Rep. Dee Avelar

Amends the Sexual Assault Survivors Emergency Treatment Act. Defines "acute sexual assault" as a sexual assault that has recently occurred within a specified time. Replaces various references to "sexual assault" with "acute sexual assault". Deletes the definition of "prepubescent sexual assault survivor". Changes provisions regarding hospitals located in counties with a population of less than 1,000,000 and within a 20-mile radius of a 4-year public university with respect to a sexual assault treatment plan approved by the Department of Public Health. Makes changes in various provisions concerning plans of correction and penalties for hospitals that commit specified violations of the Act. In provisions regarding requirements for medical forensic services, provides that the provisions of the Act are not intended to prohibit a qualified medical provider from offering an Illinois Sexual Assault Evidence Collection Kit to a sexual assault survivor who presents at a treatment hospital or approved pediatric health care facility with a nonacute complaint of sexual assault if there is a compelling reason for evidence collection, or upon the request of the survivor. In provisions regarding the prohibition on billing sexual assault survivors directly for certain services, changes references to the Office of the Attorney General to references to the Department of Healthcare and Family Services.

Creates the Climate Displacement Task Force Act for the purpose of making recommendations regarding climate displacement within the State. Contains provisions concerning the appointment of members to the Task Force and the duties of the Task Force. Requires the Task Force to submit to the General Assembly an initial report delineating the Task Force's findings, conclusions, and recommendations by no later than June 30, 2026.

Amends the Illinois Sports Facilities Authority Act. Modifies legislative findings. Provides that "facility" includes stadiums, arenas, or other structures for the holding of athletic contests and other events and gatherings, including, without limitation, professional women's sports. Provides that a person may not, on the basis of sex, be prohibited from participating in or receiving any of the benefits of programs or activities at facilities funded under the Act, including facilities established or supported by bonds issued under the Act. Requires the Illinois Sports Facilities Authority to report to the Governor and the General Assembly on any male or female professional sports projects brought to the Authority by a professional sports team in the State. Provides that the Authority shall notify the Governor, Speaker of the House of Representatives, Minority Leader of the House of Representatives, President of the Senate, and Minority Leader of the Senate of the proposal within 2 weeks of receiving a formal request or inquiry. Provides that, before the General Assembly authorizes the issuance of additional bonds under the Act to fund facilities for professional men's sports teams, each chamber of the General Assembly may hold a hearing to publicly review any proposal submitted to the Authority. Repeals provisions relating to a dissolved advisory board. Effective immediately.

Amends the Prevailing Wage Act. Provides that the definition of "public works" includes all federal construction projects administered or controlled by a public body if the prevailing rate of wages is equal to or greater than the prevailing wage determination by the United States Secretary of Labor for the same locality for the same type of construction used to classify the federal construction project. Makes a conforming change. Effective July 1, 2025.

Amends the Environmental Protection Act. Provides that no person shall conduct a carbon sequestration activity within a sequestration facility that overlies, underlies, or passes through a sole-source aquifer. Specifies that this provisions does not deprive the Environmental Protection Agency of the authority to deny a carbon sequestration permit. Defines "sole-source aquifer".

Amends the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois. Provides that the Department of Public Health shall create a professional development course that addresses racial disparities in maternal health treatment and the impact of racial disparities on non-Hispanic Black and American Indian women. Provides that the course shall have a length of at least one hour. Requires the course to include education on (i) current statistics about pregnancy-related death for all racial and ethnic groups, as defined by the Centers for Disease Control and Prevention, (ii) potential risk factors associated with women that are a part of a marginalized racial or ethnic group that has increased maternal mortality rates, and (iii) medical care plans and programs that have been demonstrated to successfully decrease maternal mortality rates and complications before and after pregnancy. Provides that the Department shall require health care professionals to complete the professional development course.

Amends the Environmental Protection Act. In a provision regarding operator certification for sewage works, provides that the Environmental Protection Agency shall establish a provisional wastewater operator certification program by which a person who does not possess a high school diploma or its equivalent may act as a provisional wastewater operator under a provisional wastewater operator certificate. Allows the Agency to adopt rules. Amends the Public Water Supply Operations Act. In a provision regarding community water supply operator certification, provides that the Environmental Protection Agency shall establish a provisional community water supply operator certification program by which a person who does not possess a high school diploma or its equivalent may act as a provisional community water supply operator under a provisional community water supply operator certificate. Allows the Agency to adopt rules.

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.

Amends the Nursing Mothers in the Workplace Act. Provides that an employer shall provide 30 minutes of paid break time (rather than reasonable break time) to an employee who needs to express breast milk for her nursing infant child each time the employee has the need to express milk for one year after the child's birth. Provides that the employee may use other paid break time or meal time for any time needed in excess of 30 minutes. Provides that an employer shall provide paid break time (rather than reasonable break time) as needed by the employee unless to do so would create an undue hardship.

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.