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104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
SB4109

Introduced 2/25/2026, by Sen. Elgie R. Sims, Jr.

SYNOPSIS AS INTRODUCED:

Makes appropriations for the ordinary and contingent expenses of the
Department of Public Health for the fiscal year beginning July 1, 2026, as
follows:

General Funds

$286,257,200

Other State Funds

$364,858,708

Federal Funds

$733,950,369

Total

$1,385,066,277

OMB104 00205 TGT 10205 b

SB4109
OMB104 00205 TGT 10205 b
1

AN ACT concerning appropriations.

2

Be it enacted by the People of the State of Illinois,
3
represented in the General Assembly:

4
ARTICLE 1
5

Section 5.
The following named amounts, or so much thereof
6
as may be necessary, are appropriated to the Department of
7
Public Health for the objects and purposes hereinafter named:
8
Payable from the General Revenue Fund:
9

For Personal Services
............................
94,955,800
10

For State Contributions
11

to Social Security
...............................
7,260,700
12

For Operational Expenses
.........................
36,437,200
13

Total

$138,653,700
14
DIRECTOR'S OFFICE
15
Payable from the General Revenue Fund:
16

For Costs and Administrative Expenses
17

Associated with the Data Governance
18

and Organization to Support
19

Equity and Racial Justice Act
20

Data Initiative
....................................
400,000
21

For All Costs Associated with Data
22

System Modernization and
23

Replacement of Critical Information

SB4109
- 2 -
OMB104 00205 TGT 10205 b
1

Technology Systems
.............................
12,000,000
2

For All Costs Associated with Responding
3

to Emerging Public Health Threats,
4

Including Prior Years' Costs
.....................
8,500,000
5

For All Costs Associated with
6

Public Health Communications,
7

Including Prior Years' Costs
.....................
3,500,000
8

For Expenses Related to Refugee Health
............
1,000,000
9

For Expenses Related to the
10

Homelessness Morbidity and
11

Mortality Report
...................................
400,000
12

For Grants and administrative Expenses
13

to Establish and Implement Health
14

Equity Zones
......................................
500,000

15

Total

$26,300,000
16
Payable from the Public Health Services Fund:
17

For Expenses of Implementing Federal Awards
18

Including Testing and Services Performed by
19

Local Health Providers, Including Prior
20

Years' Costs
....................................
75,000,000
21

For Expenses Associated with
22

Support of Federally Funded Public
23

Health Programs
....................................
300,000
24

For Operational Expenses to Support
25

Refugee Health Care
................................
514,000
26

For Grants for the Development of

SB4109
- 3 -
OMB104 00205 TGT 10205 b
1

Refugee Health Care
..............................
1,950,000
2

Total

$77,764,000
3
Payable from the Public Health Special

4

State Projects Fund:
5

For Expenses of Public Health Programs, Including
6

Prior Years' Costs
..............................
49,065,000

7

Section 10.
The following named amounts, or so much
8
thereof as may be necessary, are appropriated to the
9
Department of Public Health as follows:
10
REFUNDS
11
Payable from the General Revenue Fund
..................
13,800
12
Payable from the Public Health Services Fund
...........
75,000
13
Payable from the Maternal and Child

14

Health Services Block Grant Fund
.......................
5,000
15
Payable from the Preventive Health and

16

Health Services Block Grant Fund
.......................
5,000
17

Total

$98,800

18

Section 15.
The following named amounts, or so much
19
thereof as may be necessary, are appropriated to the
20
Department of Public Health for the objects and purposes
21
hereinafter named:
22
OFFICE OF FINANCE AND ADMINISTRATION
23
Payable from the Metabolic Screening

24

and Treatment Fund:

SB4109
- 4 -
OMB104 00205 TGT 10205 b
1

For Operational Expenses for Maintaining
2

Laboratory Billings and Receivables
................
300,000
3
Payable from the Tobacco Settlement Recovery Fund:
4

For Expenses Associated with the
5

Modernization of Financial Processes
...............
500,000

6

Section 20.
The following named amounts, or so much
7
thereof as may be necessary, are appropriated to the
8
Department of Public Health for the objects and purposes
9
hereinafter named:
10
OFFICE OF POLICY, PLANNING AND STATISTICS
11
Payable from the General Revenue Fund:
12

For Expenses of the Adverse Pregnancy
13

Outcomes Reporting Systems (APORS) Program
14

and the Adverse Health Care Event
15

Reporting and Patient Safety Initiative
..........
1,017,400
16

For Expenses of State Cancer Registry,
17

Including Matching Funds for National
18

Cancer Institute Grants
............................
147,400
19

For Expenses Associated with Opioid
20

Overdose Prevention
..............................
1,625,000
21

For All Costs Associated with Access
22

to Primary Health Care Services Programs
23

According to the Underserved Physician
24

Workforce Act
....................................
1,000,000
25

For Grants and Administrative Expenses

SB4109
- 5 -
OMB104 00205 TGT 10205 b
1

Associated with the Equity and
2

Representation in Health Care Act Health
3

Care Work Force Repayment and
4

Scholarship Programs
.............................
1,500,000
5
Payable from the Rural/Downstate Health Access Fund:
6

For Expenses Related to J-1 Visa Waiver
7

Applications
.......................................
175,000
8
Payable from the Public Health Services Fund:
9

For All Costs Associated with
10

Policy, Planning, and Statistics
11

Programs, Including Prior Years' Costs
..........
35,632,200
12
Payable from the Hospital Licensure Fund:
13

For Expenses Associated with
14

the Illinois Adverse Health
15

Care Events Reporting Law for an
16

Adverse Health Care Event Reporting System
17

and Patient Safety and Quality Initiatives
.......
3,000,000
18
Payable from Community Health Center Care Fund:
19

For Expenses for Access to Primary Health
20

Care Services Program per the Underserved Health
21

Care Provider Workforce Act
........................
350,000
22
Payable from Illinois Health Facilities Planning Fund:
23

For Expenses of the Health Facilities
24

And Services Review Board
........................
1,600,000
25

For Department Expenses in Support
26

of the Health Facilities and Services

SB4109
- 6 -
OMB104 00205 TGT 10205 b
1

Review Board
.....................................
1,200,000
2
Payable from the Long-Term Care Provider Fund:
3

For Expenses of Identified Offenders
4

Assessment and Other Public Health and
5

Safety Activities
................................
2,000,000
6
Payable from the Regulatory Evaluation and Basic

7

Enforcement Fund:
8

For Expenses of the Alternative Health Care
9

Delivery Systems Program
............................
75,000
10
Payable from Death Certificate

11

Surcharge Fund:
12

For Expenses of Statewide Database
13

of Death Certificates and Distributions
14

of Funds to Governmental Units,
15

Pursuant to the Vital Records Act
................
2,500,000
16

For Expenses of the Coroner Training Board
..........
500,000
17
Payable from the Illinois Adoption Registry

18

and Medical Information Exchange Fund:
19

For Expenses Associated with the
20

Adoption Registry and Medical Information
21

Exchange
...........................................
200,000
22
Payable from the Tobacco Settlement Recovery Fund:
23

For Costs Associated with the Modernization
24

of the iQuery System
...............................
300,000
25

For Grants for the Community Health Center
26

Expansion Program and Healthcare

SB4109
- 7 -
OMB104 00205 TGT 10205 b
1

Workforce Providers in Health
2

Professional Shortage Areas (HPSAs)
3

in Illinois
......................................
1,100,000
4
Payable from the Preventive Health and Health

5

Services Block Grant Fund:
6

For Expenses of Preventive Health and Health
7

Services Needs Assessment
........................
3,500,000
8
Payable from Illinois State Podiatric Disciplinary Fund:
9

For Expenses of the Podiatric Scholarship
10

and Residency Act
..................................
100,000

11

Section 25.
The following named amounts, or so much
12
thereof as may be necessary, are appropriated to the
13
Department of Public Health for the objects and purposes
14
hereinafter named:
15
OFFICE OF HEALTH PROMOTION
16
Payable from the General Revenue Fund:
17

For Expenses of Sudden Infant Death Services Inc.
18

of IL(SIDS) Program
................................
244,400
19

For Expenses Related to an Alzheimer's
20

Disease Research, Care and Support Program
.......
2,000,000
21

For Expenses Related to a Suicide Prevention,
22

Education, and Treatment Program
...................
750,000
23

For All Costs Associated with the Community
24

Health Worker Program
............................
2,000,000
25

For Expenses for the University of

SB4109
- 8 -
OMB104 00205 TGT 10205 b
1

Illinois Sickle Cell Clinic
........................
483,900
2

For a grant to the National Kidney
3

Foundation of Illinois for Kidney Disease
4

Care Services
......................................
350,000
5

For Grants to Northwestern University
6

for the Illinois Violent Death Reporting
7

System to Analyze Data, Identify Risk
8

Factors and Develop Prevention Efforts
..............
76,700
9

For a Grant to the Advocate Illinois
10

Masonic Medical Center for All Costs
11

Associated with Mobile Dental Services
.............
375,000
12

For Grants for Vision and Hearing
13

Screening Programs
.................................
441,700
14

For a Grant to the Oral Health Forum
15

for All Costs Associated with
16

Oral Health Programs
...............................
100,000
17

For Grants and Administrative Costs Associated
18

with Health Care Telementoring
...................
2,000,000
19

For a Grant to the Dental Lifeline Network
20

to Provide Dental Care and Education
................
72,000
21
Payable from the Alzheimer's Disease Research,
22

Care, and Support Fund:
23

For Grants and Expenses Pursuant to the Alzheimer's
24

Disease Research, Care, and Support Fund Act
.......
500,000
25
Payable from the Public Health Services Fund:
26

For All Costs Associated With

SB4109
- 9 -
OMB104 00205 TGT 10205 b
1

Health Promotion programs,
2

Including Prior Years' Costs
...................
13,204,400
3
Payable from the Compassionate Use of Medical Cannabis Fund:
4

For Expenses of the Medical
5

Cannabis Program
.................................
9,522,600
6
Payable from the Childhood Cancer Research Fund:
7

For Grants and Administrative Expenses
8

for Childhood Cancer Research
........................
75,000
9
Payable from the Sickle Cell Chronic Disease Fund:
10

For Grants and Administrative Costs for the
11

Awareness, Prevention, Care, and Treatment
12

of Sickle Cell Disease
...........................
1,000,000
13
Payable from the Multiple Sclerosis Research Fund:
14

For Grants to Conduct Multiple
15

Sclerosis Research
...............................
1,500,000
16
Payable from the Healthy Smiles Fund:
17

For Expenses of the Healthy Smiles Program
..........
400,000
18
Payable from the DHS Private Resources Fund:
19

For Expenses of Diabetes Research Treatment
20

and Programs
.......................................
700,000
21
Payable from the Tobacco Settlement Recovery Fund:
22

For All Costs Associated with
23

Asthma Prevention
................................
3,000,000
24

For Colorectal, Prostate, and
25

Lung Cancer Grants
...............................
2,000,000
26

For a State tobacco control program
...............
5,000,000

SB4109
- 10 -
OMB104 00205 TGT 10205 b
1

For Certified Local Health Department
2

Grants for Health Protection Programs Including,
3

but not Limited to, Infectious
4

Diseases, Food Sanitation,
5

Potable Water, Private Sewage
6

and Anti-Smoking Programs
........................
5,000,000
7

For a Grant to the American Lung Association
8

for Operations of the Quitline
...................
5,100,000
9

For Grants and Administrative Expenses for
10

the Tobacco Use Prevention Program,
11

BASUAH Program, and Asthma Prevention
............
1,060,000
12
Payable from the Public Health Federal Projects Fund:
13

For expenses related to the Community Health
14

Worker Certification and Reimbursement Act
15

and for Purposes Stated in Public Act 102-4
......
1,500,000
16
Payable from the Maternal and Child
17

Health Services Block Grant Fund:
18

For Operational Expenses of Maternal and
19

Child Health Programs
..............................
500,000
20

For Grants for Maternal and Child Health
21

Programs
...........................................
995,000
22
Payable from the Preventive Health
23

and Health Services Block Grant Fund:
24

For Expenses of Preventive Health and
25

Health Services Programs
.........................
1,726,800
26

For Grants for Prevention Initiative Programs

SB4109
- 11 -
OMB104 00205 TGT 10205 b
1

Including Operational Expenses
...................
1,000,000
2
Payable from the Cannabis Regulation Fund:
3

For Costs and Administrative Expenses
4

of the Adult-Use Cannabis Program
................
1,500,000
5
Payable from the Metabolic Screening and

6

Treatment Fund:
7

For All Costs Associated with Metabolic
8

Screening Follow-up Services
.....................
8,500,000
9

For Grants for Metabolic Screening
10

Follow-up Services
...............................
4,000,000
11

For Grants for Free Distribution of Medical
12

Preparations and Food Supplies
...................
8,000,000
13
Payable from the Hearing Instrument

14

Dispenser Examining and Disciplinary Fund:
15

For Expenses Pursuant to the Hearing
16

Instrument Consumer Protection Act
.................
400,000

17

Section 30.
The following named amounts, or so much
18
thereof as may be necessary, are appropriated to the
19
Department of Public Health for the objects and purposes
20
hereinafter named:
21
OFFICE OF HEALTH CARE REGULATION
22
Payable from the Public Health Services Fund:
23

For All Costs Associated with Health
24

Care Regulation, Surveillance, and
25

Monitoring, Including Prior Years' Costs
........
25,248,200

SB4109
- 12 -
OMB104 00205 TGT 10205 b
1
Payable from the Hospital Licensure Fund:
2

For Expenses Associated with
3

Hospital Inspections
................................
900,000
4
Payable from the Long Term Care

5

Monitor/Receiver Fund:
6

For Expenses, Including Refunds,
7

Related to Appointment of Long-Term Care
8

Monitors and Receivers
..........................
54,950,000
9
Payable from the Home Care Services Agency

10

Licensure Fund:
11

For Expenses of Home Care Services
12

Agency Licensure
.................................
1,846,400
13
Payable from Equity in Long-term Care

14

Quality Fund:
15

For Grants and Administrative Expenses
16

to Assist Residents of Facilities Licensed Under the
17

Nursing Home Care Act
...........................
12,000,000
18
Payable from the Regulatory Evaluation

19

and Basic Enforcement Fund:
20

For Expenses of the Alternative Health
21

Care Delivery Systems Program
.......................
75,000
22
Payable from the Health Facility Plan

23

Review Fund:
24

For Expenses of Health Facility
25

Plan Review Program and Hospital
26

Network System, Including Refunds
................
1,727,000

SB4109
- 13 -
OMB104 00205 TGT 10205 b
1
Payable from Assisted Living and Shared

2

Housing Regulatory Fund:
3

For Operational Expenses of the
4

Assisted Living and Shared
5

Housing Program, Pursuant to
6

the Assisted Living and Shared
7

Housing Act
......................................
3,300,000

8

Section 35.
The following named amounts, or so much
9
thereof as may be necessary, are appropriated to the
10
Department of Public Health for the objects and purposes
11
hereinafter named:
12
OFFICE OF HEALTH PROTECTION
13
Payable from the General Revenue Fund:
14

For Expenses Incurred for the Rapid
15

Investigation and Control of
16

Disease or Injury
..................................
448,500
17

For Expenses of Environmental Health
18

Surveillance and Prevention
19

Activities, Including Mercury
20

Hazards and West Nile Virus
........................
299,200
21

For Expenses for Expanded Lab Capacity
22

and Enhanced Statewide Communication
23

Capabilities Associated with
24

Homeland Security
..................................
322,600
25

For Deposit into Lead Poisoning

SB4109
- 14 -
OMB104 00205 TGT 10205 b
1

Screening, Prevention, and Abatement
2

Fund
.............................................
4,000,000
3

For Grants for Immunizations and
4

Outreach Activities
..............................
4,157,100
5

For a Grant to the Will County Public Health
6

Department for All Costs Associated with
7

Programmatic Services
..............................
335,000
8
Payable from the Food and Drug Safety Fund:
9

For Expenses of Administering
10

the Food and Drug Safety
11

Program, Including Refunds
.........................
300,000
12
Payable from the Public Health Services Fund:
13

For Expenses of Implementing Federal
14

Awards, Including Services Performed by
15

Local Health Providers, Including Prior
16

Years' Costs
....................................
55,449,800
17

For Expenses of Implementing Federal Awards
18

Including Testing and Services Performed by
19

Local Health Providers, Including Prior
20

Years' Costs
...................................
200,000,000
21

Total

$255,449,800
22
Payable from the Safe Bottled Water Fund:
23

For Expenses for the Safe Bottled
24

Water Program
.......................................
50,000
25
Payable from the Facility Licensing Fund:
26

For Expenses, Including Refunds, of

SB4109
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OMB104 00205 TGT 10205 b
1

Environmental Health Programs
....................
3,500,000
2
Payable from the Illinois School Asbestos

3

Abatement Fund:
4

For Expenses, Including Refunds, of
5

Administering and Executing
6

the Asbestos Abatement Act and
7

the Federal Asbestos Hazard Emergency
8

Response Act of 1986 (AHERA)
.....................
1,200,000
9
Payable from the Emergency Public Health Fund:
10

For Expenses of Mosquito Abatement in an
11

Effort to Curb the Spread of West
12

Nile Virus and Other Vector Borne Diseases
.......
5,100,000
13
Payable from the Public Health Water Permit Fund:
14

For Expenses, Including Refunds,
15

of Administering the Illinois Groundwater
16

Protection Act
.....................................
100,000
17
Payable from the Used Tire Management Fund:
18

For Expenses of Vector Control Programs,
19

Including Mosquito Abatement
.....................
1,300,000
20
Payable from the Tattoo and Body Piercing

21

Establishment Registration Fund:
22

For Expenses of Administering of
23

Tattoo and Body Piercing Establishment
24

Registration Program
...............................
605,000
25
Payable from the Lead Poisoning Screening,

26

Prevention, and Abatement Fund:

SB4109
- 16 -
OMB104 00205 TGT 10205 b
1

For Expenses of the Lead Poisoning
2

Screening, Prevention, and
3

Abatement Program, Including Refunds
.............
8,414,600
4

For Grants for the Lead Poisoning Screening
5

and Prevention Program
...........................
5,500,000
6
Payable from the Tanning Facility Permit Fund:
7

For Expenses to Administer the
8

Tanning Facility Permit Act,
9

Including Refunds
..................................
300,000
10
Payable from the Plumbing Licensure

11

and Program Fund:
12

For Expenses to Administer and Enforce
13

the Illinois Plumbing License Law,
14

Including Refunds
................................
3,950,000
15
Payable from the Renewable Energy

16

Resources Trust Fund:
17

For Deposit into the Lead Poisoning, Screening,
18

Prevention, and Abatement Fund
....................
4,000,000
19
Payable from the Pesticide Control Fund:
20

For Public Education, Research,
21

and Enforcement of the Structural
22

Pest Control Act
...................................
577,700
23
Payable from the Tobacco Settlement Recovery Fund:
24

For Grants and Administrative Expenses
25

Associated with a Pilot Project for
26

Community-Based Tuberculosis Prevention,

SB4109
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OMB104 00205 TGT 10205 b
1

Follow-up, and Treatment
...........................
500,000
2
Payable from the Private Sewage Disposal

3

Program Fund:
4

For Expenses of Administering the
5

Private Sewage Disposal Program
....................
292,000
6
Payable from the Personal Property Tax
7

Replacement Fund:
8

For Local Health Protection Grants
9

to Certified Local Health Departments
10

for Health Protection Programs Including,
11

but not Limited to, Infectious
12

Diseases, Food Sanitation,
13

Potable Water and Private Sewage
................
20,098,500
14
Payable from the Public Health Federal

15

Projects Fund:
16

For Grants and Administrative Expenses
17

of Health Information Technology Activities
18

and Electronic Health Records
....................
1,500,000

19

Section 40.
The following named amounts, or so much
20
thereof as may be necessary, are appropriated to the
21
Department of Public Health for expenses of programs related
22
to Acquired Immunodeficiency Syndrome (AIDS) and Human
23
Immunodeficiency Virus (HIV):
24
OFFICE OF HEALTH PROTECTION: AIDS/HIV
25
No less than one-half (50%) of all funds appropriated in any

SB4109
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OMB104 00205 TGT 10205 b
1
fiscal year to the Department of Public Health's Office of
2
Health Protection: AIDS/HIV Division shall be used for
3
expenses pursuant to HIV/AIDS programs serving populations
4
disproportionately impacted by HIV/AIDS.
5
Payable from the General Revenue Fund:
6

For Expenses of AIDS/HIV Education,
7

Drugs, Services, Counseling, Testing,
8

Outreach to Populations disproportionately impacted
9

by HIV/AIDS; Costs Associated with
10

Correctional Facilities Counseling,
11

Testing Referral, and Partner Notification
12

(CTRPN); and Patient and Worker
13

Notification
....................................
25,562,400
14

For Grants and Administrative Expenses for
15

Housing Opportunities for Persons with
16

AIDS Program
.......................................
720,000
17
Payable from the Public Health Services Fund:
18

For Expenses of Programs for Prevention
19

of AIDS/HIV, Including Prior years' Costs
........
7,250,000
20

For Expenses for Surveillance Programs and
21

Seroprevalence Studies
22

of AIDS/HIV, Including
23

Prior Years' Costs
...............................
2,750,000
24

For Expenses Associated with the
25

Ryan White Comprehensive AIDS
26

Resource Emergency Act of

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1990 (CARE) and Other AIDS/HIV Services,
2

Including Prior Years' Costs
...................
150,000,000
3

Total

$160,000,000
4
Payable from the Quality of Life Endowment Fund:
5

For Grants and Expenses Associated
6

with HIV/AIDS Prevention and Education
...........
1,000,000

7

Section 45.
The sum of $4,000,000, or so much thereof as
8
may be necessary, is appropriated from the General Revenue
9
Fund to the Department of Public Health for grants and
10
administrative expenses and related subgrantee payments for
11
the prevention and treatment of HIV/AIDS and the creation of
12
an HIV/AIDS service delivery system to reduce the disparity of
13
HIV infection and AIDS cases among the Illinois population, in
14
the approximate amounts below:
15
Alliance Care 360
.....................................
333,300
16
Christian Community HC
................................
333,300
17
Community Wellness Project
............................
333,300
18
Fola Community Action Services, Inc
...................
333,300
19
Men and Women In Prison Ministries
....................
333,300
20
Proactive
.............................................
333,300
21
Sisters Helping Each Other
............................
333,300
22
South Side Help Center
................................
333,300
23
Springfield Urban League
..............................
333,300
24
Taskforce Prevention & Community Services
.............
333,300
25
Universal Family Connection
...........................
333,300

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Writers, Planners and Trainers
........................
333,300

2

Section 50.
The sum of $7,880,500, or so much thereof as
3
may be necessary, is appropriated from the African-American
4
HIV/AIDS Response Fund to the Department of Public Health for
5
grants and administrative expenses associated with the
6
prevention and treatment of HIV/AIDS and the creation of an
7
HIV/AIDS service delivery system to reduce the disparity of
8
HIV infection and AIDS cases among disproportionately impacted
9
by HIV/AIDS in the approximate amounts below, including prior
10
years' costs:
11
Alliance Care 360
...................................
2,309,600
12
Christian Community HC
..............................
1,027,400
13
Community Wellness Project
............................
983,400
14
Fola Community Action Services, Inc
...................
176,300
15
Men and Women In Prison Ministries
....................
383,200
16
Proactive
.............................................
412,300
17
Sisters Helping Each Other
............................
276,100
18
South Side Help Center
..............................
1,269,600
19
Springfield Urban League
..............................
104,600
20
Taskforce Prevention & Community Services
.............
117,600
21
Universal Family Connection
...........................
453,300
22
Writers, Planners and Trainers
........................
367,100

23

Section 55.
The sum of $5,500,000, or so much thereof as
24
may be necessary, is appropriated to the Department of Public

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1
Health from the General Revenue Fund for expenses of programs
2
related to the Acquired Immunodeficiency Syndrome (AIDS) and
3
Human Immunodeficiency Virus (HIV) and specifically to the
4
Getting to Zero-Illinois (GTZ) plan to end the HIV epidemic by
5
2030.

6

Section 60.
The following named amounts, or so much
7
thereof as may be necessary, are appropriated to the
8
Department of Public Health for the objects and purposes
9
hereinafter named:
10
PUBLIC HEALTH LABORATORIES
11
Payable from the General Revenue Fund:
12

For Operational Expenses to Provide
13

Clinical and Environmental Public
14

Health Laboratory Services
.......................
6,389,300
15
Payable from the Public Health Services Fund:
16

For All Costs Associated with
17

Public Health Laboratories,
18

Including Prior Years' Costs
....................
8,268,900
19
Payable from the Public Health Laboratory

20

Services Revolving Fund:
21

For Expenses, Including
22

Refunds, to Administer Public
23

Health Laboratory Programs and
24

Services
.........................................
6,000,000
25
Payable from the Lead Poisoning

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Screening, Prevention, and Abatement Fund:
2

For Expenses, Including
3

Refunds, of Lead Poisoning Screening,
4

Prevention, and Abatement Program
................
2,178,100
5
Payable from the Metabolic Screening

6

and Treatment Fund:
7

For Expenses, Including
8

Refunds, of Testing and Screening
9

for Metabolic Diseases
..........................
43,632,000

10

Section 65.
The following named amounts, or as much
11
thereof as may be necessary, are appropriated to the
12
Department of Public Health for the objects and purposes
13
hereinafter named:
14
OFFICE OF WOMEN'S HEALTH
15
Payable from the General Revenue Fund:
16

For Expenses for Breast and Cervical
17

Cancer Screenings, Minority Outreach,
18

and Other Related Activities
....................
14,512,400
19

For Expenses of the Women's Health
20

Promotion Programs
.................................
682,500
21

For Expenses associated with School Health
22

Centers
..........................................
4,551,100
23

For Expenses associated with the Maternal
24

And Child Health Title V Program
.................
4,800,000
25

For All Costs Associated with Pediatric

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Mental Health Training
...........................
2,000,000
2

For Expenses Related to Establishing
3

a Reproductive Health Navigation
4

Hotline, Training Programs, and
5

Consultation Program, Security Grants to
6

Free Standing Reproductive Health Care
7

Clinics, and for Purposes Stated
8

in Public Act 102-1117
..........................
18,000,000
9

For Grants for the Extension and Provision
10

of Perinatal Services for Premature
11

and High-Risk Infants and their Mothers
..........
1,002,700
12

For Grants and Administrative Expenses
13

for Family Planning Programs
.....................
5,823,400
14

Total

$51,372,100
15
Payable from the Public Health Services Fund:
16

For Expenses of Federally Funded Women's
17

Health Programs, Including Prior
18

Years' Costs
.....................................
5,570,800
19

For Expenses associated with Maternal and
20

Child Health Programs, Including Prior
21

Years' Costs
....................................
15,000,000
22

For Grants for Breast and Cervical
23

Cancer Screenings, Including
24

Prior Years' Costs
...............................
7,000,000
25
Payable from the Carolyn Adams Ticket

26

For The Cure Grant Fund:

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For Grants and Related Expenses to
2

Public or Private Entities in Illinois
3

for the Purpose of Funding Research
4

Concerning Breast Cancer and for
5

Funding Services for Breast Cancer Victims
.......
4,000,000
6
Payable from the Mammogram Fund:
7

For Grants and Administrative Expenses of
8

Patient Navigation Services
........................
117,000
9
Payable from Tobacco Settlement Recovery Fund:
10

For Costs Associated with
11

Children's Health Programs
.......................
2,229,700
12
Payable from the Maternal and Child Health

13

Services Block Grant Fund:
14

For Expenses Associated with Maternal and
15

Child Health Programs, Including
16

Prior Years' Costs
..............................
12,000,000
17

For Grants to the Chicago Department of
18

Health for Maternal and Child Health
19

Services
.........................................
6,000,000
20

For Expenses incurred by the Board of
21

Trustees of the University of Illinois
22

Division of Specialized Care for Children,
23

Including Prior Years' Costs
....................
10,000,000
24

For Grants for the Extension and Provision
25

of Perinatal Services for Premature and
26

High-risk Infants and their Mothers
..............
3,000,000

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Section 70.
The sum of $4,000,000, or so much thereof as
2
may be necessary, is appropriated from the General Revenue
3
Fund to the Department of Public Health for grants and
4
administrative expenses associated with the Birth Equity
5
Initiative, including, but not limited to support and capacity
6
building for community-based women's health providers, the
7
development of an inventory of need and assets, an
8
implementation plan to increase equitable access to
9
community-based health providers, and the design of health
10
navigation tools.

11

Section 75.
The following named amounts, or so much
12
thereof as may be necessary, are appropriated to the
13
Department of Public Health for the objects and purposes
14
hereinafter named:
15
OFFICE OF PREPAREDNESS AND RESPONSE
16
Payable from the Public Health Services Fund:
17

For Expenses of Federally Funded
18

Bioterrorism Preparedness
19

Activities and Other Public Health
20

Emergency Preparedness,
21

Including Prior Years' Costs
....................
80,000,000
22
Payable from the Stroke Data Collection Fund:
23

For Expenses Associated with
24

Stroke Data Collection
.............................
400,000

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1
Payable from the Trauma Center Fund:
2

For Expenses of Administering the
3

Distribution of Payments to
4

Trauma Centers
...................................
2,000,000
5
Payable from the EMS Assistance Fund:
6

For Expenses of Administering the
7

Distribution of Payments from the
8

EMS Assistance Fund, Including Refunds
...........
1,000,000
9
Payable from the Spinal Cord Injury Paralysis

10

Cure Research Trust Fund:
11

For Grants for Spinal Cord Injury Research
..........
500,000

12
ARTICLE 2
13

Section 5.
The sum of $250,000, or so much thereof as may
14
be necessary, and remains unexpended at the close of business
15
on June 30, 2026, from a reappropriation made for such purpose
16
in Article 122, Section 1155 of Public Act 104-0003, as
17
amended, is reappropriated from the Fund for Illinois' Future
18
to the Department of Public Health for a grant to the Will
19
County Health Department for costs associated with an overdose
20
prevention program, including FDA-approved 8-milligram
21
naloxone nasal spray doses, and associated operating expenses,
22
including prior years' costs.

23

Section 10.
The sum of $2,554,571, or so much thereof as

SB4109
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1
may be necessary, and remains unexpended at the close of
2
business on June 30, 2026, from a reappropriation made for
3
such purpose in Article 122, Section 1160 of Public Act
4
104-0003, as amended, is reappropriated from the Fund for
5
Illinois' Future to the Department of Public Health for a
6
grant to Carle Health Methodist Hospital for costs associated
7
with its Job Readiness, Learning Program, and related
8
operating expenses, including prior years' costs.

9

Section 15.
The sum of $399,290, or so much thereof as may
10
be necessary, and remains unexpended at the close of business
11
on June 30, 2026, from a reappropriation made for such purpose
12
in Article 122, Section 1165 of Public Act 104-0003, as
13
amended, is reappropriated from the Fund for Illinois' Future
14
to the Department of Public Health for a grant to Carle Health
15
Methodist Hospital for costs associated with its Healthy
16
Beginnings Program, and related expenses, including prior
17
years' costs.

18

Section 20.
The sum of $2,093,618, or so much thereof as
19
may be necessary, and remains unexpended at the close of
20
business on June 30, 2026, from a reappropriation made for
21
such purpose in Article 122, Section 1175 of Public Act
22
104-0003, as amended, is reappropriated from the Fund for
23
Illinois' Future to the Department of Public Health for
24
expenses related to a safe gun storage public awareness

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campaign, including prior years' costs.

2

Section 25.
The sum of $530,512, or so much thereof as may
3
be necessary, and remains unexpended at the close of business
4
on June 30, 2026, from a reappropriation made for such purpose
5
in Article 122, Section 1180 of Public Act 104-0003, as
6
amended, is reappropriated from the Fund for Illinois' Future
7
to the Department of Public Health for grants and
8
administrative expenses for the distribution of PREP
9
Medication Access, including prior years' costs.

10

Section 30.
The sum of $28,279, or so much thereof as may
11
be necessary, and remains unexpended at the close of business
12
on June 30, 2026, from a reappropriation made for such purpose
13
in Article 122, Section 1185 of Public Act 104-0003, as
14
amended, is reappropriated from the Fund for Illinois' Future
15
to the Department of Public Health for grants to certified
16
Local Health Departments for Health Protection Programs
17
including, but not limited to, infectious diseases, food
18
sanitation, potable water and private sewage, and related
19
expenses, including prior years' costs.

20

Section 35.
The sum of $50,438, or so much thereof as may
21
be necessary, and remains unexpended at the close of business
22
on June 30, 2026, from a reappropriation made for such purpose
23
in Article 122, Section 1190 of Public Act 104-0003, as

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1
amended, is reappropriated from the Fund for Illinois' Future
2
to the Department of Public Health for grants and
3
administrative expenses associated with STI screenings,
4
including prior years' costs.

5

Section 40.
The sum of $400,000, or so much thereof as may
6
be necessary, and remains unexpended at the close of business
7
on June 30, 2026, from a reappropriation made for such purpose
8
in Article 122, Section 1195, of Public Act 104-0003, as
9
amended, is reappropriated from the Fund for Illinois' Future
10
to the Department of Public Health for a grant to the Lake
11
County Children's Advocacy Center.

12

Section 45.
The sum of $14,705,900, or so much thereof as
13
may be necessary, and remains unexpended at the close of
14
business on June 30, 2026, from an appropriation made for such
15
purpose in Article 122, Section 1235, of Public Act 104-0003,
16
as amended, is reappropriated from the Fund for Illinois'
17
Future to the Department of Public Health for making payments
18
in support of the ordinary and contingent expenses of the
19
following safety net hospitals to improve health equity,
20
improve access to quality care, and reduce health disparities
21
in underserved communities and that participate in the State's
22
Medicaid managed care program at the following named amounts:
23
SAFETY NET
24

Insight-Chicago
...................................
7,000,000

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1

Jackson Park-Chicago
..............................
7,000,000
2

Loretto-Chicago
..................................
11,000,000
3

Mount Sinai-Chicago
..............................
13,000,000
4

Roseland-Chicago
.................................
16,000,000
5

South Shore-Chicago
..............................
17,000,000
6

St. Bernard-Chicago
...............................
7,000,000
7

Thorek Andersonville-Chicago
......................
2,000,000
8

Thorek Memorial
...................................
2,000,000
9

Touchette-Centreville
............................
12,000,000
10

West Suburban-Oak Park
............................
4,000,000
11

Weiss-Chicago
.....................................
4,000,000

12

Section 50.
The sum of $6,000,000, that was appropriated
13
to the Department of Public Health from the General Revenue
14
Fund for the purpose of administering the Breakthrough
15
Therapies for Veteran Suicide Prevention Program. The entire
16
sum of $3,000,000 in program funding shall be a direct grant to
17
Sunstone Therapies to administer the program in collaboration
18
with an Illinois-based mental healthcare provider, including
19
but not limited to conducting clinical research on emerging
20
therapies for veteran suicide prevention in State Fiscal Year
21
2026 by Article 63, Section 105 of Public Act 104-0003, as
22
amended, or so much thereof remains unexpended at the Close of
23
business on June 30, 2026, is hereby appropriated from the
24
Fund for Illinois' Future to the Department of Public Health
25
for the purpose of administering the Breakthrough Therapies

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1
for Veteran Suicide Prevention Program. The entire sum of
2
$3,000,000 in program funding shall be a direct grant to
3
Sunstone Therapies to administer the program in collaboration
4
with an Illinois-based mental healthcare provider, including
5
but not limited to conducting clinical research on emerging
6
therapies for veteran suicide prevention

7

Section 55.
The sum of $4,500,000, that was appropriated
8
to the Department of Public Health from the General Revenue
9
Fund for a grant to the Illinois Association of Free and
10
Charitable Clinics in State Fiscal Year 2026 by Article 63,
11
Section 100 of Public Act 104-0003, as amended, or so much
12
thereof remains unexpended at the Close of business on June
13
30, 2026, is hereby appropriated from the Fund for Illinois'
14
Future to the Department of Public Health for a grant to the
15
Illinois Association of Free and Charitable Clinics.

16

Section 60.
The sum of $1,000,000, or so much thereof as
17
may be necessary, is appropriated from the Fund for Illinois'
18
Future to the Department of Public Health for a grant to the
19
American Lung Association.

20

Section 65.
The sum of $1,000,000, or so much thereof as
21
may be necessary, is appropriated from the Fund for Illinois'
22
Future to the Department of Public Health for a grant to VNA
23
Healthcare Kane County for all costs associated with

SB4109
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1
healthcare access and availability, administrative costs and
2
operational expenses.

3

Section 70.
The sum of $500,000, or so much thereof as may
4
be necessary, is appropriated from the Fund for Illinois'
5
Future to the Department of Public Health for a grant to
6
Greater Family Health for all costs associated with healthcare
7
access and availability, administrative costs and operational
8
expenses.

9

Section 75.
The sum of $500,000, or so much thereof as may
10
be necessary, is appropriated from the Fund for Illinois'
11
Future to the Department of Public Health for a grant to Access
12
DuPage for all costs associated with healthcare access and
13
availability, administrative costs and operational expenses.

14

Section 80.
The sum of $300,000, or so much thereof as may
15
be necessary, is appropriated from the Fund for Illinois'
16
Future to the Department of Public Health for a grant to VNA
17
Healthcare DuPage County for all costs associated with
18
healthcare access and availability, administrative costs and
19
operational expenses.

20

Section 85.
The sum of $600,000, or so much thereof as may
21
be necessary, is appropriated from the Fund for Illinois'
22
Future to the Department of Public Health for a grant to Erie

SB4109
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1
Family Health for all costs associated with healthcare access
2
and availability, administrative costs and operational
3
expenses.

4

Section 90.
The sum of $300,000, or so much thereof as may
5
be necessary, is appropriated from the Fund for Illinois'
6
Future to the Department of Public Health for a grant to Access
7
Lake for all costs associated with healthcare access and
8
availability, administrative costs and operational expenses.

9

Section 95.
The sum of $400,000, or so much thereof as may
10
be necessary, is appropriated from the Fund for Illinois'
11
Future to the Department of Public Health for a grant to
12
Rosalind Franklin University Health Clinics for all costs
13
associated with healthcare access and availability,
14
administrative costs and operational expenses.

15

Section 100.
The sum of $2,000,000, or so much thereof as
16
may be necessary, is appropriated from the Fund for Illinois'
17
Future to the Department of Public Health for a grant to Cook
18
County Health for all costs associated with healthcare access
19
and availability, administrative costs and operational
20
expenses.

21

Section 105.
The sum of $400,000, or so much thereof as may
22
be necessary, is appropriated from the Fund for Illinois'

SB4109
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1
Future to the Department of Public Health for a grant to
2
Partners for Our Communities for all costs associated with
3
healthcare access and availability, administrative costs and
4
operational expenses.

5

Section 110.
The sum of $2,000,000, or so much thereof as
6
may be necessary, is appropriated from the Fund for Illinois'
7
Future to the Department of Public Health for a grant to Access
8
to Care for all costs associated with healthcare access and
9
availability, administrative costs and operational expenses.

10

Section 115.
The sum of $300,000, or so much thereof as may
11
be necessary, is appropriated from the Fund for Illinois'
12
Future to the Department of Public Health for a grant to VNA
13
Healthcare of Will County for all costs associated with
14
healthcare access and availability, administrative costs and
15
operational expenses.

16

Section 120.
The sum of $300,000, or so much thereof as may
17
be necessary, is appropriated from the Fund for Illinois'
18
Future to the Department of Public Health for a grant to Cass
19
County Health Center for all costs associated with healthcare
20
access and availability, administrative costs and operational
21
expenses.

22

Section 125.
The sum of $400,000, or so much thereof as may

SB4109
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1
be necessary, is appropriated from the Fund for Illinois'
2
Future to the Department of Public Health for a grant to the
3
Winnebago Health Department for all costs associated with
4
healthcare access and availability, administrative costs and
5
operational expenses.

6

Section 130.
The sum of $300,000, or so much thereof as may
7
be necessary, is appropriated from the Fund for Illinois'
8
Future to the Department of Public Health for a grant to SIHF
9
Healthcare for all costs associated with healthcare access and
10
availability, administrative costs and operational expenses.

11

Section 135.
The sum of $300,000, or so much thereof as may
12
be necessary, is appropriated from the Fund for Illinois'
13
Future to the Department of Public Health for a grant to CHCC
14
Community Healthcare Clinic for all costs associated with
15
healthcare access and availability, administrative costs and
16
operational expenses.

17

Section 140.
The sum of $1,000,000, or so much thereof as
18
may be necessary is appropriated from the Fund for Illinois'
19
Future to the Department of Public Health for a grant to
20
Christian Community Health Center for all costs associated
21
with healthcare access and availability, administrative costs
22
and operational expenses.

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1
ARTICLE 3
2

Section 5.
The sum of $9,005,269, or so much thereof as may
3
be necessary, and remains unexpended at the close of business
4
on June 30, 2026, from a reappropriation heretofore made for
5
such purpose in Article 123, Section 230 of Public Act
6
104-0003, as amended, is reappropriated from the State
7
Coronavirus Urgent Remediation Fund to the Department of
8
Public Health for all costs associated with response to the
9
COVID-19 Pandemic.

10

Section 9999.
Effective date.
This Act takes effect July
11
1, 2026.

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