il-v50i43-77-ill-adm-code-2080: 77 Ill. Adm. Code 2080 — Electronic Prescription Monitoring Program

1) Heading of the Part: Electronic Prescription Monitoring Program 2) Code Citation: 77 Ill. Adm. Code 2080 3) Section Number: Adopted Action: 2080.205 Amendment 4) Statutory Authority: Implementing and authorized by Sections 316, 317, 318, 319, 320, and 321 of Article III of the Illinois Controlled Substances Act [720 ILCS 570/316, 317, 318, 319, 320, and 321]. 5) Effective Date of Rule: October 8, 2026 6) Does this rulemaking contain an automatic repeal date? No 7) Does this rulemaking contain incorporations by reference? No 8) A copy of the Adopted Rule, including any material incorporated, is on file in the Agency's principal office and is available for public inspection. 9) Notice of Proposal published in the Illinois Register: 50 Ill. Reg. 3550; March 6, 2026 10) Has JCAR issued a Statement of Objection to this rule? No 11) Differences between Proposal and Final Version: In Section 2080.205(c)(8), insert "or" at the end. In Section 2080.205(c)(9), replace "; or" with "." Section 2080.205(c)(10) was deleted. In Section 2080.205, subsection label (e) was reinstated; the remaining subsection labels were revised accordingly; and the following text was inserted: "Designees shall not access the ILPMP through Illinois PMPnow. The EHR system shall send the user's name or other individual identifier to ILPMP to document the person accessing the ILPMP data is a prescriber or dispenser." In Section 2080.205(p) (previously subsection (o)), the period after "supporting documentation" was deleted and the remaining text was revised to say the following: "and make a recommendation regarding whether the denial should be upheld or overturned. The Clinical Director shall forward the appeal and the ILPMPAC's recommendation to DHS's Division of Behavioral Health and Recovery's Associate Director of Prevention and Health Promotion or their designee, who shall render the final administrative decision. Applicants will be notified within 30 days of the final administrative decision." 12) Have all changes agreed upon by the agency and JCAR been made as indicated in the agreements issued by JCAR? Yes 13) Will this rulemaking replace an emergency rule currently in effect? No 14) Are there any rulemakings pending on this Part? No 15) Summary and purpose of rulemaking: 77 Ill. Adm. Code 2080 implements the Illinois Prescription Monitoring Program (ILPMP), an electronic database that collects, tracks, and stores reported dispensing data on Schedule II-V controlled substances, selected drugs of interest, and other health information. The amendment to this rule is necessary to ensure the ILPMP is current with modern standards. Specifically, this rulemaking adds additional authorized designee types to the authorized designee list; removes location exemptions; removes old process procedures related to designee designation at authorized locations for electronic health records (EHR); clarifies the ILPMP website will be maintained by Department staff which includes developing, modifying, and maintaining data files; updates required registration credentials; removes the outdated process for authorizing group user access; and clarifies the appeals process when access requests are denied. Other minor changes were made to ensure the rule was consistent with current regulations, program policies, and procedures. 16) Information and questions regarding this adopted rulemaking shall be directed to: Tracie Drew, Chief Bureau of Administrative Rules and Procedures Department of Human Services 100 South Grand Avenue East Harris Building, 3 Floor Springfield, Illinois 62762 DEPARTMENT OF HUMAN SERVICES NOTICE OF ADOPTED AMENDMENT (217) 785-9772 DHS.AdministrativeRules@illinois.gov The full text of the Adopted Amendment begins on the next page: DEPARTMENT OF HUMAN SERVICES NOTICE OF ADOPTED AMENDMENT TITLE 77: PUBLIC HEALTH CHAPTER X: DEPARTMENT OF HUMAN SERVICES SUBCHAPTER e: CONTROLLED SUBSTANCES ACTIVITIES PART 2080 ELECTRONIC PRESCRIPTION MONITORING PROGRAM Section 2080.10 Authority 2080.20 Incorporation by Reference and Definitions 2080.30 General Description 2080.40 Official Triplicate Prescription Blanks (Repealed) 2080.50 Authorized Prescribers 2080.60 Application (Repealed) 2080.70 Schedule II-V Drug Prescription Requirements 2080.80 Prohibited use of the Official Triplicate Prescription Blank (Repealed) 2080.90 Dispensing a Schedule II-V Drug 2080.100 Dispenser Responsibility 2080.110 Partial filling of prescriptions (Repealed) 2080.120 Emergency situations (Repealed) 2080.130 Prescriptions from out-of-state prescribers and exempt Federal practitioners (Repealed) 2080.140 Exemptions for prescribers in hospitals and institutions (Repealed) 2080.150 Exemptions for long term care and home infusion services (Repealed) 2080.160 Exemptions for narcotic treatment programs (Repealed) 2080.170 Exemptions for research (Repealed) 2080.180 Investigatory and regulatory referrals (Repealed) 2080.190 Reports 2080.200 Prescriber and Dispenser Inquiry System 2080.203 Registering with the ILPMP 2080.205 Accessing the ILPMP 2080.207 EHR Integration with the ILPMP 2080.208 Pharmacy Management Systems Integration with the ILPMP 2080.210 Access to the Prescription Information Library (PIL) (Repealed) 2080.211 Other State Prescription Monitoring Authority Access 2080.220 Error Reporting 2080.230 Designated Controlled Substances and Other Selected Drugs 2080.240 Mid-Level Practitioners Prescriptive Authority Reporting 2080.245 Advanced Practice Registered Nurse with Full Practice Authority DEPARTMENT OF HUMAN SERVICES NOTICE OF ADOPTED AMENDMENT 2080.250 Mailing of Controlled Substances 2080.320 Illinois Prescription Monitoring Program Advisory Committee (ILPMPAC) 2080.325 Peer Review Committee AUTHORITY: Implementing and authorized by Sections 316, 317, 318, 319, 320, and 321 of Article III of the Illinois Controlled Substances Act [720 ILCS 570/316, 317, 318, 319, 320, and 321]. SOURCE: Adopted at 10 Ill. Reg. 4497, effective March 3, 1986; amended at 17 Ill. Reg. 11424, effective July 6, 1993; amended at 20 Ill. Reg. 3107, effective February 2, 1996; recodified from the Department of Alcoholism and Substance Abuse to the Department of Human Services at 21 Ill. Reg. 9319; amended at 26 Ill. Reg. 3975, effective March 4, 2002; amended at 33 Ill. Reg. 17333, effective December 9, 2009; amended at 39 Ill. Reg. 6421, effective April 22, 2015; amended at 40 Ill. Reg. 3737, effective February 29, 2016; amended at 41 Ill. Reg. 11909, effective September 13, 2017; amended at 45 Ill. Reg. 8351, effective June 24, 2021; amended at 48 Ill. Reg. 13500, effective September 8, 2023; amended at 48 Ill. Reg. 15062, effective October 8, 2024; amended at 50 Ill. Reg. 15586, effective October 8, 2026. Section 2080.205 Accessing the ILPMP a) Prescribers or dispensers or their authorized designee may utilize the ILPMP for patient care after obtaining access authorization from the ILPMP staff. b) Each prescriber or their designee shall also document an attempt to access patient information in the ILPMP to assess patient access to controlled substances when providing an initial prescription for Schedule II narcotics such as opioids, except for oncology treatment, palliative care, or for a 7-day or less supply provided by a hospital emergency department when treating an acute, traumatic medical condition. This attempt to access shall be documented in the patient's medical record. [705 ILCS 570/314.5(c-5)] c) Only the following licensed or non-licensed designee employed in that licensed prescriber's office or a licensed designee in a licensed pharmacist's pharmacy who has received training in the federal Health Insurance Portability and Accountability Act and 42 CFR 2 to consult the Illinois Prescription Monitoring Program on their behalf [720 ILCS 570/316(g)] shall serve as an authorized designee for a prescriber or dispenser for entity or pharmacy practice sites: 1) registered nurse; 2) licensed practical nurse; 3) pharmacy technician; 4) student pharmacist; 5) certified medical assistant; 6) dental hygienist; or 7) dental assistant;. 8) licensed clinical professional counselor; or 9) licensed social worker. d) The prescriber or dispenser shall only have up to five designees, with the exception of a hospital or other authorized location such as a long-term care facility/opioid treatment facility. e) Designees shall not access the ILPMP through Illinois PMPnow. The hospital, pharmacy, or authorized location shall facilitate the designation of a prescriber's designee for the purpose of accessing the ILPMP for services provided at that location. The EHR system shall send the user's name or other individual identifier to ILPMP to document the person accessing the ILPMP data is a prescriber or dispenser. f) The prescriber and dispenser shall register the designees on the ILPMP website (www.ilpmp.org) and must also agree to the terms and conditions for designees. g) Each designee shall have an individual account that must be linked to the prescriber or dispenser. h) ILPMP staff shall verify the following information about each designee: 1) license/certification number, if applicable; 2) employer's phone number and address; and 3) work email address. If no work email address is available, ILPMP staff shall contact the prescriber or dispenser to verify the designee. 4) For a medical assistant or dental assistant, a certificate of completion for the required HIPAA training, as outlined in 720 ILCS 520/316(g), must be provided to the authorizing prescriber annually. i) ILPMP shall send out a notice for the prescriber or dispenser to ensure continued employment of their designees. If the prescriber or dispenser determines that the designee is no longer employed with the prescriber or dispenser, the prescriber or dispenser shall terminate the designee's access to the ILPMP by locking the designee's account or by notifying the ILPMP that the designee's account should be locked. j) A user may only access the ILPMP for a patient's medical treatment. k) Department staff shall develop, modify, and maintain data files of the ILPMP website. l) Requesters are responsible for any unauthorized use of their ILPMP credentials. m) In order to expedite the approval and oversight of ILPMP applicants and users, the ILPMP must be managed by a licensed dispenser or licensed prescriber. n) ILPMP staff determine if a PMP user applicant may become a ILPMP user. The applicant must include the following information which can be submitted on the ILPMP website: 1) Applicant's first and last name; 2) Pharmacy, clinic, or office street address, city, state, and zip code; 3) Illinois Controlled Substance license number and/or DEA number; 4) For a pharmacist's application, the pharmacy DEA number; 5) Professional Illinois prescriber or dispenser license number; and 6) Business telephone number. o) PMP staff shall determine if a ILPMP user applicant may become a ILPMP group user by applying the following criteria: 1) The prescriber or dispenser who will be the account's custodian shall provide the following information: A) First and last name; B) DEA number; C) National Provider Identifier (NPI) number; D) Illinois prescriber or dispenser license number; and E) Business telephone number; 2) Hospital emergency department's or other authorized location's street address, city, state, and zip code; 3) The pharmacist-in-charge (PIC) as the central user of the hospital pharmacy; and 4) A listing of all users with the following information: A) First and last name; B) Individual NPI; C) DEAnumber; and D) Illinois healthcare license number. p) The denial appeal process for consideration to obtain access to the ILPMP is stated as the following: The ILPMP Clinical Director or Designee will forward the appeal request to the Bureau Chief for final decision. DEPARTMENT OF HUMAN SERVICES NOTICE OF ADOPTED AMENDMENT oq) For ILPMP user applications for which ILPMP staff is unable to make a determination, the Clinical Director or designee shall review those user applications and render a professional decision as to whether access shall be granted. p) Applicants denied access to the ILPMP may submit a written appeal within 30 days of the denial notice. Appeals will be reviewed by the ILPMPAdvisory Committee (ILPMPAC) at the next ILPMPAC meeting. The ILPMPAC will consider the application, denial rationale, and any supporting documentation and make a recommendation regarding whether the denial should be upheld or overturned. The Clinical Director shall forward the appeal and the ILPMPAC's recommendation to DHS's Division of Behavioral Health and Recovery's Associate Director of Prevention and Health Promotion or their designee, who shall render the final administrative decision. Applicants will be notified within 30 days of the final administrative decision. qr) The ILPMPAdministrator or their designee mayshall review the user access log for any unusual or improper activity by a user. rs) The Clinical Director or their designee shall directly monitor the development, modification, and/or expansion of the ILPMP. (Source: Amended at 50 Ill. Reg. 15586, effective October 8, 2026) HEALTH FACILITIES AND SERVICES REVIEW BOARD JANUARY 2027 REGULATORY AGENDA a) Part (Heading and Code Citation): Narrative and Planning Policies (77 Ill. Adm. Code 1100) 1) Rulemaking: A) Description: This rulemaking will propose updates to definitions for various terms and establish criteria for Small Format Hospitals. The rulemaking may also provide other cleanup and updates to align the Code with the Act and current Board procedure. B) Statutory Authority: Authorized by Section 12 of and implementing the Illinois Health Facilities Planning Act [20 ILCS 3960/12]. C) Scheduled meeting/hearing dates: None D) Date agency anticipates First Notice: During the next six months E) Effect on small businesses, small municipalities or not for profit corporations: None F) Agency contact person for information: Illinois Health Facilities and Services Review Board Attention: Donald Jones, Rules Coordinator 525 West Jefferson Street, 2 Floor Springfield, IL 62761-0001 (217) 782-3516 dph.hfsrb.rules@illinois.gov G) Related rulemakings and other pertinent information: None 2) Rulemaking: A) Description: This rulemaking will propose modifications for tracking changes of ownership of Long-Term Care facilities; specifically, those related to developmental disability categories of service in accordance with Public Act 104-0661. HEALTH FACILITIES AND SERVICES REVIEW BOARD JANUARY 2027 REGULATORY AGENDA B) Statutory Authority: Authorized by Section 12 of and implementing the Illinois Health Facilities Planning Act [20 ILCS 3960/12]. C) Scheduled meeting/hearing dates: None D) Date agency anticipates First Notice: During the next six months E) Effect on small businesses, small municipalities or not for profit corporations: None F) Agency contact person for information: Illinois Health Facilities and Services Review Board Attention: Donald Jones, Rules Coordinator 525 West Jefferson Street, 2 Floor Springfield, IL 62761-0001 (217) 782-3516 dph.hfsrb.rules@illinois.gov G) Related rulemakings and other pertinent information: Long-Term Care (77 Ill. Adm. Code 1125) and Health Facilities and Services Review Operational Rules (77 Ill. Adm. Code 1130) b) Part (Heading and Code Citation): Processing, Classification Policies and Review Criteria (77 Ill. Adm. Code 1110) 1) Rulemaking: A) Description: This rulemaking will include criteria for Small Format Hospitals. The rulemaking may also provide other cleanup and updates to align the Code with the Act and current Board procedure. B) Statutory Authority: Authorized by Section 12 of, and implementing, the Illinois Health Facilities Planning Act [20 ILCS 3960], the Alternative Health Care Delivery Act [210 ILCS 3], and the Birth Center Licensing Act [210 ILCS 170]. C) Scheduled meeting/hearing dates: None HEALTH FACILITIES AND SERVICES REVIEW BOARD JANUARY 2027 REGULATORY AGENDA D) Date agency anticipates First Notice: During the next six months E) Effect on small businesses, small municipalities or not for profit corporations: None F) Agency contact person for information: Illinois Health Facilities and Services Review Board Attention: Donald Jones, Rules Coordinator 525 West Jefferson Street, 2 Floor Springfield, IL 62761-0001 (217) 782-3516 dph.hfsrb.rules@illinois.gov G) Related rulemakings and other pertinent information: Narrative and Planning Policies (77 Ill. Adm. Code 1100) c) Part (Heading and Code Citation): Long-Term Care (77 Ill. Adm. Code 1125) 1) Rulemaking: A) Description: This rulemaking will include criteria for Long-Term Care facilities related to developmental disability categories of service to report ownership structures and changes of ownership in accordance with Public Act 104-0661. The rulemaking may also provide other cleanup and updates to align the Code with the Act and current Board procedure. B) Statutory Authority: Authorized by Section 12 of and implementing the Illinois Health Facilities Planning Act [20 ILCS 3960]. C) Scheduled meeting/hearing dates: None D) Date agency anticipates First Notice: During the next six months E) Effect on small businesses, small municipalities or not for profit corporations: None HEALTH FACILITIES AND SERVICES REVIEW BOARD JANUARY 2027 REGULATORY AGENDA F) Agency contact person for information: Illinois Health Facilities and Services Review Board Attention: Donald Jones, Rules Coordinator 525 West Jefferson Street, 2 Floor Springfield, IL 62761-0001 (217) 782-3516 dph.hfsrb.rules@illinois.gov G) Related rulemakings and other pertinent information: Narrative and Planning Policies (77 Ill. Adm. Code 1100) and Health Facilities and Services Review Operational Rules (77 Ill. Adm. Code 1130) d) Part (Heading and Code Citation): Health Facilities and Services Review Operational Rules (77 Ill. Adm. Code 1130) 1) Rulemaking: A) Description: This rulemaking will propose changes to the process for invalidating a permit, allowing electronic signatures on applications, clarifying language regarding deferrals and temporary suspensions, and addressing fines for non-compliance of hospital financial data. The rulemaking may also provide other cleanup and updates to align the Code with the Act and current Board procedure. B) Statutory Authority: Authorized by Section 12 of and implementing the Illinois Health Facilities Planning Act [20 ILCS 3960]. C) Scheduled meeting/hearing dates: None D) Date agency anticipates First Notice: During the next six months E) Effect on small businesses, small municipalities or not for profit corporations: None F) Agency contact person for information: Illinois Health Facilities and Services Review Board HEALTH FACILITIES AND SERVICES REVIEW BOARD JANUARY 2027 REGULATORY AGENDA Attention: Donald Jones, Rules Coordinator 525 West Jefferson Street, 2 Floor Springfield, IL 62761-0001 (217) 782-3516 dph.hfsrb.rules@illinois.gov G) Related rulemakings and other pertinent information: None EXECUTIVE ORDER 2026-8 EXECUTIVE ORDER TO RESPOND TO DIESEL FUEL CRISIS CAUSED BY TRUMP'S IRAN WAR WHEREAS, the Trump Administration's war with Iran has disrupted the global flow of trade through the Strait of Hormuz; and, WHEREAS, according to the United States Energy Information Administration (EIA), the conflict has "dramatically reduced the availability of oil supplies to global markets and has had cascading effects across oil supply chains"; and, WHEREAS, diesel fuel prices in Illinois have risen to a record high; and, WHEREAS, the EIA predicts that "constraints to exporting oil from the Middle East will persist through the end of the year, which keeps crude oil production in the region below pre-conflict averages until the second quarter of 2027;" and, WHEREAS, distillate fuel inventories in the United States are predicted to remain below the five-year (2021 to 2025) low through much of 2027, further contributing to increased diesel fuel prices; and, WHEREAS, high diesel fuel prices have resulted in extraordinary increases in the cost of transportation of agricultural and raw goods, such as beef and grain, in Illinois; and, WHEREAS, increased agricultural transportation costs are often passed on to consumers in the form of higher grocery prices; and, WHEREAS, Illinois farmers are at further risk of loss of profitability due to the Trump Administration's cuts to the Supplemental Nutrition Assistance Program (SNAP), which allows eligible Illinois residents to use SNAP benefits to purchase locally grown food; and, WHEREAS, Illinois farmers are now facing unprecedented financial pressure and instability; and, WHEREAS, agriculture is a critical economic driver for all of Illinois; and, WHEREAS, the Illinois Department of Transportation (IDOT) implements the Illinois Harvest Permit (IHP) program, a free permit program which effectively allows heavier truck weights on specified routes during the fall harvest season, from September 1 through December 31 each year; and, EXECUTIVE ORDER WHEREAS, I, JB Pritzker, Governor of Illinois, have declared all counties in the State of Illinois as a disaster area due to the diesel fuel crisis; THEREFORE, by the powers vested in me as the Governor of the State of Illinois, pursuant to Sections 7(1), 7(2), and 7(3) of the Illinois Emergency Management Agency Act, 20 ILCS 3305, I hereby order the following: Section 1. The Illinois Department of Revenue (IDOR) and Illinois State Police (ISP) are directed not to impose a penalty when dyed diesel fuel is sold or used from bulk storage for use on highways and state roads for farming and agricultural purposes through December 31, 2026. IDOR is directed to issue guidance to clearly explain how it intends to implement this penalty relief, including an explanation of what records and documentation users of dyed diesel should maintain to demonstrate that their use qualifies for penalty relief. Section 2. IDOR is directed to request federal penalty relief from the Internal Revenue Service for the highway use of dyed diesel fuel in accordance with IRM 25.16.1.5 and the Presidential Executive Order addressing Emergency Tax Relief on Dyed Diesel Fuel entered October 5, 2026, to provide additional relief as the diesel shortage intersects with the fall harvest season. Section 3. IDOT is directed to consider extending the IHP program into the winter, spring, or summer of 2027, to provide additional relief if the diesel shortage continues. Section 4. Nothing in this Executive Order shall be construed to contravene any federal or State law or regulation. Section 5. If any provision of this Executive Order or its application to any person or circumstances is held invalid by any court of competent jurisdiction, this invalidity does not affect any other provision or application of this Executive Order which can be given effect without the invalid provision or application. To achieve this purpose, the provisions of this Executive Order are declared to be severable. Section 6. This Executive Order shall be effective immediately upon its filing with the Secretary of State. Issued by the Governor: October 6, 2026 Filed with the Secretary of State: October 6, 2026 PROCLAMATIONS 2026-274 GUBERNATORIAL DISASTER PROCLAMATION WHEREAS, the Trump Administration's war with Iran has disrupted the global flow of trade through the Strait of Hormuz; and, WHEREAS, according to the United States Energy Information Administration (EIA), the conflict has "dramatically reduced the availability of oil supplies to global markets and has had cascading effects across oil supply chains"; and, WHEREAS, diesel fuel prices in Illinois have risen to a record high; and, WHEREAS, the EIA predicts that "constraints to exporting oil from the Middle East will persist through the end of the year, which keeps crude oil production in the region below pre-conflict averages until the second quarter of 2027;" and, WHEREAS, distillate fuel inventories in the United States are predicted to remain below the five-year (2021 to 2025) low through much of 2027, further contributing to increased diesel fuel prices; and, WHEREAS, high diesel fuel prices have resulted in extraordinary increases in the cost of transportation of agricultural and raw goods, such as beef and grain, in Illinois; and, WHEREAS, increased agricultural transportation costs are passed on to consumers in the form of higher grocery prices; and, WHEREAS, Illinois farmers are at further risk of loss of profitability due to the Trump Administration's cuts to the Supplemental Nutrition Assistance Program (SNAP), which allows eligible Illinois residents to use SNAP benefits to purchase locally grown food; and, WHEREAS, Illinois farmers are now facing unprecedented financial pressure and instability; and, WHEREAS, agriculture is a critical economic driver for all of Illinois; and, WHEREAS, the Illinois Department of Transportation (IDOT) Illinois Harvest Permit (IHP) program effectively but only temporarily allows heavier truck weights on specified routes during the fall harvest season, from September 1 through December 31 each year; and, WHEREAS, emergency steps are necessary to minimize the threat that the diesel fuel crisis poses to Illinois farmers and vulnerable families; and, PROCLAMATIONS WHEREAS, the circumstances of the present situation give rise to a threat to the health, safety, and welfare of Illinois residents and to the State, require immediate action, and constitute a disaster resulting from critical shortages of essential fuels and energy as provided in Section 4 of the Illinois Emergency Management Agency Act requiring emergency action by the State; and, WHEREAS, it is the policy of the State of Illinois that the State will be prepared to address any disasters and, therefore, it is necessary and appropriate to make additional State resources available to ensure public health, safety, and welfare; and, WHEREAS, these conditions provide legal justification under Section 7 of the Illinois Emergency Management Agency Act for the issuance of a proclamation of disaster; and, WHEREAS, the Illinois Constitution, in Article V, Section 8, provides that "[t]he Governor shall have the supreme executive power, and shall be responsible for the faithful execution of the laws[,]" and states, in the Preamble, that a central purpose of the Illinois Constitution is to "provide for the health, safety and welfare of the people"; NOW, THEREFORE, in the interest of aiding the people of Illinois, I, JB Pritzker, Governor of the State of Illinois, hereby proclaim as follows: Section 1. Pursuant to the provisions of Section 7 of the Illinois Emergency Management Agency Act, 20 ILCS 3305/7, I find that a disaster exists within the State of Illinois and declare all counties in the state as a disaster area. The proclamation authorizes the exercise of all the emergency powers provided in Section 7 of the Illinois Emergency Management Agency Act, 20 ILCS 3305/7, including but not limited to those specific emergency powers set forth below. Section 2. State agencies, including but not limited to the Illinois Department of Revenue, the Illinois State Police, and IDOT, are directed to implement any Executive Orders issued pursuant to this disaster proclamation, and to evaluate measures to address the shortage and high cost of diesel during the harvest season. Section 3. Pursuant to Sections 7(1), (2) and (3) of the Illinois Emergency Management Agency Act, 20 ILCS 3305/7(1), (2) and (3), this proclamation activates the Governor's authority, as necessary, to suspend the provisions of any regulatory statute, rule or regulation; to utilize all available resources of the State; and to transfer the direction, personnel, or functions of State departments and agencies or units thereof for the purpose of performing or facilitating emergency response programs. Section 4. This proclamation shall be in effect immediately and remain in effect for 30 days. PROCLAMATIONS Issued by the Governor: October 6, 2026 Filed with the Secretary of State: October 6, 2026 ILLINOIS ADMINISTRATIVE CODE Issue Index - With Effective Dates Rules acted upon in Volume 50, Issue 43 are listed in the Issues Index by Title number, Part number, Volume and Issue. Inquiries about the Issue Index may be directed to the Administrative Code Division at (217) 782-7017/18. PROPOSED RULES 89 - 148 ..................... 15420 89 - 149 ..................... 15451 86 - 500 ..................... 15468 ADOPTED RULES 23 - 1501 10/9/2026..................... 15524 89 - 120 10/6/2026..................... 15551 89 - 146 10/6/2026..................... 15569 59 - 145 10/8/2026..................... 15581 77 - 2080 10/8/2026..................... 15586 EXECUTIVE ORDERS AND PROCLAMATIONS 26 - 8 10/6/2026..................... 15600 26 - 274 10/6/2026..................... 15602