IL HB4039

Creates the Holistic Overdose Prevention and Equity (HOPE) Act establishing a Harm Reduction Program Board with majority membership required to have lived or living experience with drug use, substance use disorder, overdose, or harm reduction services

Requires the Department of Public Health to issue grants to harm reduction providers in all 102 Illinois counties for services including naloxone distribution, fentanyl test strips, sterile injection supplies, overdose reversal training, and HIV/hepatitis prevention and testing referrals

Mandates that prisons and jails provide naloxone to all staff and incarcerated individuals, screen detained persons for substance use disorders within 24 hours of admission, continue medication-assisted treatment for those already receiving it, and provide naloxone and harm reduction referrals upon release

Requires hospitals conducting urine drug screenings to test for fentanyl and report deidentified results to the Department of Public Health, and mandates emergency departments provide medication for opioid use disorder and at least 2 doses of naloxone to patients with opioid-related conditions upon discharge

Prohibits State-funded housing providers from rejecting applicants or evicting residents solely based on abstinence or sobriety requirements, and preempts home rule units from prohibiting harm reduction activities or needle exchange programs