Sen. Sara Feigenholtz

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 Department of Transportation Law of the Civil Administrative Code of Illinois. Requires the Department of Transportation to conduct a traffic study following the occurrence of any crash involving a pedestrian fatality that occurs at an intersection of a federal or municipal highway.

Amends the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois. Provides that the Department of Public Health is vested with the duty and responsibility for oversight and training connected with the use of the Department of Public Health Uniform POLST form at all hospitals, healthcare facilities, and other facilities and providers that use the Department of Public Health Uniform POLST form. Provides that the Department of Public Health shall develop, in consultation with stakeholders determined by the Director of Public Health, training resources to support informed decisions and accurate completion of the Department of Public Health Uniform POLST form. Provides that the Department of Public Health shall establish a simple, efficient, and effective process to ensure oversight of and accountability for training to support informed decisions and accurate completion of the Department of Public Health Uniform POLST form at all hospitals, healthcare facilities, and other facilities and providers that use the Department of Public Health Uniform POLST form. Provides that, in consultation with various organizations, the Department of Public Health shall adopt rules implementing these policies no later than 2 years after the effective date of this amendatory Act. Provides that the Department of Public Health, in connection with implementing these policies, may also consult with the Office of the Secretary of State with respect to the Advance Directive Registry established by the Secretary of State.

Creates the Psychiatric Residential Treatment Facilities (PRTF) Act. Requires the Department of Healthcare and Family Services to establish an Illinois Psychiatric Residential Treatment Facilities (PRTF) program that is family-driven, youth-guided, and trauma-informed, and includes youth and family involvement in all aspects of care planning. Requires the Department to submit a State Plan Amendment, by January 1, 2026, to the Centers for Medicare and Medicaid Services to establish coverage of federally authorized, medically necessary inpatient psychiatric services delivered by a certified PRTF to medical assistance beneficiaries under 21 years of age. Provides that the Department shall adopt rules to implement the PRTF program that at a minimum shall include: (i) certification and participation requirements for PRTF providers in compliance with all applicable federal laws, regulations, requirements, and policies; (ii) monitoring and oversight of PRTF services; (iii) a limit on allowable beds at any one PRTF, not to exceed 40 total beds; and other matters. Requires the Department to establish, and update as needed, a methodology for completing a statewide PRTF capacity analysis for the purposes of identifying capacity needs for PRTF services under the Illinois Medical Assistance Program. Requires the Department to establish a PRTF Advisory Committee responsible for reviewing and providing guidance on the Department's policies and implementations of the PRTF program. Requires the Department to publish on its website counts of reported emergency safety interventions and serious occurrences by State fiscal year and quarter. Makes conforming changes to the Specialized Mental Health Rehabilitation Act of 2013, the Child Care Act of 1969, and other various Acts. Effective immediately.

Amends the 2-1-1 Service Act. Makes changes to a provision concerning the designation of a lead entity to administer the statewide 2-1-1 system. Requires the lead entity to have: (1) demonstrated expertise in providing access to health and human services; and (5) a demonstrated track record of securing diversified funding sources in order to support sustainable operation of 2-1-1. Requires the lead entity to establish standards consistent with prevailing national standards established for providing information about and referrals to human services agencies to 2-1-1 callers. Requires the lead entity to provide annual reports to the Department of Human Services on the 2-1-1 system, including information on call volume and interactions, caller demographics, reasons for contact, service referral gaps, and other matters. Makes changes to the definitions of "approved 2-1-1 service provider", "2-1-1 service area", and "Human services". Removes the definitions for "pay telephone", "private branch exchange", and "recognized 2-1-1 service provider". Amends the Human Services 2-1-1 Collaboration Board Act. Provides that the Act is repealed on July 1, 2025. Effective immediately.

Amends the Adoption Act. Provides that in request for a confidential intermediary by an adoptive parent or legal guardian of an adopted or surrendered person under the age of 21, the appointment of the confidential intermediary may include, for the purpose of exchanging medical information, identifying information or arranging contact with a mutually consenting adoptive parent or legal guardian of an adopted or surrendered person under the age of 21 who is biologically related to the petitioning adoptive parent's or legal guardian's adopted or surrendered child. Provides that the confidential intermediary shall disclose identifying information about the adult adopted or surrendered person that would have been reflected on the original filed certificate of birth under certain circumstances. Moves a provision regarding records a confidential intermediary has access to from a Section concerning the Illinois Adoption Registry and Medical Information Exchange to a Section concerning confidential intermediaries.

Amends the Illinois Religious Freedom Protection and Civil Unions Act, the Conveyances Act, the Joint Tenancy Act, and the Rights of Married Persons Act. Inserts gender neutral descriptions showing marital status.

Amends the Children and Family Services Act. Requires the Department of Children and Family Services to make reasonable efforts to develop a youth-driven transition plan for each youth in care aged 18 and over for whom the court has set a permanency goal of independence or home environment not appropriate. Requires the plan to address, at a minimum, the youth's housing, mental and physical health and well-being, financial stability, employment, education, connections to supportive adults and peers, transition to adult services, if applicable, and child care and parenting supports, if applicable. Requires the Department to make reasonable efforts to assist the youth in accomplishing the plan and to ensure the youth is aware of any post-case closure supports and services and how to access such supports and services. Requires the Department to assist a youth in care in obtaining a list of persons, with contact information, who are willing to provide the youth with support. Amends the Juvenile Court Act of 1987. Require the court to conduct Successful Transition to Adulthood Review hearings for minors who are 18 years old and older for whom the court has entered a goal of independence or home environment not appropriate. Lists certain information the Department shall provide the court 14 days prior to the hearing as well as certain Department actions that are subject to the court's review. Provides that if the court finds the Department has failed to make reasonable efforts to assist the minor in developing a plan toward independence, the court may enter such orders it deems necessary to ensure the minor is prepared to achieve the goal of independence when the minor turns 21 years of age. Makes conforming changes.

Amends the Illinois Secure Choice Savings Program Act. Provides that the accounts established under the Secure Choice Savings Program shall be IRAs, into which enrollees contribute funds that are invested in investment options established by the Illinois Secure Choice Savings Board. Provides that a separate account shall be established for each enrollee and the accounts shall be owned by the enrollee. Provides that the savings accounts established under the Program shall be portable and allow for an enrollee to make contributions from multiple employers into a single account. Provides that an enrollee in the Program may have both a Roth IRA and a Traditional IRA through the Program. Provides that the Board shall have the duty to assess the feasibility of agreements with other governmental entities, including other states and their agencies and instrumentalities, to achieve greater economies of scale through shared resources and to enter into those agreements if determined to be beneficial. Provides that an employer who fails without reasonable cause to enroll an employee in the Program within the time provided and fails to remit their contributions (rather than fails without reasonable cause to enroll an employee in the Program within the time provided) shall be subject to a penalty. Makes changes in provisions concerning employer and employee information packets. Effective immediately.

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.