the Commission shall implement educational, landmark preservation, and grant programs. Sets forth provisions concerning membership; terms; compensation; administrative support; and staff. Provides that the Commission shall submit an annual report to the Governor and the General Assembly. Effective immediately.

Amends the Family Military Leave Act. Changes the name of the Act to the "Military Leave Act". Provides that an employee may use up to 8 hours per calendar month to participate in a funeral honors detail, up to a total of 40 hours per calendar year, or more if authorized by the employer or if provided for in a collective bargaining agreement. Provides for requirements to take leave for funeral honors details. Provides that an employee that takes leave may do so in lieu of, and without having exhausted, his or her vacation leave, personal leave, compensatory leave, or any other leave that may be granted to the employee, including sick leave and disability leave. Defines terms. Provides that the employer of an employee that takes leave must pay the employee his or her regular rate of pay for the leave taken to participate in a funeral honors detail. Makes conforming changes. Effective immediately.

Creates the One Health Framework Task Force Act. Establishes the One Health Framework Task Force in the Department of Public Health for the purpose of developing a strategic plan to promote interdisciplinary communication and collaboration between physicians, veterinarians, and other scientific professionals and State agencies, with the goal of promoting the health and well-being of the State's residents, animals, and environment. Declares goals and responsibilities of the Task Force. Provides that the Task Force shall partner with or consult with certain entities in the State. Lists the members of the Task Force. Provides that the Task Force shall convene and meet at the call of the chairperson. Provides that the Department of Public Health shall provide support to the Task Force. Provides that members of the Task Force shall serve without compensation but shall be reimbursed for reasonable and necessary expenses from funds appropriated for that purpose. Provides that the Task Force shall submit a final report to the General Assembly and the Governor on or before January 1, 2027. Defines terms.

Amends the Children with Disabilities Article of the School Code. Provides that a school shall provide written notice to the parents or guardian of a child with disabilities that the parents or guardian have the right to have an individualized education program (IEP) advocate present at any meeting regarding the child's current or prospective individualized education program and that the parents or guardian have the right to ask for an IEP facilitator for the child's IEP. Provides that the school may provide the written notification as a part of other provided documentation, including, but not limited to, admission and enrollment documents.

Amends the Township Code. Provides that, in the event of a vacancy in the office of township supervisor, the township trustee who has the longest term of continuous service as a township trustee shall be ex officio supervisor of general assistance in the township and shall administer the general assistance program in the township as provided in Articles VI, XI, and XII of the Illinois Public Aid Code during the pendency of the vacancy in the office of township supervisor.

Amends the Department of Natural Resources (Conservation) Law of the Civil Administrative Code of Illinois. Provides that the Department of Natural Resources has the power to exercise all rights, powers, and duties conferred by law and to take measures that are necessary for the implementation of rewilding as a conservation strategy in this State, including, but not limited to, the restoration of land to its natural state, the reintroduction of native species, particularly apex predators and keystone species, and the restoration of ecological processes as defined by State-specific baselines.

Amends the Accident and Health Article of the Illinois Insurance Code. Provides that no health insurer may charge a patient out-of-network rates for neonatal care at any hospital.

Amends the Metropolitan Water Reclamation District Article of the Illinois Pension Code. Provides that an ordinary disability benefit shall be allowed only if the employee is examined, at least annually, by a licensed health care professional appointed by the Board of Trustees of the Fund. In the definition of "salary", provides that, for a member on a disability benefit, salary is the salary on which the disability benefit is based. Provides that the Board has the power to issue subpoenas to compel the attendance of witnesses to testify before the Board and to compel the production of documents and records upon any matter concerning the Fund, including in conjunction with specified matters. Sets forth provisions concerning fees of witnesses for attendance and travel and compliance with a subpoena.

Creates the First Responder Trauma-Informed Response Training Act, which may be referred to as Anna's Law. Provides that, prior to the onboarding processes of a first responder, the individual must complete mandatory pass or fail trauma-informed response training, as established by the Department of Public Health. Provides that a first responder must also complete the pass or fail trauma-informed response training every 18 months after beginning work as a first responder. Provides that, if more than 18 months have elapsed after beginning work as a first responder and the first responder has not completed the retraining, the first responder may not perform trauma-related duties, such as responding to emergency calls, taking statements from victims, or interviewing victims. Provides that, if a first responder who is certified or licensed by the State or a subdivision of the State has not completed the required trauma-informed response retraining, the first responder may be decertified by the certifying entity or the first responder's license may be revoked by the licensing entity if retraining is not completed. Limits the concurrent exercise of home rule powers. Defines terms. Makes conforming changes in the Illinois Police Training Act and the Emergency Medical Services (EMS) Systems Act, including requiring the Department of Public Health to adopt rules to implement the trauma-informed response training and providing that the rules may allow or require the use of a training program from a university, college, or not-for-profit entity.