Rep. Rick Ryan

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 Metropolitan Water Reclamation District Article of the Illinois Pension Code. Provides that an ordinary disability benefit shall be allowed only if the employee is examined, at least annually, by a licensed health care professional appointed by the Board of Trustees of the Fund. In the definition of "salary", provides that, for a member on a disability benefit, salary is the salary on which the disability benefit is based. Provides that the Board has the power to issue subpoenas to compel the attendance of witnesses to testify before the Board and to compel the production of documents and records upon any matter concerning the Fund, including in conjunction with specified matters. Sets forth provisions concerning fees of witnesses for attendance and travel and compliance with a subpoena.

Amends the Illinois Insurance Code. Provides that no provision of the Illinois Insurance Code, or any other law, prohibits assignability rights to an insured under any policy of dental insurance (in addition to accident and health insurance). Provides that if an enrollee or insured of an insurer, health maintenance organization, managed care plan, health care plan, preferred provider organization, dental service plan corporation, dental insurer, or third party administrator assigns a claim to a health care professional, or health care facility, a dental care provider, or a dental care facility, then payment shall be made directly to the health care professional, or health care facility, dental care provider, or dental care facility, including any required interest. Effective immediately.

Amends the Home Repair and Remodeling Act. Provides that, if a home repair and remodeling contract that is subject to the Act contains a provision allowing attorney's fees to be awarded to any party to the contract, then, notwithstanding any terms in the contract to the contrary, that provision shall be deemed and construed to permit the award of reasonable attorney's fees to all parties to the contract. Effective immediately.

Amends the Counties Code and the Illinois Municipal Code. Provides that a county or a municipality may use a utility pole that is owned by the State or a unit of local government or a public right-of-way that is owned by the State or a unit of local government for public safety purposes, including, but not limited to, the placement of equipment associated with public safety. Provides that any fee charged by the owner of a utility pole for use by a county or municipality shall be at the lowest rate charged by the owner and shall not exceed the owner's costs.

Amends the State Fire Marshal Act. Provides that, beginning no later than 6 months after the effective date of the amendatory Act, the Office of the State Fire Marshal shall track and record the manner of death for all firefighters in Illinois, including suicide and the various types of cancer.

Creates the Rooftop Safety for First Responders Act. Requires the installation of a parapet, extended masonry, or guard for low-sloped roofs. Sets forth requirements for skylights and other openings located in the plane of a low-sloped roof. Requires municipalities to complete a survey of buildings in their jurisdiction. Requires sharing the results of the surveys with local police and fire departments. Defines terms.

Amends the Illinois Parentage Act of 2015. Provides that the court shall apply Illinois law, including the rules on choice of law, to adjudicate the parent-child relationship, and that such applicable law may (rather than does not) depend on the place of birth of the child or the past or present residence of the child. Effective immediately.

Appropriates $10,000,000 from the General Revenue Fund to the Department of Public Health for local health protection grants for health protection programs. Effective July 1, 2025.

Amends the Illinois State Police Law. Provides that, beginning January 1, 2026, all 9-1-1 telecommunicators who provide dispatch for emergency medical conditions shall be required to be trained, utilizing the most current nationally recognized emergency cardiovascular care guidelines, in high-quality telecommunicator cardiopulmonary resuscitation (T-CPR). Defines telecommunicator cardiopulmonary resuscitation for the purposes of the provisions.