Rep. Bill Hauter

Amends the End-of-Life Options for Terminally Ill Patients Act. Deletes provisions requiring a health care professional or health care entity unable or unwilling to carry out aid in dying to refer the individual to another health care professional or health care entity. Repeals provisions concerning the signing of a death certificate and the contents of a death certificate for a death under the Act. Effective September 12, 2026.

Amends the Illinois Municipal Retirement Fund (IMRF) Article of the Illinois Pension Code. Provides that, if the payment of a retirement annuity is made to an annuitant more than one month after that retirement annuity payment became payable, then the Fund shall pay interest to the annuitant in an amount equal to 6% of that payment of the retirement annuity. Amends the Illinois Insurance Code. In provisions concerning the municipal employee's continuance privilege, provides that if an employee has elected to have the monthly premium deducted by the Illinois Municipal Retirement Fund from the employee's monthly pension payment, then the Illinois Municipal Retirement Fund shall promptly remit the premium payments to the insurance company, regardless of whether the employee's monthly pension payment has been paid to the employee. Amends the State Mandates Act to require implementation without reimbursement.

Amends the Toll Highway Act. Allows an active-status member of the Illinois National Guard to use a toll highway without paying the toll if the active-status member has applied for and received from the Illinois State Toll Highway Authority an Official Permit Card. Requires the Authority to adopt rules for the issuance of a permit that allows an active-status member of the Illinois National Guard to use any toll highway without paying the established toll.

Amends the Illinois Vehicle Hijacking and Motor Vehicle Theft Prevention and Insurance Verification Act. Provides that each self-insured commercial vehicle rental company may collect and shall pay into the Vehicle Hijacking and Motor Vehicle Theft Prevention and Insurance Verification Trust Fund an amount equal to $1.00, or a lesser amount determined by the Illinois Vehicle Hijacking and Motor Vehicle Theft Prevention and Insurance Verification Council, multiplied by each car rental contract providing physical damage insurance coverage written by it in the State during the preceding calendar year. Effective January 1, 2027.

Creates the Protect Communities from Unregulated Substances Act. Prohibits dispensing, distributing, manufacturing, or selling kratom or tianeptine products for human use unless approved by the U.S. Food and Drug Administration. Provides civil penalties of $10,000 per violation and authorizes enforcement by the Attorney General. Declares findings. Defines "kratom", "kratom product", and "tianeptine product". Includes severability. Effective immediately.

Amends the Illinois Vehicle Code. Provides that no person may be retained in service as an investigator to investigate and enforce provisions of the Act administered by the Secretary of State after he or she has reached 65 (instead of 60) years of age. Removes the exemption for persons employed in the title of Capitol Police Investigator.

Amends the Hospital Emergency Service Act. Provides that every hospital required to be licensed by the Department of Public Health pursuant to the Hospital Licensing Act which provides general medical and surgical hospital services, except for specified long-term acute care hospitals and rehabilitation hospitals, shall have at least one licensed physician who specializes in emergency medicine staffing the emergency department at all times. Effective immediately.

Amends the Illinois Income Tax Act. Provides that, for taxable years beginning on or after January 1, 2026 and beginning before January 1, 2029, the amount of the credit for volunteer emergency workers shall be $1,000 per eligible individual (currently, $500 per eligible individual). Provides that the aggregate amount of volunteer emergency worker credits shall be $6,000,000 per year (currently, $5,000,000 per year). Effective immediately.

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that subject to federal approval, beginning on January 1, 2026, the reimbursement rates for the support component of the nursing facility rate for facilities licensed under the Nursing Home Care Act as skilled or intermediate care facilities and for facilities licensed under the Specialized Mental Health Rehabilitation Act of 2013 shall be the rate in effect on June 30, 2024 increased by the percent change in the Consumer Price Index-U from September 2016 to September 2025. Effective immediately.

Maddy summaryHR 427, the "EDUCATIONAL CHOICE ACT," is a resolution that urges Governor JB Pritzker to opt Illinois into the provisions of the federal "Educational Choice for Children Act." If the Governor were to act on this urging, it would enable Illinois to participate in a program related to educational choices for children.