Sen. Mike Porfirio

Amends the Medical Assistance Article of the Illinois Public Aid Code. In provisions concerning medical assistance for employed persons with disabilities and employed persons with a medically improved disability, provides that, subject to federal approval, the Department of Healthcare and Family Services shall eliminate income eligibility standards for such persons to the extent permitted by federal law and shall eliminate the consideration of assets when determining such persons eligibility for medical assistance to the extent permitted by federal law.

Amends the Property Tax Code. In provisions concerning the homestead exemption for veterans with disabilities and veterans of World War II, provides that, if the taxpayer is the surviving spouse of a veteran whose death was determined to be service-connected or (currently, and) the taxpayer is certified by the United States Department of Veterans Affairs as a recipient of dependency or indemnity compensation (currently, dependency and indemnity compensation), then the first $250,000 in equalized assessed value of the property is exempt from taxation under the Code. Effective immediately.

Amends the Higher Education Student Assistance Act with respect to the Illinois Veteran grant program. Provides that a grant recipient is not required to pay any tuition or mandatory fees while attending a State-controlled university or public community college in this State for a period that is based on the length of his or her active duty service, as verified on his or her U.S. Department of Defense form DD-214, calculated at specified credit hour rates (rather than for a period that is equivalent to 4 years of full-time enrollment, including summer terms). Provides that a grant may be transferred to a qualified dependent beginning with the 2026-2027 academic year. Amends the School Code to make a related change. Effective July 1, 2025.

Creates the Patient Access to Pharmacy Protection Act. Defines terms. Provides that no person, including a pharmaceutical manufacturer, may deny, restrict, prohibit, condition, or otherwise interfere with, either directly or indirectly, the acquisition of a 340B drug by, or delivery of a 340B drug to, a 340B covered entity or a 340B contract pharmacy authorized to receive 340B drugs on behalf of the 340B covered entity unless such receipt is prohibited by federal law. Provides that no person, including a pharmaceutical manufacturer, may impose any restriction on the ability of a 340B covered entity to contract with or designate a 340B contract pharmacy including restrictions relating to the number, location, ownership, or type of 340B contract pharmacy. Provides that no person, including a pharmaceutical manufacturer, may require or compel a 340B covered entity or 340B contract pharmacy to submit or otherwise provide ingredient cost or pricing data pertinent to 340B drugs unless required by State or federal law; institute requirements in any way relating to how a 340B covered entity manages its inventory of 340B drugs that are not required by a State or federal agency, including requirements relating to the frequency or scope of audits of inventory management systems of a 340B covered entity or a 340B contract pharmacy; or submit data or information that is not required by State or federal law as a condition for a 340B covered entity, its 340B contract pharmacy, or a location otherwise authorized by a 340B covered entity to receive 340B drugs. Sets forth provisions concerning enforcement of this Act; preemption of this Act; and severability of this Act. Effective immediately.

Creates the Transparent, Inclusive, and Competitively Neutral Energy Policy Act. Sets forth findings. Provides that the energy procurement process shall be transparent, inclusive, and competitively neutral and shall provide due consideration to the unique advantages of each developer from all segments of the energy sector and recognize that more inclusive procurements result in greater competition among developers and lower costs for consumers.

Amends the Department of Transportation Law of the Civil Administrative Code of Illinois. Requires the Department of Transportation to create an intercity bus program. Provides that the Department shall plan for and implement intercity bus routes that (i) add missing frequencies to existing passenger rail routes, (ii) begin frequent departures throughout the day in advance of Amtrak service, and (iii) add smaller towns into the network. Requires bus schedules to be coordinated with intercity and commuter trains so that passengers can conveniently connect between buses and trains. Provides that passengers shall be able to purchase a single ticket for journeys combining intercity buses and intercity trains. Provides that bus-only tickets shall be available for purchase from the same ticketing system used by intercity trains. Allows the Department to implement the program by (i) contracting directly with intercity bus carriers through competitive bids, (ii) contracting through Amtrak's Thruway bus program, or (iii) contract directly with a local transit authority within the State.

Amends the Commission on Discrimination and Hate Crimes Act. Provides that the Commission on Discrimination and Hate Crimes shall research and identify any discriminatory practices used by insurance companies in the ratemaking process for home insurance and automobile insurance, including, but not limited to, the use of zip codes, credit scores, and age in a manner that results in inequitable rates being assessed to certain populations. Provides that, beginning with the report that is due by March 30, 2026, the Commission shall include any findings and recommendations it makes concerning discriminatory practices used by insurance companies in its report to the Governor and the General Assembly. Effective immediately.

Amends the Human Services Act. Provides for grants to food banks for venison. Amends the Wildlife Code. Provides for an optional Hunter Food Bank Stamp to have hunters help end hunger in Illinois. In a provision regarding a separate harvest period for deer, directs the Department of Natural Resources to adopt rules that will cause a county to be open for hunting during the special harvest period if more than 5 deer removal permit requests were made in the county in the preceding year. Provides that, at the request of a landowner or tenant, the Department shall transfer to that individual an unused firearm deer permit from the regular season for the taking of deer to be used during the separate harvest period to hunt upon the individual's land only and for the taking of antlerless deer only, and that transferred permit shall be transferable in the same manner as permits under certain provisions regarding special deer, turkey, and combination hunting licenses for landowners. In a provision regarding authority to kill wildlife responsible for damage, provides that the holder of a deer removal permit issued by the Department may transfer the permit to any individual meeting certain requirements. Provides that the Department shall make publicly available on its website applications for deer removal permits and instructions on how to apply for those permits. Provides that the Department shall acknowledge receipt of each application for a deer removal permit within one business day, complete any investigation required, and issue or deny the requested deer removal permit within 5 business days. Provides that, in the event of failure to deny an application for a deer removal permit within 5 business days, the application shall be deemed approved. Provides that a deer removal permit issued by the Department is valid from the date of its issuance until December 31 of the same calendar year. Makes technical changes. Makes conforming changes in the State Finance Act.

Creates the Operating Room Patient Safety Act. Provides that each surgical technologist hired or contracted by a health care facility on or after January 1, 2027 shall meet specified educational, certification, or experiential requirements. Provides that nothing in the Act prohibits an individual from performing surgical technology services if the individual is acting within the scope of the individual's license or registration or is a student or intern under the direct supervision of a licensed health care provider.

Amends the Illinois Act on the Aging. In provisions concerning the Community Care Program, provides that, subject to federal approval, on and after January 1, 2026, rates for in-home services shall be increased to $32.75 to sustain a minimum wage of $20 per hour for direct service workers. As a condition of their eligibility for the $32.75 in-home services rate, requires in-home services providers to (i) certify to the Department on Aging that they remain in compliance with the mandated wage increase for direct service workers and (ii) submit cost reports. Provides that fringe benefits shall not be reduced in relation to the rate increases. Provides that beginning January 1, 2028, the Department shall ensure that each in-home service provider spends a minimum of 80% of total payments the provider receives for homecare aide services it furnishes under the Community Care Program on total compensation for direct service workers who furnish those services. Requires the Department to adopt rules on financial reporting and minimum direct service worker costs. Authorizes the Department to sanction a provider that fails to meet the requirements of the amendatory Act. Defines terms.