Rep. Sharon Chung

Amends the Illinois Identification Card Act and the Illinois Vehicle Code. Provides that the Secretary of State shall permit applicants to choose between "male", "female", or "X" (rather than "male", "female", or "non-binary") on an application for an identification card, driver's license, or permit. Provides that an applicant who wants to change the sex listed on an issued identification card, driver's license, or permit must submit a gender designation form. Sets forth the requirements of the gender designation form.

Amends the Illinois Controlled Substances Act. Provides that the Prescription Monitoring Program does not apply to testosterone, mifepristone, misoprostol, GnRH analogues, or estrogen. Provides that the Department of Human Services shall purge from the records of the Prescription Monitoring Program all existing information concerning the prescribing or dispensing of testosterone, including any such information contained in the central repository or database, on or before January 1, 2027, and shall ensure that no further records concerning the prescribing and dispensing of testosterone are created or maintained by the Prescription Monitoring Program. Provides that the Department shall update and adopt rules consistent with the provision no later than January 1, 2027. Effective immediately.

Amends the Illinois Insurance Code. Sets forth provisions requiring an individual or group policy of accident and health insurance amended, delivered, issued, or renewed in this State on or after January 1, 2028 to provide coverage for up to a 12-month supply of prescription hormone therapy, and the necessary supplies for self-administration, that is prescribed by a network provider within the provider's scope of practice and dispensed at one time for an enrollee by a provider or pharmacist, or at a location licensed or otherwise authorized to dispense drugs or supplies. Amends the Pharmacy Practice Act. Provides that, notwithstanding any other provision of law, a dispensing provider or pharmacist shall dispense, at a patient's request, up to a 12-month supply of a prescription hormone therapy and the necessary supplies for self-administration pursuant to a valid prescription that specifies an initial quantity followed by periodic refills, except as specified. Amends the State Employees Group Insurance Act of 1971 and the Illinois Public Aid Code to require coverage under the provisions of those Acts.

Amends various Acts relating to the governance of public universities in Illinois to make changes concerning in-state tuition to remove a condition concerning attending high school or a community college while residing in this State and not having established residency outside of this State before enrolling in the public university. Amends the Public Community College Act to change specified conditions under which the board of trustees of a community college district is required to deem an individual an Illinois resident. Effective immediately.

Amends the College Campus Press Act. Defines "public media produced at a State-sponsored institution of higher learning". Provides that all public media produced at a State-sponsored institution of higher learning is a public forum for expression by the employees producing the media at the institution of higher learning. Provides that public media produced at a State-sponsored institution of higher learning is not subject to prior review by public officials of the State-sponsored institution of higher learning. Allows an employee or agent of an entity creating or distributing public media produced at a State-sponsored institution of higher learning to commence a civil action to obtain appropriate injunctive and declaratory relief as determined by a court for violation of the Act by such State-sponsored institution of higher learning. Provides that expression made by an employee or agent of an entity creating or distributing public media produced at a State-sponsored institution of higher learning is neither expression of campus policy nor speech attributable to a State-sponsored institution of higher learning. Provides that a State-sponsored institution of higher learning is immune from any lawsuit arising from expression actually made in public media produced at a State-sponsored institution of higher learning. Makes other changes.

Maddy summaryHB 4421 repeals Section 20-115 of the Illinois State University Law, which previously referenced the Illinois Institute for Entrepreneurship Education. This procedural bill removes a specific provision from state law related to the institute but does not create new policy or directly affect individuals or organizations. The repeal is purely administrative, eliminating a reference within the existing law. The bill was filed on January 14, 2026, and referred to the Rules Committee.

Amends the State Parks Designation Act. Provides that the railroad trestle bridge that is part of the Kickapoo Rail Trail and that is located at the Kickapoo State Recreation Area in Vermilion County shall be known as the Senator Scott Bennett Memorial Bridge. Further provides that, subject to appropriation, appropriate plaques may be erected by the Department of Natural Resources in recognition of the Senator Scott Bennett Memorial Bridge.

Amends the Fair Patient Billing Act. In provisions concerning hospitals and their agents pursuing collection actions, provides that, for any legal action initiated against a patient for unpaid medical debt, a hospital may not file for or be granted a lien upon that patient's primary residence or on any other real property owned by the patient. Effective January 1, 2027.

Amends the Public Utilities Act. Provides that, for any general rate increase requested by a gas, electric, water, or sewer public utility under the provisions of the Act, the Commission shall hold at least one public hearing during which members of the public can provide input on the requested general rate increase. Provides that any affected ratepayer of a requested general rate increase may testify at the public hearing and may file statements that pertain to the subject matter of the public hearing with the person or persons conducting the public hearing. Provides that a public hearing shall be held in the service territory of the public utility that requested a general rate increase at a time and location to be determined by the Commission. Requires the Commission to comply with certain requirements when determining the location of a public hearing. Provides that the Commission shall provide reasonable notice that complies with the Open Meetings Act to members of the public regarding a public hearing. Provides that "reasonable notice" means notice that is provided at least 14 days before a public hearing. Provides that public hearings shall be conducted by the full Commission, a single commissioner, or an administrative law judge from the Commission. Provides that the Commission shall take into consideration any testimony or comments received from members of the public during the public hearing in its deliberations on the requested general rate increase. Makes other changes.

Amends the Criminal Code of 2012. Provides that the statute prohibiting elephants from performing in traveling animal acts applies to "covered animals" rather than just elephants. Defines "covered animal" as any of the following animals, and hybrids of those animals: (1) elephantidae; (2) felidae, but excluding a domestic cat; (3) non-human primate; or (4) ursidae. Provides that the provisions of the amendatory Act are in addition to, and not in lieu of, any other laws protecting animal welfare. Provides that the provisions may not be construed to limit any State law or rules protecting the welfare of animals or to prevent a unit of local government from adopting and enforcing its own animal welfare ordinances and regulations. Contains a severability provision. Effective July 1, 2026.